Chapter 19 : Probiotics in Oral Biology and Dentistry

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This chapter discusses the characteristics of the oral microbiota, and examples of potential contributions of probiotics to oral health. Theoretically, probiotics could interfere in several steps of oral biofilm formation, the development and modification of oral microecology, and the proliferation of planktonic microorganisms in the saliva. Bacterial attachment to epithelial cells or dental surfaces is the first and most essential step in colonization and development of oral biofilms. Mechanisms of adhesion to oral surfaces have been studied using model systems that mimic biofilm formation. Studies on the effects of probiotics on periodontal disease are sparse. The severity of the disease ranges from asymptomatic and occasional gingival bleeding to abscesses caused by severe inflammation in the oral cavity. Periodontal disease in particular has been linked with systemic consequences such as the development of atherosclerosis and poor metabolic balance of diabetic patients. New strategies for controlling periodontal disease might benefit overall health status.

Citation: Meurman J. 2008. Probiotics in Oral Biology and Dentistry, p 249-254. In Versalovic J, Wilson M (ed), Therapeutic Microbiology. ASM Press, Washington, DC. doi: 10.1128/9781555815462.ch19

Key Concept Ranking

Lactic Acid Bacteria
Randomized Controlled Trial
Probiotic Bacteria
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Figure 1

Schematic diagram of the potential dissemination of oral microorganisms from infectious foci in the oral cavity via hematogenous circulation. Detrimental general complications may occur in several organs. Bacteria of oral origin may trigger harmful reactions leading to pathologic processes such as atherosclerosis. Probiotic interventions (vertical arrow) may control the oral microbiota so that systemic spread of bacteria would be reduced due to improved oral health.

Citation: Meurman J. 2008. Probiotics in Oral Biology and Dentistry, p 249-254. In Versalovic J, Wilson M (ed), Therapeutic Microbiology. ASM Press, Washington, DC. doi: 10.1128/9781555815462.ch19
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Generic image for table
Table 1

Effects of probiotic strains on pathogens causing dental caries

Citation: Meurman J. 2008. Probiotics in Oral Biology and Dentistry, p 249-254. In Versalovic J, Wilson M (ed), Therapeutic Microbiology. ASM Press, Washington, DC. doi: 10.1128/9781555815462.ch19
Generic image for table
Table 2

Vision for potential future use of probiotics in oral medicine and dentistry

Citation: Meurman J. 2008. Probiotics in Oral Biology and Dentistry, p 249-254. In Versalovic J, Wilson M (ed), Therapeutic Microbiology. ASM Press, Washington, DC. doi: 10.1128/9781555815462.ch19

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