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Bacteria of Dental Caries in Primary and Permanent Teeth in Children and Young Adults
Open accessAbstract
Although Streptococcus mutans has been implicated as a major etiological agent of dental caries, our cross-sectional preliminary study indicated that 10% of subjects with rampant caries in permanent teeth do not have detectable levels of S. mutans . Our aims were to use molecular methods to detect all bacterial species associated with caries in primary and permanent teeth and to determine the bacterial profiles associated with different disease states. Plaque was collected from 39 healthy controls and from intact enamel and white-spot lesions, dentin lesions, and deep-dentin lesions in each of 51 subjects with severe caries. 16S rRNA genes were PCR amplified, cloned, and sequenced to determine species identities. In a reverse-capture checkerboard assay, 243 samples were analyzed for 110 prevalent bacterial species. A sequencing analysis of 1,285 16S rRNA clones detected 197 bacterial species/phylotypes, of which 50% were not cultivable. Twenty-two new phylotypes were identified. PROC MIXED tests revealed health- and disease-associated species. In subjects with S. mutans , additional species, e.g., species of the genera Atopobium , Propionibacterium , and Lactobacillus , were present at significantly higher levels than those of S. mutans . Lactobacillus spp., Bifidobacterium dentium , and low-pH non- S. mutans streptococci were predominant in subjects with no detectable S. mutans . Actinomyces spp. and non- S. mutans streptococci were predominant in white-spot lesions, while known acid producers were found at their highest levels later in disease. Bacterial profiles change with disease states and differ between primary and secondary dentitions. Bacterial species other than S. mutans , e.g., species of the genera Veillonella , Lactobacillus , Bifidobacterium , and Propionibacterium , low-pH non- S. mutans streptococci, Actinomyces spp., and Atopobium spp., likely play important roles in caries progression.
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“Commensal microbiota comprise the majority of cells in the body and play a key role in human health1-5,10.”
From Sequencing ancient calcified dental plaque shows changes in oral microbiota with dietary shifts of the Neolithic and Industrial revolutions (2013) · cites this paper as [1]
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Astorga, B., Barraza, C., Casals, J. M., Cisterna, M. J., Mena, D., Morales, F., González, S., de Oliveira, O. B., & Moncada, G. A. (2015) · International journal of odontostomatology · doi:10.4067/s0718-381x2015000300002 · Cited by 3
Raviraj, G. A., Bhat, K. G., Kugaji, M. S., Kumbar, V. M., & Hooli, A. (2018) · Journal of Indian Society of Pedodontics and Preventive Dentistry · doi:10.4103/jisppd.jisppd_206_18 · Cited by 3
Carvalho, M. R. G., Pezo‐Lanfranco, L., & Eggers, S. (2018) · European Journal Of Oral Sciences · doi:10.1111/eos.12586 · Cited by 3
Influence of black tea on Streptococcus mutans and Lactobacillus levels in saliva in a Saudi cohort
Ramadan, A. M., Bakeer, H. A., Mahrous, M. S., & Hifnawy, T. M. S. (2019) · Journal of Taibah University Medical Sciences · doi:10.1016/j.jtumed.2019.02.008 · Cited by 3
“producing dental caries agents are restricted to several known strains of bacteria present in the dental biofilm (plaque) on tooth surfaces.(16,18,20,24,25) Numerous microorganisms have been isolated from carious lesions.”
BackgroundAntibacterial effect of a brominated self-etch adhesive on carious dentin - An in vivo study
Schmidt, J., Krohn, S., Kallies, R., Schneider, H., Zeller, K., Ziebolz, D., Berg, T., & Haak, R. (2020) · Journal of Dentistry · doi:10.1016/j.jdent.2020.103555 · Cited by 3
Anaerobic Bacteria in Oral Cavities and Dental Health
Chakrabarty, R. P., & Karim, M. M. (2018) · Annals of Dentistry · Cited by 3
Genotypic and Phenotypic Characterization of Streptococcus Mutans Isolated From Dental CariesPreprint
Hossain, M. R., Alam, S. M. S., Nibir, Y. M., Tusty, T. A., Bulbul, S. M., Islam, M., & Hossain, M. S. (2020) · Research Square · doi:10.21203/rs.3.rs-132779/v1 · Cited by 3
Wang, Y., & Jiang, L. (2020) · doi:10.21203/rs.2.21547/v1 · Cited by 3
Hsu, K.-L. C., Shaffer, I. N., Furstenau, T., Ernst, R. K., & Fofanov, V. Y. (2024) · Research Square · doi:10.21203/rs.3.rs-5153245/v1 · Cited by 3
Bacteriological investigations of the human oral microbiota in health and disease
Kampoo, K. (2011) · Research Explorer (The University of Manchester) · Cited by 3
Hamad, A. A., Alhumaidi, M. S., & Manayi, A. (2023) · The Open Microbiology Journal · doi:10.2174/18742858-v17-e230405-2022-25 · Cited by 2
Saganova, T. R., Tsarev, V. N., Giannì, A. B., Signorini, L., & Cavallè, E. (2023) · Parodontologiya · doi:10.33925/1683-3759-2023-792 · Cited by 5
Streptococci Biotypes in Primary and Permanent Caries: A Case–Control Study
Bhardwaj, S. B., Sharma, U., Mehta, M., & Sharma, J. (2024) · International Journal of Clinical Pediatric Dentistry · doi:10.5005/jp-journals-10005-2925 · Cited by 2
“11 A recent study indicates that the maximum caries is recorded in the first teeth to emerge, particularly the primary molars (D’s), which are later replaced by permanent molars (6’s).”
