Modulation of oral cancer and periodontitis using chemotherapeutic agents - A narrative review

Dis Mon. 2023 Jan;69(1):101348. doi: 10.1016/j.disamonth.2022.101348. Epub 2022 Mar 24.

Abstract

Periodontitis, an inflammatory condition, is linked to a higher risk of developing oral cancer. Periodontitis may be a precipitating factor for tumorigenesis and the aggressiveness of specific cancer variants. Although genetics is considered the primary etiologic factor for the development of most cancers, many factors have come to be recognized in the initiation and progression of oral cancer. Consecutively, it is suggestive that periodontitis and oral cancer are distinct disease entities but share common pathogenic mechanisms. Oxidative stress and epigenetic mechanisms are among the most researched mechanisms responsible for initiating apoptotic mechanisms implicated in periodontitis and oral cancer. Current research aims to formulate therapeutic agents to intercede in these mechanisms via host modulation therapy and epigenetic therapy. These advances can revolutionize the treatment of periodontitis and oral cancer. This review aims to shed light on the common pathogenic mechanisms of these diseases and the various host modulation agents that could be beneficial in their treatment.

Keywords: Epigenetics; Host modulation; Oral cancer; Oxidative stress; Periodontitis.

Publication types

  • Review

MeSH terms

  • Humans
  • Mouth Neoplasms* / drug therapy
  • Mouth Neoplasms* / etiology
  • Periodontitis* / drug therapy