From Stability to Dysbiosis: Ecological Profiling of Subgingival Biofilms in Costa Rican Adults with Periodontal Health and Disease-A Pilot Study
DOI:
https://doi.org/10.15517/6ahjb198Keywords:
Periodontitis; Microbiota; Ecology; Subgingival space.Abstract
This pilot study characterized the subgingival microbiota in Costa Rican adults with and without periodontitis, using 16S rRNA gene sequencing and ecological diversity analysis. The study sample consisted of 20 participants, including 10 with periodontal health and 10 diagnosed with periodontitis, from whom subgingival samples were collected for DNA extraction and sequencing of the V3-V4 region. Amplicon sequence variants (ASVs) were analyzed to assess alpha and beta diversity, identify indicator taxa, and explore microbial co-occurrence patterns. Rarefaction curves indicated adequate sequencing depth. Although alpha diversity indices were higher in the periodontitis group, the differences were not statistically significant (p>0.05), but showed moderate effect sizes. Beta diversity revealed significant differences between groups (PERMANOVA, p<0.05), with greater dispersion observed in the periodontitis group (Betadisper, p<0.05). P. gingivalis and T. denticola were identified as indicator taxa for the periodontitis group. Microbial networks showed distinct ecological organization between groups. These findings support the ecological model of dysbiosis and provide preliminary evidence on the subgingival microbiota in the Costa Rican population, laying the groundwork for future longitudinal studies on the progression or resolution of periodontal disease.
References
Tonetti M.S., Jepsen S., Jin L., et al. Impact of the global burden of periodontal diseases on health, nutrition and wellbeing of mankind: A call for global action. J Clin Periodontol 2017; 44: 456-462.
Tian S., Ding T., Li H. Oral microbiome in human health and diseases. mLife 2024; 3: 367-383.
Hajishengallis G., Lamont R.J. Beyond the red complex and into more complexity: The polymicrobial synergy and dysbiosis (PSD) model of periodontal disease etiology. Mol Oral Microbiol 2012; 27: 409-419.
Kuboniwa M., Lamont R.J. Subgingival biofilm formation. Periodontol 2000 2010; 52: 38-52.
Abusleme L., Hoare A., Hong B., et al. Microbial signatures of health, gingivitis, and periodontitis. Periodontol 2000 2021; 86: 57-78.
Ortiz A.P., Acosta-Pagán K.T., Oramas-Sepúlveda C., et al. Oral microbiota and periodontitis severity among Hispanic adults. Front Cell Infect Microbiol; 12. Epub ahead of print 14 November 2022. DOI: 10.3389/fcimb.2022.965159.
Ximenez-Fyvie L.A., Almaguer-Flores A., Jacobo-Soto V., et al. Description of the Subgingival Microbiota of Periodontally Untreated Mexican Subjects: Chronic Periodontitis and Periodontal Health. J Periodontol 2006; 77: 460-471.
Castro-Casarrubias R., Castro-Alarcón N., Reyes-Fernández S., et al. Subgingival microbiota and genetic factors (A-2570G, A896G, and C1196T TLR4 polymorphisms) as periodontal disease determinants. Frontiers in Dental Medicine; 6. Epub ahead of print 9 June 2025. DOI: 10.3389/fdmed.2025.1576429
Nath S., Handsley-Davis M., Weyrich L., et al. Diversity and bias in oral microbiome research: A commentary. EClinicalMedicine 2021; 36: 100923.
Contreras A., Moreno S.M., Jaramillo A., et al. Periodontal microbiology in Latin America. Periodontol 2000 2015; 67: 58-86.
Lafaurie G.I., Neuta Y., Ríos R., et al. Differences in the subgingival microbiome according to stage of periodontitis: A comparison of two geographic regions. PLoS One 2022; 17: e0273523.
Kumar P.S. Microbial dysbiosis: The root cause of periodontal disease. J Periodontol 2021; 92: 1079-1087.
Cugini C., Ramasubbu N., Tsiagbe V.K., et al. Dysbiosis From a Microbial and Host Perspective Relative to Oral Health and Disease. Front Microbiol; 12. Epub ahead of print 5 March 2021. DOI: 10.3389/fmicb.2021.617485
Socransky S.S., Haffajee A.D., Cugini M.A., et al. Microbial complexes in subgingival plaque. J Clin Periodontol 1998; 25: 134-144.
Pianeta R., Iniesta M., Castillo D.M., et al. Characterization of the Subgingival Cultivable Microbiota in Patients with Different Stages of Periodontitis in Spain and Colombia. A Cross-Sectional Study. Microorganisms 2021; 9: 1940.
Cai Z., Lin S., Hu S., et al. Structure and Function of Oral Microbial Community in Periodontitis Based on Integrated Data. Front Cell Infect Microbiol; 11. Epub ahead of print 17 June 2021. DOI: 10.3389/fcimb.2021.663756
Di Stefano M., Santonocito S., Polizzi A., et al. A Reciprocal Link between Oral, Gut Microbiota during Periodontitis: The Potential Role of Probiotics in Reducing Dysbiosis-Induced Inflammation. Int J Mol Sci 2023; 24: 1084.
Kozak M., Pawlik A. The Role of the Oral Microbiome in the Development of Diseases. Int J Mol Sci 2023; 24: 5231.
Published
Issue
Section
License
Copyright (c) 2025 Luis Acuña-Amador, Gisella Rojas-González, Karol Ramírez-Chan, Cristina Barboza-Solís.

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
ODOVTOS - Int. J. Dent. Sc. endorses CC BY-NC-SA
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. If you remix, adapt, or build upon the material, you must license the modified material under identical terms. CC BY-NC-SA includes the following elements:
BY: credit must be given to the creator.
NC: Only noncommercial uses of the work are permitted.
SA: Adaptations must be shared under the same terms.