journal article·2022-02-26Open access

Clinical Effects of Locally Delivered Lactobacillus reuteri as Adjunctive Therapy in Patients with Periodontitis: A Split-Mouth Study

Irina-Georgeta Sufaru, Luminita Lazar, Dorina-Cerasella Sincar, Maria-Alexandra Martu, Liliana Pasarin, Elena-Odette Luca, Ada Stefanescu, Eliza-Maria Froicu, Sorina-Mihaela Solomon

Applied Sciences· Volume 12· Issue 5

Abstract

Different methods and products have been investigated as measures of adjunctive therapy to scaling and root planing (SRP). Probiotic use has gained interest for this particular application, especially Lactobacillus spp. This split-mouth interventional prospective study aimed to evaluate the clinical effects of L. reuteri DSM 17938 with local application in periodontal pockets of severe periodontitis patients. The study was conducted on 40 subjects with stage 3–4 periodontitis who, based on a split-mouth model, followed SRP and SRP + L. reuteri solution in five weekly sessions. Probing depth (PD), clinical attachment loss (CAL), and bleeding on probing (BOP) were assessed at baseline and at three months after probiotic treatment completion. Both SRP and SRP + L. reuteri generated significant improvements of all three clinical parameters, but the changes were significantly better for SRP + L. reuteri treated sites. Therefore, we can conclude that adjunctive therapy with L. reuteri DSM 17938 could represent an interesting treatment option, particularly for severe periodontitis cases.
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Research context

OpenAlex topics: Oral microbiology and periodontitis research · Dental Health and Care Utilization · Salivary Gland Disorders and Functions

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Periodontology, Grigore T. Popa University of Medicine and Pharmacy Iasi, Universitatii Street 16, 700115 Iasi, Romania

Department of Periodontology, Faculty of Dental Medicine, George Emil Palade University of Medicine and Pharmacy Targu Mures, Ghe. Marinescu Street 38, 540139 Targu Mures, Romania

Department of Periodontology, Dunarea de Jos University of Medicine and Pharmacy Galati, Domneasca Street 47, 800008 Galati, Romania

Department of Implantology, Mobile Restorations and Technology, Grigore T. Popa University of Medicine and Pharmacy Iasi, Universitatii Street 16, 700115 Iasi, Romania

Department of Dental Prosthetics, Dunarea de Jos University of Medicine and Pharmacy Galati, Domneasca Street 47, 800008 Galati, Romania

Department of Oncology, Grigore T. Popa University of Medicine and Pharmacy Iasi, Universitatii Street 16, 700115 Iasi, Romania

References (33)

