Oral Bacteria, Viruses, and Fungi: Oral Health, Disease, and Systemic Links

A special issue of Microorganisms (ISSN 2076-2607). This special issue belongs to the section "Medical Microbiology".

Deadline for manuscript submissions: 31 October 2025 | Viewed by 514

Special Issue Editors


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Guest Editor
Department of Medicine, Surgery and Dentistry, Scuola Medica Salernitana, University of Salerno, 84126 Salerno, Italy
Interests: oral medicine and interconnected systemic disorders; oral microbiome, dysbiosis and interconnected systemic disorders; periodontology and implantology; applied technologies (disease prevention, teledentistry)
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Guest Editor Assistant
Department of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana", University of Salerno, 84081 Baronissi, Italy
Interests: oral; microbiota; probiotics

Special Issue Information

Dear Colleagues,

The oral cavity harbors a diverse microbiota composed not only of bacteria but also of viruses and fungi, whose roles in health and disease are increasingly being recognized. While the role of bacteria such as Streptococcus mutans and Porphyromonas gingivalis has extensively been explored in caries and periodontitis, recent studies have highlighted the potential involvement of viruses, such as herpesviruses, and fungi, such as Candida species, in the progression and severity of these and other oral conditions.

In particular, bacterial–viral and bacterial–fungal interactions are emerging as key factors in the pathogenesis of several oral diseases, such as periodontal disease and oral mucosal lesions, suggesting that the oral microbiota should be considered as a whole when investigating disease mechanisms.

Beyond the oral cavity, mounting evidence supports the involvement of oral microorganisms—including bacteria, viruses, and fungi—in systemic conditions such as cardiovascular disease, diabetes, respiratory infections, autoimmune disorders, and even certain cancers. Their potential to act as reservoirs of inflammation, modulators of the immune system, or sources of systemic dissemination underscores their clinical relevance far beyond the oral cavity.

Therefore, this Special Issue, titled “Oral Bacteria, Viruses, and Fungi: Oral Health, Disease, and Systemic Links”, has the scope to highlight the links between oral microorganisms and oral and systemic health and diseases.

We invite original articles, reviews, and communications exploring the role of oral bacteria, viruses, and fungi in both oral and systemic health and disease and the related links. Some of its focal points include, but are not limited to, the following: oral microbial pathogenesis, microbial shifts in dysbiosis, host–microbe interactions, antimicrobial resistance, diagnostic advances, and therapeutic approaches including microbiome modulation and the use of probiotics, prebiotics, and postbiotics—across all age groups.

Dr. Maria Pia Di Palo
Dr. Federica Di Spirito
Guest Editors

Dr. Nicoletta Capuano
Guest Editor Assistant

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Keywords

  • oral microbiota
  • host–microbe interactions
  • antimicrobial resistance
  • therapeutic approaches
  • probiotics

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Published Papers (1 paper)

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Research

12 pages, 281 KB  
Article
Assessment of the Impact of Antimicrobial Photodynamic Therapy Using a 635 nm Diode Laser and Toluidine Blue on the Susceptibility of Selected Strains of Candida and Staphylococcus aureus: An In Vitro Study
by Marcin Tkaczyk, Anna Mertas, Anna Kuśka-Kiełbratowska, Jakub Fiegler-Rudol, Elżbieta Bobela, Maria Cisowska, Dariusz Skaba and Rafał Wiench
Microorganisms 2025, 13(9), 2126; https://doi.org/10.3390/microorganisms13092126 - 11 Sep 2025
Viewed by 271
Abstract
Yeasts of the genus Candida (C.) and the bacterium Staphylococcus aureus (S. aureus) are among the most common pathogens responsible for infections that are difficult to treat, including those resistant to standard therapy. In recent decades, this has become [...] Read more.
Yeasts of the genus Candida (C.) and the bacterium Staphylococcus aureus (S. aureus) are among the most common pathogens responsible for infections that are difficult to treat, including those resistant to standard therapy. In recent decades, this has become an increasing clinical problem. In response to the limitations of traditional procedures, antimicrobial photodynamic therapy (aPDT), which combines light, a photosensitizer, and oxygen, is gaining growing interest. The aim of this study was to evaluate the in vitro effectiveness of aPDT using a 635 nm diode laser in combination with toluidine blue O (TBO) against Candida spp. and S. aureus. Reference strains of C. albicans, C. glabrata, C. krusei, and S. aureus were subjected to aPDT. In phase I of this study, the optimal TBO incubation time was assessed with constant laser parameters. In phase II, the impact of the physical parameters of the laser, irradiation time, and output power, was analyzed, with the TBO incubation time set based on the phase I results, to evaluate the degree of microbial reduction (CFU/mL). Statistical analyses were then conducted to assess significance. TBO-mediated aPDT significantly reduced microbial viability, depending on incubation time and laser settings. The minimal effective incubation times were 10 min for Candida spp. and 5 min for S. aureus. The highest pathogen inactivation efficacy was observed at an output power of 400 mW and an irradiation time of 120 s. The use of the photosensitizer or laser alone did not result in significant antimicrobial effects. TBO-mediated aPDT may serve as an effective complement to conventional antimicrobial therapy and, in selected cases (e.g., drug resistance), has the potential to partially or fully replace it. The observed minimal effective incubation times provide a practical baseline, but further statistical comparisons are required to determine whether these durations are truly optimal. Full article
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