Oral SARS‐CoV‐2 Infection and Risk for Long Covid
Reviews in Medical Virology,
Год журнала:
2025,
Номер
35(2)
Опубликована: Март 1, 2025
ABSTRACT
SARS‐CoV‐2
is
an
oral
pathogen
that
infects
and
replicates
in
mucosal
salivary
epithelial
cells,
contributing
to
post‐acute
sequelae
COVID‐19
(PASC)
other
non‐oral
pathologies.
While
pre‐existing
inflammatory
diseases
provides
a
conducive
environment
for
the
virus,
acute
infection
persistence
of
can
also
results
microbiome
dysbiosis
further
worsens
poor
health.
Indeed,
PASC
includes
periodontal
diseases,
dysgeusia,
xerostomia,
pharyngitis,
keratoses,
pulpitis
suggesting
significant
bacterial
contributions
tissue
tropism.
Dysbiotic
microbiome‐induced
inflammation
promote
viral
entry
via
angiotensin‐converting
enzyme
receptor‐2
(ACE2),
serine
transmembrane
TMPRSS2
possibly
non‐canonical
pathways.
Additionally,
metabolites
derived
from
dysbiotic
alter
physiological
biochemical
pathways
related
metabolism
lipids,
carbohydrates,
amino
acids.
This
may
pro‐inflammatory
microenvironment,
leading
immune
exhaustion,
loss
tolerance,
susceptibility
variety
pathogens,
causing
later
chronic
inflammation.
Microbial
release
mimics
host
metallopeptidases
furin,
ADAM17
(A
disintegrin
metalloproteinase
17),
glycoprotein
aid
attachment
T
cell
immunoglobulin‐like
(TIMs),
enhancing
while
simultaneously
depressing
resistance
clearance.
Membrane
reorganization
characterised
by
neuroproteins,
such
as
neuropilins,
functionally
assists
with
extends
pathogenesis
cavity
brain,
gut,
or
tissues.
Thus,
health,
disrupted
microbiomes
tropism,
weaken
antiviral
resistance,
heightens
infection.
dysfunction
increases
risk
additional
infections,
exacerbating
conditions
like
endodontic
diseases.
These
persistent
health
issues
contribute
systemic
inflammation,
creating
bidirectional
effects
between
tissues,
potentially
Post‐Acute
Sequelae
(PASC).
Язык: Английский
The Role of Dental-derived Stem Cell-based Therapy and Their Derived Extracellular Vesicles in Post-COVID-19 Syndrome-induced Tissue Damage
Stem Cell Reviews and Reports,
Год журнала:
2024,
Номер
20(8), С. 2062 - 2103
Опубликована: Авг. 16, 2024
Язык: Английский
A Low-Cost Protocol Using the Adjunctive Action of Povidone–Iodine Irrigations and Sodium Hypochlorite Rinsing Solution in Step 2 of Periodontal Therapy for Patients with Stage III–IV Periodontitis: A Single-Blind, Randomized Controlled Trial
Dentistry Journal,
Год журнала:
2024,
Номер
12(5), С. 144 - 144
Опубликована: Май 15, 2024
In
severe
stages
of
periodontitis,
conventional
periodontal
therapy
and
maintenance
care
are
usually
insufficient
due
to
the
viral
bacterial
etiology;
thus,
a
mechanical
approach
alone
may
not
be
sufficient
eliminate
substantial
portion
subgingival
pathogens,
especially
in
deep
sites.
Background
Objectives:
This
single-blind,
randomized
clinical
trial
aimed
compare
microbiological
efficacy
low-cost
protocol
using
povidone–iodine
sodium
hypochlorite
formulations
as
adjuncts
non-surgical
for
patients
with
stage
IV
periodontitis
when
compared
chlorhexidine,
most
commonly
employed
substance
date
antimicrobial
regimens
therapy.
Materials
Methods:
Forty-five
were
randomly
divided
into
two
groups:
control
(subgingival
instrumentation,
chlorhexidine-assisted)
test
(antiviral
medication,
instrumentation
povidone–iodine,
rinsing
solution,
antibiotics).
Clinical
measurements
analyses
performed
at
baseline
after
three
months.
Results:
After
months,
notable
differences
found
detection
scores
Porphyromonas
gingivalis
(a
significant
reduction
frequency
was
observed
(p
=
0.021)),
there
reductions
group
Tannerella
forsythia
Treponema
denticola,
showing
undetectable
levels
<
0.0001
both).
group,
pocket
probing
depth
median
value
reduced
significantly
0.0005);
similarly,
bleeding
on
showed
marked
decrease
0.0001).
However,
changes
attachment
loss
full-mouth
plaque
score
statistically
significant.
Conclusions:
Using
proposed
protocol,
improvements
parameters
obtained
current
recommendations.
Язык: Английский
SARS‐CoV‐2, periodontal pathogens, and host factors: The trinity of oral post‐acute sequelae of COVID‐19
Reviews in Medical Virology,
Год журнала:
2024,
Номер
34(3)
Опубликована: Май 1, 2024
Abstract
COVID‐19
as
a
pan‐epidemic
is
waning
but
there
it
imperative
to
understand
virus
interaction
with
oral
tissues
and
inflammatory
diseases.
