Harini P M, Anegundi R T
Department of Pediatric Dentistry, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, India.
J Indian Soc Pedod Prev Dent. 2010 Jul-Sep;28(3):179-82. doi: 10.4103/0970-4388.73799.
Probiotic technology represents a breakthrough approach to maintaining oral health by utilizing natural beneficial bacteria commonly found in healthy mouths to provide a natural defense against those bacteria thought to be harmful to teeth and gums. However, data are still sparse on the probiotic action in the oral cavity. The review article on probiotics in children published by Twetman and Stecksen- Blicks in 2008 showed only one study of dental interest on probiotics in children.
The present study evaluated clinically the efficacy of a probiotic and chlorhexidine mouth rinses on plaque and gingival accumulation in children. The trial design is a double-blind parallel group, 14 days comparative study between a probiotic mouth rinse and a chlorhexidine mouth rinse, which included 45 healthy children in the age group of 6-8 years.
The Probiotic and Chlorhexidine groups had less plaque accumulations compared with the Control group at the end of 14 years (P < 0.001 and P < 0.001, respectively). But, unlike the plaque score, there was a significant difference in the Gingival Index between the Probiotic and the Chlorhexidine groups (P = 0.009), Probiotic group being better than the Chlorhexidine group (mean = 0.2300 and 0.6805, respectively).
The Probiotic mouth rinse was found effective in reducing plaque accumulation and gingival inflammation. Therefore, probiotic mouth rinse obviously has a potential therapeutic value and further long-term study is recommended to determine its efficacy.
益生菌技术是一种突破性的方法,通过利用健康口腔中常见的天然有益细菌来维持口腔健康,从而为抵御那些被认为对牙齿和牙龈有害的细菌提供天然防御。然而,关于益生菌在口腔中的作用的数据仍然很少。特韦特曼和斯特克森 - 布利克斯在2008年发表的关于儿童益生菌的综述文章仅显示了一项关于儿童益生菌的牙科相关研究。
本研究临床评估了益生菌漱口水和洗必泰漱口水对儿童牙菌斑和牙龈堆积的疗效。试验设计为双盲平行组,对益生菌漱口水和洗必泰漱口水进行为期14天的比较研究,纳入了45名6 - 8岁的健康儿童。
在14天结束时,益生菌组和洗必泰组的牙菌斑堆积均少于对照组(分别为P < 0.001和P < 0.001)。但是,与牙菌斑评分不同,益生菌组和洗必泰组之间的牙龈指数存在显著差异(P = 0.009),益生菌组优于洗必泰组(平均值分别为0.2300和0.6805)。
发现益生菌漱口水在减少牙菌斑堆积和牙龈炎症方面有效。因此,益生菌漱口水显然具有潜在的治疗价值,建议进一步进行长期研究以确定其疗效。