Int J Stomatol ›› 2020, Vol. 47 ›› Issue (2): 131-137.doi: 10.7518/gjkq.2020034

• Periodontitis • Previous Articles     Next Articles

Application of probiotic ecological regulation in prevention and treatment of periodontal diseases

Liu Lin,Zhou Jieyu,Wu Yafei,Zhao Lei()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Periodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2019-07-14 Revised:2019-12-06 Online:2020-03-01 Published:2020-03-12
  • Contact: Lei Zhao E-mail:jollyzldoc@163.com
  • Supported by:
    This study was supported by National Natural Science Foundation of China(81371150);This study was supported by National Natural Science Foundation of China(81771077);Key Research and Development Project of Sichuan Province(2018SZ0161)

Abstract:

The initiating factor of periodontal diseases is plaque biofilm. In recent years, plaque hypothesis becomes increasingly inclined to the disruption of microbial homeostasis. Classic treatment method is mechanical plaque removal. However, individual differences exist in the curative effect, and some patients need to be assisted with other treatment methods. The role of probiotics in reconstructing host microbial community and regulating immune inflammatory responses may result in certain improvement in the microecology of periodontal diseases. This review summarises the clinical effects, mechanism and clinical application of probiotics for prevention and treatment of periodontitis, gingivitis, oral malodour and periimplant diseases from the perspective of the classification of periodontal diseases.

Key words: periodontal diseases, probiotics, clinical effect, mechanism, clinical application

CLC Number: 

