Consumption of Lactobacillus reuteri‐containing lozenges improves periodontal health in navy sailors at sea: A randomized controlled trial

Abstract

Background: The objective of this trial was to evaluate whether the regular consumption of probiotics may improve the known deterioration of periodontal health in navy sailors during deployments at sea. Methods: 72 healthy sailors of a naval ship on a practicing mission at sea were recruited and randomly provided with a blinded supply of lozenges to be consumed twice daily for the following 42 days containing either the probiotic strains Lactobacillus reuteri (DSM 17938 and L. reuteri (ATTC PTA 5289) (test n = 36) or no probiotics (placebo n = 36). At baseline, at day 14 and day 42 bleeding on probing (primary outcome), gingival index, plaque control record, probing attachment level, and probing pocket depth were assessed at the Ramfjord teeth. Results: At baseline there were no significant differences between the groups. At day 14 and day 42 test group scores of all assessed parameters were significantly improved (P < 0.001) compared to baseline and to the placebo group which by contrast showed a significant (P < 0.001) deterioration of all parameters at the end of the study. Conclusions: The consumption of probiotic L. reuteri-lozenges is an efficacious measure to improve and maintain periodontal health in situations with waning efficacy of personal oral hygiene.

Probiotics in the Management of Gingivitis and Periodontitis. A Review

“…This was in contrast to a preceding study by Hallstrom et al (50), who failed to detect any inhibitive impact of the consumption of a L.reuteri DSM 17938/ATCC PTA 5289 probiotic on the development of experimental gingivitis after the cessation of personal plaque control in healthy young volunteers with efficacious personal oral hygiene. However, in two other randomized clinical trials, evaluating the consumption of the identical L.reuteri probiotic by pregnant women (52) and navy sailors (54) with poor oral hygiene efficacy and evident clinical signs of established chronic gingivitis, its intake was accompanied by a significant and pronounced decrease of gingival inflammation when compared to the placeboconsuming controls, despite the lack of any concomitant attempt to improve oral hygiene efficacy.…”

“…The administration of the probiotic was either used as an adjunct to established measures of mechanical plaque control, i.e., oral hygiene training and/or professional mechanical plaque removal (PMPR) (47-50, 53, 55-57, 61-63), or was the only intervention performed (51,52,54,(58)(59)(60).…”

Periodontal Disease : A Rise in Prevalence in Military Troops Penyakit Periodontal

“…67 In addition, the use of chewing gum or lozenge that contains probiotic as the active ingredient in navy sailors at sea, prevents dental decay and periodontal disease, even in the situations with diminished efficacy of personal oral hygiene, as it helps the good microorganism keep a natural balance in the oral cavity. 68 The assigned chewing gum may be distributed in theater dining facilities in the accessory pack of the MRE (meal, ready-to-eat).…”

Probióticos na prevenção e tratamento das doenças periodontais

“…Os probióticos são microrganismos vivos que se administrados de forma correta, trazem benefícios a saúde, podendo restaurar o equilíbrio microbiano alterado nos órgãos dos hospedeiros (Kin et al, 2020;Messora et al, 2013;Schlagenhauf et al, 2020). O princípio básico dos probióticos é usar boas bactérias para competir com bactérias patogênicas (Harini & Anegundi, 2010).…”

“…O princípio básico dos probióticos é usar boas bactérias para competir com bactérias patogênicas (Harini & Anegundi, 2010). Esses microrganismos podem interferir diretamente na adesão, crescimento e metabolismo de espécies patogênicas concorrentes e podem melhorar a eficácia da resposta ao interferir com elementos celulares da imunidade (Schlagenhauf et al, 2020).…”