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14(3):226-233 (2003)     Crit Rev Oral Biol Med
© 2003 International and American Associations for Dental Research

ORAL HELICOBACTER PYLORI: CAN WE STOMACH IT?

S.A. Dowsett
M.J. Kowolik*

1 Indiana University School of Dentistry, Department of Periodontics and Allied Dental Programs, 1121 West Michigan Street, Indianapolis, IN 46202;

*corresponding author, mkowolik{at}iupui.edu


CONTROVERSY

The evidence supporting the role of the oral cavity as a significant reservoir of Helicobacter pylori is inconclusive. If the oral cavity is a reservoir for H. pylori, is this significant for subsequent gastric infection and thus disease risk? The authors contend that the answer lies, at least in part, in the conduct of studies using more appropriate methodology, designed to test the specific hypotheses being presented.

— Olav Alvares, Editor

 

Helicobacter pylori infection is one of the most common in man. The bacterium primarily resides in the human stomach, where it plays a significant role in gastric disease. If the spread of H. pylori is to be prevented, an understanding of the transmission process is essential. The oral cavity has been proposed as a reservoir for gastric H. pylori, which has been detected by culture and PCR in both dental plaque and saliva. This review will discuss the evidence for the role of the oral cavity in the transmission of gastric H. pylori. Moreover, the difficulties encountered in addressing this topic, possible directions for future research, and the implications for the dental profession are discussed.

Key words. Helicobacter pylori, transmission, oral, mouth, dental plaque




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