An in vitro and in vivo Comparison of the Effect of Stevia rebaudiana Extracts on Different Caries-Related Variables: A Randomized Controlled Trial Pilot Study
The effect of Stevia extracts on in vitro Streptococcus mutans biofilm formation and in vivo plaque pH was evaluated in this paper. Three 10% solutions containing stevioside, rebaudioside A or sucrose were prepared. MTT assay was used to evaluate microbiological counts in vitro. Twenty volunteers ri...
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| Published in: | Caries research Vol. 48; no. 1; pp. 19 - 23 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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Basel, Switzerland
S. Karger AG
01.01.2014
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| ISSN: | 0008-6568, 1421-976X, 1421-976X |
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| Abstract | The effect of Stevia extracts on in vitro Streptococcus mutans biofilm formation and in vivo plaque pH was evaluated in this paper. Three 10% solutions containing stevioside, rebaudioside A or sucrose were prepared. MTT assay was used to evaluate microbiological counts in vitro. Twenty volunteers rinsed for 1 min with each solutions, and plaque pH was measured at 7 time points after each rinse. Higher in vitro S. mutans biofilm formation was observed in sucrose solution (p < 0.01). After 5, 10, 15 and 30 min, the sucrose in vivo rinse produced a statistically significantly lower pH value compared to the Stevia extracts (F = 99.45, p < 0.01).Stevia extracts can be considered nonacidogenic. |
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| AbstractList | The effect of Stevia extracts on in vitro Streptococcus mutans biofilm formation and in vivo plaque pH was evaluated in this paper. Three 10% solutions containing stevioside, rebaudioside A or sucrose were prepared. MTT assay was used to evaluate microbiological counts in vitro. Twenty volunteers rinsed for 1 min with each solutions, and plaque pH was measured at 7 time points after each rinse. Higher in vitro S. mutans biofilm formation was observed in sucrose solution (p < 0.01). After 5, 10, 15 and 30 min, the sucrose in vivo rinse produced a statistically significantly lower pH value compared to the Stevia extracts (F = 99.45, p < 0.01).Stevia extracts can be considered nonacidogenic. The effect of Stevia extracts on in vitro Streptococcus mutans biofilm formation and in vivo plaque pH was evaluated in this paper. Three 10% solutions containing stevioside, rebaudioside A or sucrose were prepared. MTT assay was used to evaluate microbiological counts in vitro. Twenty volunteers rinsed for 1 min with each solutions, and plaque pH was measured at 7 time points after each rinse. Higher in vitro S. mutans biofilm formation was observed in sucrose solution (p < 0.01). After 5, 10, 15 and 30 min, the sucrose in vivo rinse produced a statistically significantly lower pH value compared to the Stevia extracts (F = 99.45, p < 0.01).Stevia extracts can be considered nonacidogenic.The effect of Stevia extracts on in vitro Streptococcus mutans biofilm formation and in vivo plaque pH was evaluated in this paper. Three 10% solutions containing stevioside, rebaudioside A or sucrose were prepared. MTT assay was used to evaluate microbiological counts in vitro. Twenty volunteers rinsed for 1 min with each solutions, and plaque pH was measured at 7 time points after each rinse. Higher in vitro S. mutans biofilm formation was observed in sucrose solution (p < 0.01). After 5, 10, 15 and 30 min, the sucrose in vivo rinse produced a statistically significantly lower pH value compared to the Stevia extracts (F = 99.45, p < 0.01).Stevia extracts can be considered nonacidogenic. The effect of Stevia extracts on in vitro Streptococcus mutans biofilm formation and in vivo plaque pH was evaluated in this paper. Three 10% solutions containing stevioside, rebaudioside A or sucrose were prepared. MTT assay was used to evaluate