Discover How Prebiotic Chewing Gum Can Combat Periodontal Disease

Chewing Gum Clinical Trial

Clinical Trial Compares Chewing Gum Types for Periodontal Health

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Patients suffering from periodontal disease can experience immediate relief by chewing gum infused with nitrates, substances known to inhibit the growth of harmful bacteria.

Periodontal disease, commonly referred to as mild gingivitis, develops when plaque—a thin film of bacteria—accumulates on the teeth, leading to gum inflammation and bleeding.

Maintaining oral hygiene by brushing twice daily, flossing or using interdental brushes, and rinsing with antibacterial mouthwash are essential for preventing or treating this condition. However, these habits can be challenging to maintain regularly, notes Sean Green at Harbor-UCLA Medical Center in West Carson, California.

If untreated, this milder form of gum disease can escalate to periodontitis, resulting in painful oral abscesses and loss of teeth.

Prior studies indicate that consuming nitrate-rich foods like leafy greens and beets can enhance the growth of beneficial bacteria, mitigating gum inflammation. However, access to or enjoyment of such foods varies widely, adds Green.

To explore a different method of leveraging nitrate benefits, Green and his team enlisted 30 adults diagnosed with mild periodontal disease. Participants were randomly assigned to chew a nitrate-rich gum developed by the researchers or a nitrate-free gum of the same flavor for at least 15 minutes three times daily over three weeks. They were instructed to continue their regular oral care routines and dietary habits during the study period.

Before and after the trial, the researchers evaluated gum health by measuring bleeding around each tooth using a small metal rod. Participants chewing the nitrate-rich gum showed a decrease in bleeding from an average of 26% at the study’s onset to 15% by the end. In contrast, chewing nitrate-free gum did not produce any significant results.

“This marks a clinically significant improvement in gum health,” states Praveen Sharma, a researcher from the University of Birmingham, UK, who did not participate in the study.

Analysis of saliva samples indicates that the nitrate gum enhances levels of beneficial oral bacteria that convert nitrate into nitric oxide while reducing the presence of harmful plaque-forming bacteria, including Porphyromonas gingivalis.

The findings imply that this approach, supplemented by conventional treatments, could serve as an effective method for alleviating periodontal symptoms. “This serves as a solid proof of concept,” adds Francesco Daiuto at Imperial College Healthcare NHS Trust, UK. However, further research is necessary to determine the longevity of these effects and their efficacy in treating advanced periodontal disease.

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Source: www.newscientist.com

Richard III’s Oral Microbiome Indicates Severe Periodontal Disease

Richard III’s skull

Carl Vivian/University of Leicester

The oral microbiome extracted from King Richard III, derived from analysis of his dental plaque, indicates he may have suffered from a condition that could lead to jaw deterioration.

In 2012, the skeletal remains of Richard III were found beneath a parking lot at the former Greyfriars Church in Leicester, England. Initially thought to be Richard III—who was killed in the Battle of Bosworth Field in 1485 and interred in Leicester—dental and skeletal evidence, including a head wound and spinal curvature, correlated with descriptions from his death. Subsequent genetic tests confirmed the identity of the remains.

Although Richard’s reign only lasted two years amid the Wars of the Roses, he significantly impacted English history, with allegations of plotting against his nephews while they were imprisoned in the Tower of London, alongside William Shakespeare’s portrayal of him as a malevolent figure in his famous play.

Nevertheless, details of Richard’s daily existence are scarce. To uncover more, Turi King and fellow researchers at the University of Bath, UK, collected samples of tartar—hardened dental plaque—from three of his well-preserved teeth.

Dental plaque is effectively a time capsule, retaining DNA from microorganisms and remnants of food. “The quantity of DNA obtained from Richard III’s tartar is among the highest recorded in archaeological contexts,” the researchers stated, noting the detection of over 400 million DNA sequences.

“No one has previously sequenced 400 million ancient DNA fragments; it’s an astonishing figure,” remarks Laura Weyrich from Pennsylvania State University. “This indicates that our capabilities with ancient DNA are likely more extensive than previously thought.”

Dr. King and his team identified almost 400 microbial species from the DNA, comparable in variety to samples from well-preserved dental tartar across Britain, Ireland, Germany, and the Netherlands over the last 7,000 years, spanning from the Neolithic to modern times. “It suggests that elite populations shared microbial strains akin to those of the broader populace, despite their affluent lifestyles and experiences,” Weyrich notes.

However, the research team could not collect adequate plant or animal DNA to determine Richard’s dietary habits. Nevertheless, previous studies on his bones from his last two years indicated he drank non-local wine and consumed large quantities of game, fish, and birds, including swans and herons.

Professor Weyrich indicated that results regarding the microbiome could vary if the team obtained samples from more than one tooth and compared them to similar teeth from groups in Germany or the Netherlands. She also mentioned that their limited sampling does not provide a comprehensive view of Richard’s oral microbiome, as distinct bacteria inhabit different areas of the mouth and different surfaces of the teeth.

The king’s well-preserved teeth may provide insights into his oral microbiome.

Carl Vivian/University of Leicester

One particularly prevalent bacterium identified is Tannerella forsythia, which is linked to periodontal disease, a serious gum infection that can lead to bone loss around the teeth. Given the poor oral hygiene of the 15th century, Richard had a cavity when he died at age 32, though this does not automatically indicate he had periodontal disease.

“Many individuals may harbor potentially harmful bacteria without becoming ill, while others could become infected,” explains Pierre Stollforth from the Leibniz Institute for Natural Products Research and Infection Biology in Germany. Weyrich adds that examining bone loss in the jaw could reveal if Richard suffered from periodontal disease.

“I’m particularly passionate about bridging social science, history, and genetics,” Stallforth states. “Having access to the dental tartar of historical figures is extraordinary as it enables us to gain deeper insights into their lives.”

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Source: www.newscientist.com