  • R781.4

TrendMD: 
[1] Marsh PD . Are dental diseases examples of ecolo-gical catastrophes[J]. Microbiology (Reading, Engl), 2003,149(Pt 2):279-294.
[2] Graziani F, Karapetsa D, Alonso B , et al. Nonsurgical and surgical treatment of periodontitis: how many options for one disease[J]. Periodontol 2000, 2017,75(1):152-188.
[3] Mombelli A . Microbial colonization of the perio-dontal pocket and its significance for periodontal therapy[J]. Periodontol 2000, 2018,76(1):85-96.
[4] Roberts FA, Darveau RP . Microbial protection and virulence in periodontal tissue as a function of poly-microbial communities: symbiosis and dysbiosis[J]. Periodontol 2000, 2015,69(1):18-27.
[5] Food and Agricultural Organization of the United Nations and World Health Organization. Health and nutritional properties of probiotics in food including powder milk with live lactic acid bacteria[R].[2001- 10-4]. https://www.iqb.es/digestivo/pdfs/probioticos.pdf. [2019-12-2].
[6] Allaker RP, Ian Douglas CW . Non-conventional the-rapeutics for oral infections[J]. Virulence, 2015,6(3):196-207.
[7] Pamer EG . Resurrecting the intestinal microbiota to combat antibiotic-resistant pathogens[J]. Science, 2016,352(6285):535-538.
[8] Tekce M, Ince G, Gursoy H , et al. Clinical and mi-crobiological effects of probiotic lozenges in the treatment of chronic periodontitis: a 1-year follow-up study[J]. J Clin Periodontol, 2015,42(4):363-372.
[9] Szkaradkiewicz AK, Stopa J, Karpiński TM . Effect of oral administration involving a probiotic strain of Lactobacillus reuteri on pro-inflammatory cytokine response in patients with chronic periodontitis[J]. Arch Immunol Ther Exp (Warsz), 2014,62(6):495-500.
[10] İnce G, Gürsoy H, İpçi ŞD , et al. Clinical and bio-chemical evaluation of lozenges containing Laacto-bacillus reuteri as an adjunct to non-surgical perio-dontal therapy in chronic periodontitis[J]. J Perio-dontol, 2015,86(6):746-754.
[11] Vivekananda MR, Vandana KL, Bhat KG . Effect of the probiotic Lactobacilli reuteri (Prodentis) in the management of periodontal disease: a preliminary randomized clinical trial[J]. J Oral Microbiol, 2010. doi: 10.3402/jom.v2i0.5344.
[12] Teughels W, Durukan A, Ozcelik O , et al. Clinical and microbiological effects of Lactobacillus reuteri probiotics in the treatment of chronic periodontitis: a randomized placebo-controlled study[J]. J Clin Pe-riodontol, 2013,40(11):1025-1035.
[13] Penala S, Kalakonda B, Pathakota KR , et al. Efficacy of local use of probiotics as an adjunct to scaling and root planing in chronic periodontitis and halitosis: a randomized controlled trial[J]. J Res Pharm Pract, 2016,5(2):86-93.
[14] Martin-Cabezas R, Davideau JL, Tenenbaum H , et al. Clinical efficacy of probiotics as an adjunctive therapy to non-surgical periodontal treatment of chro-nic periodontitis: a systematic review and meta-analysis[J]. J Clin Periodontol, 2016,43(6):520-530.
[15] Ikram S, Hassan N, Raffat MA , et al. Systematic review and meta-analysis of double-blind, placebo-controlled, randomized clinical trials using probiotics in chronic periodontitis[J]. J Investig Clin Dent, 2018,9(3):e12338.
[16] Morales A, Carvajal P, Silva N , et al. Clinical effects of Lactobacillus rhamnosus in non-surgical treatment of chronic periodontitis: a randomized placebo-controlled trial with 1-year follow-up[J]. J Periodontol, 2016,87(8):944-952.
[17] Morales A, Gandolfo A, Bravo J , et al. Microbiolo-gical and clinical effects of probiotics and antibiotics on nonsurgical treatment of chronic periodontitis: a randomized placebo-controlled trial with 9-month follow-up[J]. J Appl Oral Sci, 2018,26:e20170075.
[18] Invernici MM, Salvador SL, Silva PHF , et al. Effects of Bifidobacterium probiotic on the treatment of chronic periodontitis: a randomized clinical trial[J]. J Clin Periodontol, 2018,45(10):1198-1210.
[19] Pérez-Chaparro PJ, McCulloch JA, Mamizuka EM , et al. Do different probing depths exhibit striking differences in microbial profiles[J]. J Clin Perio-dontol, 2018,45(1):26-37.
[20] Iniesta M, Herrera D, Montero E , et al. Probiotic effects of orally administered Lactobacillus reuteri-containing tablets on the subgingival and salivary microbiota in patients with gingivitis. A randomized clinical trial[J]. J Clin Periodontol, 2012,39(8):736-744.
[21] Sabatini S, Lauritano D, Candotto V , et al. Oral probiotics in the management of gingivitis in diabetic patients: a double blinded randomized controlled study[J]. J Biol Regul Homeost Agents, 2017,31(2 Suppl 1):197-202.
[22] Kuru BE, Laleman I, Yalnızoğlu T , et al. The in-fluence of a Bifidobacterium animalis probiotic on gingival health: a randomized controlled clinical trial[J]. J Periodontol, 2017,88(11):1115-1123.
[23] Montero E, Iniesta M, Rodrigo M , et al. Clinical and microbiological effects of the adjunctive use of probiotics in the treatment of gingivitis: a rando-mized controlled clinical trial[J]. J Clin Periodontol, 2017,44(7):708-716.
[24] Trombelli L, Farina R, Silva CO , et al. Plaque-in-duced gingivitis: case definition and diagnostic considerations[J]. J Clin Periodontol, 2018,45(S20):S44-S67.
[25] Petersilka GJ, Ehmke B, Flemmig TF . Antimicrobial effects of mechanical debridement[J]. Periodontol 2000, 2002,28:56-71.
[26] Keller MK, Bardow A, Jensdottir T , et al. Effect of chewing gums containing the probiotic bacterium Lactobacillus reuteri on oral malodour[J]. Acta Odontol Scand, 2012,70(3):246-250.
[27] Suzuki N, Yoneda M, Tanabe K , et al. Lactobacillus salivarius WB21—containing tablets for the treat-ment of oral malodor: a double-blind, randomized, pla-cebo-controlled crossover trial[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2014,117(4):462-470.
[28] Derks J, Tomasi C . Peri-implant health and disease. A systematic review of current epidemiology[J]. J Clin Periodontol, 2015,42(Suppl 16):S158-S171.
[29] Flichy-Fernández AJ, Ata-Ali J, Alegre-Domingo T , et al. The effect of orally administered probiotic Lac-tobacillus reuteri-containing tablets in peri-implant mucositis: a double-blind randomized controlled trial[J]. J Periodont Res, 2015,50(6):775-785.
[30] Tada H, Masaki C, Tsuka S , et al. The effects of Lac-tobacillus reuteri probiotics combined with azithro-mycin on peri-implantitis: a randomized placebo-controlled study[J]. J Prosthodont Res, 2018,62(1):89-96.
[31] Hallström H, Lindgren S, Widén C , et al. Probiotic supplements and debridement of peri-implant mucositis: a randomized controlled trial[J]. Acta Odontol Scand, 2016,74(1):60-66.
[32] Teughels W, Loozen G, Quirynen M . Do probiotics offer opportunities to manipulate the periodontal oral microbiota[J]. J Clin Periodontol, 2011,38(Suppl 11):159-177.
[33] Suzuki N, Higuchi T, Nakajima M , et al. Inhibitory effect of Enterococcus faecium WB2000 on volatile sulfur compound production by Porphyromonas gingivalis[J]. Int J Dent, 2016,2016:8241681.
[34] Haukioja A, Loimaranta V, Tenovuo J . Probiotic bacteria affect the composition of salivary pellicle and streptococcal adhesion in vitro[J]. Oral Microbiol Immunol, 2008,23(4):336-343.
[35] Ciandrini E, Campana R, Casettari L , et al. Characte-rization of biosurfactants produced by Lactobacillus spp. and their activity against oral streptococci bio-film[J]. Appl Microbiol Biotechnol, 2016,100(15):6767-6777.
[36] Jones SE, Versalovic J . Probiotic Lactobacillus reuteri biofilms produce antimicrobial and anti-inflamma-tory factors[J]. BMC Microbiol, 2009,9(1):35.
[37] Braathen G, Ingildsen V, Twetman S , et al. Presence of Lactobacillus reuteri in saliva coincide with higher salivary IgA in young adults after intake of probiotic lozenges[J]. Benef Microbes, 2017,8(1):17-22.
[38] Castiblanco GA, Yucel-Lindberg T, Roos S , et al. Effect of Lactobacillus reuteri on cell viability and PGE2 production in human gingival fibroblasts[J]. Probiotics Antimicrob Proteins, 2017,9(3):278-283.
[39] Mottet C, Michetti P . Probiotics: wanted dead or alive[J]. Dig Liver Dis, 2005,37(1):3-6.
[40] Zawistowska-Rojek A, Tyski S . Are probiotic really safe for humans[J]. Pol J Microbiol, 2018,67(3):251-258.
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[1] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
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[5] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[7] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 458 -460 .
[8] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 452 -454 .
[9] . [J]. Inter J Stomatol, 2008, 35(S1): .
[10] . [J]. Inter J Stomatol, 2008, 35(S1): .