We
review
periodontal
disease
(PD),
common
disease,
driver
of
post‐acute‐sequelae
conditions
(PASC).
Oral
PASC
identifies
PD,
loss
teeth,
dysgeusia,
xerostomia,
sialolitis‐sialolith,
mucositis.
contend
that
PD‐associated
microbial
dysbiosis
involving
higher
burden
periodontopathic
bacteria
provide
an
optimal
microenvironment
for
severe
acute
respiratory
syndrome
coronavirus
2
(SARS‐CoV‐2)
infection.
These
pathogens
interact
epithelial
cells
activate
molecular
or
biochemical
pathways
promote
viral
adherence,
entry,
persistence
in
the
cavity.
A
repertoire
diverse
molecules
this
relationship
including
lipids,
carbohydrates
enzymes.
The
S
protein
SARS‐CoV‐2
binds
ACE2
receptor
activated
by
protease
activity
host
furin
TRMPSS2
cleave
subunits
entry.
However,
PD
additional
enzymatic
assistance
mimicking
augment
adherence
inducing
entry
receptors
ACE2/TRMPSS,
which
are
poorly
expressed
on
cells.
discuss
mechanisms
periodontopathogens
factors
facilitate
infection
immune
resistance
resulting
incomplete
clearance
risk
‘long‐haul’
health
issues
characterising
PASC.
Finally,
we
suggest
potential
diagnostic
markers
treatment
avenues
mitigate
Язык: Английский
The Role of Viruses in Pulpal and Apical Disease: A Systematic Review
Katia Hermosilla Hermosilla,
Paula Soto Cárdenas,
Manuel Donoso Zúñiga
и другие.
Viruses,
Год журнала:
2024,
Номер
16(10), С. 1537 - 1537
Опубликована: Сен. 28, 2024
Apical
lesions
are
diseases
of
infectious
origin
that
can
cause
destruction
the
surrounding
periapical
tissue,
including
bone
tissue
and
periodontal
ligaments,
resulting
in
loss
affected
teeth.
Currently,
microorganisms
present
pulp
apical
disease
mostly
studied
as
bacteria.
However,
recent
years,
interest
has
been
aroused
study
viruses
could
be
lesions,
how
these
affect
progression
disease.
In
study,
we
conducted
a
systematic
review
literature
to
evaluate
synthesize
scientific
evidence
on
presence
their
possible
role
pulpal
This
was
performed
according
PRISMA
reporting
guidelines.
The
search
for
studies
PubMed
Web
Science
databases.
A
total
seven
published
last
10
years
were
included.
types
samples
used
virus
analysis
varied
from
one
another.
all
included
studies,
any
found,
either
or
tissue.
Herpesviridae
family,
Epstein-Barr
(EBV)
Human
cytomegalovirus
(HCMV)
stood
out
most
commonly
lesions.
Further
required
clarify
understand
pathogenic
Язык: Английский
The effect of artificial saliva on the control of dry mouth: a semi-experimental study on COVID-19 patients under Non-invasive mechanical ventilation
BMC Oral Health,
Год журнала:
2024,
Номер
24(1)
Опубликована: Май 31, 2024
Since
maintaining
oral
hygiene
is
essential
in
nursing
care,
the
present
study
was
conducted
to
determine
effect
of
care
using
Mucosamin
artificial
saliva
spray
control
dry
mouth
ICU
patients
with
COVID-19.
Язык: Английский
Effects of Herpesviruses on Proinflammatory Cytokines in Chronic Periapical Lesions
Medical Science Monitor,
Год журнала:
2024,
Номер
31
Опубликована: Дек. 30, 2024
BACKGROUND
Apical
periodontitis
is
caused
by
infected
dental
pulp
and
may
be
associated
with
caries
or
trauma,
which
can
destroy
periradicular
tissues.
This
study
included
periapical
tissue
of
patients
chronic
apical
aimed
to
evaluate
the
presence
cytomegalovirus
(CMV)
Epstein-Barr
virus
(EBV)
using
polymerase
chain
reaction
(PCR),
determine
levels
inflammatory
cytokines
enzyme-linked
immunoassay
(ELISA).
MATERIAL
AND
METHODS
A
total
79
participated
in
this
study.
Periapical
lesions
were
taken
from
tooth
roots
indicated
for
extraction,
divided
into
2
groups:
symptomatic
asymptomatic.
PCR
was
used
identify
HCMV
EBV.
Interleukin
6
(IL-6),
interleukin
8
(IL-8),
tumor
necrosis
factor-alpha
(TNF-alpha),
transforming
growth
factor
beta-1
(TGFß-1)
determined
ELISA.
RESULTS
The
occurrence
(P<0.05)
dual
HCMV/EBV
infection
significantly
more
frequent
compared
concentrations
IL-6,
IL-8,
TNF-alpha
higher
virus-positive
virus-negative
ones
(P<0.05);
especially
high
cytokine
found
(P<0.05).
level
TGF-ß1
lesions,
but
difference
significant
only
CONCLUSIONS
prevalence
herpesviruses
asymptomatic
indicates
their
important
role
pathogenesis
lesions.
Expression
TNF-alpha,
IL-8
importance
development
clinical
features
herpesvirus-infected
while
appears
no
significance.
Язык: Английский