The oral microbiome is a complex and diverse ecosystem that plays a key role in oral health. It consists of more than 700 species of bacteria as well as fungi viruses and protozoa which exist in a delicate balance. Disturbances in this balance often caused by changes in lifestyle diet or hygiene can lead to oral diseases such as periodontitis and dental caries. Recent studies have also suggested a possible link between the oral microbiome and oral squamous cell carcinoma (OSCC) the most common type of oral cancer. Moreover it is believed that persistent inflammation accounts for one out of every four cases of cancer. An essential task is to determine how this can be related to the aetiopathogenesis of oral squamous cell carcinoma. There is currently strong evidence linking oral squamous cell carcinoma in particular to head and neck cancer as well as chronic periodontal disease in general. There is a four-fold greater chance of developing head and neck squamous cell carcinoma for every millimeter of lost alveolar bone. Understanding the intricate relationships between microbiome and host's cellular environment can help to improve clinical outcomes for patients with OSCC.
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