The normal flora, or microbiota, in the mouth and gut refers to the community of tiny organisms—like bacteria, fungi, and viruses—that naturally live in these areas without causing harm. In the mouth, hundreds of species thrive, especially in warm, moist spots like the tongue, teeth, and gums. Common bacteria include Streptococcus, which helps break down food particles, and Fusobacterium, which can stick to surfaces like gums. These microbes play a role in oral health but can sometimes cause issues like cavities or gum disease if their balance gets disrupted by poor hygiene or other factors.
In the gastrointestinal (GI) tract, the types and numbers of microbes shift dramatically from the stomach to the intestines. The stomach has fewer microbes due to its acidic environment, though some hardy bacteria like Helicobacter pylori can survive. As you move into the intestines, the diversity explodes. The small intestine hosts bacteria like Lactobacillus and Enterococcus, which aid in digesting nutrients. By the time you reach the large intestine (colon), trillions of microbes dominate, including Bacteroides, E. coli, and Bifidobacterium. These gut bacteria help digest fiber, produce vitamins like B12 and K, and even support the immune system by crowding out harmful invaders. A healthy balance of this gut flora is crucial—disruptions from antibiotics, diet changes, or illness can lead to problems like bloating, infections, or inflammation. Overall, these microbes aren’t just passive residents; they’re active partners in keeping the body functioning smoothly.
Normal Flora List of Mouth and Gastrointestinal Tract
- Various streptococci that colonise the teeth, tongue, and gingival surfaces abound in normal flora of the mouth.
- Examples are Streptococcus salivarius, Streptococcus mutans, Streptococcus sanguinis, and Streptococcus mitis.
- Common in the oral cavity, actinomyces species support mucosal health and help to produce dental plaque.
- Two noteworthy species are Actinomyces viscosusus and Actinomyces naeslundii.
- Often in connection with streptococci, the anaerobic genus Veillonella is found in saliva and dental plaque.
- Living in the gingival crevice, fusobacterium species comprise the complex biofilm seen in the oral cavity.
- Involved in the first colonisation of mucosal surfaces, Prevotella and Neisseria genera add to the variety of the oral bacteria.
- Though less plentiful, lactobacillus species also live in the mouth and support a healthy microbial balance.
- Usually not causing illness in healthy people, candida species—as commensal yeasts—are routinely present in the oral cavity.
- Along the gastrointestinal system, normal flora varies in reflection of the local surroundings.
- Because of acidity, the microbial load in the stomach is minimal; transitory species include oral streptococci and lactobacilli may be present; Helicobacter pylori occasionally colonises as part of the normal flora in low quantity.
- There is a limited microbial community in the small intestine; usually discovered are facultative anaerobes include Streptococcus and Lactobacillus species, together with modest populations of Enterococcus.
- The colon, the big intestine, harbours a rich and varied anaerobic population.
- Among dominant bacterial phyla are Firmicutes and Bacteroidetes.
- Important genera are Clostridium, Eubacterium, Ruminococcus, Bacteroides (e.g., Bacteroides fragilis), and Faecalibacterium (e.g., Faecalibacterium prausnitzii).
- Common also are species of bifidobacterium and prevotella, which help to produce short-chain fatty acids and digestion of nutrients.
- Other anaerobic species, including Veillonella and Peptostreptococcus, enhance the intestinal microbial ecology even further.
Specific Location of Normal Flora in Mouth and Gastrointestinal Tract
- Different locations in the oral cavity house unique microbial populations that support both local and systemic health.
- Anaerobic and facultative anaerobic bacteria of a varied mix occupy the tongue’s dorsum; among them are many streptococci and Veillonella, which build a biofilm within the papillary groove.
- Rich in streptococci (e.g., S. mutans, S. sanguinis), Actinomyces, and Veillonella, dental plaque, adhering to the tooth surface, forms a complex biofilm that affects caries and periodontal health
- Genera like Fusobacterium, Prevotella, and other anaerobes that support periodontal homeostasis and inflammation management find anaerobic niche in the gingival crevice.
- Transient and resident microorganisms including many Neisseria and streptococcal species abound in the buccal mucosa, soft palate, and salivary fluid, which preserve a dynamic equilibrium by continual shedding and recolonization.
- Microbial communities in the gastrointestinal system are stratified in response to both local environmental circumstances and anatomical location.
- High acidity of the stomach keeps a sparse microbial community mostly constituted of transitory oral organisms such streptococci and lactobacilli; Helicobacter pylori periodically colonizes the stomach mucosa in low numbers.
- From the duodenum to the ileum, the small intestine shows a slow rise in microbial density; the duodenum and jejunum usually host low numbers of facultative anaerobes like streptococci, lactobacilli, and Enterococcus due of rapid transit and the presence of bile; the distal ileum begins to support a more varied community.
- Within the colon, the luminal content is rich in genera such as Bacteroides, Clostridium, Ruminococcus, and Faecalibacterium; whereas, the mucosal layer supports a specialized community including Akkermansia, Lactobacillus, and select Clostridia that are closely associated with the epithelial surface and immune modulation; the colon harbors the densest microbial ecosystem in the human body, with a predominance of obligatory anaerobes from the phyla Bacteroidetes and Firmicutes.
