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GOOD MORNING
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Dental caries
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Drill n fill Most common dental disease- DC…Even though the research is sky-rocketing…y r v ..DENTISTS… are being perceived as this???
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What if…. There is a cost-effective method Additional health benefits
Probiotic combating streptococcus mutans
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BUG for a
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Methods and materials
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INCLUSION CRITERIA EXCLUSION CRITERIA Age: 20-25yrs
Medically fit DMFS ≤ 6 Orthodontic treatment Caries preventive therapy/ measures Antibiotic therapy
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40 GROUP 1 PLACEBO (n=20) GROUP 2 PROBIOTIC (n=20) 15 day study
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10 ml solution Placebo – distilled water Probiotic – 150 million Bacillus coagulans (Lactospore,SAMI,Bangalore,India) spores in distilled water
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Saliva collection Drink 1 hr
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Consumption of solutions : swished for a minute and swallowed
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(Wilcoxon , Mann Whitney U)
Saliva collection Microbial analysis Statistical analysis (Wilcoxon , Mann Whitney U)
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PLACEBO GROUP
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PROBIOTIC GROUP
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DAY 15 – PLACEBO N PROBIOTIC
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Significant difference between
S mutans counts of Day 1 & Day 15 (p<0.05) placebo and probiotic (p<0.001)
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DISCUSSION
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Probiotics Live microorganisms, if administered in adequate amounts, confer a health benefit on the host Joint FAO/WHO Expert Consultation on Evaluation of Health and Nutritional Properties of Probiotics in Food including Powder Milk with Live Lactic Acid Bacteria, 1-4 October 2001
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Krishnappa S, Srinath S, Bhardwaj P, CH Mallaya
Krishnappa S, Srinath S, Bhardwaj P, CH Mallaya. Role of Probiotics in Prevention of Dental Caries: A Review. J Adv Med Dent Scie 2013;1(2):86-91 G. Jindal et al; A comparative evaluation of probiotics on salivary mutans streptococci counts in Indian children; European archives of Paediatric Dentistry 12 (Issue 4). 2011 Anitha, et al. Probiotics for future caries control . Indian Journal of Dental Research, 24(5), 2013
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Placebo – 10 ml of distilled water
Bacillus coagulans (Lactospore,SAMI,Bangalore,India) – 150 million spores in 10 ml of distilled water Placebo – 10 ml of distilled water Chinnappa A, Konde H, Konde S, Raj S, Beena JP. Probiotics for future caries control: A short-term clinical study. Indian J Dent Res 2013;24:547-9. Krishnappa S, Srinath S, Bhardwaj P, CH Mallaya. Role of Probiotics in Prevention of Dental Caries: A Review. J Adv Med Dent Scie 2013;1(2):86-91
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A cost-effective probiotic such as Bacillus coagulans might be a subject for further research for prevention of caries in children Probiotic - probiotics have got immense potential in dental caries prevention Bacterial interference with probiotic bacteria to support the stability and diversity of oral biofilms is gaining momentum in dentistry G. Jindal et al; A comparative evaluation of probiotics on salivary mutans streptococci counts in Indian children; European archives of Paediatric Dentistry 12 (Issue 4). 2011 Role of Probiotics in Prevention of Dental Caries: A Review. Krishnappa S, Srinath S, Bhardwaj P, CH Mallaya. J Adv Med Dent Scie 2013;1(2):86-91 The use of probiotic products could be an alternative strategy of displacing pathogenic microorganisms by probiotic bacteria and can thus be exploited for the prevention of enamel demineralization Are we ready for caries prevention through bacteriotherapy? Braz Oral Res., (São Paulo) 2012;26(Spec Iss 1):64-70 Anitha, et al. Probiotics for future caries control . Indian Journal of Dental Research, 24(5), 2013
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Conclusion
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Use of Bacillus coagulans-novel, cost-effective, user-friendly
One of a kind - clinical trial
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Smart dentist
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thanq
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