Revisiting For Resolving: The Ecological Perspective of Periodontal Bacteriome for Prevention and Control of Periodontitis in COVID-19 Era

Chronic periodontitis is a major public health challenge accounting for global burden of oral diseases. It has resulted in 3.5 million years lived with disability, 54-billion USD/year in lost productivity and a major portion of the 442 billion USD/year cost incurred for managing oral diseases. Nevertheless there is promising emerging evidence on prevention and control of periodontal disease as well as for the improvement of periodontal health by non-surgical periodontal therapy comprised of behavioural management for effective tooth brushing, flossing and maintaining optimal oral hygiene, habit intervention and the administration of probiotics, scaling treatment especially for patients suffering from mild to moderate periodontitis. In microbial ecological point of view, chronic periodontitis is a polymicrobial chronic inflammatory disease subjected to succession which is considered to be a major ecological event. Furthermore, risk/predisposing factors of periodontitis are responsible for creating ecological stress on normal sub gingival microbial flora. Thus, the objective of this short communication is to explain the rationale for potential success of non-surgical treatment modalities of management of periodontitis and establishing periodontal health by incorporating the ecological perspective of periodontitis. Further, this short communication highlights the prime importance of precision periodontal management and optimized treatment outcomes from molecular perspectives through to public health perspectives in the era of personalized/precision medicine impacted by COVID-19 pandemic as concluding remarks