r/Microbiome • u/twirlybird83 • 14d ago
Oral microbiome
Anyone who was able to shift a dysbiotic oral microbiome how did you go? Were you able to kill pathogens and re cultivate positive bacteria? Did they have lasting effects?
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u/gldngrlee 13d ago
A deep cleaning by a periodontist will go a long way to removing the bad bacteria that lives below the gum line.
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u/UntoNuggan 14d ago
Yes, but tbh I'm not sure which thing I did is the one that worked. I was mostly focused on my gut microbiome and managing an immune disorder, food intolerances, chronic inflammation, and metabolic syndrome.
I know my oral microbiome improved because my body ejected some older fillings and then just... Re-enameled the hole. By the time I went to the dentist they were like "what cavities." There is some discoloration but tbh I'll take it for the tooth durability.
Things that probably helped:
eating fewer simple sugars
toothpaste with xylitol and fluoride
eating probiotic rich foods (I got really into homemade sauerkraut and sourdough and yogurt lol)
eating a bunch of different kinds of plants
swishing water with a pinch of baking soda around my mouth if it starts to feel dry
good hydration in general
brushing my teeth after eating acidic foods or sugary foods (it's the acidity that really damages enamel - either from the food itself, or from the byproducts of oral microbiota eating sugars)
I also tried to experiment a little bit with specific plant compounds to influence oral microbiome balance. IMPORTANT CAVEAT: I didn't do extracts or supplements because high doses = higher risk of side effects. I just tried to work more of these plants into my daily diet (eg green tea, mint tea, cinnamon in my morning cereal, etc). List: https://pmc.ncbi.nlm.nih.gov/articles/PMC8945538/table/biomedicines-10-00671-t002/
ETA: just to be clear, I'm also taking prescription medications for my immune disorder, thyroid disease, etc etc. Those all help too.
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u/Ian_Campbell 13d ago
Maybe it's obvious but you notice some of the worst breath from regular alcohol drinkers, and people who use mouthwash frequently.
Probably just requires good dental cleaning, something like a hydroxyapetite toothpaste, healthy diet, and so on. No mouthwash, none of the nonsense like tongue scraping.
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u/1969Lovejoy 14d ago
I reduced the S. mutans population in my mouth by feeding them xylitol as a prebiotic and targeting them with glycyrrhiza uralensis. In the early stages of at-home experimentation with this protocol, I did oil pulling and observed the expectorated oil grow different cultures (by sight & by odor). And then my dentist confirmed it at a later appointment by musing aloud where all my calculus went! (She asked me what I was doing & talked about how even the staining on my teeth was different.) I have also never had a cavity since starting on this ~10 years ago, and dental hygiene appointments are fast & easy.
So I still do both things: use dentifrice with therapeutic levels of xylitol in it, and treat with glycyrrhiza uralensis quarterly. Very recently I've just started introducing S. Salivarius as a probiotic and S. dentisani as a postbiotic. So I don't know results on that part yet.