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Effect of probiotics intake on oral environment changes of the elderly in long-term care facilities

프로바이오틱스 섭취가 장기요양시설 노인의 구강환경 변화에 미치는 효과

  • Jo, Se-Rim (Department of Public Health, General Graduate School of Dankook University) ;
  • Cho, Ja-Won (Department of Public Health, General Graduate School of Dankook University) ;
  • Jang, Jong-Hwa (Department of Public Health, General Graduate School of Dankook University)
  • Received : 2020.08.04
  • Accepted : 2020.09.07
  • Published : 2020.10.30

Abstract

Objectives: This study was aimed at evaluating the effects of changes in the oral environment of the elderly in long-term care facilities after the intake of Weissella cibaria. Methods: The test group ingested the W. cibaria strain Chonnam Medical University (CMU), and the control group ingested the control food. Of all randomized trial subjects, 62 were analyzed (32 in the experimental group and 30 in the control group). In this 8-week demographic study, we evaluated self-perceived halitosis, changes in halitosis, sensory test results, tongue plaque index scores, saliva buffering capacity, and the salivary flow rate. Results: The W. cibaria CMU intake in the elderly in long-term care facilities during the experimental period did not demonstrate statistically significant changes in the salivary flow rate. However, self-perceived halitosis, organoleptic test results, tongue plaque index scores, and salivary buffering capacity demonstrated statistically significant differences between the experimental and control groups. These findings partially confirmed the beneficial effects of the W. cibaria CMU on the oral environment in the elderly. Conclusions: Research results on the role of probiotics in the oral cavity should be summarized, and utilization plans should be sought to obtain a clearer understanding of the clinical efficacy and related factors. The value of probiotic use may be high in improving the oral health of people by enabling treatment and prevention.

