Skip to main content
Top
Published in: European Archives of Paediatric Dentistry 1/2020

01-02-2020 | Probiotics | Original Scientific Article

Effects of a functional food supplemented with probiotics on biological factors related to dental caries in children: a pilot study

Authors: M. P. Angarita-Díaz, D. Forero-Escobar, X. A. Cerón-Bastidas, C. A. Cisneros-Hidalgo, F. Dávila-Narvaez, C. M. Bedoya-Correa, Sidonio C. Freitas, C. L. Cabrera-Arango, R. Melo-Colina

Published in: European Archives of Paediatric Dentistry | Issue 1/2020

Login to get access

Abstract

Purpose

The aim of this study was to evaluate the effects of a functional food supplemented with probiotics on biological factors related to dental caries in children aged 3–5 years.

Methods

A repeated measures pilot study was conducted with children who have consumed a commercial milk containing two lactic acid bacteria as probiotics (WP milk) for a period of 3 months and another period of 3 months consuming a milk without probiotics (NP milk). Salivary pH, plaque index, pH variation before and after a sugar rinse, quantification of Streptococcus mutans in saliva and demineralisation of the carious lesions were determined at the beginning and at the end of both milk ingestion periods.

Results

Regarding WP milk, a non-significant decrease in terms of the concentration of S. mutans and pH variation (p > 0.05), a significant decrease (i.e. acidification) in salivary pH (p < 0.01) and a remineralisation of 39.4% of the caries were found. On the other hand, for NP milk, a non-significant increase in terms of the concentration of S. mutans, pH variation, salivary pH (p > 0.05) and a remineralisation of 64.2% were found.

