Probiotics are the living microorganisms that have been commonly used in the prevention of gastrointestinal disorders. In recent times, probiotic and prebiotics have been used to assess and develop a natural balance of the microbial flora in the respiratory tract and the oral cavity as an adjunct therapy. They are known to augment the existing microbial flora that is beneficial to the host. Prebiotics are nondigestible food ingredients that help in increasing populations of probiotic bacteria. Recent studies have shown that probiotics help in active reduction in gingivitis, dental caries, periodontitis, and halitosis by replacing the harmful oral species, by means of utilizing abundant health-associated oral microbial species. Additionally, the nitrate-reducing bacteria have shown promising effect in improving efficiency of probiotic strains to accentuate oral health benefits. Probiotics along with prebiotics effectively alter the host–microbial interface by achieving homeostasis in multifactorial diseases such as periodontal diseases and oral malodor. The aim of the review is to collate the existing information available on use of probiotics and prebiotics in oral cavity.
Dietary modulation of the human colonic microbiota: introducing the concept of prebiotics. J Nutr 1995;125(6):1401–1412
Expert consensus document: The International Scientific Association for Probiotics and Prebiotics (ISAPP) consensus statement on the definition and scope of prebiotics. Nat Rev Gastroenterol Hepatol 2017;14(8):491–502
Córdoba, Argentina: Food and Agriculture Organization of the United Nations and World Health Organization; 2001
The pathogenesis of human periodontitis: an introduction. Periodontol 2000 1997;14(1):9–11
Smith C, Kent RL Jr. Microbial complexes in subgingival plaque. J Clin Periodontol 1998;25(2):134–144
The formation of hydrogen sulfide and methyl mercaptan by oral bacteria. Oral Microbiol Immunol 1990;5(4):195–201
The continuum of dental caries–evidence for a dynamic disease process. J Dent Res 2004;83 Spec No C(1_suppl): C39–C42
Use of probiotics and oral health. Curr Oral Health Rep 2017;4(4):309–318
Antimicrobial effect of probiotics on bacterial species from dental plaque. J Infect Dev Ctries 2016;10(3):214–221
Fermented milk products: probiotics of ayurveda. Journal of Medical Nutrition and Nutraceuticals. 2015;4(1):14–21
The treatment of intestinal infections by the method of transformation of bacterial intestinal flora. CR Soc. Biol. 1906;60:359–361
Probiotics: 100 years (1907–2007) after Elie Metchnikoff's observation. Communicating current research and educational topics and trends in applied microbiology; 2007;1:466–474
Probiotics: growth-promoting factors produced by microorganisms. Science 1965;147(3659):747–748
Survival of Lactobacillus acidophilus in yoghurt. Australian Journal of Dairy Technology 1984;39(4):164
Viability of Lactobacillus acidophilus and Bifidobacterium bifidum in softserve frozen yogurt. 1991;26:4–5
Oral adhesion and survival of probiotic and other lactobacilli and bifidobacteria in vitro. Oral Microbiol Immunol 2006;21(5):326–332
Probiotics in human disease. Am J Clin Nutr 2001;73(6):1142S–1146S
Functional cultures and health benefits. Int Dairy J 2007;17(11):1262–1277
Meeting, World Health Organization. Evaluation of Certain Food Additives and Contaminants: Fifty-seventh Report of the Joint FAO/WHO Expert Committee on Food Additives. World Health Organization; 2002 Dec 13
Probiotics: a promising role in dental health. Dent J (Basel) 2017;5(4):26–36
Probiotics and oral health: a review. J Int Oral Health 2015;7(10):133–136
Probiotics: do they have a role in oral medicine and dentistry? Eur J Oral Sci 2005;113(3):188–196
Probiotics and oral health. Eur J Dent 2010;4(3):348–355
Effective Lactobacillus plantarum and Bifidobacterium infantis encapsulation with chia seed (Salvia hispanica L.) and flaxseed (Linum usitatissimum L.) mucilage and soluble protein by spray drying. Food Chem 2017;216:97–105
