A Cure for Dental Caries?


© Neal Rolfe Chamberlain
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parents or playmates. It has been demonstrated that sucrose makes the plaque thicker and that if sucrose is eaten frequently throughout the day people are much more likely to get dental caries.

Filling the cavities only slowed the progression of the disease. It wasn't until the use of fluoride did the number of people with dental caries go down. Fluoride is a mineral that helps to stabilize the calcium in the teeth and slows the progression of dental caries. It has also been shown that fluoride inhibits acid production by dental plague. However, fluoride can be toxic if given in too high a level. It is not good to swallow toothpaste with fluoride in it. This is especially the case for children who are smaller and can develop fluoride toxicity if they do not spit out the fluoride containing toothpaste after brushing.

Even with fluoride treatment and better cavity fillings a large number of people still get dental caries. Since we do not seem to be interested in giving up our consumption of sucrose it looks like dental caries will continue to plague us.

However, recently some scientists from a company called Oragenics have gained approval to use a novel approach to hopefully eliminate Streptococcus mutans from the surface of our teeth and eliminate the bacterial cause of dental caries. These researchers have developed a Streptococcus mutans strain that does NOT produce acid when breaking down sucrose. Without the acid the calcium is not leeched from the bone. To eliminate the Streptococcus mutans already in a person's mouth these investigators also placed a gene in this special strain of the bacteria that will produce a substance called Mutacin 1140.

Mutacin 1140 is a peptide (small protein) antibiotic that can kill many gram positive bacteria like Streptococcus mutans . Mutacin 1140 will not kill the strain of Streptococcus mutans that makes the antibiotic but it will kill other strains of Streptococcus mutans growing on the teeth. These researchers hope that the new Streptococcus mutans without the ability to make acid will replace the Streptococcus mutans that make acid and maybe even eliminate dental caries.

This strain of Streptococcus mutans worked well in a rat model of dental caries and these researchers are working now to see if it will work in humans. Only time will tell. Until then I encourage you to continue to brush your teeth at least twice a day, see your dentist twice a year to thoroughly clean your teeth and limit your sweets.

For more information you can go to the following websites:

http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5014a1.htm

http://www.dent.ucla.edu/ce/caries/

http://www.oragenics.com/product_mutacin.php

Take Care and Think Microbiologically! For more microbiology articles

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