Evidence map›Paper›PMID 26491371›Full record

ArticleClinical, cosmetic and investigational dentistry2015

Cariogram outcome after 90 days of oral treatment with Streptococcus salivarius M18 in children at high risk for dental caries: results of a randomized, controlled study.

Francesco Di Pierro, Alberto Zanvit, Piero Nobili, Paolo Risso, Carlo Fornaini

5 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Clinical, cosmetic and investigational dentistry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 10% of its field
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.

NCT05375383 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Assessment of Colonisation of Probiotic Bacterium Streptococcus Salivarius in the Oral Cavity

TypeinterventionalSponsorBLIS Technologies LimitedRan2022 to 2022Enrolled60ConditionsMicrobial ColonizationArmsStreptococcus salivarius K12 lozenge, Probiotic S. salivarius K12 lozenges containing prebiotic A, Probiotic S. salivarius K12 lozenges containing prebiotic B, Probiotic S. salivarius K12 lozenges containing prebiotics A and B, Probiotic S. salivarius K12 powder
NCT05375396 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Assessment of Colonization of Dairy Free Probiotic Bacterium Streptococcus Salivarius From Lozenges to the Oral Cavity

TypeinterventionalSponsorJohn HaleRan2022 to 2022Enrolled30ConditionsMicrobial ColonizationArmsStreptococcus salivarius M18 lozenges, Streptococcus salivarius M18 dairy free lozenges
NCT05480020 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Colonisation Efficacy of Streptococcus Salivarius M18 Toothpaste

TypeinterventionalSponsorJohn HaleRan2022 to 2022Enrolled30ConditionsMicrobial ColonizationArmsStreptococcus salivarius M18 toothpaste
NCT05624177 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Colonisation Efficacy of a Probiotic Chewing Gum.

TypeinterventionalSponsorBLIS Technologies LimitedRan2022 to 2023Enrolled20ConditionsMicrobial ColonizationArmsStreptococcus salivarius M18 probiotic 1 billion colony forming units chewing gum (chew 5 minutes), Streptococcus salivarius M18 probiotic 1 billion colony forming units chewing gum (chew 10 minutes)
NCT06015958 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Colonisation Efficacy of Streptococcus Salivarius M18 Toothpaste

TypeinterventionalSponsorBLIS Technologies LimitedRan2023 to 2024Enrolled20ConditionsMicrobial ColonizationArmsStreptococcus salivarius M18 toothpaste (1 million cfu), Streptococcus salivarius M18 toothpaste (10 million cfu)
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Effectiveness ofFrontiers in immunology · 2026
    Article
  7. Impact ofFrontiers in oral health · 2026
    Article
  8. Journal of oral microbiology · 2026
    Review
  9. Oral hygiene agents at work: effects onFrontiers in cellular and infection microbiology · 2026
    Review
  10. Article
  11. Review
  12. Adjunctive use of3 Biotech · 2025
    Article
  13. Review
  14. Life (Basel, Switzerland) · 2024
    Review
  15. Article
  16. Review
  17. A Three-Month Probiotic (theDentistry journal · 2024
    Article
  18. Review
  19. Review
  20. Antimicrobial effect of probiotic bacteriocins onJournal of oral microbiology · 2024
    Article
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

5 authors at 3 institutions in 2 countries.

Francesco Di PierroScientific Department, Velleja Research, Italy.
Alberto ZanvitStomatology Institute, Milan, Italy.
Piero NobiliStomatology Institute, Milan, Italy.
Paolo RissoDepartment of Health Science, University of Genoa, Genoa, Italy.
Carlo FornainiTeleo Laboratory, Faculty of Dentistry, University of Nice, Nice, France.
Université Côte d'Azur · FRUniversity of Genoa · ITVelleja Research · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dental caries is the most common chronic disease of childhood. Cariogram is a well-recognized algorithm-based software program based on different caries-related risk factors and intended to aid clinicians in performing more objective and consistent dental caries risk assessments. This type of approach precedes the diagnosis of caries and allows the dentist to identify at-risk patients and then take appropriate preventive measures before caries develop further. One of the etiological factors favoring the development of dental caries is the mutans streptococci. These acidogenic dental plaque inhabitants can be effectively antagonized by the activity of bacteriocins released by the probiotic Streptococcus salivarius M18 (salivarius M18). Moreover, salivarius M18 after colonizing the human oral mucosa produces the enzymes dextranase and urease that are able to counteract plaque formation and saliva acidity, respectively. Seventy-six subjects at high risk of dental caries were randomized and then either treated or not treated for 90 days with an oral formulation containing the oral probiotic salivarius M18 (Carioblis(®)). The results indicate that the use of salivarius M18 increases the chances of avoiding new dental caries development in children, and its application could be proposed as a new tool in the dentist's armory to be adopted in subjects considered at high risk on the basis of their Cariogram outcome.

Indexed as

bacteriocinsBLIS M18caries predictiondextranaseplaquesalivary pHStreptococcus mutansStreptococcus sobrinusurease

Identifiers

PMID26491371
PMCPMC4598214
OpenAlexW2171982777

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.