Oral microecosystem is a very complicated ecosystem that is located in the mouth and comprises oral microbiome, diverse anatomic structures of oral cavity, saliva and interactions between oral microbiota and between oral microbiota and the host. More and more evidence from studies of epidemiology, microbiology and molecular biology is establishing a significant link between oral microecosystem and respiratory diseases. Microbiota settling down in oral microecosystem is known as the main source of lung microbiome and has been associated with the occurrence and development of respiratory diseases like pneumonia, chronic obstructive pulmonary disease, lung cancer, cystic fibrosis lung disease and asthma. In fact, it is not only indigenous oral microbes promote or directly cause respiratory infection and inflammation when inhaled into the lower respiratory tract, but also internal environment of oral microecosystem serves as a reservoir for opportunistic respiratory pathogens. Moreover, poor oral health and oral diseases caused by oral microecological dysbiosis (especially periodontal disease) are related with risk of multiple respiratory diseases. Here, we review the research status on the respiratory diseases related with oral microecosystem. Potential mechanisms on how respiratory pathogens colonize oral microecosystem and the role of indigenous oral microbes in pathogenesis of respiratory diseases are also summarized and analyzed. Given the importance of oral plaque control and oral health interventions in controlling or preventing respiratory infection and diseases, we also summarize the oral health management measures and attentions, not only for populations susceptible to respiratory infection like the elderly and hospitalized patients, but also for dentist or oral hygienists who undertake oral health care. In conclusion, the relationship between respiratory diseases and oral microecosystem has been established and supported by growing body of literature. However, etiological evidence on the role of oral microecosystem in the development of respiratory diseases is still insufficient. Further detailed studies focusing on specific mechanisms on how oral microecosystem participate in the pathogenesis of respiratory diseases could be helpful to prevent and treat respiratory diseases.

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Relationships Between Oral Microecosystem and Respiratory Diseases

Is there an association between asthma and periodontal disease among adults? Systematic review and meta-analysis.

Annual review of selected scientific literature: Report of the committee on scientific investigation of the American Academy of Restorative Dentistry.

Dental Management of Pediatric Patients with Bronchial Asthma

Asthma is the most common chronic respiratory condition characterized by airway inflammation and obstruction. Our increased knowledge and understanding of the etiology and pathogenesis of this condition has widely assisted us in delivering effective therapies. Physicians strive to provide the best treatment modality to achieve symptom-control and minimize the adverse effects of medication use. Nonetheless, patients continue to endure oral complications from the use of asthma medications. As dentists, it is prudent to address these oral complications and promote the oral health of these patients by way of early preventive and therapeutic dental intervention. This must be accomplished by adhering to certain precautionary measures for the sake of avoiding intraoperative problems while optimizing oral care. In this article, we discuss the diagnosis, oral findings, dental care, and emergency management of the asthmatic patients.

The dental management of the asthmatic patients.

This article aims to explain the effects of long-term use of asthma medications. It will discuss the effects of asthma on the oral cavity, as well considerations for the dentist when treating asthmatic patients. It will also explain how to manage asthma in the dental setting and provide advice on maintaining oral health for asthmatic patients.

Dental treatment in children with asthma - a review.

The Dental gold guide was originally developed in 2009 by the UK Committee of Postgraduate Dental Deans and Directors as a reference document for those undertaking specialist training within the UK. A similar document was later produced for dental core training in 2013, called the Silver guide. The documents act as a framework for training and outline the regulations and assessment processes. The latest edition of the Dental gold guide, published in September 2021, combines the original gold and silver guide documents, making it applicable to both speciality trainees and dental core trainees.This review article summarises this most recent version of the guide, covering all areas of speciality and dental core training, including the responsibilities of those involved in training and recruitment and arrangements for less than full-time training, as well as a summary of the review of competency progression process. It is hoped to provide a user-friendly reference for both trainees and trainers within the UK. 

/pdf/the-gold-guide-for-dental-core-and-speciality-training-in-62503aqq.pdf

The Gold guide for dental core and speciality training in the UK: a review

The COVID-19 pandemic has led to changes in all aspects of dentistry, from administration adjustments to vast alterations in training and clinical practice. This article highlights the impact the pandemic has had on paediatric dentistry and orthodontics, and to discuss the changes that have been implemented as a result. It is likely that some of these changes will be permanent and recognizing how to adapt our practice will allow us to continue to provide the best possible care to our patients. CPD/Clinical Relevance: It is in both the patients' and the clinicians' best interests to be fully informed of the effects that the COVID-19 pandemic has had, and how to adapt in order to continue to give the best possible care for our patients.

How COVID-19 has changed our Practice: Adapting to the New Normal

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Dental treatment in children with asthma - a review.

The Gold guide for dental core and speciality training in the UK: a review

How COVID-19 has changed our Practice: Adapting to the New Normal

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