Probiotics for oral health?

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This review of the effect of probiotic containing dairy products on oral health included 32 studies involving a broad range of dairy products suggesting a positive effect on S.Mutans (SM) levels and salivary pH.

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Probiotics – insufficient evidence supporting use to manage caries or periodontal disease

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This review of probiotics use for caries and periodontal disease management identified 50 studies. Most focused on surrogate outcomes (bacterial counts) and the overall quality of the evidence supporting probiotic therapy was graded as very low for all outcomes.

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Probiotics for caries prevention?

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This small trial of probiotics as an adjunct to toothbrushing with a fluoride toothpaste to reduce caries in pre-school children suggests some additional benefit. Further studies are needed to clarify the findings, assess dose response, acceptability and cost effectiveness.

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Caries risk assessment – limited evidence to support current methods

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Only 18 studies were identified for this review of caries risk assessment models. Previous caries experience and salivary mutans streptococci levels were the only two methods with more than 3 studies and the quality of evidence for these two approaches was low.

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Weak evidence for an effect of chlorhexidine varnish on mutans streptococci in patients with fixed orthodontic appliances

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11 studies were included in this review of chlorhexidine varnish to reduce mutans streptococcus in patients having a fixed orthodontic treatment. A majority of the studies demonstrated a positive effect but the quality of the evidence was weak.

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Caries: little evidence to support use of chlorhexidine varnishes or gels for prevention

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This new Cochrane review included 8 trials, involving a total of 2,876 children finding little evidence to support or refute the use of chlorhexidine varnish or gel in reducing caries or mutans streptoccoci levels.

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Xylitol gum reduced mutans streptococci transmission

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This review identified 5 trials reported in 11 publications and found that the chewing of xylitol gum by mothers significantly reduced transmission of mutans streptococci to their children. However the effects on caries were inconsistent.

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Mutans Streptococci: maternal-child transmission confirmed by review

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Thirty six studies were identified for this review of maternal-child transmission rates for mutans streptococci. Rates varied from 52.5% – 84.5% with a meta-analysis finding a cumulative event rate of 0.650 (95% CI; 0.565 to 0.726).

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Insufficient evidence that probiotics can prevent caries, but they can reduce the mutans streptococci counts in the short term

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Probiotics have been used in the management of a wide range of conditions and have been shown to have a beneficial effect in gastrointestinal disease for example. A potential role in the prevention of caries has been suggested and the aim of this review was to evaluate the caries preventive effect of probiotics. Searches were [read the full story…]

Risk factors for early childhood caries

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Caries in children aged 71 months and younger or early childhood caries (ECC) has been reported with a prevalence of between 20 and 80% in some populations.  The aim of this review was two fold, to assess the association between the acquisition of oral cariogenic bacteria and caries outcomes in infants and to identify the [read the full story…]