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Lactobacillus salivarius WB21--containing tablets for the treatment of oral malodor: a double-blind, randomized, placebo-controlled crossover trial.

  • 2014-04
  • Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 117(4)
    • N. Suzuki
    • M. Yoneda
    • Kazunari Tanabe
    • A. Fujimoto
    • Kosaku Iha
    • K. Seno
    • Kazuhiko Yamada
    • T. Iwamoto
    • Y. Masuo
    • T. Hirofuji

Abstract

Objective: This study evaluated the effect of probiotic intervention using lactobacilli on oral malodor.

Study design: We conducted a 14-day, double-blind, placebo-controlled, randomized crossover trial of tablets containing Lactobacillus salivarius WB21 (2.0 × 10(9) colony-forming units per day) or placebo taken orally by patients with oral malodor.

Results: Organoleptic test scores significantly decreased in both the probiotic and placebo periods compared with the respective baseline scores (P < .001 and P = .002), and no difference was detected between periods. In contrast, the concentration of volatile sulfur compounds (VSCs) (P = .019) and the average probing pocket depth (P = .001) decreased significantly in the probiotic period compared with the placebo period. Bacterial quantitative analysis found significantly lower levels of ubiquitous bacteria (P = .003) and Fusobacterium nucleatum (P = .020) in the probiotic period.

Conclusions: These results indicated that daily oral consumption of tablets containing probiotic lactobacilli could help to control oral malodor and malodor-related factors.

Research Insights

SupplementHealth OutcomeEffect TypeEffect Size
Lactobacillus SalivariusReduced Fusobacterium Nucleatum LevelsBeneficial
Moderate
Lactobacillus SalivariusReduced Probing DepthBeneficial
Moderate
Lactobacillus SalivariusReduced Ubiquitous Bacteria LevelsBeneficial
Moderate
Lactobacillus SalivariusReduced Volatile Sulfur CompoundsBeneficial
Moderate
Lactobacillus salivarius BLIS K12Reduced Fusobacterium Nucleatum LevelsBeneficial
Moderate
Lactobacillus salivarius BLIS K12Reduced Probing DepthBeneficial
Moderate
Lactobacillus salivarius BLIS K12Reduced Ubiquitous Bacteria LevelsBeneficial
Moderate
Lactobacillus salivarius BLIS K12Reduced Volatile Sulfur CompoundsBeneficial
Moderate
Lactobacillus salivarius HA-118Reduced Fusobacterium Nucleatum LevelsBeneficial
Moderate
Lactobacillus salivarius HA-118Reduced Probing DepthBeneficial
Moderate
Lactobacillus salivarius HA-118Reduced Ubiquitous Bacteria LevelsBeneficial
Moderate
Lactobacillus salivarius HA-118Reduced Volatile Sulfur CompoundsBeneficial
Moderate
Lactobacillus salivarius SD-5208Reduced Bacterial LoadBeneficial
Moderate
Lactobacillus salivarius SD-5208Reduced Fusobacterium Nucleatum LevelsBeneficial
Moderate
Lactobacillus salivarius SD-5208Reduced Oral MalodorBeneficial
Large
Lactobacillus salivarius SD-5208Reduced Probing Pocket DepthBeneficial
Moderate
Lactobacillus salivarius SD-5208Reduced Volatile Sulfur CompoundsBeneficial
Moderate
Lactobacillus salivarius SD-5851Reduced Fusobacterium Nucleatum LevelsBeneficial
Moderate
Lactobacillus salivarius SD-5851Reduced Oral MalodorBeneficial
Large
Lactobacillus salivarius SD-5851Reduced Probing Pocket DepthBeneficial
Moderate
Lactobacillus salivarius SD-5851Reduced Ubiquitous Bacteria LevelsBeneficial
Moderate
Lactobacillus salivarius SD-5851Reduced Volatile Sulfur CompoundsBeneficial
Moderate
Lactobacillus salivarius UALb-07Reduced Fusobacterium Nucleatum LevelsBeneficial
Moderate
Lactobacillus salivarius UALb-07Reduced Probing DepthBeneficial
Moderate
Lactobacillus salivarius UALb-07Reduced Ubiquitous Bacteria LevelsBeneficial
Moderate
Lactobacillus salivarius UALb-07Reduced Volatile Sulfur CompoundsBeneficial
Moderate
Lactobacillus salivarius UALs07Reduced Fusobacterium Nucleatum LevelsBeneficial
Moderate
Lactobacillus salivarius UALs07Reduced Probing DepthBeneficial
Moderate
Lactobacillus salivarius UALs07Reduced Ubiquitous Bacteria LevelsBeneficial
Moderate
Lactobacillus salivarius UALs07Reduced Volatile Sulfur CompoundsBeneficial
Moderate
Lactobacillus salivarius UALs07 UASReduced Fusobacterium Nucleatum LevelsBeneficial
Moderate
Lactobacillus salivarius UALs07 UASReduced Organoleptic Test ScoresBeneficial
Small
Lactobacillus salivarius UALs07 UASReduced Probing DepthsBeneficial
Large
Lactobacillus salivarius UALs07 UASReduced Ubiquitous Bacteria LevelsBeneficial
Moderate
Lactobacillus salivarius UALs07 UASReduced Volatile Sulfur CompoundsBeneficial
Moderate
Lactobacillus salivarius VPro 15Reduced Bacterial LoadBeneficial
Moderate
Lactobacillus salivarius VPro 15Reduced Oral MalodorBeneficial
Large
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