microbiological counts in vitro. Twenty volunteers rinsed for 1 min with each solutions, and plaque pH was measured at 7 time points after each rinse. Higher in vitro S. mutans biofilm formation was observed in sucrose solution (p < 0.01). After 5, 10, 15 and 30 min, the sucrose in vivo rinse produced a statistically significantly lower pH value compared to the Stevia extracts (F = 99.45, p < 0.01).Stevia extracts can be considered nonacidogenic. © 2013 S. Karger AG, Basel [PUBLICATION ABSTRACT] The effect of Stevia extracts on in vitro Streptococcus mutans biofilm formation and in vivo plaque pH was evaluated in this paper. Three 10% solutions containing stevioside, rebaudioside A or sucrose were prepared. MIT assay was used to evaluate microbiological counts in vitro. Twenty volunteers rinsed for 1 min with each solutions, and plaque pH was measured at 7 time points after each rinse. Higher in vitro S. mutans biofilm formation was observed in sucrose solution (p < 0.01). After 5, 10, 15 and 30 min, the sucrose in vivo rinse produced a statistically significantly lower pH value compared to the Stevia extracts (F = 99.45, p < 0.01). Stevia extracts can be considered nonacidogenic. (C) 20135. Karger AG, Basel |
| Author | Lingström, P. Campus, G. Cagetti, M.G. Ionescu, A. Brambilla, E. |
| Author_xml | – sequence: 1 givenname: E. surname: Brambilla fullname: Brambilla, E. – sequence: 2 givenname: M.G. surname: Cagetti fullname: Cagetti, M.G. email: maria.cagetti@unimi.it – sequence: 3 givenname: A. surname: Ionescu fullname: Ionescu, A. – sequence: 4 givenname: G. surname: Campus fullname: Campus, G. – sequence: 5 givenname: P. surname: Lingström fullname: Lingström, P. |
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| Cites_doi | 10.1016/j.fct.2008.05.004 10.1007/s00784-012-0774-5 10.1023/A:1008134420339 10.1007/BF02976987 10.1016/S0149-2918(03)80334-X 10.2903/j.efsa.2010.1537 10.1002/(SICI)1098-1128(199809)18:5<347::AID-MED5>3.0.CO;2-T 10.1016/j.jclinepi.2012.09.002 10.1016/S0031-9422(03)00426-6 10.1016/j.pharmthera.2008.09.007 10.1016/S0140-6736(07)60031-2 10.1007/s00394-012-0323-7 10.1007/s00284-011-9937-x 10.1016/j.metabol.2003.07.013 10.1016/j.bmc.2008.11.077 10.1159/000330234 10.5897/JMPR11.1622 10.1016/j.chroma.2006.09.008 |
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| Keywords | Stevioside Caries Rebaudioside A Plaque pH |
| Language | English |
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Clin Oral Investig 2013;17:785-791.2279128210.1007/s00784-012-0774-5 van Loveren C, Broukal Z, Oganessian E: Functional foods/ingredients and dental caries. Eur J Nutr 2012;51:S15-S25.2253514210.1007/s00394-012-0323-7 Geuns JM: Stevioside. Phytochemistry 2003;64:913-921.1456150610.1016/S0031-9422(03)00426-6 Hsieh M, Chan P, Sue Y, Liu J, Liang T, Huang T, Tomlinson B, Chow S, Kao P, Chen Y: Efficacy and tolerability of oral stevioside in patients with mild essential hypertension: a two-year, randomised, placebo-controlled study. Clin Ther 2003;25:2797-2808.1469330510.1016/S0149-2918(03)80334-X Kim NC, Kinghorn AD: Highly sweet compounds of plant origin. Pharm Res 2002;25:725-746.1251082110.1007/BF02976987 Triratana T, Suwannawong SK, Srichan R, Surarit R: Inhibitory effect of xylitol and stevia extract on Streptococcus sobrinus. Caries Res 2006;40:340. Kinghorn AD: Stevia: the Genus Stevia (Medicinal and Aromatic Plants: Industrial Profiles). New York, Taylor and Francis/CRC Press, 2002. Chavarria N, Gamboa FO, Escribano S, Vitery R: Inhibitory activity of Stevia rebaudiana against Lactobacillus acidophilus and Streptococcus mutans (abstract 107). Caries Res 2008;42:122. Berry CW, Henry CA: Effect of stevioside on the growth and production of Streptococcus mutans (abstract 430). J Dent Res 1981;60:430. Gregersen S, Jeppensen PB, Holst JJ, Hermansen K: Antihyperglycemic effects of stevioside in type 2 diabetic subjects. Metabolism 2004;53:73-76.1468184510.1016/j.metabol.2003.07.013 Gamboa F, Chaves M: Antimicrobial