“…To the best of our knowledge, oral microorganisms are closely associated with oral diseases such as caries ( Dinis et al, 2022 ), periodontitis ( Plachokova et al, 2021 ), and oral cancer ( Zhang et al, 2019 ); they are also involved in various systemic diseases such as diabetes ( Matsha et al, 2020 ), Alzheimer’s disease ( Dominy et al, 2019 ), pancreatic cancer ( Fan et al, 2018 ), and colorectal cancer ( Wang et al, 2021 ). Previous and recent studies have also suggested that oral soft and hard tissues, including salivary glands ( Groza et al, 1981 , 1983 ; Mednieks and Hand, 1987 ; Mednieks et al, 2014 ; Dagdeviren et al, 2018a ; Hand et al, 2020 ), mandibles ( Simmons et al, 1983 ; Ghosh et al, 2016 ; Dagdeviren et al, 2018b ), and teeth ( Rosenberg et al, 1984 ; Dagdeviren et al, 2018b ), are affected by spaceflight. The risk of dental diseases, such as caries and periodontitis, increases in a microgravity environment ( Rai and Kaur, 2011 ).…”