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Effects of oral administration of Bifidobacterium animalis subsp. lactis HN019 on the treatment of plaque-induced generalized gingivitis
Authors:de Almeida Silva Levi  Yara Loyanne  Ribeiro   Marcella Costa  Silva   Pedro Henrique Félix  Silva   Giselle Aparecida  de Souza Salvador  Sergio Luiz  de Souza  Sérgio Luís Scombatti  Casarin   Renato  Júnior  Arthur Belem Novaes  Júnior  Mario Taba  Palioto   Daniela Bazan  Honório  Heitor Marques  Messora   Michel Reis  Furlaneto   Flávia Aparecida Chaves
Affiliation:1.Department of Oral Surgery and Periodontology, School of Dentistry of Ribeirao Preto, University of Sao Paulo – USP, Ribeir?o Preto, S?o Paulo, 14020-150, Brazil
;2.Department of Clinical Analyses, School of Pharmaceutical Sciences of Ribeirao Preto, University of Sao Paulo – USP, Ribeirao Preto, , S?o Paulo, Brazil
;3.Department of Prosthodontics and Periodontics, School of Dentistry, Campinas State University – UNICAMP, Piracicaba, S?o Paulo, Brazil
;4.Department of Pediatric Dentistry, Orthodontics and Public Health, School of Dentistry of Bauru, University of S?o Paulo - USP, Bauru, , S?o Paulo, Brazil
;
Abstract:Objectives

This double-blind, randomized, placebo-controlled clinical trial evaluated the adjuvant effects of Bifidobacterium lactis HN019 on the treatment of plaque-induced generalized gingivitis.

Materials and methods

Sixty patients were submitted to professional supragingival scaling and prophylaxis. They were randomly assigned to test (probiotic lozenges containing B. lactis HN019, n?=?30) or control (placebo lozenges, n?=?30) groups. Lozenges were consumed twice a day for 8 weeks. Bleeding on probing (BoP), Gingival Index (GI), Plaque Index (PI), probing depth (PD), and clinical attachment level (CAL) were evaluated at baseline and after 2 and 8 weeks. Gingival crevicular fluid (GCF) was collected at baseline and at 8 weeks for analysis of the inflammatory mediators IL-1β, IL-1α, IL-8, MCP-1, and MIP-1β. Data were statistically analyzed (p?Results

After 8 weeks, both groups showed reduction in the percentage of PI, with no significant difference between groups (p?=?0.7423). The test group presented a lower percentage of BoP and a higher percentage of sites with GI?≤?1 when compared with the control group at the end of the study (p?p?p?Conclusion

The adjunct use of B. lactis HN019 promotes additional clinical and immunological benefits in the treatment of generalized gingivitis.

Clinical relevance

B. lactis HN019 can be an efficient and side-effect-free adjunct strategy in the treatment of generalized gingivitis.

Keywords:
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