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The Oral-Lung Axis: The Impact of Oral Health on Lung Health

Nathaniel T Gaeckle, Alexa A Pragman, Kathryn M Pendleton, Arianne K Baldomero and Gerard J Criner
Respiratory Care March 2020, respcare.07332; DOI: https://doi.org/10.4187/respcare.07332
Nathaniel T Gaeckle
Division of Pulmonary, Allergy, Critical Care and Sleep, Department of Medicine, University of Minnesota, Minneapolis, Minnesota.
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  • For correspondence: [email protected]
Alexa A Pragman
Minneapolis Veterans Affairs Medical Center, Minneapolis, Minnesota.
Division of Infectious Disease, Department of Medicine, University of Minnesota, Minneapolis, Minnesota.
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Kathryn M Pendleton
Division of Pulmonary, Allergy, Critical Care and Sleep, Department of Medicine, University of Minnesota, Minneapolis, Minnesota.
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Arianne K Baldomero
Division of Pulmonary, Allergy, Critical Care and Sleep, Department of Medicine, University of Minnesota, Minneapolis, Minnesota.
Minneapolis Veterans Affairs Medical Center, Minneapolis, Minnesota.
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Gerard J Criner
Department of Thoracic Medicine and Surgery, Temple University Hospital, Philadelphia, Pennsylvania.
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Abstract

Poor oral health has long been recognized as a clinical risk factor for developing lung infections. Recent data using culture-independent techniques assessing the microbiome in healthy subjects have demonstrated that chronic microaspiration establishes a very similar microbial community between the mouth and lung, suggesting these 2 anatomic regions are closely intertwined. Dental disease is driven and aided by a dysbiosis in the oral microbiome, and evidence is mounting that implicates the microbiome in a variety of lung diseases including asthma, COPD, pulmonary fibrosis, and pneumonia. This review describes common dental conditions and potential mechanisms by which poor oral health may contribute to lung disease. We also review the current literature drawing associations between poor oral health and lung disease.

Footnotes

  • Correspondence: Nathaniel T Gaeckle MD, Department of Medicine, Division of Pulmonary, Allergy, Critical Care and Sleep, 350 Variety Club Research Center, MMC 276, 420 Delaware St SE, Minneapolis, MN 55455. E-mail: gaeckle{at}umn.edu.
  • Copyright © 2020 by Daedalus Enterprises
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Respiratory Care: 68 (1)
Respiratory Care
Vol. 68, Issue 1
1 Jan 2023
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The Oral-Lung Axis: The Impact of Oral Health on Lung Health
Nathaniel T Gaeckle, Alexa A Pragman, Kathryn M Pendleton, Arianne K Baldomero, Gerard J Criner
Respiratory Care Mar 2020, respcare.07332; DOI: 10.4187/respcare.07332

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The Oral-Lung Axis: The Impact of Oral Health on Lung Health
Nathaniel T Gaeckle, Alexa A Pragman, Kathryn M Pendleton, Arianne K Baldomero, Gerard J Criner
Respiratory Care Mar 2020, respcare.07332; DOI: 10.4187/respcare.07332
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