Evidence map›Paper›PMID 41190323›Full record

SynthesisFrontiers in oral health2025

The efficacy of lactic acid bacteria-based toothpaste on oral health: a systematic review and meta-analysis.

Eun-Mi Choi, Su-Kyung Park

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Compatibility of toothpastes with probiotics for periodontal health: anFrontiers in cellular and infection microbiology · 2026
    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

2 authors.

Eun-Mi ChoiDepartment of Dental Hygiene, Daejeon Health University, Daejeon-si, Republic of Korea.
Su-Kyung ParkDepartment of Dental Hygiene, Graduate School, Yonsei University, Wonju-si, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Lactic acid bacteria (LAB) have emerged as promising adjunctive agents for oral health management due to their antimicrobial and immunomodulatory properties. With the increasing incorporation of probiotics into oral care products, it is critical to evaluate their clinical efficacy. This systematic review and meta-analysis aimed to assess the effectiveness of LAB-based toothpaste in improving oral health outcomes. Methods: Following PRISMA guidelines, five databases (MEDLINE, EMBASE, Scopus, Web of Science, and CENTRAL) were searched through February 2025. Randomized controlled trials (RCTs) evaluating toothpastes containing probiotic, prebiotic, synbiotic, or postbiotic agents were included. Primary outcomes included plaque index (PI), gingival index (GI), bleeding on probing (BOP), probing pocket depth (PPD), and clinical attachment level (CAL). Secondary outcomes assessed oral microbiota changes. Risk of bias was evaluated using the RoB 2 tool. Results: Twelve RCTs were included, with four studies suitable for meta-analysis. Meta-analysis demonstrated significant plaque reduction at 3 months [Mean Difference (MD) = -0.64; 95% confidence interval (CI): -1.14 to -0.15; Conclusions: LAB-based toothpaste demonstrates beneficial effects on plaque control and gingival inflammation. However, substantial heterogeneity (I Systematic Review Registration: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD420250650340, PROSPERO CRD420250650340.

Indexed as

dental plaquegingivitislactic acid bacteriaoral microbiomeperiodontal diseaseprobioticstoothpaste

Identifiers

PMID41190323
PMCPMC12580182

What OpenQuestion holds

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LicenceCC BY
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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.