Evidence map›Paper›PMID 38954692›Full record

Trial reportPloS one2024

Short term effect of antimicrobial photodynamic therapy and probiotic L. salivarius WB21 on halitosis: A controlled and randomized clinical trial.

Pamella de Barros Motta, Marcela Leticia Leal Gonçalves, Juliana Maria Altavista Sagretti Gallo, Ana Paula Taboada Sobral, Lara Jansiski Motta, Marcia Pinto Alves Mayer, Dione Kawamoto, David Casimiro de Andrade, Elaine Marcílio Santos, Kristianne Porta Santos Fernandes and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03996044 (Comparative Study Between Photodynamic Therapy Using Urucum + LED and Probiotics in Halitosis Reduction - Controlled Clinical Trial), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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.

NCT03996044 phase1completednot on this map

Comparative Study Between Photodynamic Therapy Using Urucum + LED and Probiotics in Halitosis Reduction - Controlled Clinical Trial

TypeinterventionalSponsorUniversity of Nove de JulhoRan2021 to 2021Enrolled52ConditionsHalitosisArmsTeeth brushing and flossing, Tongue scraping, Antimicrobial Photodynamic Therapy (aPDT), Probiotics
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. A Chewing Gum ContainingNutrients · 2026
    Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Oral health benefits ofFrontiers in oral health · 2025
    Review
  8. Review
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

14 authors.

Pamella de Barros MottaPost Graduation Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil.
Marcela Leticia Leal GonçalvesPost Graduation Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil.
Juliana Maria Altavista Sagretti GalloPost Graduation Program in Veterinary Medicine in The Coastal Environment, Universidade Metropolitana de Santos (UNIMES), Santos, SP, Brazil.
Ana Paula Taboada SobralPost Graduation Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil.
Lara Jansiski MottaPost Graduation Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil.
Marcia Pinto Alves MayerDepartment of Microbiology, Institute of Biomedical Sciences, Universidade de São Universidade Paulo, São Paulo, SP, Brazil.
Dione KawamotoDepartment of Microbiology, Institute of Biomedical Sciences, Universidade de São Universidade Paulo, São Paulo, SP, Brazil.
David Casimiro de AndradeSchool of Dentistry, University of Porto, Porto, Portugal.
Elaine Marcílio SantosPost Graduation Program in Health and Environment, Universidade Metropolitana de Santos (UNIMES), Santos, SP, Brazil.
Kristianne Porta Santos FernandesPost Graduation Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil.
Raquel Agnelli Mesquita-FerrariPost Graduation Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil.
Alessandro Melo DeanaPost Graduation Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil.
Anna Carolina Ratto Tempestini HorlianaPost Graduation Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil.
Sandra Kalil BussadoriPost Graduation Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil.ORCID 0000-0002-9853-1138

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to evaluate the effect of antimicrobial photodynamic therapy (aPDT) and the use of probiotics on the treatment of halitosis.

methodsFifty-two participants, aged from 18 to 25 years, exhaling sulfhydride (H2S) ≥ 112 ppb were selected. They were allocated into 4 groups (n = 13): Group 1: tongue scraper; Group 2: treated once with aPDT; Group 3: probiotic capsule containing Lactobacillus salivarius WB21 (6.7 x 108 CFU) and xylitol (280mg), 3 times a day after meals, for 14 days; Group 4: treated once with aPDT and with the probiotic capsule for 14 days. Halimetry with gas chromatography (clinical evaluation) and microbiological samples were collected from the dorsum of the tongue before and after aPDT, as well as after 7, 14, and 30 days. The clinical data failed to follow a normal distribution; therefore, comparisons were made using the Kruskal-Wallis test (independent measures) and Friedman ANOVA (dependent measures) followed by appropriate posthoc tests, when necessary. For the microbiological data, seeing as the data failed to follow a normal distribution, the Kruskal-Wallis rank sum test was performed with Dunn's post-test. The significance level was α = 0.05.

resultsClinical results (halimetry) showed an immediate significant reduction in halitosis with aPDT (p = 0.0008) and/or tongue scraper (p = 0.0006). Probiotics showed no difference in relation to the initial levels (p = 0.7530). No significant differences were found in the control appointments. The amount of Porphyromonas gingivalis, Tannerella forsythia, and Treponema denticola were not altered throughout the analysis (p = 0.1616, p = 0.2829 and p = 0.2882, respectively).

conclusionThere was an immediate clinical reduction of halitosis with aPDT and tongue scraping, but there was no reduction in the number of bacteria throughout the study, or differences in the control times, both in the clinical and microbiological results. New clinical trials are necessary to better assess the tested therapies.

trial registrationClinical Trials NCT03996044.

Indexed as

HalitosisLigilactobacillus salivariusPhotochemotherapyProbioticsAdolescentAdultAnti-Infective AgentsFemaleHumansMaleTongueYoung AdultAnti-Infective Agents

Identifiers

PMID38954692
PMCPMC11218947

What OpenQuestion holds

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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.