Administration of Clinical COVID-19 Mouthwashing Protocol and Potential Modulation of Pediatric Oral Bacterial Prevalence of <i>Selenomonas noxia</i>: A Pilot Study

Dental office protocols to combat the SARS-CoV-2 (COVID-19) pandemic include mouth washing for an extended 60 s, thereby reducing detectable oral virus. However, it is unclear whether this protocol has any effects on the newly identified periodontal pathogen and obesity-related bacterium often found...

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Main Authors: Praneeti Sodhi, Yuxin Jiang, Summer Lin, Jackson Downey, Chase Sorenson, Melika Shayegh, Victoria Sullivan, Karl Kingsley, Katherine M. Howard
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Pediatric Reports
Subjects:
Online Access:https://www.mdpi.com/2036-7503/15/3/38
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author Praneeti Sodhi
Yuxin Jiang
Summer Lin
Jackson Downey
Chase Sorenson
Melika Shayegh
Victoria Sullivan
Karl Kingsley
Katherine M. Howard
author_facet Praneeti Sodhi
Yuxin Jiang
Summer Lin
Jackson Downey
Chase Sorenson
Melika Shayegh
Victoria Sullivan
Karl Kingsley
Katherine M. Howard
author_sort Praneeti Sodhi
collection DOAJ
description Dental office protocols to combat the SARS-CoV-2 (COVID-19) pandemic include mouth washing for an extended 60 s, thereby reducing detectable oral virus. However, it is unclear whether this protocol has any effects on the newly identified periodontal pathogen and obesity-related bacterium often found among pediatric patients, <i>Selenomonas noxia</i>. To determine if the mouthwash protocol has any measurable effect on <i>S. noxia</i> amongst pediatric patients, clinical pediatric saliva samples were obtained from pediatric patients during routine visits for clinical care and treatment. Using an approved protocol, two saliva samples were collected on the same visit before and after chlorhexidine mouthwash (Sample A, Sample B). The third sample (Sample C) was taken at the recall appointment—usually between two and eight weeks later. A total of n = 97 pre-mouthwash samples, and an equal number of matching post-mouthwash samples (n = 97) were collected, with a small number of matching recall samples (n = 36) that were subsequently collected and identified. The demographic composition of the study sample was analyzed using Chi square statistics. Sample DNA from the matching pre-, post-, and recall collections (Sample A, Sample B, and Sample C) was isolated and screened using qPCR and validated primers, which revealed that 11.1% (n = 4/36) from Sample A tested positive for <i>S. noxia</i> with 0% (n = 0/36) of Sample B testing positive and 13.9% (n = 5/36) of the recall (Sample C) testing positive. In addition, comparative analysis of the qPCR cycle threshold data revealed relatively lower expression (quantity) of <i>S. noxia</i> DNA among the recall samples, as determined by two-tailed <i>t</i>-tests (<i>p</i>=0.004). These data and results provide new evidence for the oral prevalence of <i>S. noxia</i> among pediatric patients, while also demonstrating that the COVID-19 protocol of mouth washing prior to clinical treatment for periods extending up to 60 s may be sufficient to reduce the levels of detectable <i>S. noxia</i>—at least temporarily. More research will be needed to determine whether these effects may be limited to the short- or may exhibit more lasting effects in the long-term.
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spelling doaj.art-40e065d641984d05a606f10057e5b9532023-11-19T12:23:30ZengMDPI AGPediatric Reports2036-75032023-07-0115341442510.3390/pediatric15030038Administration of Clinical COVID-19 Mouthwashing Protocol and Potential Modulation of Pediatric Oral Bacterial Prevalence of <i>Selenomonas noxia</i>: A Pilot StudyPraneeti Sodhi0Yuxin Jiang1Summer Lin2Jackson Downey3Chase Sorenson4Melika Shayegh5Victoria Sullivan6Karl Kingsley7Katherine M. Howard8Department of Advanced Education in Pediatric Dentistry, School of Dental Medicine, University of Nevada-Las Vegas, 1700 W. Charleston Boulevard, Las Vegas, NV 89106, USADepartment of Clinical Sciences, School of Dental Medicine, University of Nevada-Las Vegas, 1700 W. Charleston Boulevard, Las Vegas, NV 89106, USADepartment of Clinical Sciences, School of Dental Medicine, University of Nevada-Las Vegas, 1700 W. Charleston Boulevard, Las Vegas, NV 89106, USADepartment of Clinical Sciences, School of Dental Medicine, University of Nevada-Las Vegas, 1700 W. Charleston Boulevard, Las Vegas, NV 89106, USADepartment of Clinical Sciences, School of Dental Medicine, University of Nevada-Las Vegas, 1700 W. Charleston Boulevard, Las