Conclusions

Lactic acid probiotics can contribute to the decrease in the number of cariogenic microorganisms. However, the appropriate selection of the bacteria type with regard to its acidogenicity is fundamental to avoid the generation of an effect contrary to that expected, e.g. a significant decrease in salivary pH.
Literature
go back to reference Ahola AJ, Yli-Knuuttila H, Suomalainen T, et al. Short-term consumption of probiotic-containing cheese and its effect on dental caries risk factors. Arch Oral Biol. 2002;47:799–804.CrossRef Ahola AJ, Yli-Knuuttila H, Suomalainen T, et al. Short-term consumption of probiotic-containing cheese and its effect on dental caries risk factors. Arch Oral Biol. 2002;47:799–804.CrossRef
go back to reference Alanzi A, Honkala S, Honkala E, et al. Effect of Lactobacillus rhamnosus and Bifidobacterium lactis on gingival health, dental plaque, and periodontopathogens in adolescents: a randomised placebo-controlled clinical trial. Benef Microbes. 2018;9:593–602.CrossRef Alanzi A, Honkala S, Honkala E, et al. Effect of Lactobacillus rhamnosus and Bifidobacterium lactis on gingival health, dental plaque, and periodontopathogens in adolescents: a randomised placebo-controlled clinical trial. Benef Microbes. 2018;9:593–602.CrossRef
go back to reference American Academy of Pediatric Dentistry. Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent. 2016;6:52–4. American Academy of Pediatric Dentistry. Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent. 2016;6:52–4.
go back to reference Angarita MP, Freitas S, Mira A, et al. Inhibition activity of probiotic supernatants against the cariogenic Streptococcus mutans. J Ecosyst Ecography. 2017;7:2. Angarita MP, Freitas S, Mira A, et al. Inhibition activity of probiotic supernatants against the cariogenic Streptococcus mutans. J Ecosyst Ecography. 2017;7:2.
go back to reference Castilho LS, Cotta FV, Bueno AC, et al. Validation of DIAGNOdent laser fluorescence and the International Caries Detection and Assessment System (ICDAS) in diagnosis of occlusal caries in permanent teeth: an in vivo study. Eur J Oral Sci. 2016;124:188–94.CrossRef Castilho LS, Cotta FV, Bueno AC, et al. Validation of DIAGNOdent laser fluorescence and the International Caries Detection and Assessment System (ICDAS) in diagnosis of occlusal caries in permanent teeth: an in vivo study. Eur J Oral Sci. 2016;124:188–94.CrossRef
go back to reference Coqueiro AY, Bonvini A, Raizel R, et al. Probiotic supplementation in dental caries: is it possible to replace conventional treatment? Nutrire. 2018;43:6.CrossRef Coqueiro AY, Bonvini A, Raizel R, et al. Probiotic supplementation in dental caries: is it possible to replace conventional treatment? Nutrire. 2018;43:6.CrossRef
go back to reference Cunha-Cruz J, Scott J, Rothen M, et al. Salivary characteristics and dental caries: evidence from general dental practices. J Am Dent Assoc. 2013;144:e31–40.CrossRef Cunha-Cruz J, Scott J, Rothen M, et al. Salivary characteristics and dental caries: evidence from general dental practices. J Am Dent Assoc. 2013;144:e31–40.CrossRef
go back to reference De Keersmaecker SC, Verhoeven TL, Desair J, et al. Strong antimicrobial activity of Lactobacillus rhamnosus GG against Salmonella typhimurium is due to accumulation of lactic acid. FEMS Microbiol Lett. 2006;259:89–96.CrossRef De Keersmaecker SC, Verhoeven TL, Desair J, et al. Strong antimicrobial activity of Lactobacillus rhamnosus GG against Salmonella typhimurium is due to accumulation of lactic acid. FEMS Microbiol Lett. 2006;259:89–96.CrossRef
go back to reference Fejerskov O, Edwina AM. Dental caries: the disease and its clinical management. Oxford: Blackwell Munksgaard; 2008. Fejerskov O, Edwina AM. Dental caries: the disease and its clinical management. Oxford: Blackwell Munksgaard; 2008.
go back to reference Haukioja A, Söderling E, Tenovuo J. Acid production from sugars and sugar alcohols by probiotic lactobacilli and bifidobacteria in vitro. Caries Res. 2008;42:449–53.CrossRef Haukioja A, Söderling E, Tenovuo J. Acid production from sugars and sugar alcohols by probiotic lactobacilli and bifidobacteria in vitro. Caries Res. 2008;42:449–53.CrossRef
go back to reference Hicks J, Garcia-Godoy F, Flaitz C. Biological factors in dental caries: role of saliva and dental plaque in the dynamic process of demineralization and remineralization (part 1). J Clin Pediatr Dent. 2003;28:47–52.CrossRef Hicks J, Garcia-Godoy F, Flaitz C. Biological factors in dental caries: role of saliva and dental plaque in the dynamic process of demineralization and remineralization (part 1). J Clin Pediatr Dent. 2003;28:47–52.CrossRef
go back to reference Jiang Q, Kainulainen V, Stamatova I, et al. Lactobacillus rhamnosus GG in experimental oral biofilms exposed to different carbohydrate sources. Caries Res. 2018;52:220–9.CrossRef Jiang Q, Kainulainen V, Stamatova I, et al. Lactobacillus rhamnosus GG in experimental oral biofilms exposed to different carbohydrate sources. Caries Res. 2018;52:220–9.CrossRef
go back to reference Jindal G, Pandey RK, Agarwal J, et al. A comparative evaluation of probiotics on salivary mutans streptococci counts in Indian children. Eur Arch Paediatr Dent. 2011;12:211–5.CrossRef Jindal G, Pandey RK, Agarwal J, et al. A comparative evaluation of probiotics on salivary mutans streptococci counts in Indian children. Eur Arch Paediatr Dent. 2011;12:211–5.CrossRef
go back to reference Joshi A, Suja S, Jashbhai P. Identification of Lactobacillus rhamnosus GG bacteriocin gene determinants expressed in vivo in murine gut. World J Dairy Food Sci. 2014;9:70–8. Joshi A, Suja S, Jashbhai P. Identification of Lactobacillus rhamnosus GG bacteriocin gene determinants expressed in vivo in murine gut. World J Dairy Food Sci. 2014;9:70–8.
