Effect of daily intake of probiotic bacteria on recolonisation of mutans streptococci after disinfection with chlorhexidine

  • Mette Kirstine Keller (Oplægsholder)

Aktivitet: Tale eller præsentation - typerForedrag og mundtlige bidrag

Beskrivelse

Background
The overgrowth of acid-tolerating species such as mutans streptococci is associated with caries. Accordingly, various anti-bacterial strategies have been suggested in the medical approach in the prevention of caries. Chlorhexidine is probably the most validated. However, a recolonisation of the mutans streptococci occurs quickly, hampering the expected anti-caries effect.
Aim
To evaluate whether daily use of lozenges containing probiotic bacteria could affect inhibit or delay the recolonisation of mutans streptococci in the oral cavity after a full-mouth disinfection with chlorhexdine.
Design
A multicentre, prospective study with a randomized, placebo-controlled double-blind design with two parallel arms. We enrolled 62 healthy young adults with high numbers of S. mutans. After a full-mouth disinfection with chlorhexidine the participants were given lozenges with either two strains of L. reuteri or placebo. The intervention period was 6 weeks and plaque samples and s. mutans counts were taken at baseline, 1 week, 6 weeks, 3 months and 6 months after the full-mouth disinfection.
Results
A statistically significant reduction of mutans streptococci after full-mouth disinfection with chlorhexidine was seen at 1 week, 3 weeks and 6 weeks in both groups. However, no statistical significance was seen between the groups.
Conclusions
Lozenges containing probiotic bacteria did not affect recolonisation of mutans streptococci after suppression with chlorhexidine.

Periode12 maj 2011
BegivenhedstitelPhD Day, Faculty of Health
BegivenhedstypeKonference
ArrangørUniversity of Copenhagen
PlaceringKøbenhavn, Danmark