Neutrophil equanimity: Function in health and diseases in periodontium

The oral cavity is a distinct space where the microbiota is continually changing from the mechanical effort of eating and the incursion of foreign microorganisms such as bacteria, fungi, and viruses. There is a balance between symbiotic bacteria and the innate immune system in healthy gingival tissu...

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Main Authors: Pallavi Sharma, Komal Fanda, Vikas Jindal, Ranjan Malhotra, Amit Goel, Malvika Thakur, Shivali Vashisht
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:The Saint's International Dental Journal
Subjects:
Online Access:http://www.sidj.org/article.asp?issn=2454-3160;year=2020;volume=4;issue=2;spage=93;epage=99;aulast=Sharma
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author Pallavi Sharma
Komal Fanda
Vikas Jindal
Ranjan Malhotra
Amit Goel
Malvika Thakur
Shivali Vashisht
author_facet Pallavi Sharma
Komal Fanda
Vikas Jindal
Ranjan Malhotra
Amit Goel
Malvika Thakur
Shivali Vashisht
author_sort Pallavi Sharma
collection DOAJ
description The oral cavity is a distinct space where the microbiota is continually changing from the mechanical effort of eating and the incursion of foreign microorganisms such as bacteria, fungi, and viruses. There is a balance between symbiotic bacteria and the innate immune system in healthy gingival tissues, which is mainly maintained by neutrophils. Neutrophils are the essential killers of the body and have been recognized for a long time. However, rather than accurate snipers, neutrophils are often seen as crude and unrefined legionnaires, whose successful missions are usually liable for significant collateral damage. The excess of microorganisms in the biofilm creates an inflammatory state that leads to the recruitment of more immune cells, in which mainly neutrophils can be detected. However, the microbial pathogens within the gingival crevice cannot be abolished or controlled by neutrophils. Sometimes, neutrophil accumulation, rather than protecting and favoring periodontal tissue, can lead to a chronic inflammatory disease that can destroy the tooth-supporting tissues or the periodontium. Thus, it is imperative to maintain homeostasis between neutrophil function and microbe challenge to ensure periodontal health. This critical review article aims to discuss and outline the morphology of neutrophil function in periodontal inflammation, including neutrophils' action on biofilm and neutrophil dysfunction to prevent various syndromes related to it and its myriad potential novel therapeutic measures.
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spelling doaj.art-1a48228c8420407fa97fb3c0583897d52022-12-21T22:52:58ZengWolters Kluwer Medknow PublicationsThe Saint's International Dental Journal2454-31602589-73732020-01-0142939910.4103/sidj.sidj_27_20Neutrophil equanimity: Function in health and diseases in periodontiumPallavi SharmaKomal FandaVikas JindalRanjan MalhotraAmit GoelMalvika ThakurShivali VashishtThe oral cavity is a distinct space where the microbiota is continually changing from the mechanical effort of eating and the incursion of foreign microorganisms such as bacteria, fungi, and viruses. There is a balance between symbiotic bacteria and the innate immune system in healthy gingival tissues, which is mainly maintained by neutrophils. Neutrophils are the essential killers of the body and have been recognized for a long time. However, rather than accurate snipers, neutrophils are often seen as crude and unrefined legionnaires, whose successful missions are usually liable for significant collateral damage. The excess of microorganisms in the biofilm creates an inflammatory state that leads to the recruitment of more immune cells, in which mainly neutrophils can be detected. However, the microbial pathogens within the gingival crevice cannot be abolished or controlled by neutrophils. Sometimes, neutrophil accumulation, rather than protecting and favoring periodontal tissue, can lead to a chronic inflammatory disease that can destroy the tooth-supporting tissues or the periodontium. Thus, it is imperative to maintain homeostasis between neutrophil function and microbe challenge to ensure periodontal health. This critical review article aims to discuss and outline the morphology of neutrophil function in periodontal inflammation, including neutrophils' action on biofilm and neutrophil dysfunction to prevent various syndromes related to it and its myriad potential novel therapeutic measures.http://www.sidj.org/article.asp?issn=2454-3160;year=2020;volume=4;issue=2;spage=93;epage=99;aulast=Sharmahomeostasisneutrophilneutrophil extracellular trapsneutrophil abnormalitiesperiodontitisporphyromonas gingivalis
spellingShingle Pallavi Sharma
Komal Fanda
Vikas Jindal
Ranjan Malhotra
Amit Goel
Malvika Thakur
Shivali Vashisht
Neutrophil equanimity: Function in health and diseases in periodontium
The Saint's International Dental Journal
homeostasis
neutrophil
neutrophil extracellular traps
neutrophil abnormalities
periodontitis
porphyromonas gingivalis
title Neutrophil equanimity: Function in health and diseases in periodontium
title_full Neutrophil equanimity: Function in health and diseases in periodontium
title_fullStr Neutrophil equanimity: Function in health and diseases in periodontium
title_full_unstemmed Neutrophil equanimity: Function in health and diseases in periodontium
title_short Neutrophil equanimity: Function in health and diseases in periodontium
title_sort neutrophil equanimity function in health and diseases in periodontium
topic homeostasis
neutrophil
neutrophil extracellular traps
neutrophil abnormalities
periodontitis
porphyromonas gingivalis
url http://www.sidj.org/article.asp?issn=2454-3160;year=2020;volume=4;issue=2;spage=93;epage=99;aulast=Sharma
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AT amitgoel neutrophilequanimityfunctioninhealthanddiseasesinperiodontium
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