The invention discloses a composition for preventing and treating oral diseases or conditions, a preparation method and application thereof. The external vesicles based on oral
pathogenic bacteria are rich in nano-scale vesicles of
immune activation and defense factors aiming at
periodontitis, and after the external vesicles enter a body through
oral mucosa administration, the external vesicles are passively targeted into
lymph nodes related to the
oral mucosa to induce mucosa immune
specific antibody expression, so that the
immune defense capacity to the
pathogenic bacteria is improved. Preferably, a
calcium phosphate shell is coated outside the oral bacterial outer
vesicle, and the
calcium phosphate shell can only be dissolved under an acidic condition, so that the engineered
vesicle can be degraded after targeting to
lymph nodes and being phagocytosed into
dendritic cell lysosome, and the inflammatory reaction of a
drug delivery area is avoided. The administration form of the sublingual disintegrating tablet can improve the
bioavailability of the vaccine while local mucosal administration activates
mucosal immunity, and the convenient administration form is also beneficial to the promotion and popularization of the
periodontitis vaccine in clinical chair-side diagnosis and treatment or grassroots communities.