# Dentistry and Bioterrorism: A Legitimate Threat

**Authors:** Supreet Kaur, Chandrika Karwasra, Shreya Poduval, Nityanand Shetty, Prachi Gholap, Prasad Mhaske

PMC · DOI: 10.7759/cureus.59958 · 2024-05-09

## TL;DR

This paper discusses how dentistry can help detect and respond to bioterrorism threats by identifying oral signs of biological agents.

## Contribution

Highlights the unique role of dentistry in bioterrorism response through oral and dental manifestations of biological agents.

## Key findings

- Dentists can identify oral signs of biological agents used in bioterrorism.
- Collaborative efforts among healthcare professionals are essential for mitigating bioterrorism impacts.
- Training and surveillance systems are critical for effective bioterrorism response.

## Abstract

Bioterrorism involves the deliberate release of harmful biological agents, such as bacteria and viruses, aimed at causing mass casualties within a population. Often referred to as "poor man’s nuclear weapons," chemical and biological weapons pose a significant threat due to their potential for mass destruction. Detecting and preventing bioterrorist attacks is challenging, making them one of the most feared scenarios. Dentistry plays a crucial role in responding to bioterrorism and other catastrophic events, leveraging its personnel and facilities effectively. This paper explores the signs and symptoms of biological agents used in mass destruction, as well as the oral and dental manifestations of both naturally occurring and bioengineered infectious agents.

Furthermore, the article stresses the importance of countermeasures against bioterrorism, including deterrence, prevention, surveillance, medical management, and training. Emphasis is placed on implementing surveillance systems, bolstering medical readiness, and conducting training programs to effectively detect, assess, and respond to bioterrorism threats. Ultimately, the article underscores the critical role of dentists and healthcare professionals in collaborative efforts to mitigate the impacts of bioterrorism through proactive measures.

## Full-text entities

- **Diseases:** lymph nodes (MESH:D000072717), diaphragmatic muscle paralysis (MESH:D012133), cough (MESH:D003371), allergic (MESH:D004342), Nipah virus (MESH:D045464), macules (MESH:C537836), diplopia (MESH:D004172), febrile illness (MESH:D005334), cranial nerve palsies (MESH:D003389), COVID-19 (MESH:D000086382), dysarthria (MESH:D004401), paralysis of facial muscles (MESH:D005158), septic shock (MESH:D012772), respiratory infections (MESH:D012141), vomiting (MESH:D014839), flaccid muscle paralysis (MESH:D009123), pharyngitis (MESH:D010612), blurred vision (MESH:D014786), flu (MESH:D007251), bloodstream infection (MESH:D018805), Botulism (MESH:D001906), myalgia (MESH:D063806), inflammatory response syndrome (MESH:D018746), Cutaneous anthrax (MESH:C531621), chest pain (MESH:D002637), toxemia (MESH:D014115), ecchymoses (MESH:D004438), Death (MESH:D003643), respiratory (MESH:D012131), Nausea (MESH:D009325), ptosis (MESH:C564553), petechiae (MESH:D011693), lymphadenopathy (MESH:D008206), bacterial infection (MESH:D001424), gastrointestinal distress (MESH:D012128), body aches (MESH:D010146), Hemorrhagic Fever (MESH:D006480), diarrhea (MESH:D003967), infectious disease (MESH:D003141), pleuritis (MESH:D010998), Infection (MESH:D007239), Q fever (MESH:D011778), hilar lymphadenitis (MESH:D008199), chills (MESH:D023341), loss of head control (MESH:D006258), pneumonia (MESH:D011014), abdominal pain (MESH:D015746), meningitis (MESH:D008580), convulsions (MESH:D012640), diminished deep tendon reflexes (MESH:D012021), paralysis (MESH:D010243), eczema (MESH:D004485), food poisoning (MESH:D005517), maculopapular rash (MESH:D005076), bronchiolitis (MESH:D001988), tonsillitis (MESH:D014069), Anthrax (MESH:D000881), oral lesions (MESH:D009059), airway obstruction (MESH:D000402), stomatitis (MESH:D013280)
- **Chemicals:** acetylcholine (MESH:D000109)
- **Species:** Oryctolagus cuniculus (domestic rabbit, species) [taxon 9986], Equus caballus (domestic horse, species) [taxon 9796], Ebola virus (no rank) [taxon 1570291], Severe acute respiratory syndrome coronavirus 2 (no rank) [taxon 2697049], Variola virus (smallpox virus, no rank) [taxon 10255], Yersinia pestis (species) [taxon 632], Bacillus anthracis (anthrax bacterium, species) [taxon 1392], Clostridium perfringens (species) [taxon 1502], Clostridium botulinum (species) [taxon 1491], Burkholderia mallei (species) [taxon 13373], Francisella tularensis (species) [taxon 263], Homo sapiens (human, species) [taxon 9606], Bos taurus (bovine, species) [taxon 9913], Orthopoxvirus vaccinia (species) [taxon 10245]

## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11162094/full.md

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Source: https://tomesphere.com/paper/PMC11162094