Bacteria of Mouth and Gastrointestinal Tract
- Gram-positive bacteria that dominate dental plaque and mucosal surfaces abound in the oral cavity: S. salivarius, S. sanguinis, S. mitis, and S. mutans.
- Gram-positive as well, actinomyces species (such as Actinomyces Naeslundii and Actinomyces viscosus) help to create dental plaque and biofilms on teeth.
- Though less plentiful, certain Lactobacillus species are Gram-positive and aid in the balance of the oral environment.
- Along with Fusobacterium and Prevotella species (Gram-negative rods), abundant in the gingival crevice, gram-negative bacteria in the mouth include Neisseria species (Gram-negative cocci) that occupy the mucosal surfaces.
- Often coexisting alongside streptococci, Veillonella species—which are Gram-negative cocci—add to the general richness of the oral microbiota.
- The hostile acidic environment of the stomach in the gastrointestinal system causes a low microbial load whereby transitory organisms from the oral cavity might be present; among them, Helicobacter pylori is a Gram-negative rod that can colonize the gastric mucosa in certain individuals.
- Faster transit and bile exposure allow Gram-positive bacteria including Streptococcus, Lactobacillus, and Enterococcus species to be more frequent in the somewhat sparse population housed in the small intestine.
- Mostly from the Firmicutes phylum, the microbial density in the large intestine is substantial and Gram-positive bacteria including many species of Clostridium, Eubacterium, Ruminococcus, Faecalibacterium, and Bifidobacterium predominate.
- Along with modest levels of facultative anaerobes such Escherichia coli, gram-negative bacteria in the colon are mostly represented by Bacteroides and Prevotella species (members of the Bacteroidetes phylum), therefore contributing to food metabolism and gut barrier function.
Fungi Microbiome of Mouth and Gastrointestinal Tract
- Usually as benign commensals, Candida species—especially Candida albicans—are the most common fungus found in the mouth on the tongue and mucosal surfaces.
- Usually present in low quantities or temporarily from environmental exposure, other fungus seen in the oral cavity include Cladosporium, Aspergillus, Fusarium, Alternaria, Penicillium, and Cryptococcus.
- Interacting with bacterial populations, the oral mycobiome helps to create biofilm and modulates local immune responses, therefore influencing oral health.
- Usually keeping low abundance in a healthy stomach without producing disease, Candida albicans is also the most often occurring fungus species in the gastrointestinal system.
- Though their roles in digestion and immunological regulation are yet unknown, additional fungal genera found in the GI tract might be Saccharomyces, Malassezia, and Cladosporium.
- Diet, antibiotic usage, and the immunological condition of the host can all affect the makeup and balance of the mycobiome in the mouth and gut, therefore perhaps influencing both local and systemic health.
- Emerging studies point to the necessity of more investigation as fungal dysbiosis—imbalances in the typical fungal community—may lead to inflammatory diseases and metabolic abnormalities.
Significance of Mouth and Gastrointestinal Tract Normal Flora
- First line of protection in the mouth is normal flora, which creates a complex biofilm that preserves dental health and helps stop disease colonization.
- Beginning the breakdown of meal components and facilitating nutritional availability, resident bacteria in the mouth cavity help to aid in digestion.
- By producing antimicrobial agents and helping control local pH, the oral bacteria serve to lower the incidence of dental caries and periodontal disease and therefore modify inflammation.
- The extensive microbial community found in the gastrointestinal tract—particularly in the colon—is necessary for digesting dietary fibers into short-chain fatty acids that sustain intestinal epithelial health and supply energy.
- Synthesizing vitamins (including vitamin K and several B vitamins) and converting bile acids—which are critical for lipid digestion and general metabolic homeostasis—rely on the gut flora.
- Training and modifying the immune system of the host depend on a healthy gut flora, which also generates both local and systemic immunological reactions and guards against pathogenic invasion.
- Normal microbial populations also help to maintain the structural integrity of the mucosal barrier, therefore avoiding pathogen transfer and so lowering systemic inflammation.
- A spectrum of ailments, including inflammatory bowel diseases, metabolic problems, and even systemic conditions affected by the gut–brain and oral–gut axis, is associated to disturbance or dysbiosis of these communities.
- Maintaining homeostasis, assuring efficient nutrition metabolism, and offering protection against infectious agents depend on the symbiotic interaction between the host and its natural flora overall.
- Thursby E, Juge N. Introduction to the human gut microbiota. Biochem J. 2017 May 16;474(11):1823-1836. doi: 10.1042/BCJ20160510. PMID: 28512250; PMCID: PMC5433529.
- Davis CP. Normal Flora. In: Baron S, editor. Medical Microbiology. 4th edition. Galveston (TX): University of Texas Medical Branch at Galveston; 1996. Chapter 6. Available from: https://www.ncbi.nlm.nih.gov/books/NBK7617/