Influence of the Probiotic <i>L. reuteri</i> on Periodontal Clinical Parameters after Nonsurgical Treatment: A Systematic Review

The aim of this systematic review was to evaluate the actual efficacy of <i>Lactobacillus reuteri</i> (<i>L. reuteri</i>) on the periodontal clinical parameters when used concomitantly to the nonsurgical periodontal treatment. Searches were conducted through PubMed Central, O...

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Main Authors: Carlota Ochôa, Filipe Castro, José Frias Bulhosa, Conceição Manso, Juliana Campos Hasse Fernandes, Gustavo Vicentis Oliveira Fernandes
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/11/6/1449
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author Carlota Ochôa
Filipe Castro
José Frias Bulhosa
Conceição Manso
Juliana Campos Hasse Fernandes
Gustavo Vicentis Oliveira Fernandes
author_facet Carlota Ochôa
Filipe Castro
José Frias Bulhosa
Conceição Manso
Juliana Campos Hasse Fernandes
Gustavo Vicentis Oliveira Fernandes
author_sort Carlota Ochôa
collection DOAJ
description The aim of this systematic review was to evaluate the actual efficacy of <i>Lactobacillus reuteri</i> (<i>L. reuteri</i>) on the periodontal clinical parameters when used concomitantly to the nonsurgical periodontal treatment. Searches were conducted through PubMed Central, Online Knowledge Library, Science Direct, Scielo, and Cochrane databases from 2012 to 2022. The focused question was “In patients with periodontitis, will the probiotic <i>L. reuteri</i>, when administrated as an adjunct to nonsurgical periodontal treatment, compared to the nonsurgical periodontal treatment alone, result in better clinical outcomes?” The following information was extracted from the articles: author and year of publication, type of study, follow-up, sample size and number of defects, and clinical characteristics and details. All included studies were qualitatively assessed using the Critical Appraisal tools according to the Joanna Briggs Institute. Twenty-four articles were full-text reading, but only 9 articles were included. The number of patients enrolled was 287, aged between 18 and 56 years. All periodontal parameters were evaluated. The “follow-up” varied (14, 40, 84, 90, 180, and 360 days). Most articles supported the clinical benefits of <i>L. reuteri</i> as an adjunct to SRP compared to SRP alone. A common finding at the beginning period was thatno statistically different results were observed between the test and control groups; otherwise, at the last period, a significant improvement was found in favor of the probiotic use (<i>p</i> = 0.001) for all the clinical parameters. The use of <i>L. reuteri</i> as an adjunct to nonsurgical periodontal treatment may result in significantly better clinical outcomes than nonsurgical periodontal treatment alone; but the conclusion must be carefully interpreted because of the heterogeneity found among the studies.
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spelling doaj.art-8337bb2e7bb34fe4878fd69028be350f2023-11-18T11:42:03ZengMDPI AGMicroorganisms2076-26072023-05-01116144910.3390/microorganisms11061449Influence of the Probiotic <i>L. reuteri</i> on Periodontal Clinical Parameters after Nonsurgical Treatment: A Systematic ReviewCarlota Ochôa0Filipe Castro1José Frias Bulhosa2Conceição Manso3Juliana Campos Hasse Fernandes4Gustavo Vicentis Oliveira Fernandes5FP-I3ID, FCS, Fernando Pessoa University, 4249-004 Porto, PortugalFP-I3ID, FCS, Fernando Pessoa University, 4249-004 Porto, PortugalFP-I3ID, FCS, Fernando Pessoa University, 4249-004 Porto, PortugalFP-I3ID, FCS, Fernando Pessoa University, 4249-004 Porto, PortugalPeriodontics and Oral Medicine Department, University of Michigan School of Dentistry, Ann Arbor, MI 48109, USAPeriodontics and Oral Medicine Department, University of Michigan School of Dentistry, Ann Arbor, MI 48109, USAThe aim of this systematic review was to evaluate the actual efficacy of <i>Lactobacillus reuteri</i> (<i>L. reuteri</i>) on the periodontal clinical parameters when used concomitantly to the nonsurgical periodontal treatment. Searches were conducted through PubMed Central, Online Knowledge Library, Science Direct, Scielo, and Cochrane databases from 2012 to 2022. The focused question was “In patients with periodontitis, will the probiotic <i>L. reuteri</i>, when administrated as an adjunct to nonsurgical periodontal treatment, compared to the nonsurgical periodontal treatment alone, result in better clinical outcomes?” The following information was extracted from the articles: author and year of publication, type of study, follow-up, sample size and number of defects, and clinical characteristics and details. All included studies were qualitatively assessed using the Critical Appraisal tools according to the Joanna Briggs Institute. Twenty-four articles were full-text reading, but only 9 articles were included. The number of patients enrolled was 287, aged between 18 and 56 years. All periodontal parameters were evaluated. The “follow-up” varied (14, 40, 84, 90, 180, and 360 days). Most articles supported the clinical benefits of <i>L. reuteri</i> as an adjunct to SRP compared to SRP alone. A common finding at the beginning period was thatno statistically different results were observed between the test and control groups; otherwise, at the last period, a significant improvement was found in favor of the probiotic use (<i>p</i> = 0.001) for all the clinical parameters. The use of <i>L. reuteri</i> as an adjunct to nonsurgical periodontal treatment may result in significantly better clinical outcomes than nonsurgical periodontal treatment alone; but the conclusion must be carefully interpreted because of the heterogeneity found among the studies.https://www.mdpi.com/2076-2607/11/6/1449periodontal diseaseprobioticsnonsurgical treatment<i>L. reuteri</i>
spellingShingle Carlota Ochôa
Filipe Castro
José Frias Bulhosa
Conceição Manso
Juliana Campos Hasse Fernandes
Gustavo Vicentis Oliveira Fernandes
Influence of the Probiotic <i>L. reuteri</i> on Periodontal Clinical Parameters after Nonsurgical Treatment: A Systematic Review
Microorganisms
periodontal disease
probiotics
nonsurgical treatment
<i>L. reuteri</i>
title Influence of the Probiotic <i>L. reuteri</i> on Periodontal Clinical Parameters after Nonsurgical Treatment: A Systematic Review
title_full Influence of the Probiotic <i>L. reuteri</i> on Periodontal Clinical Parameters after Nonsurgical Treatment: A Systematic Review
title_fullStr Influence of the Probiotic <i>L. reuteri</i> on Periodontal Clinical Parameters after Nonsurgical Treatment: A Systematic Review
title_full_unstemmed Influence of the Probiotic <i>L. reuteri</i> on Periodontal Clinical Parameters after Nonsurgical Treatment: A Systematic Review
title_short Influence of the Probiotic <i>L. reuteri</i> on Periodontal Clinical Parameters after Nonsurgical Treatment: A Systematic Review
title_sort influence of the probiotic i l reuteri i on periodontal clinical parameters after nonsurgical treatment a systematic review
topic periodontal disease
probiotics
nonsurgical treatment
<i>L. reuteri</i>
url https://www.mdpi.com/2076-2607/11/6/1449
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