Probiotics, prebiotics and synbiotics- a review. J Food Sci Technol 2015;52(12):7577–7587
Probiotic, Prebiotic and Synbiotic Products in Human Health. In: Frontiers and New Trends in the Science of Fermented Food and Beverages. London, IntechOpen; 2019
Prebiotics, probiotics and synbiotics: an overview. Journal of Pharmaceutical Education and Research. 2010;1(2):13–36
Probiotics as oral health biotherapeutics. Expert Opin Biol Ther 2012;12(9):1207–1220
Probiotics-promotes periodontal health? - An insight. International Journal of Dental Sciences and Research. 2013;1(3):67–70
The effect of a streptococci containing probiotic in periodontal therapy: a randomized controlled trial. J Clin Periodontol 2015;42(11):1032–1041
Effect of oral administration involving a probiotic strain of Lactobacillus reuteri on pro-inflammatory cytokine response in patients with chronic periodontitis. Arch Immunol Ther Exp (Warsz) 2014;62(6):495–500
Probiotics and periodontal health. J Med Life 2011; 4(4):387–394
Reduction of vitamin K concentration by salivary Bifidobacterium strains and their possible nutritional competition with Porphyromonas gingivalis. J Appl Microbiol 2007;103(5):1969–1974
Daily intake of heat-killed Lactobacillus plantarum L-137 decreases the probing depth in patients undergoing supportive periodontal therapy. Oral Health Prev Dent 2016;14(3):207–214
Effect of Lactobacillus rhamnosus and Bifidobacterium lactis on gingival health, dental plaque, and periodontopathogens in adolescents: a randomised placebo-controlled clinical trial. Benef Microbes 2018;9 (4):593–602
Halitosis: a new definition and classification. Br Dent J 2014;217(1):E1–E10
Advances in Mouth Odor Research. Bad Breath: A Multidisciplinary Approach; 1996:55–69
A simple method to reduce halitosis; tongue scraping with probiotics. J Breath Res 2019;14(1):016008
Induction and inhibition of oral malodor. Mol Oral Microbiol 2019;34(3):85–96
Inhibitory effect of Weissella cibaria isolates on the production of volatile sulphur compounds. J Clin Periodontol 2006;33(3):226–232
Something old and something new: an update on the amazing repertoire of bacteriocins produced by Streptococcus salivarius. Probiotics Antimicrob Proteins 2010;2(1):37–45
Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective. International journal of Paediatric Dentistry 2019;29(3):238–248
Probiotics: contributions to oral health. Oral Dis 2007;13(5):443–451
Proposed model: mechanisms of immunomodulation induced by probiotic bacteria. Clin Vaccine Immunol 2007;14(5):485–492
Efficacy of probiotics used as a periodontal treatment aid: a pilot study. Saudi Dent J 2019;31(1):143–147
Probiotics for management of periodontal disease: a novel therapeutic strategy. IOSR J Pharm 2012;2:41–46
Influence of oral probiotic Streptococcus salivarius K12 on ear and oral cavity health in humans: systematic review. Probiotics Antimicrob Proteins 2017;9(2):102–110
Pathogenic relevance of Lactobacillus: a retrospective review of over 200 cases. Eur J Clin Microbiol Infect Dis 2005;24(1):31–40
Probiotics in periodontal health and disease. J Indian Soc Periodontol 2011;15(1):23–28
Probiotics, prebiotics, and synbiotics: approaches for modulating the microbial ecology of the gut. Am J Clin Nutr 1999;69(5):1052S–1057S
Taxonomy and important features of probiotic microorganisms in food and nutrition. Am J Clin Nutr 2001; 73(2, Suppl):365S–373S
Effects of probiotics, prebiotics, and synbiotics on human health. Nutrients 2017;9(9):1021–1051
Probiotics as an adjunct therapy for the treatment of halitosis, dental caries and periodontitis. Probiotics Antimicrob Proteins 2020;12(2):325–334
Safety assessment of a proprietary preparation of a novel Probiotic, Bacillus coagulans, as a food ingredient. Food Chem Toxicol 2009;47(6):1231–1238