Keywords

References

  1. Jeon HS, Han SY, Chung WG, Choi JH. Knowledge, attitude, and behavior status on oral health care of geriatric care workers in long-term care facilities. J Dent Hyg Sci 2015;15(5):569-76. https://doi.org/10.17135/jdhs.2015.15.5.569
  2. Kim MJ, Lee HK. Relationship of dental health assessment to the number of existing permanent tooth in senior citizens visited a dental hospital or clinic from some regions. J Dent Hyg Sci 2007;7(3):161-6.
  3. Kim JH. Aging and changes in elderly life, Korean social trends, Daejeon-si. Statistics Development Institute 2015:43-51.
  4. Vanobbergen JN, De Visschere L. Factors contributing to the variation in oral hygiene practices and facilities in long-term care institutions for the elderly. Community Dent Health 2005;22(4):260-5.
  5. Jang JY, Lee DH. Effects of oral health promotion program on oral function in the elderly. Korean J Health Ser Manag 2016;10(4):141-51. https://doi.org/10.12811/kshsm.2016.10.4.141
  6. Sumi Y, Kagami H, Ohtsuka Y, Kakinoki Y, Haruguchi Y, Miyamoto H. High correlation between the bacterial species in denture plaque and pharyngeal microflora. Gerodontology 2003;20(2):84-7. https://doi.org/10.1111/j.1741-2358.2003.00084.x
  7. Sumi Y, Miura H, Michiwaki Y, Nagaosa S, Nagaya M. Colonization of dental plaque by respiratory pathogens in dependent elderly. Arch Gerontol Geriat 2007;44(2):119-24. https://doi.org/10.1016/j.archger.2006.04.004
  8. Yang SB, Moon HS, Han DH, Lee HY, Chung MK. Oral health status and treatment need of institutionalized elderly patients. J Korean Acad Prost 2008;46(5):455-69. https://doi.org/10.4047/jkap.2008.46.5.455
  9. Ko SM, Lim SR. Oral hygiene care for elderly in care facility. J Korean Dent Assoc 2015;53(10):678-87.
  10. Poulet PP, Duffaut D, Lodter JP. Metronidazole susceptibility testing of anaerobic bacteria associated with periodontal disease. J Clin Periodontol 1999;26(4):261-3. https://doi.org/10.1034/j.1600-051X.1999.260411.x
  11. Roldan S, Herrer D, Santa-Cruz I, O'Connor A, Gonzalez I, Sanz M. Comparative effects of different chlorhexidine mouth-rinse formulations on volatile sulphur compounds and salivary bacterial counts. J Clin Periodontol 2004;31(12):1128-34. https://doi.org/10.1111/j.1600-051X.2004.00621.x
  12. Do KH, Park HE, Kang MS, Kim JT, Yeu JE, Lee WK. Oral malodor-reducing effects by oral feeding of Weissella cibaria CMU in Beagle dogs. Korean J Vet Res 2018;58(2):87-94. https://doi.org/10.14405/kjvr.2018.58.2.87
  13. Hatakka K, Ahola AJ, Yli-Knuuttila H, Richardson M, Poussa T, Meurman JH, et al. Probiotics reduce the prevalence of oral Candida in the elderly-a randomized controlled trial. J Dent Res 2007;86(2):125-30. https://doi.org/10.1177%2F154405910708600204 https://doi.org/10.1177/154405910708600204
  14. Kang MS, Kim BG, Chung J, Lee HC, Oh JS. Inhibitory effect of Weissella cibaria isolates on the production of volatile sulphur compounds. J Clin Periodontol 2006;33(3):226-32. https://doi.org/10.1111/j.1600-051X.2006.00893.x
  15. Kang MS, Chung J, Kim SM, Yang KH, Oh JS. Effect of Weissella cibaria isolates on the formation of Streptococcus mutans biofilm. Caries Res 2006;40(5):418-25. https://doi.org/10.1159/000094288
  16. Kang MS, Lim HS, Kim SM, Lim YJ, Lee HC, Oh JS. Quantitative analysis of Weissella cibaria against periodontopathic bacteria by real-time PCR. J Bacteriol Virol 2009;39(4): 295-305. https://doi.org/10.4167/jbv.2009.39.4.295
  17. Kang MS, Na HS, Oh JS. Coaggregation ability of Weissella cibaria isolates with Fusobacterium nucleatum and their adhesiveness to epithelial cells. FEMS Microbiol Lett 2005;253(2):323-9. https://doi.org/10.1016/j.femsle.2005.10.002
  18. Cho NW. A literature review on probiotics for oral health[Master's thesis]. Daesion: Univ. of Chonnam National, 2012.
  19. Park MS. Educational needs in the provision of oral care by nursing staff in long-term care facility for elderly people. Korean J Gerontol Nurs 2010;12(1):72-80.
  20. Caglar E, Kargul B, Tanboga I. Bacteriotherapy and probiotics' role on oral health. Oral Diseases 2005;11(3):131-7. https://doi.org/10.1111/j.1601-0825.2005.01109.x
  21. Guarner F, Perdigon G, Corthier G, Salminen S, Koletzko B, Morelli L. Should yoghurt cultures be considered probiotic? Brit J Nutr 2005;93(6):783-6. https://doi.org/10.1079/BJN20051428
  22. Simons D, Baker P, Jones B, Kidd EAM, Beighton D. Dental health education: an evaluation of an oral health training programme for carers of the elderly in residential homes. Brit Dent J 2000;188(4):206-10. https://doi.org/10.1038/sj.bdj.4800432
  23. Mo HS, Choi KB, Kim JS. Knowledge of oral health and its predictors in nursing staff of long-term care institutions. J Korean Acad Fundam Nur 2008;15(4):428-37.
  24. Bosy A, Kulkarni GV, Rosenberg M, McCulloch CAG. Relationship of oral malodor to periodontitis:evidence of independence in discrete subpopulations. J Periodontol 1994;65(1):37-46. https://doi.org/10.1902/jop.1994.65.1.37
  25. Lee KY, Lim SR. Effect of professional oral healthcare program on the oral status of elderly residents in long-term care facilities. J Dent Hyg Sci 2016;16(6):432-41. https://doi.org/10.17135/jdhs.2016.16.6.432
  26. Paul D, Andre van der V, Mariel V, Linka L, Graham R, Alphons K, et al. Inadequate salivary flow and poor oral mucosal status in intubated intensive care unit patients. Crit Care Med 2003;31(3):781-6. https://doi.org/10.1097/01.CCM.0000053646.04085.29