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CompletedNCT02677480Updated Feb 9, 2016

The Effect of Probiotic Streptococci and pH-rising Components on the Oral Microbial Flora

A Phase 1 interventional study of Test group, probiotic tablets and gel and Placebo group, placebo tablets and gel in Hyposalivation, sponsored by Göteborg University. Completed at 1 site in Sweden. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2016-02-09.

Sponsored by Göteborg University · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The test group consisted of eighteen subjects with hyposalivation used probiotic tablets (≥ 4/day) and gel (once a week) (streptococci, bicarbonate and carbamide) for 3 months and 9 used placebo tablets and gel. The salivary secretion rates were measured and microbial samples collected and analysed using cultivation technique twice both at baseline and at the 3-month follow up (1-2 weeks between the appointments).

Read the detailed description

The aim was to analyse the effect of daily intake of probiotic alpha-haemolytic facultative anaerobic streptococci (Streptococcus oralis), pH-rising components and Stevia on the oral microflora in hyposalivated subjects.

Material and methods: Subjects with hyposalivation (unstimulated secretion rate of \< 0.1 ml/min and/or a stimulated secretion rate \< 0.7 ml/min) and ≥ 10 000 cfu/ml of mutans streptococci and/or lactobacilli on the tongue or in the supragingival plaque were included. Eighteen subjects used probiotic tablets (≥ 4/day) and gel (once a week) for 3 months and 9 used placebo tablets and gel. The salivary secretion rates were measured and microbial samples collected and analysed using cultivation technique twice both at baseline and at the 3-month follow up (1-2 weeks between the appointments).

02

Conditions studied

  • Hyposalivation

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Keywords

  • Microflora
  • Probiotics
  • Hyposalivation
  • Lactobacilli
  • Mutans streptococci
  • pH-rising components
03

In context

Xerostomia

254 studies on the registry are indexed under Xerostomia; 47 are open to participants now.

This study's enrollment of 30 is below the median of 42 across 216 interventional studies indexed under Xerostomia.

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Lead sponsor

Göteborg University is the lead sponsor of 265 studies on the registry; 46 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • No open wounds in the oral cavity
  • ≥ 10 own teeth
  • Experienced dry mouth for at least 1 year
  • An unstimulated salivary secretion rate \< 0.1 ml/min
  • A stimulated secretion rate \< 0.7 ml/min and high numbers (≥ 10000 cfu/ml) of lactobacilli and/or mutans streptococci on the tongue and/or in dental plaque

Exclusion criteria

Exclusion Criteria:

  • Removable prosthesis
  • Reduced immune defence
  • Serious heart diseases
  • Implanted joints or heart valves
  • Lactose intolerance (the probiotic streptococci are freeze-dried in skim milk)
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
30 participants (actual)

Study arms

  • Active comparator
    Test group, probiotic tablets and gel

    Test group, probiotic tablets and gel: tablets with probiotic bacteria (10exp8/tablet) and pH-rising components and gel (with probiotic bacteria and pH-rising components) in trays on the teeth once a week.

    Dietary Supplement: Test group, probiotic tablets and gel

  • Placebo comparator
    Placebo group, placebo tablets and gel

    Placebo group, placebo tablets and gel: placebo tablets without probiotic bacteria and pH-rising components and gel (with no probiotic bacteria but with pH-rising components) in trays on the teeth once a week.

    Dietary Supplement: Placebo group, placebo tablets and gel

Interventions

  • Dietary supplementTest group, probiotic tablets and gel

    Effect of probiotic tablets and gel on acidogenic bacteria

  • Dietary supplementPlacebo group, placebo tablets and gel

    Effect of placebo tablets and gel on acidogenic bacteria

06

What researchers measure

Primary outcomes

  1. Reduction of proportions of mutans streptococci and/or lactobacilli in supragingival plaque and/or on the tongue at 3 months compared with baseline

    The oral microflora of patients with hyposalivation (unstimulated secretion rate ≤ 0.1 ml/min and/or a stimulated secretion rate ≤ 0.7 ml/min) is analysed. Samples are collected from supragingival plaque and from the tongue and are analysed using cultivation techniques. The total microbial count is registered as well as numbers of streptococci, mutans streptococci and lactobacilli. Patients with counts of mutans streptococci and/or lactobacilli ≥ 10000 colony forming units/ml are randomly included in either the test group or in the placebo group. After 3 months, microbial samples are collected again from supragingival plaque and from the tongue and proportions of microorganisms analysed. Statistically significant differences in proportions of mutans streptococci and lactobacilli between baseline and after 3 months will be analysed using Students' paired t-test.

    Time frame: 3 months

Secondary outcomes

  1. Reduction of numbers of mutans streptococci and/or lactobacilli in supragingival plaque and/or on the tongue at 3 months compared with baseline

    The oral microflora of patients with hyposalivation (unstimulated secretion rate ≤ 0.1 ml/min and/or a stimulated secretion rate ≤ 0.7 ml/min) is analysed. Samples are collected from supragingival plaque and from the tongue and are analysed using cultivation techniques. The total microbial count is registered as well as numbers of streptococci, mutans streptococci and lactobacilli. Patients with counts of mutans streptococci and/or lactobacilli ≥ 10000 colony forming units/ml are randomly included in either the test group or in the placebo group. After 3 months, microbial samples are collected again from supragingival plaque and from the tongue and the numbers of microorganisms analysed. Statistically significant differences in numbers of mutans streptococci and lactobacilli between baseline and after 3 months will be analysed using Students' paired t-test.

    Time frame: 3 months

07

Study locations

1 site
  • Institute of odontology
    Gothenburg, 41390, Sweden
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 9, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02677480
Lead sponsor
Göteborg University
Collaborators
Vinnova, Vastra Gotaland Region
Responsible party
Sponsor
First posted
Feb 9, 2016
Start date
Nov 2010
Primary completion
Nov 2010
Completion
Nov 2010
Last update
Feb 9, 2016

Study contacts

Annica Almstahl, Assoc. prof.
principal investigator · Goteborg University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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