March 2024

Volume 41, Issue 1

Commercializing equitable, accessible oral microbiome transplantation therapy

Authors: Laura S Weyrich Sonia Nath Lisa Jamieson
doi: 10.1922/CDH_IADR24Weyrich06


[Special issue of Community Dental Health, to be disseminated at the ‘The oral microbiome – from cells to populations’ International Association for Dental Research symposium, March 2024, New Orleans, USA] Chronic oral diseases, such as caries and periodontal disease, may, in future, be treated by oral microbiome transplant (OMT) technology. OMT therapy would involve collecting a donor oral microbiome and transplanting into a recipient to either prevent or treat oral diseases linked to a change (i.e., dysbiosis) in the oral microbiome. Given the great promise of this technology, we must consider the ethical and practical implications of how it is developed to maximise its accessibility and affordability. Here, we examine ways that OMT technology might be commercialized in the context of equity and accessibility in both clinical or do-it-yourself settings. We do this while assuming that the technology can be developed for humans in ways that are safe and effective at the individual and population-levels. We highlight the need for OMT therapy to be 1) cost-effective, 2) understood by end users and clinicians, 3) easy to access even in rural or remote communities, and 4) providing donors equitable compensation for their microbiomes. These key elements will only be achieved through partnerships between scientists, clinicians, investors and stakeholders throughout development. Therefore, proper acknowledgement and equitable evaluation of contributions in this team will also be critical to ensuring that this technology can be globally accessed. While OMT is likely to reshape how we prevent or treat oral disease, consciously guiding its development toward equity and accessibility to all people may significantly aid in improving health for those without access to dental care. Keywords: dental health services, oral microbiome transplant, business ethics, dental ethics, equity, health equity


Other articles in this issue

Article Pages Access
CDH Board 2024 1-1 Download
Acknowledgement of Reviewers 2-2 Download
Editorial: Oral Health: luxury or a fundamental human right? The necessity of introducing a dedicated oral health budget and Proportionate Universalism in Greece 3-3 Download
Need for orthodontic treatment and oral health-related quality of life in children and adolescents – A systematic review 5-13 £10 single article
Sign language based educational interventions vs. other educational interventions to improve the oral health of hearingimpaired individuals: A systematic review and meta-analysis 14-19 £10 single article
EXtraction or PREServation? EXPRESS survey of patients’ preference for toothache in public health facilities of Eastern India 20-26 £10 single article
Patient-dentist communication and its impact on dental services utilisation as perceived by patients in Libya 27-31 £10 single article
Capacity and needs assessment of the implementation of the toddler oral health intervention at well-baby clinics 32-38 Download
The association between edentulism and progress of multimorbidity over 12 years among older American adults 39-43 Download
Is tooth loss associated with oral health-related quality of life among young men? Findings from southern Brazil 44-48 £10 single article
Planning the future of oral health care workforce: Moving beyond demographic change 49-53 £10 single article
Lessons Learned from Contact Tracing COVID-19 cases in Dental Settings in East Scotland 54-59 £10 single article
Powered toothbrushes and toothbrushing resistance in young children: a qualitative content analysis of an online parenting forum 60-64 £10 single article
Oral microbiome research – a call for equity and inclusion 65-66 Download
Oral microbiome research – working in partnership with Indigenous Australian communities 67-69 Download
A Critical Understanding of Inclusion in Oral Microbiome Research through the Lens of Racial Capitalism 70-74 Download
Oral microbiome research from a public health perspective and implications for oral health 75-82 Download
Commercializing equitable, accessible oral microbiome transplantation therapy 83-88 Download


Online (Single user only)
Institution Online (IP address validation)

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.