go back to reference Lin YT, Chou CC, Hsu CY. Effects of Lactobacillus casei Shirota intake on caries risk in children. J Dent Sci. 2017;12:179–84.CrossRef Lin YT, Chou CC, Hsu CY. Effects of Lactobacillus casei Shirota intake on caries risk in children. J Dent Sci. 2017;12:179–84.CrossRef
go back to reference Marsh PD. In sickness and in health-what does the oral microbiome mean to us? An ecological perspective. Adv Dent Res. 2018;29:60–5.CrossRef Marsh PD. In sickness and in health-what does the oral microbiome mean to us? An ecological perspective. Adv Dent Res. 2018;29:60–5.CrossRef
go back to reference Martignon S, Bautista-Mendoza G, González-Carrera MC, et al. Instruments for evaluating oral health knowledge, attitudes and practice for parents/caregivers of small children. Rev salud pública. 2008;10:308–14.CrossRef Martignon S, Bautista-Mendoza G, González-Carrera MC, et al. Instruments for evaluating oral health knowledge, attitudes and practice for parents/caregivers of small children. Rev salud pública. 2008;10:308–14.CrossRef
go back to reference Mira A. Oral Microbiome studies: potential diagnostic and therapeutic implications. Adv Dent Res. 2018;29:71–7.CrossRef Mira A. Oral Microbiome studies: potential diagnostic and therapeutic implications. Adv Dent Res. 2018;29:71–7.CrossRef
go back to reference Mombelli A, Van Oosten MAC, Schürch E, et al. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol. 1987;2:145–51.CrossRef Mombelli A, Van Oosten MAC, Schürch E, et al. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol. 1987;2:145–51.CrossRef
go back to reference Nadelman P, Magno MB, Masterson D, et al. Are dairy products containing probiotics beneficial for oral health? A systematic review and meta-analysis. Clin Oral Investig. 2018;22:2763–85.CrossRef Nadelman P, Magno MB, Masterson D, et al. Are dairy products containing probiotics beneficial for oral health? A systematic review and meta-analysis. Clin Oral Investig. 2018;22:2763–85.CrossRef
go back to reference Näse L, Hatakka K, Savilahti E, et al. Effect of long-term consumption of a probiotic bacterium, Lactobacillus rhamnosus GG, in milk on dental caries and caries risk in children. Caries Res. 2001;35:412–20.CrossRef Näse L, Hatakka K, Savilahti E, et al. Effect of long-term consumption of a probiotic bacterium, Lactobacillus rhamnosus GG, in milk on dental caries and caries risk in children. Caries Res. 2001;35:412–20.CrossRef
go back to reference Pham LC, van Spanning RJ, Röling WF, et al. Effects of probiotic Lactobacillus salivarius W24 on the compositional stability of oral microbial communities. Arch Oral Microbiol. 2009;54:132–7. Pham LC, van Spanning RJ, Röling WF, et al. Effects of probiotic Lactobacillus salivarius W24 on the compositional stability of oral microbial communities. Arch Oral Microbiol. 2009;54:132–7.
go back to reference Pham LC, Hoogenkamp MA, Exterkate RA, et al. Effects of Lactobacillus rhamnosus GG on saliva-derived microcosms. Arch Oral Biol. 2011;56:136–47.CrossRef Pham LC, Hoogenkamp MA, Exterkate RA, et al. Effects of Lactobacillus rhamnosus GG on saliva-derived microcosms. Arch Oral Biol. 2011;56:136–47.CrossRef
go back to reference Schwendicke F, Dörfer C, Kneist S, Meyer-Lueckel H, et al. Cariogenic effects of probiotic Lactobacillus rhamnosus GG in a dental biofilm model. Caries Res. 2014;48:186–92.CrossRef Schwendicke F, Dörfer C, Kneist S, Meyer-Lueckel H, et al. Cariogenic effects of probiotic Lactobacillus rhamnosus GG in a dental biofilm model. Caries Res. 2014;48:186–92.CrossRef
go back to reference Seminario-Amez M, López-López J, Estrugo-Devesa A, et al. Probiotics and oral health: a systematic review. Med Oral Patol Oral Cir Bucal. 2017;22:282–8. Seminario-Amez M, López-López J, Estrugo-Devesa A, et al. Probiotics and oral health: a systematic review. Med Oral Patol Oral Cir Bucal. 2017;22:282–8.
go back to reference Simón-Soro A, Mira A. Solving the etiology of dental caries. Trends Microbiol. 2015;23:76–82.CrossRef Simón-Soro A, Mira A. Solving the etiology of dental caries. Trends Microbiol. 2015;23:76–82.CrossRef
go back to reference Söderling E, Marttinen A, Haukioja A. Probiotic lactobacilli interfere with Streptococcus mutans biofilm formation in vitro. Curr Microbiol. 2011;62:618–22.CrossRef Söderling E, Marttinen A, Haukioja A. Probiotic lactobacilli interfere with Streptococcus mutans biofilm formation in vitro. Curr Microbiol. 2011;62:618–22.CrossRef
go back to reference Vikneshan M, Ankola AV, Hiremath A, et al. Functional foods and its role in improving oral health. J Sci Dent. 2016;6:13–9. Vikneshan M, Ankola AV, Hiremath A, et al. Functional foods and its role in improving oral health. J Sci Dent. 2016;6:13–9.
go back to reference Villavicencio J, Villegas LM, Arango MC, et al. Effects of a food enriched with probiotics on Streptococcus mutans and Lactobacillus spp. salivary counts in preschool children: a cluster randomized trial. J Appl Oral Sci. 2018;26:e20170318.CrossRef Villavicencio J, Villegas LM, Arango MC, et al. Effects of a food enriched with probiotics on Streptococcus mutans and Lactobacillus spp. salivary counts in preschool children: a cluster randomized trial. J Appl Oral Sci. 2018;26:e20170318.CrossRef
Metadata
Title
Effects of a functional food supplemented with probiotics on biological factors related to dental caries in children: a pilot study
Authors
M. P. Angarita-Díaz
D. Forero-Escobar
X. A. Cerón-Bastidas
C. A. Cisneros-Hidalgo
F. Dávila-Narvaez
C. M. Bedoya-Correa
Sidonio C. Freitas
C. L. Cabrera-Arango
R. Melo-Colina
Publication date
01-02-2020
Publisher
Springer Berlin Heidelberg
Keywords
Probiotics
Caries
Published in
European Archives of Paediatric Dentistry / Issue 1/2020
Print ISSN: 1818-6300
Electronic ISSN: 1996-9805
DOI
https://doi.org/10.1007/s40368-019-00468-y

Other articles of this Issue 1/2020

European Archives of Paediatric Dentistry 1/2020 Go to the issue