Journal of Alzheimer s Disease,
Journal Year:
2021,
Volume and Issue:
82(4), P. 1417 - 1450
Published: July 16, 2021
Porphyromonas
gingivalis
(Pg)
is
a
primary
oral
pathogen
in
the
widespread
biofilm-induced
"chronic"
multi-systems
inflammatory
disease(s)
including
Alzheimer's
disease
(AD).
It
possibly
only
second
identified
unique
example
of
biological
extremophile
human
body.
Having
better
understanding
key
microbiological
and
genetic
mechanisms
its
pathogenesis
induction
are
central
to
future
diagnosis,
treatment,
possible
prevention.
The
published
literature
around
role
Pg
AD
highlights
bacteria's
direct
within
brain
cause
disease.
available
evidence,
although
somewhat
adopted,
does
not
fully
support
this
as
major
process.
There
alternative
pathogenic/virulence
features
associated
with
that
have
been
overlooked
may
explain
pathogenic
processes
found
"infection
hypothesis"
AD.
A
explanation
offered
here
for
discrepancy
relatively
low
amounts
"Pg
bacteria"
residing
compared
rather
florid
broad
distribution
one
or
more
bacterial
protein
toxins.
Related
this,
"Gingipains
Hypothesis",
AD-related
iron
dyshomeostasis,
early
reduced
salivary
lactoferrin,
along
resurrection
Cholinergic
Hypothesis
now
be
integrated
into
working
model.
current
paper
suggests
highly
evolved
developed
Type
IX
secretory
cargo
system
producing
outer
membrane
vesicles
observed
diseases.
Thus
it
hoped
can
provide
unifying
model
sporadic
form
guide
direction
research,
Periodontology 2000,
Journal Year:
2015,
Volume and Issue:
70(1), P. 11 - 25
Published: Dec. 10, 2015
Abstract
Saliva
in
the
mouth
is
a
biofluid
produced
mainly
by
three
pairs
of
major
salivary
glands
–
submandibular,
parotid
and
sublingual
along
with
secretions
from
many
minor
submucosal
glands.
Salivary
gland
secretion
nerve‐mediated
reflex
volume
saliva
secreted
dependent
on
intensity
type
taste
chemosensory,
masticatory
or
tactile
stimulation.
Long
periods
low
(resting
unstimulated)
flow
are
broken
short
high
flow,
which
stimulated
mastication.
The
modulated
nerve
signals
other
centers
central
nervous
system,
most
obvious
as
hyposalivation
at
times
anxiety.
An
example
neurohormonal
influences
circadian
rhythm,
affects
ionic
composition.
Cholinergic
parasympathetic
adrenergic
sympathetic
autonomic
nerves
evoke
secretion,
signaling
through
muscarinic
M3
adrenoceptors
acinar
cells
leading
to
fluid
proteins.
chloride
sodium
secreting,
isotonic
rendered
hypotonic
duct
it
flows
mouth.
proteins
present
glands,
creating
viscoelasticity
enabling
coating
oral
surfaces
saliva.
films
essential
for
maintaining
health
regulating
microbiome.
contains
range
validated
potential
disease
biomarkers
derived
epithelial
cells,
neutrophils,
microbiome,
gingival
crevicular
serum.
For
example,
cortisol
levels
used
assessment
stress,
matrix
metalloproteinases‐8
‐9
appear
be
promising
markers
caries
periodontal
disease,
panel
mRNA
has
been
proposed
marker
squamous
cell
carcinoma.
Understanding
mechanisms
components
enter
an
important
aspect
validating
their
use
disease.
Journal of Dentistry,
Journal Year:
2014,
Volume and Issue:
42(8), P. 945 - 951
Published: June 12, 2014
Untreated
dental
caries
in
children
remains
a
public
health
challenge
poor
communities.This
prospective
controlled
clinical
trial
investigated
the
effectiveness
of
new
anti-caries
agent,
Nano
Silver
Fluoride
(NSF),
applied
once
year
to
arrest
children.One
hundred
thirty
decayed
primary
teeth
were
randomly
divided
into
two
groups:
NSF
as
experimental
agent
and
water
control
group.
Teeth
clinically
diagnosed
treated
by
one
masked
examiner
followed
up
at
seven
days
five
12
months
another
calibrated
who
was
blinded
type
treatment.
The
criteria
ICDAS
II
determine
activity
lesion
diagnosis
caries.