potential of extracts from Stevia rebaudiana leaves against bacteria of importance in dental caries. Acta Odontol Latinoam 2012;25:171-175.23230637 Cardello HM, Da Silva MA, Damasio MH: Measurement of the relative sweetness of stevia extract, aspartame and cyclamate/saccharin blend as compared to sucrose at different concentrations. Plant Foods for Human Nutrition 1999;54:119-130.1064655910.1023/A:1008134420339 Tomita T, Sato N, Arai T, Shiraishi H, Sato M, Takeuchi M, Kamio Y: Bactericidal activity of a fermented hot-water extract from Stevia rebaudiana Bertoni towards enterohemorrhagic Escherichia coli O157:H7 and other food-borne pathogenic bacteria. Microbiol Immunol 1997;41:1005-1009.9492187 Lingström P, Imfeld T, Birkhed D: Comparison of three different methods for measurement of plaque-pH in humans after consumption of soft bread and potato chips. J Dent Res 1993;72:865-870.8501283 Dawes C: Salivary flow patterns and the health of hard and soft oral tissues. J Am Dent Assoc 2008;139:18S-24S.18460676 Campus G, Cagetti MG, Cocco F, Sale S, Sacco G, Strohmenger L, Lingström P: Effect of a sugar-free chewing gum containing magnolia bark extract on different variables related to caries and gingivitis: a randomized controlled intervention trial. Caries Res 2011;45:393-399.2182201810.1159/000330234 Selwitz RH, Ismail AI, Pitts NB: Dental caries. Lancet 2007;369:51-59.1720864210.1016/S0140-6736(07)60031-2 Chatsudthipong V, Muanprasat C: Stevioside and related compounds: therapeutic benefits beyond sweetness. Pharmacol Ther 2009;121:41-54.1900091910.1016/j.pharmthera.2008.09.007 Ericson D, Bratthal D: Simplified method to estimate salivary buffer capacity. Scand J Dent Res 1989;97:405-407.2617139 Prakash I, Dubois GE, Clos JF, Wilkens KL, Fosdick LE: Development of rebiana, a natural, non-caloric sweetener. Food Chem Toxicol 2008;46:S75-S82.1855476910.1016/j.fct.2008.05.004 Das S, Das AK, Murphy RA, Punwani IC, Nasution MP, Kinghorn AD: Evaluation of the cariogenic potential of the intense natural sweeteners stevioside and rebaudioside A. Caries Res 1992;26:363-366.1468101 Pol J, Hohnova B, Hyotylainen T: Characterisation of Stevia rebaudiana by comprehensive two dimensional liquid chromatography time-of-flight mass spectrometry. J Chromatogr A 2007;1150:85-92.1699652810.1016/j.chroma.2006.09.008 EFSA: Scientific opinion of the Panel on Food Additives and Nutrient Sources added to Food on a request from the commission on the safety in use of steviol glycosides as a food additive. EFSA J 2010;1537:1-87.10.2903/j.efsa.2010.1537 Matsukubo T, Takazoe I: Sucrose substitutes and their role in caries prevention. Int Dent J 2006;56:119-130.16826877 Scheie AA, Fejerskov O, Lingström P, Birkhed D, Manji F: Use of palladium touch microelectrodes under field conditions for in vivo assessment of dental plaque pH in children. Caries Res 1992;26:44-52.1568236 Kinghorn AD, Kaneda N, Baek NI, Kennelly EJ, Soejarto DD: Non-cariogenic intense natural sweeteners. Med Res Rev 1998;18:347-360.973587410.1002/(SICI)1098-1128(199809)18:5<347::AID-MED5>3.0.CO;2-T Mohammadi-Sichani M, Karbasizadeh V, Aghai F, Mofid MR: Effect of different extracts of Stevia rebaudiana leaves on Streptococcus mutans growth. J Med Plan Res 2012;6:4731-4734.10.5897/JMPR11.1622 Takasaki M, Konoshima T, Kozuka M, Tokuda H, Takayasu J, Nishino H, Miyakoshi M, Mizutani K, Lee KH: Cancer preventive agents. 8. Chemopreventive effects of stevioside and related compounds. Bioorg Med Chem 2009;17:600-605.1913125410.1016/j.bmc.2008.11.077 ref13 ref12 ref15 ref14 ref11 ref10 ref2 ref1 ref17 ref16 ref18 ref8 ref7 ref9 ref4 ref3 ref6 ref5 |
