Title
Author
DOI
Article Type
Special Issue
Volume
Issue
Effect of various pediatric probiotic drops on the discoloration of composite resin: in-vitro study
1Department of Pediatric Dentistry, Faculty of Dentistry, Izmir Tınaztepe University, 35400 Izmir, Turkey
DOI: 10.22514/jocpd.2025.113 Vol.49,Issue 5,September 2025 pp.190-195
Submitted: 05 December 2024 Accepted: 20 January 2025
Published: 03 September 2025
*Corresponding Author(s): Aslı Aşık E-mail: asli.asik@tinaztepe.edu.tr
Background: Probiotic supplements are commonly used to boost immunity in children; however, these formulations may negatively affect the surface of dental restorative materials and cause discoloration. This study aimed to evaluate the effects of pediatric probiotic drops containing various microorganisms on the color of resin composites. Methods: 56 micro-hybrid composite discs (HerculiteTM Classic, Kerr Co., CA, USA) were prepared using standard size mold. Every sample was tested for a baseline color measurement (T0) using the Commission Internationale de l’Éclairage (CIE) L*a*b* system with Vita Easy Shade Compact. The samples were divided into 4 different groups; 3 different pediatric probiotic drops (Group 1—BiGaia, Group 2—Kaleidon, Group 3—NBL) and the control group were kept in distilled water. Over 30 days, 6 drops of each probiotic were introduced into the composite discs immersed in 1.5 mL of distilled water in Eppendorf tubes. After 5 minutes, the discs were placed in renewed distilled water. On days 7 (T1) and 30 (T2), color measurements were repeated using spectrophotometry, and the color changes (∆E*) were statistically analyzed with a significance level of 0.05. Results: At the ∆E1, ∆E2 and ∆E3 time periods, statistically significant differences occurred on discoloration according to the experiment groups (p < 0.05).After 30 days, the color change measurements ∆E* were 4.51 ± 1.27 for G1, 5.24 ± 3.06 for G2, 4.34 ± 2.37 for G3, and 2.86 ± 0.7 for G4. On the 30th day, the discoloration in the G2—Kaleidon and G1—BiGaia groups was statistically significantly higher than the control group G4—Distilled water (p = 0.034 and p = 0.015). Conclusions: Noticeable color changes in composite resin materials occur with regular use of pediatric probiotic drops. The type of probiotics affects the discoloration of composite resins.
Probiotics; Microhybrid composite; Color stability; Spectrophotometry
Aslı Aşık,Sibel Acar. Effect of various pediatric probiotic drops on the discoloration of composite resin: in-vitro study. Journal of Clinical Pediatric Dentistry. 2025. 49(5);190-195.
[1] FAO/WHO. Guidelines for the evaluation of probiotics in food. (Paper No. 85). London Ontario, Canada; 30 April and 01 May 2002. 2002.
[2] Amara AA, Shibl A. Role of Probiotics in health improvement, infection control and disease treatment and management. Saudi Pharmaceutical Journal. 2015; 23: 107–114.
[3] Twetman S, Stecksén-Blicks C. Probiotics and oral health effects in children. International Journal of Paediatric Dentistry. 2008; 18: 3–10.
[4] Twetman S. Prevention of dental caries as a non-communicable disease. European Journal of Oral Sciences. 2018; 126: 19–25.
[5] Amargianitakis M, Antoniadou M, Rahiotis C, Varzakas T. Probiotics, prebiotics, synbiotics and dental caries. New perspectives, suggestions, and patient coaching approach for a cavity-free mouth. Applied Sciences. 2021: 11: 5472.
[6] Zaura E, Twetman S. Critical appraisal of oral pre- and probiotics for caries prevention and care. Caries Research. 2019; 53: 514–526.
[7] Panchbhai AS, Khatib MN, Borle RM, Deolia SS, Babar VM, Vasistha AH, et al. Efficacy and safety of probiotics for dental caries in preschool children: a systematic review and meta-analysis. Contemporary Clinical Dentistry. 2024; 15: 10–16.
[8] Fijan S. Microorganisms with claimed probiotic properties: an overview of recent literature. International Journal of Environmental Research and Public Health. 2014; 11: 4745–4767.
[9] Tehrani MH, Akhlaghi N, Talebian L, Emami J, Keyhani SE. Effects of probiotic drop containing Lactobacillus rhamnosus, Bifidobacterium infantis, and Lactobacillus reuteri on salivary Streptococcus mutans and Lactobacillus levels. Contemporary Clinical Dentistry. 2016; 7: 469–474.
[10] Stecksén-Blicks C, Sjöström I, Twetman S. Effect of long-term consumption of milk supplemented with probiotic lactobacilli and fluoride on dental caries and general health in preschool children: a cluster-randomized study. Caries Research. 2009; 43: 374–381.
