“… 10 Bacterial strains that have been tested for probiotic action in the oral cavity and in vitro against oral pathogens include lactobacilli species ( Lactobacillus acidophilus, L. rhamnosus GG, Lactobacillus johnsonii, Lactobacillus casei, L. rhamnosus, Lactobacillus gasseri, Lactobacillus reuter, Lactobacillus paracasei, Lactobacillus plantarum ), Bifidobacterium species ( Bifidobacterium bifidum, Bifidobacterium longum, Bifidobacterium infantis, Bifidobacterium animalis strain DN-173 010), and others ( Streptococcus salivarius, Weissella cibaria ). 15 Clinical studies by Näse et al, 13 Caglar et al, 29 Haukioja et al, 30 Cildir et al, 31 Jindal et al, 9 Harini and Anegundi, 11 Khanafari et al, 14 Saha et al, 32 and Chinnappa et al (2013), 33 have confirmed that probiotic lactobacilli can reduce the counts of S. mutans after ingestion of L. rhamnosus -GG, L. reuteri, L. plantarum , and lactobacilli mix of which L. rhamnosus and L. plantarum were found to have better antimicrobial efficacy against S. mutans 9 , 13 , 14 , 30 , 32 and hence it was decided to use the blend of pure strains of the probiotic bacteria L. rhamnosus (TSP-Lrh1) and L. plantarum (TSP-Lp1) for the formulation of probiotic mucoadhesive patch.…”