Kavitha Muthukrishnan, Prathima G S, Kayalvizhi Gurusamy, Sanguida Adimoulame, Ezhumalai G, Ramesh Venkatesan
Post Graduate Student, Professor and Head, Professor, Reader, Department of Paedodontics and Preventive Dentistry, Indira Gandhi Institute of Dental Sciences, SBV, Puducherry, India.
Senior Statistician, Mahatma Gandhi Medical College and Research Institute, SBV, Puducherry, India.
J Indian Soc Pedod Prev Dent. 2019 Jan-Mar;37(1):67-74. doi: 10.4103/JISPPD.JISPPD_227_18.
The aim of this study is to assess the variations in the levels of Streptococcus mutans in saliva before and after short-term daily intake of the probiotic lozenge. To estimate the prevalence of S. mutans serotypes e, f, and k and its variations in salivary levels before and after short-term daily intake of the probiotic lozenge.
This double-blind randomized controlled trial was conducted among 60 children of 6-12 years old, who were given lozenge twice daily containing probiotic bacteria twice daily, one in the morning and another in the evening after brushing for 1 month. The placebo lozenge group also followed the same protocol. A pre- and post-quantitative analysis of S. mutans and serotypes e, f, and k level were done in the saliva of both experiment and control groups.
The data thus collected were statistically evaluated using repeated measures of ANOVA, followed by post hoc test and independent t-test.
When compared with baseline, a significant reduction of S. mutans was seen after 1 month intervention and 6 months follow-up. The prevalence of serotype e was found to be 5% and serotype k was found to be 12%, whereas none of the samples carried serotype f. Future long-term research with a larger sample size is required to determine the prevalence of S. mutans serotype and longer evaluation period is required to assess the preventive role against caries development.
本研究旨在评估每日短期摄入益生菌含片前后唾液中变形链球菌水平的变化。估计变形链球菌血清型e、f和k的流行率及其在每日短期摄入益生菌含片前后唾液水平的变化。
本双盲随机对照试验在60名6至12岁的儿童中进行,他们每天两次含服含有益生菌的含片,一次在早上,另一次在晚上刷牙后,持续1个月。安慰剂含片组也遵循相同方案。对实验组和对照组的唾液进行变形链球菌及其血清型e、f和k水平的定量分析,分干预前和干预后两个阶段。
对收集到的数据采用重复测量方差分析进行统计学评估,随后进行事后检验和独立t检验。
与基线相比,干预1个月和随访6个月后变形链球菌水平显著降低。发现血清型e的流行率为5%,血清型k的流行率为12%,而所有样本均未携带血清型f。未来需要进行更大样本量的长期研究以确定变形链球菌血清型的流行率,并且需要更长的评估期来评估其对龋齿发展的预防作用。