[11] Gönczi NN, Strang O, Bagi Z, Rákhely G, Kovács KL. Interactions between probiotic and oral pathogenic strains. Biologia Futura. 2021; 72: 461–471.
[12] Nasim I, Neelakantan P, Sujeer R, Subbarao CV. Color stability of microfilled, microhybrid and nanocomposite resins—an in vitro study. Journal of Dentistry. 2010; 38: e137–e142.
[13] Faghihi T, Heidarzadeh Z, Jafari K, Farhoudi I, Hekmatfar S. An experimental study on the effect of four pediatric drug types on color stability in different tooth-colored restorative materials. Journal of Dental Research. 2021; 18: 75.
[14] Valera B, Bhatt R, Patel M, Patel C, Makwani D, Goyal S. Effect of different pediatric medications on various tooth colored restorative materials used in pediatric dentistry. International Journal of Health Sciences. 2022; 6: 508–521.
[15] Çapan BS, Birant S. Effect of pediatric drugs on the color stability of dental restorative materials currently used in pediatric dentistry. Journal of the Australian Ceramic Society. 2024; 60: 601–608.
[16] Almutairi M, Moussa I, Alsaeri N, Alqahtani A, Alsulaiman S, Alhajri M. The effects of different pediatric drugs and brushing on the color stability of esthetic restorative materials used in pediatric dentistry: an in vitro study. Children. 2022; 9: 1026.
[17] Jamal DY, Farsi NM, El-Housseiny AA, Felemban OM. Effects of pediatric liquid medications on surface properties of dental restorations. Medical Science. 2022; 26: ms57e2000.
[18] Doğu Kaya B, Yılmaz Atalı P, Özmen S, Öztürk S, Tarçın B. Effect of an effervescent multivitamin on color and surface roughness of micro-hybrid dental resin composites. Materials. 2024; 17: 1040.
[19] Lehmann KM, Devigus A, Igiel C, Weyhrauch M, Schmidtmann I, Wentaschek S, et al. Are dental color measuring devices CIE compliant? The European Journal of Esthetic Dentistry. 2012; 7: 324–333.
[20] Pan YF, Wu MC, Lin Q. Research status and prospects of probiotics in functional gastrointestinal disorders in infants and toddlers. Chinese Journal of Contemporary Pediatrics. 2024; 26: 529–534. (In Chinese)
[21] Di Costanzo M, Vella A, Infantino C, Morini R, Bruni S, Esposito S, et al. Probiotics in infancy and childhood for food allergy prevention and treatment. Nutrients. 2024; 16: 297.
[22] Hojsak I. Probiotics in children: what is the evidence? Pediatric Gastroenterology, Hepatology & Nutrition. 2017; 20: 139–146.
[23] Lundelin K, Poussa T, Salminen S, Isolauri E. Long-term safety and efficacy of perinatal probiotic intervention: evidence from a follow-up study of four randomized, double-blind, placebo-controlled trials. Pediatric Allergy and Immunology. 2017; 28: 170–175.
[24] Sanders ME. Probiotics: definition, sources, selection, and uses. Clinical Infectious Diseases. 2008; 46: S58–S61; discussion S144–S151.
[25] Krasaekoopt W, Bhandari B, Deeth H. Evaluation of encapsulation techniques of probiotics for yoghurt. International Dairy Journal. 2003; 13: 3–13.
[26] Saha S, Chopra A, Kamath SU, Kashyap NN. Can acid produced from probiotic bacteria alter the surface roughness, microhardness, and elemental composition of enamel? An in vitro study. Odontology. 2023; 111: 929–941.
[27] Karatas O, Delikan E, Erturk Avunduk AT. Comparative evaluation of probiotic solutions on surface roughness and microhardness of different restorative materials and enamel. Journal of Clinical Pediatric Dentistry. 2024; 48: 107–119.
[28] Saez-Lara MJ, Gomez-Llorente C, Plaza-Diaz J, Gil A. The role of probiotic lactic acid bacteria and bifidobacteria in the prevention and treatment of inflammatory bowel disease and other related diseases: a systematic review of randomized human clinical trials. BioMed Research International. 2015; 2015: 505878.
[29] Chavarri M, Maranon I, Villara MC. Encapsulation technology to protect probiotic bacteria. In Rigobelo EC (ed.) Probiotics (pp. 501–540). 1st edn. IntechOpen Limited: London. 2012.
[30] Hou RC, Lin MY, Wang MM, Tzen JT. Increase of viability of entrapped cells of Lactobacillus delbrueckii ssp. bulgaricus in artificial sesame oil emulsions. Journal of Dairy Science. 2003; 86: 424–428.
Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.
Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.
Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.
JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.
Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.
BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.
Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.
Scopus: CiteScore 2.3 (2024) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.
Top