Show source-provided references
1. Prevalence of periodontal disease, its association with systemic diseases and prevention
2. Understanding the microbial components of periodontal disease and periodontal treatment-induced microbiological shifts10.1099/jmm.0.001247 ↗
3. Periodontitis: From infection to inflammation10.1007/s40496-017-0158-7 ↗
4. Assessment of salivary levels of RANKL and OPG in aggressive versus chronic periodontitis10.1155/2019/6195258 ↗
5. Periodontitis: Facts, fallacies and the future10.1111/prd.12221 ↗
6. Primer on etiology and treatment of progressive/severe periodontitis: A systemic health perspective10.1111/prd.12325 ↗
7. Antimicrobial adjuncts in the management of periodontal and peri-implant diseases and conditions: A narrative review10.21037/fomm-20-84 ↗
8. Mocanu, R.C., Martu, M.A., Luchian, I., Sufaru, I.G., Maftei, G.A., Ioanid, N., Martu, S., and Tatarciuc, M. (2021). Microbiologic profiles of patients with dental prosthetic treatment and periodontitis before and after photoactivation therapy—Randomized clinical trial. Microorganisms, 9.10.3390/microorganisms9040713 ↗
9. Use of probiotics and oral health10.1007/s40496-017-0159-6 ↗
10. Clinical efficacy of probiotics as an adjunctive therapy to non-surgical periodontal treatment of chronic periodontitis: A systematic review and meta-analysis10.1111/jcpe.12545 ↗
11. Probiotics: Do they have a role in oral medicine and dentistry?10.1111/j.1600-0722.2005.00191.x ↗
12. Modulation of host responses by oral commensal bacteria10.3402/jom.v7.26941 ↗
13. Probiotics: A new era of biotherapy10.4103/2277-9175.192625 ↗
14. Colonization and immunomodulation by Lactobacillus reuteri ATCC 55730 in the human gastrointestinal tract10.1128/AEM.70.2.1176-1181.2004 ↗
15. Removal of antibiotic resistance gene-carrying plasmids from Lactobacillus reuteri ATCC 55730 and characterization of the resulting daughter strain, L. reuteri DSM 1793810.1128/AEM.00991-08 ↗
16. Effect of probiotic lozenges on inflammatory reactions and oral biofilm during experimental gingivitis10.3109/00016357.2012.734406 ↗
17. Clinical and microbiological effects of Lactobacillus reuteri probiotics in the treatment of chronic periodontitis: A randomized placebo-controlled study10.1111/jcpe.12155 ↗
18. Clinical changes in periodontal subjects with the probiotic Lactobacillus reuteri Prodentis: A preliminary randomized clinical trial10.3109/00016357.2012.734404 ↗
19. Efficacy of local use of probiotics as an adjunct to scaling and root planing in chronic periodontitis and halitosis: A randomized controlled trial10.4103/2279-042X.179568 ↗
20. Silent sinus syndrome—Report of a case
21. Periodontal attachment loss of extracted teeth for periodontal reasons10.5051/jkape.2006.36.1.61 ↗
22. Generalized aggressive periodontitis and its treatment options: Case reports and review of literature10.1155/2012/535321 ↗
23. The biomechanical properties of suture materials and their relationship to bacterial adherence10.37358/MP.19.4.5295 ↗
24. Clinical and microbiological effects of probiotic lozenges in the treatment of chronic periodontitis: A 1-year follow-up study10.1111/jcpe.12387 ↗
25. Daily intake of heat-killed Lactobacillus plantarum L-137 decreases the probing Depth in patients undergoing supportive periodontal therapy
26. The effect of a Streptococci containing probiotic in periodontal therapy: A randomized controlled trial10.1111/jcpe.12464 ↗
27. Clinical and biochemical evaluation of lozenges containing Lactobacillus reuteri as an adjunct to non-surgical periodontal therapy in chronic periodontitis10.1902/jop.2015.140612 ↗
28. Modulation of the host response by probiotic Lactobacillus brevis CD2 in experimental gingivitis10.1111/odi.12332 ↗
29. Effect of oral administration involving a probiotic strain of Lactobacillus reuteri on proinflammatory cytokine response in patients with chronic periodontitis10.1007/s00005-014-0277-y ↗
30. The assessment of IL-6 and RANKL in the association between chronic periodontitis and osteoporosis
31. Anton, D.M., Martu, M.A., Maris, M., Maftei, G.A., Sufaru, I.G., Tatarciuc, D., Luchian, I., Ioanid, N., and Martu, S. (2021). Study on the effects of melatonin on glycemic control and periodontal parameters in patients with type II diabetes mellitus and periodontal disease. Medicina, 57.10.3390/medicina57020140 ↗
32. Functional status and oral health in patients with amyotrophic lateral sclerosis: A cross-sectional study
33. Ferrillo, M., Migliario, M., Roccuzzo, A., Molinero-Mourelle, P., Falcicchio, G., Umano, G.R., Pezzotti, F., Foglio Bonda, P.L., Calafiore, D., and de Sire, A. (2021). Periodontal disease and vitamin D deficiency in pregnant women: Which correlation with preterm and low-weight birth?. J. Clin. Med., 10.10.3390/jcm10194578 ↗