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JOURNAL OF CLINICAL MICROBIOLOGY - Feb 2003
To read the complete study you can click on this Bad Breath and Halitosis Link

Extracts from the Journal of Clinical Microbiology, Feb 2003, p. 558-563 Authors: CE Kazor, PM Mitchell, AM Lee, LN Stokes, WJ Loesche, FE Dewhirst, BJ Paster.

"The purpose of the study was to compare the bacteria profiles of the tongue of healthy subjects and subjects with halitosis by using culture-independent molecular methods.

Tongue scrapings were analyzed from healthy subjects with no complaints of halitosis and subjects with halitosis. Those species most associated with healthy subjects were Streptococcus salivarius, Rothia mucilaginosa, and an a species of Eubacterium (strain FTB41). Streptococcus salivarius was the predominant species in healthy subjects, as it represented 12 to 40% of the total clones analyzed from each healthy subject.

Overall, the predominant bacteria on the tongue of healthy subjects was different from that on the tongue of subjects with halitosis. Those species most associated with halitosis were Atopobium parvulum, Eubacterium sulci, Solobacterium moorei."

We have summarized the results in an easy to read table below.

  Healthy Subjects   Halitosis Subjects
Subject Number H1 H2 H3 H4 H5   M1 M2 M3 M4 M5 M6
Breath Reading 87 160 144 113 132   350 411 452 642 346 749
S.salivarius count 41 24 26 12 12   0 0 0 5 0 6

The study looked at 5 healthy subjects and 6 subjects with halitosis. Breath readings were taken, with the definition of Halitosis being a breath reading of sulphur compounds above 200ppb. S.salivarius counts were also taken, with healthy subjects showing consistently higher numbers of naturally occurring Streptococcus salivarius.

RESULTS AND DISCUSSION

It is noteworthy that S.salivarius was by far the most predominant species detected in healthy subjects: in one subject (subject H1), S. salivarius represented more than 40% of the detectable species. In contrast, S. salivarius was detected in only one of the subjects with halitosis and was detected at very low levels.

CONCLUSION

Whilst this study was being done by Dr Loesche in USA, Professor Tagg was doing a totally independent study in Otago, New Zealand. Both microbiologists came up with the same results and same conclusions.

Streptococcus salivarius is a normal bacteria of the mouth that incubates the subject at day one of birth. In healthy subjects, normal counts of Streptococcus salivarius is obtained. However in chronically sick people or people with chronic halitosis, Streptococcus salivarius is missing.

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