| References_xml | – reference: Berry CW, Henry CA: Effect of stevioside on the growth and production of Streptococcus mutans (abstract 430). J Dent Res 1981;60:430. – reference: Gregersen S, Jeppensen PB, Holst JJ, Hermansen K: Antihyperglycemic effects of stevioside in type 2 diabetic subjects. Metabolism 2004;53:73-76.1468184510.1016/j.metabol.2003.07.013 – reference: Marshall TA: Chairside diet assessment of caries risk. J Am Dent Assoc 2009;140:670-674.19491162 – reference: Matsukubo T, Takazoe I: Sucrose substitutes and their role in caries prevention. Int Dent J 2006;56:119-130.16826877 – reference: van Loveren C, Broukal Z, Oganessian E: Functional foods/ingredients and dental caries. Eur J Nutr 2012;51:S15-S25.2253514210.1007/s00394-012-0323-7 – reference: Hsieh M, Chan P, Sue Y, Liu J, Liang T, Huang T, Tomlinson B, Chow S, Kao P, Chen Y: Efficacy and tolerability of oral stevioside in patients with mild essential hypertension: a two-year, randomised, placebo-controlled study. Clin Ther 2003;25:2797-2808.1469330510.1016/S0149-2918(03)80334-X – reference: Kinghorn AD: Stevia: the Genus Stevia (Medicinal and Aromatic Plants: Industrial Profiles). New York, Taylor and Francis/CRC Press, 2002. – reference: Björklund M, Ouwehand AC, Forssten SD: Improved artificial saliva for studying the cariogenic effect of carbohydrates. Curr Microbiol 2011;63:46-49.2153359010.1007/s00284-011-9937-x – reference: Das S, Das AK, Murphy RA, Punwani IC, Nasution MP, Kinghorn AD: Evaluation of the cariogenic potential of the intense natural sweeteners stevioside and rebaudioside A. Caries Res 1992;26:363-366.1468101 – reference: Debnath M: Clonal propagation and antimicrobial activity of an endemic medicinal plant Stevia rebaudiana. JMPR 2008;2:245-251. – reference: Scheie AA, Fejerskov O, Lingström P, Birkhed D, Manji F: Use of palladium touch microelectrodes under field conditions for in vivo assessment of dental plaque pH in children. Caries Res 1992;26:44-52.1568236 – reference: Prakash I, Dubois GE, Clos JF, Wilkens KL, Fosdick LE: Development of rebiana, a natural, non-caloric sweetener. Food Chem Toxicol 2008;46:S75-S82.1855476910.1016/j.fct.2008.05.004 – reference: Chavarria N, Gamboa FO, Escribano S, Vitery R: Inhibitory activity of Stevia rebaudiana against Lactobacillus acidophilus and Streptococcus mutans (abstract 107). Caries Res 2008;42:122. – reference: Kinghorn AD, Kaneda N, Baek NI, Kennelly EJ, Soejarto DD: Non-cariogenic intense natural sweeteners. 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Lancet 2007;369:51-59.1720864210.1016/S0140-6736(07)60031-2 – reference: Takasaki M, Konoshima T, Kozuka M, Tokuda H, Takayasu J, Nishino H, Miyakoshi M, Mizutani K, Lee KH: Cancer preventive agents. 8. Chemopreventive effects of stevioside and related compounds. Bioorg Med Chem 2009;17:600-605.1913125410.1016/j.bmc.2008.11.077 – reference: Campus G, Cagetti MG, Cocco F, Sale S, Sacco G, Strohmenger L, Lingström P: Effect of a sugar-free chewing gum containing magnolia bark extract on different variables related to caries and gingivitis: a randomized controlled intervention trial. Caries Res 2011;45:393-399.2182201810.1159/000330234 – reference: Gamboa F, Chaves M: Antimicrobial potential of extracts from Stevia rebaudiana leaves against bacteria of importance in dental caries. 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| SubjectTerms | 2-YEAR Adult Bacterial Load - drug effects Bacteriological Techniques Biofilms - drug effects Caries Coloring Agents Dental Caries - microbiology Dental Plaque - physiopathology DENTAL-CARIES Diterpenes, Kaurane - pharmacology Female Follow-Up Studies Glucosides - pharmacology Humans Hydrogen-Ion Concentration INTENSE NATURAL SWEETENERS Male Mouthwashes - pharmacology Odontologi Odontology Pilot Projects Plant Extracts - pharmacology PLAQUE-PH Rebaudioside A RISK Short Communication Spectrophotometry - methods Stevia Stevioside Streptococcus mutans - drug effects Streptococcus mutans - growth & development SUCROSE Sucrose - pharmacology Sweetening Agents - pharmacology SWEETNESS Tetrazolium Salts Thiazoles Young Adult |
| Title | An in vitro and in vivo Comparison of the Effect of Stevia rebaudiana Extracts on Different Caries-Related Variables: A Randomized Controlled Trial Pilot Study |
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