Evidence map›Paper›PMID 22955450›Full record

ArticleJournal of pediatric gastroenterology and nutrition2013

Oral microbial profile discriminates breast-fed from formula-fed infants.

Pernilla L Holgerson, Nelly R Vestman, Rolf Claesson, Carina Ohman, Magnus Domellöf, Anne C R Tanner, Olle Hernell, Ingegerd Johansson

Abstract readComparative Study
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Does breastfeeding increase the risk of early childhood caries (ECC)? A systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Pooled it
  3. Pooled it
  4. Trial
  5. Oral colostrum priming shortens hospitalization without changing the immunomicrobial milieu.Journal of perinatology : official journal of the California Perinatal Association · 2017
    Trial
  6. Trial
  7. Trial
  8. Review
  9. Review
  10. [The Oral Microbiome: Maintenance of Homeostasis, Disease Associations, and Mechanisms of Pathogenesis].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Diet type and the oral microbiome.Frontiers in nutrition · 2025
    Review
  20. Acquisition of the Oral Microbiome.Advances in experimental medicine and biology · 2025
    Review

35 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Pernilla L HolgersonDepartment of Odontology, Cariology, Umeå University, Umeå, Sweden. pernilla.lif@odont.umu.se
Nelly R Vestman
Rolf Claesson
Carina Ohman
Magnus Domellöf
Anne C R Tanner
Olle Hernell
Ingegerd Johansson

Funding

New Pathogens for Childhood CariesR01DE015847 · NIDCR · FORSYTH INSTITUTE · PI TANNER, ANNE C. R. · 2005 to 2008
$1.9M
NIDCR NIH HHS DE-015847NIDCR NIH HHS R01 DE015847
6 · The paper itself

Abstract

objectivesLittle is known about the effect of diet on the oral microbiota of infants, although diet is known to affect the gut microbiota. The aims of the present study were to compare the oral microbiota in breast-fed and formula-fed infants, and investigate growth inhibition of streptococci by infant-isolated lactobacilli.

methodsA total of 207 mothers consented to participation of their 3-month-old infants. A total of 146 (70.5%) infants were exclusively and 38 (18.4%) partially breast-fed, and 23 (11.1%) were exclusively formula-fed. Saliva from all of their infants was cultured for Lactobacillus species, with isolate identifications from 21 infants. Lactobacillus isolates were tested for their ability to suppress Streptococcus mutans and S sanguinis. Oral swabs from 73 infants were analysed by the Human Oral Microbe Identification Microarray (HOMIM) and by quantitative polymerase chain reaction for Lactobacillus gasseri.

resultsLactobacilli were cultured from 27.8% of exclusively and partially breast-fed infants, but not from formula-fed infants. The prevalence of 14 HOMIM-detected taxa, and total salivary lactobacilli counts differed by feeding method. Multivariate modelling of HOMIM-detected bacteria and possible confounders clustered samples from breast-fed infants separately from formula-fed infants. The microbiota of breast-fed infants differed based on vaginal or C-section delivery. Isolates of L plantarum, L gasseri, and L vaginalis inhibited growth of the cariogenic S mutans and the commensal S sanguinis: L plantarum >L gasseri >L vaginalis.

conclusionsThe microbiota of the mouth differs between 3-month-old breast-fed and formula-fed infants. Possible mechanisms for microbial differences observed include species suppression by lactobacilli indigenous to breast milk.

Indexed as

Bottle FeedingBreast FeedingDietLactobacillusMicrobial InteractionsStreptococcusCesarean SectionDelivery, ObstetricDental CariesFemaleHumansInfantInfant FormulaMaleMetagenomeMilk, Human

Identifiers

PMID22955450
PMCPMC3548038

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.