Pearson's
chi-square
test
used
compare
groups
during
different
follow-up
exams.At
days,
81%
group
exhibited
arrested
caries,
whereas
controls,
no
had
decay
(p<0.001)
[PF,
prevented
fraction=81%].
After
months,
72.7%
with
decay,
27.4%
[PF=62.5%].
At
66.7%
lesions
still
arrested,
while
34.7%
remaining
(p=0.003)
[PF=50%].
number
need
treat
(NNT)
two,
three.The
formulation
is
effective
active
dentine
not
stain
teeth.NSF
demonstrated
be
arresting
communities.
Journal of Functional Biomaterials,
Journal Year:
2013,
Volume and Issue:
4(4), P. 209 - 311
Published: Nov. 12, 2013
In
early
1980s,
researchers
discovered
self-setting
calcium
orthophosphate
cements,
which
are
bioactive
and
biodegradable
grafting
bioceramics
in
the
form
of
a
powder
liquid.
After
mixing,
both
phases
pastes,
set
harden
forming
either
non-stoichiometric
deficient
hydroxyapatite
or
brushite.
Since
them
remarkably
biocompartible,
bioresorbable
osteoconductive,
formulations
appear
to
be
promising
for
bone
grafting.
Furthermore,
such
possess
excellent
molding
capabilities,
easy
manipulation
nearly
perfect
adaptation
complex
shapes
defects,
followed
by
gradual
bioresorption
new
formation.
addition,
reinforced
have
been
introduced,
might
described
as
concretes.
The
discovery
properties
opened
up
era
medical
application
orthophosphates
many
commercial
trademarks
introduced
result.
Currently
widely
used
synthetic
grafts,
with
several
advantages,
pourability
injectability.
Moreover,
their
low-temperature
setting
reactions
intrinsic
porosity
allow
loading
drugs,
biomolecules
even
cells
tissue
engineering
purposes.
this
review,
an
insight
into
formulations,
suitable
dental
applications,
has
provided.
Advances in Colloid and Interface Science,
Journal Year:
2019,
Volume and Issue:
273, P. 102034 - 102034
Published: Aug. 31, 2019
Human
saliva,
a
seemingly
simple
aqueous
fluid,
is,
in
fact,
an
extraordinarily
complex
biocolloid
that
is
not
fully
understood,
despite
many
decades
of
study.
Salivary
lubrication
widely
believed
to
be
signature
good
oral
health
and
also
crucial
for
speech,
food
processing
swallowing.
However,
saliva
has
been
often
neglected
colloid
research,
primarily
due
its
high
intra-
inter-individual
variability
altering
material
properties
upon
collection
storage,
when
used
as
ex
vivo
research
material.
In
the
last
few
decades,
scientists
have
attempted
designing
model
(i.e.
'saliva
mimicking
fluid')
salivary
formulations
understand
saliva-food
interactions
vitro
set
up
contribution
on
microstructural
aspects,
sensory
perception.
this
Review,
we
critically
examine
current
state
knowledge
bulk
interfacial
comparison
real
human
highlight
how
far
such
can
match
saliva.
Many,
if
most,
these
share
similarities
with
terms
biochemical
compositions,
including
electrolytes,
pH
concentrations
proteins,
α-amylase
highly
glycosylated
mucins.
This,
together
between
surface
charge,
led
significant
advancement
decoding
various
colloidal
(bridging,
depletion)
charged
emulsion
droplets
associated
perception
phase.
represents
dissimilarity
lubricating
properties.
Based
in-depth
examination
mucins
derived
from
animal
sources
(e.g.
pig
gastric
(PGM)
or
bovine
submaxillary
mucin
(BSM)),
recommend
BSM
currently
most
optimal
commercially
available
source
attempting
replicate
based
adsorption
Even
though
purification
via
dialysis
chromatographic
techniques
may
influence
physicochemical
BSM,
structure
adsorption,
are
generally
superior
more
reliable
than
PGM
counterpart
at
orally
relevant
pH.
Comparison
mucin-containing
conditioning
films
suggests
alone
cannot
lubricity
pellicle.
Mucin-based
multi-layers
containing
oppositely
polyelectrolytes
offer
promising
avenues
future
engineering
biomimetic
pellicle,
however,
explored
tribology
experiments
date.
Hence,
there
strong
need
systematic
studies
employment
without
polycationic
additives
before
consensus
standardized
formulation
achieved.
Overall,
review
provides
first
comprehensive
framework
simulating
particular
property
doing
experiments.