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Aug 5, 2023·edited Aug 5, 2023Liked by Metacelsus

I've looked into the oral microbiome a bit. My impression is that there are bad bacteria and worse bacteria, and you kind of want to prevent anything from growing on your teeth.

That's mirrored the advice I got from my (Boston area, research adjacent) dentists on cavity prevention, which is mostly to use the newer zero-alcohol mouthwashes. The big developments recently in dentistry are new antimicrobials in toothpaste and mouthwash to keep the bacteria load in your mouth relatively low.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8037529/

There's also been some recent work in FISH microscopy of oral microbiome samples, which shows they've got a crazy level of spatial organization. It's really pretty, and might be pretty hard to disrupt with a single engineered bacteria. https://www.pnas.org/doi/10.1073/pnas.1522149113

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Way back in the 1970s, I had a short piece published in Omni Magazine proposing "an ecological approach" to dental decay. I suggested that we identify people with perfect teeth, isolate and cultivate the strains of bacteria in their mouths, and then use those strains to inoculate the mouths of infants.

Afterward, I heard from several people that it is an established custom in some families for an adult with no cavities to rub a finger in their mouth and then rub it around on a baby's gums. Apparently, it works...sort of. The problem is that babies put so many things in their mouths that other bacteria can easily get added to the mix. Still, the founding culture gets a head start and can often fend off the interlopers.

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Acne vaccines and antibiotics seem like a related idea:

https://en.wikipedia.org/wiki/Acne#Research

I wonder if a vaccine could be developed against opportunistic bacteria in bacterial vaginosis? EDIT: It looks like AmVac had a phase III trial for GyneVac which is intended to treat BV (https://www.fiercepharma.com/vaccines/amvac-initiates-phase-iii-trial-its-lead-vaccine-gynevac-for-treatment-of-bacterial)

Presumably a similar approach could be used to prevent body odor and halitosis.

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