Mohammadzadeh, S., Rezazadeh, Z., Jafari, P., Tomatari, F. H., Jafari, S., & Mohebian, M. (2025) · Dental Research Journal · doi:10.4103/drj.drj_390_24 · Cited by 2
“[3] Oral candidiasis, an opportunistic infection of the mouth by Candida yeast, is another oral condition that significantly affects the quality of life.”
Chismirina, S., Andayani, R., Afrina, A., Nafisah, Q., Sungkar, S., & Rezeki, S. (2025) · Journal of international oral health · doi:10.4103/jioh.jioh_81_24 · Cited by 2
Modular Deep-Learning Pipelines for Dental Caries Data Streams: A Twin-Cohort Proof-of-Concept
Burlea, Ș. L., Buzea, C. G., Nedeff, F., Mirilă, D., Nedeff, V., Agop, M., Rusu, D. I., & Checheriță, L. E. (2025) · Dentistry Journal · doi:10.3390/dj13090402 · Cited by 2
The genomic history of Streptococcus mutans from the Mesolithic until modern times
Thygesen, V. F. D. F., Farahani, M. F., Nielsen, S. H., Constancias, F., Givskov, M., Abranches, J., Scorrano, G., Jørkov, M. L. S., Ebrahimi, G., Bendezú-Sarmiento, J., et al. (2026) · Genome biology · doi:10.1186/s13059-026-04018-w · Cited by 1
Narayana, H., Kumar, B., Murthy, B. S., Mathew, S., Damodhar, P., & Kumar, S. S. (2019) · Indian Journal of Dental Research · doi:10.4103/ijdr.ijdr_269_17 · Cited by 2
“com Streptococcus sobrinus, are dynamically involved in the carious process.[3] The acid and extracellular polymers produced from carbohydrate metabolism by these bacteria and the consequent decrease in environmental pH is responsible for the demineralization of tooth surfaces.”
Background
Metadata
- Authors
- Aas, J. A., Griffen, A. L., Dardis, S. R., Lee, A. M., Olsen, I., Dewhirst, F. E., Leys, E. J., & Paster, B. J.
- Affiliations
- University of Oslo (NO)
- Department of Pediatric Dentistry
- The Forsyth Institute (US)
- Harvard University (US)
- The Ohio State University (US)
- Corresponding author
- Aas, Jørn A.
- Venue
- Journal of Clinical Microbiology
- Publisher
- American Society for Microbiology
- Published
- 2008-04
- Volume
- 46
- Issue
- 4
- Pages
- 1407-1417
- ISSN
- 0095-1137 (ISSN-L)
- 1098-660X
- PMC
- PMC2292933
- OpenAlex
- W2104771379
- Cited by
- 952
- References
- 42
- Citations by year
- 2026: 22 · 2025: 36 · 2024: 61 · 2023: 62 · 2022: 87 · 2021: 80 · 2020: 84 · 2019: 64 · 2018: 63 · 2017: 46 · 2016: 50 · 2015: 42 · 2014: 53 · 2013: 43 · 2012: 46
- FWCI
- 42.44
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Microbiology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Universitetet i Oslo
- National Institutes of Health
- National Institute of Dental and Craniofacial Research (U01DE016937, DE016125, R01DE016125, DE11443, R01DE011443)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › General Dentistry › Dental Health and Care Utilization
- Health Sciences › Dentistry › General Dentistry › Dental materials and restorations
- Keywords
- dental caries, Streptococcus mutans, primary teeth, permanent teeth, bacterial species composition, 16S rRNA gene sequencing, white spot lesions, dentin lesions, Lactobacillus, Bifidobacterium dentium, Atopobium, Propionibacterium, Actinomyces, Veillonella, caries progression, caries etiology, children and young adults
- MeSH terms
- Adolescent, Adult, Child, Child, Preschool, Dental Caries, Gram-Positive Bacteria, Humans, Molecular Sequence Data, RNA, Ribosomal, 16S, Tooth, Tooth, Deciduous, Gram-Positive Bacterial Infections, Sequence Analysis, DNA
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