Peri-implant diseases triggered by oral microdysbiosis: pathogenesis and precision intervention strategies

Peri-implant disease is a chronic infection-induced inflammation condition affecting tissues around dental implants, categorized into peri-implant mucositis and peri-implantitis. Oral microbial dysbiosis plays an important role in this disease. Currently, researchers face three challenges in establi...

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Main Authors: Gang Chen, Xin Zhao, Bin Yang, Hongzheng Gu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Microbiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fmicb.2025.1639095/full
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author Gang Chen
Xin Zhao
Xin Zhao
Bin Yang
Hongzheng Gu
author_facet Gang Chen
Xin Zhao
Xin Zhao
Bin Yang
Hongzheng Gu
author_sort Gang Chen
collection DOAJ
description Peri-implant disease is a chronic infection-induced inflammation condition affecting tissues around dental implants, categorized into peri-implant mucositis and peri-implantitis. Oral microbial dysbiosis plays an important role in this disease. Currently, researchers face three challenges in establishing the pathogenic link between peri-implant disease and microdysbiosis: (1) elucidating the underlying molecular mechanisms; (2) Clarifying causal links between host and microbiome; and (3) Identifying secondary microbial changes during disease progression. In this review, we systematically classify dysbiosis from a conceptual perspective and outline the immunological associations within each category. We further elaborate on the causes of bacterial dysbiosis and analyze its potential implications for clinical treatment strategies. At the molecular level, understanding the origins, intrinsic and environmental regulatory mechanisms, and downstream effects may be conducive to develop microbiome targeted therapies. This research direction is of great significance for promoting precision medicine in peri-implant disease.
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publishDate 2025-08-01
publisher Frontiers Media S.A.
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spelling doaj-art-fa3e3430d02c412e99ba25a33c0ce2df2025-08-20T03:45:12ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2025-08-011610.3389/fmicb.2025.16390951639095Peri-implant diseases triggered by oral microdysbiosis: pathogenesis and precision intervention strategiesGang Chen0Xin Zhao1Xin Zhao2Bin Yang3Hongzheng Gu4Department of Implant and Restoration, Zhenjiang Stomatological Hospital, Zhenjiang, ChinaDepartment of Implant and Restoration, Zhenjiang Stomatological Hospital, Zhenjiang, ChinaCentral Laboratory of Zhenjiang Stomatological Hospital, Zhenjiang, ChinaDepartment of Implant and Restoration, Zhenjiang Stomatological Hospital, Zhenjiang, ChinaExpert Consultation Center of Zhenjiang Stomatological Hospital, Zhenjiang, ChinaPeri-implant disease is a chronic infection-induced inflammation condition affecting tissues around dental implants, categorized into peri-implant mucositis and peri-implantitis. Oral microbial dysbiosis plays an important role in this disease. Currently, researchers face three challenges in establishing the pathogenic link between peri-implant disease and microdysbiosis: (1) elucidating the underlying molecular mechanisms; (2) Clarifying causal links between host and microbiome; and (3) Identifying secondary microbial changes during disease progression. In this review, we systematically classify dysbiosis from a conceptual perspective and outline the immunological associations within each category. We further elaborate on the causes of bacterial dysbiosis and analyze its potential implications for clinical treatment strategies. At the molecular level, understanding the origins, intrinsic and environmental regulatory mechanisms, and downstream effects may be conducive to develop microbiome targeted therapies. This research direction is of great significance for promoting precision medicine in peri-implant disease.https://www.frontiersin.org/articles/10.3389/fmicb.2025.1639095/fullperi-implant mucositisperi-implantitisdysbiosisoral pathogenic bacteriaintervention and treatment strategies
spellingShingle Gang Chen
Xin Zhao
Xin Zhao
Bin Yang
Hongzheng Gu
Peri-implant diseases triggered by oral microdysbiosis: pathogenesis and precision intervention strategies
Frontiers in Microbiology
peri-implant mucositis
peri-implantitis
dysbiosis
oral pathogenic bacteria
intervention and treatment strategies
title Peri-implant diseases triggered by oral microdysbiosis: pathogenesis and precision intervention strategies
title_full Peri-implant diseases triggered by oral microdysbiosis: pathogenesis and precision intervention strategies
title_fullStr Peri-implant diseases triggered by oral microdysbiosis: pathogenesis and precision intervention strategies
title_full_unstemmed Peri-implant diseases triggered by oral microdysbiosis: pathogenesis and precision intervention strategies
title_short Peri-implant diseases triggered by oral microdysbiosis: pathogenesis and precision intervention strategies
title_sort peri implant diseases triggered by oral microdysbiosis pathogenesis and precision intervention strategies
topic peri-implant mucositis
peri-implantitis
dysbiosis
oral pathogenic bacteria
intervention and treatment strategies
url https://www.frontiersin.org/articles/10.3389/fmicb.2025.1639095/full
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AT xinzhao periimplantdiseasestriggeredbyoralmicrodysbiosispathogenesisandprecisioninterventionstrategies
AT binyang periimplantdiseasestriggeredbyoralmicrodysbiosispathogenesisandprecisioninterventionstrategies
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