Vegas, NV 89106, USADepartment of Advanced Education in Pediatric Dentistry, School of Dental Medicine, University of Nevada-Las Vegas, 1700 W. Charleston Boulevard, Las Vegas, NV 89106, USADepartment of Advanced Education in Pediatric Dentistry, School of Dental Medicine, University of Nevada-Las Vegas, 1700 W. Charleston Boulevard, Las Vegas, NV 89106, USADepartment of Biomedical Sciences, School of Dental Medicine, University of Nevada-Las Vegas, 1001 Shadow Lane Boulevard, Las Vegas, NV 89106, USADepartment of Biomedical Sciences, School of Dental Medicine, University of Nevada-Las Vegas, 1001 Shadow Lane Boulevard, Las Vegas, NV 89106, USADental office protocols to combat the SARS-CoV-2 (COVID-19) pandemic include mouth washing for an extended 60 s, thereby reducing detectable oral virus. However, it is unclear whether this protocol has any effects on the newly identified periodontal pathogen and obesity-related bacterium often found among pediatric patients, <i>Selenomonas noxia</i>. To determine if the mouthwash protocol has any measurable effect on <i>S. noxia</i> amongst pediatric patients, clinical pediatric saliva samples were obtained from pediatric patients during routine visits for clinical care and treatment. Using an approved protocol, two saliva samples were collected on the same visit before and after chlorhexidine mouthwash (Sample A, Sample B). The third sample (Sample C) was taken at the recall appointment—usually between two and eight weeks later. A total of n = 97 pre-mouthwash samples, and an equal number of matching post-mouthwash samples (n = 97) were collected, with a small number of matching recall samples (n = 36) that were subsequently collected and identified. The demographic composition of the study sample was analyzed using Chi square statistics. Sample DNA from the matching pre-, post-, and recall collections (Sample A, Sample B, and Sample C) was isolated and screened using qPCR and validated primers, which revealed that 11.1% (n = 4/36) from Sample A tested positive for <i>S. noxia</i> with 0% (n = 0/36) of Sample B testing positive and 13.9% (n = 5/36) of the recall (Sample C) testing positive. In addition, comparative analysis of the qPCR cycle threshold data revealed relatively lower expression (quantity) of <i>S. noxia</i> DNA among the recall samples, as determined by two-tailed <i>t</i>-tests (<i>p</i>=0.004). These data and results provide new evidence for the oral prevalence of <i>S. noxia</i> among pediatric patients, while also demonstrating that the COVID-19 protocol of mouth washing prior to clinical treatment for periods extending up to 60 s may be sufficient to reduce the levels of detectable <i>S. noxia</i>—at least temporarily. More research will be needed to determine whether these effects may be limited to the short- or may exhibit more lasting effects in the long-term.https://www.mdpi.com/2036-7503/15/3/38SARS-CoV-2COVID-19 protocolmouthwashsalivaqPCR screening<i>Selenomonas noxia</i>
spellingShingle Praneeti Sodhi
Yuxin Jiang
Summer Lin
Jackson Downey
Chase Sorenson
Melika Shayegh
Victoria Sullivan
Karl Kingsley
Katherine M. Howard
Administration of Clinical COVID-19 Mouthwashing Protocol and Potential Modulation of Pediatric Oral Bacterial Prevalence of <i>Selenomonas noxia</i>: A Pilot Study
Pediatric Reports
SARS-CoV-2
COVID-19 protocol
mouthwash
saliva
qPCR screening
<i>Selenomonas noxia</i>
title Administration of Clinical COVID-19 Mouthwashing Protocol and Potential Modulation of Pediatric Oral Bacterial Prevalence of <i>Selenomonas noxia</i>: A Pilot Study
title_full Administration of Clinical COVID-19 Mouthwashing Protocol and Potential Modulation of Pediatric Oral Bacterial Prevalence of <i>Selenomonas noxia</i>: A Pilot Study
title_fullStr Administration of Clinical COVID-19 Mouthwashing Protocol and Potential Modulation of Pediatric Oral Bacterial Prevalence of <i>Selenomonas noxia</i>: A Pilot Study
title_full_unstemmed Administration of Clinical COVID-19 Mouthwashing Protocol and Potential Modulation of Pediatric Oral Bacterial Prevalence of <i>Selenomonas noxia</i>: A Pilot Study
title_short Administration of Clinical COVID-19 Mouthwashing Protocol and Potential Modulation of Pediatric Oral Bacterial Prevalence of <i>Selenomonas noxia</i>: A Pilot Study
title_sort administration of clinical covid 19 mouthwashing protocol and potential modulation of pediatric oral bacterial prevalence of i selenomonas noxia i a pilot study
topic SARS-CoV-2
COVID-19 protocol
mouthwash
saliva
qPCR screening
<i>Selenomonas noxia</i>
url https://www.mdpi.com/2036-7503/15/3/38
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