Exploring the Possible Impact of Oral Nutritional Supplements on Children’s Oral Health: An In Vitro Investigation

Eight pediatric oral nutritional supplements (ONSs) and 0.5% fat bovine milk were examined in vitro regarding their effect on the adhesion of three caries-related bacteria, <i>Streptococcus mutans</i> (strain CCUG 11877T), <i>Lactobacillus gasseri</i> (strain CCUG 31451), and...

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Main Authors: Cynthia Anticona, Lena Hansson, Ingegerd Johansson, Pernilla Lif Holgerson
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Dentistry Journal
Subjects:
Online Access:https://www.mdpi.com/2304-6767/12/3/78
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author Cynthia Anticona
Lena Hansson
Ingegerd Johansson
Pernilla Lif Holgerson
author_facet Cynthia Anticona
Lena Hansson
Ingegerd Johansson
Pernilla Lif Holgerson
author_sort Cynthia Anticona
collection DOAJ
description Eight pediatric oral nutritional supplements (ONSs) and 0.5% fat bovine milk were examined in vitro regarding their effect on the adhesion of three caries-related bacteria, <i>Streptococcus mutans</i> (strain CCUG 11877T), <i>Lactobacillus gasseri</i> (strain CCUG 31451), and <i>Scardovia wiggsiae</i> (strain CCUG 58090)<i>,</i> to saliva-coated hydroxyapatite, as well as their pH and capacity to withstand pH changes. Bacteria were cultivated and radiolabeled. The adhesion assays used synthetic hydroxyapatite coated with whole or parotid saliva. Measurements of pH and titration of the products with HCl and NaOH were conducted in triplicate. Three ONSs promoted the <i>S. mutans</i> adhesion to saliva-coated hydroxyapatite (increase from 35% to >200%), supporting caries risk enhancement. <i>S. wigssiae</i> and <i>L. gasseri</i> adhered only to one and no ONS, respectively. Most supplements had limited buffering capacity to counteract acidification changes, suggesting their low capacity to neutralize acids, and one ONS showed a significant capacity to counteract basic changes, suggesting a high erosive potential. <i>S. mutans</i> adhesion was influenced by the ONS pH and volume NaOH added to reach pH 10. <i>L. gasseri</i> and <i>S. wiggsiae</i> adhesion was influenced by the ONSs’ carbohydrate and fat content. Interdisciplinary efforts are needed to increase awareness and prevent the possible negative impact of ONSs on children’s oral health.
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spelling doaj.art-09124d47d25d41bdba2be65a46ea56a12024-03-27T13:33:04ZengMDPI AGDentistry Journal2304-67672024-03-011237810.3390/dj12030078Exploring the Possible Impact of Oral Nutritional Supplements on Children’s Oral Health: An In Vitro InvestigationCynthia Anticona0Lena Hansson1Ingegerd Johansson2Pernilla Lif Holgerson3Department of Odontology, Faculty of Medicine, Umeå University, 90187 Umeå, SwedenDepartment of Clinical Sciences, Pediatrics, Faculty of Medicine, Umeå University, 90187 Umeå, SwedenDepartment of Odontology, Section of Cariology, Faculty of Medicine, Umeå University, 90187 Umeå, SwedenDepartment of Odontology, Section of Pediatric Dentistry, Faculty of Medicine, Umeå University, 90187 Umeå, SwedenEight pediatric oral nutritional supplements (ONSs) and 0.5% fat bovine milk were examined in vitro regarding their effect on the adhesion of three caries-related bacteria, <i>Streptococcus mutans</i> (strain CCUG 11877T), <i>Lactobacillus gasseri</i> (strain CCUG 31451), and <i>Scardovia wiggsiae</i> (strain CCUG 58090)<i>,</i> to saliva-coated hydroxyapatite, as well as their pH and capacity to withstand pH changes. Bacteria were cultivated and radiolabeled. The adhesion assays used synthetic hydroxyapatite coated with whole or parotid saliva. Measurements of pH and titration of the products with HCl and NaOH were conducted in triplicate. Three ONSs promoted the <i>S. mutans</i> adhesion to saliva-coated hydroxyapatite (increase from 35% to >200%), supporting caries risk enhancement. <i>S. wigssiae</i> and <i>L. gasseri</i> adhered only to one and no ONS, respectively. Most supplements had limited buffering capacity to counteract acidification changes, suggesting their low capacity to neutralize acids, and one ONS showed a significant capacity to counteract basic changes, suggesting a high erosive potential. <i>S. mutans</i> adhesion was influenced by the ONS pH and volume NaOH added to reach pH 10. <i>L. gasseri</i> and <i>S. wiggsiae</i> adhesion was influenced by the ONSs’ carbohydrate and fat content. Interdisciplinary efforts are needed to increase awareness and prevent the possible negative impact of ONSs on children’s oral health.https://www.mdpi.com/2304-6767/12/3/78cariogenic potentialdental erosive potentialoral healthpediatric oral nutritional supplements
spellingShingle Cynthia Anticona
Lena Hansson
Ingegerd Johansson
Pernilla Lif Holgerson
Exploring the Possible Impact of Oral Nutritional Supplements on Children’s Oral Health: An In Vitro Investigation
Dentistry Journal
cariogenic potential
dental erosive potential
oral health
pediatric oral nutritional supplements
title Exploring the Possible Impact of Oral Nutritional Supplements on Children’s Oral Health: An In Vitro Investigation
title_full Exploring the Possible Impact of Oral Nutritional Supplements on Children’s Oral Health: An In Vitro Investigation
title_fullStr Exploring the Possible Impact of Oral Nutritional Supplements on Children’s Oral Health: An In Vitro Investigation
title_full_unstemmed Exploring the Possible Impact of Oral Nutritional Supplements on Children’s Oral Health: An In Vitro Investigation
title_short Exploring the Possible Impact of Oral Nutritional Supplements on Children’s Oral Health: An In Vitro Investigation
title_sort exploring the possible impact of oral nutritional supplements on children s oral health an in vitro investigation
topic cariogenic potential
dental erosive potential
oral health
pediatric oral nutritional supplements
url https://www.mdpi.com/2304-6767/12/3/78
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