journal article·2025-11-05Open access

Limosilactobacillus reuteri in Pediatric Oral Health: A Systematic Review

João Pedro Carvalho, Romy Grondin, Paulo Rompante, Célia Fortuna Rodrigues, José Carlos Andrade, António Rajão

Applied Sciences· Volume 15· Issue 21

Abstract

Background: Limosilactobacillus reuteri (L. reuteri), present in the oral and intestinal microbiota, can colonize the oral cavity through breastfeeding and dairy intake, promoting oral health by balancing the microbiota, inhibiting pathogens, and modulating immune responses. This study aimed to evaluate the preventive role and therapeutic potential of L. reuteri in pediatric oral health. Methods: A literature review was conducted using PubMed, Wiley Library, and the Cochrane Library, supplemented by manual screening, according to PRISMA guidelines and covering the period from January 2011 to 31 December 2024. Results: From 835 records identified, 12 studies met the inclusion criteria. Data shows that L. reuteri strains produce antimicrobial substances that disrupt biofilms and inhibit Streptococcus mutans and other lactobacilli, leading to increased oral pH and improved periodontal indices. The effectiveness of probiotics was found to be strain-specific and transient, with continuous intake and adequate oral hygiene enhancing their ability to colonize the oral cavity. Conclusions: Probiotics show significant potential as therapeutic interventions for controlling cariogenic bacteria and supporting gum health in children. Through mechanisms including bacterial co-aggregation, competitive exclusion, antimicrobial compound synthesis, and immune modulation, probiotics may effectively reduce the risk of tooth decay and gum disease. Their effectiveness depends on the strain, regular intake, proper dosing, good oral hygiene, and suitable delivery, which enhance oral colonization and clinical benefits.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Probiotics and Fermented Foods · Oral microbiology and periodontitis research · Infant Nutrition and Health

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

Affiliations

UNIPRO—Oral Pathology and Rehabilitation Research Unit, University Institute of Health Science (IUCS), 4585-116 Gandra, Portugal

Associate Laboratory i4HB—Institute for Health and Bioeconomy, University Institute of Health Sciences—CESPU, 4585-116 Gandra, Portugal

UCIBIO—Applied Molecular Biosciences Unit, Translational Toxicology Research Laboratory, University Institute of Health Sciences (1H-TOXRUN, IUCS-CESPU), 4585-116 Gandra, Portugal

LEPABE—Laboratory for Process Engineering, Environment, Biotechnology and Energy, Faculty of Engineering, University of Porto, 4200-465 Porto, Portugal

ALiCE—Associate Laboratory in Chemical Engineering, Faculty of Engineering, University of Porto, 4200-465 Porto, Portugal

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