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Investigation of the Antagonistic Effect of Enterococcus Durans Strains on Microorganisms Responsible for Black Tooth Staining

Year 2025, Volume: 26 Issue: 3, 319 - 325, 22.09.2025
https://doi.org/10.69601/meandrosmdj.1672292

Abstract

Objective: Black stain is an extrinsic tooth discoloration, characterized by dark lines or incomplete pigmentation along the gingival margin in the cervical third of the tooth. Bacteria from the genus Capnocytophaga, particularly facultative anaerobic, gram-negative, fusiform-shaped species, are believed to contribute to its formation. Lactic acid bacteria, such as Enterococcus durans, are gram-positive bacilli that have been extensively studied for their probiotic properties. The aim of this study was to evaluate the antagonistic effects of three E.durans strains against bacteria isolated from black tooth stain and Capnocytophaga ochracea.
Materials and Methods: Samples were collected from 50 children aged 9-12 years at the Pediatric Dentistry Department of XXX University. The samples were diluted and cultured on trypticase bacitracin blood polymyxin agar to isolate cultivable bacteria associated. Isolates were identified using biochemical tests, including indole, catalase, oxidase, and Gram staining under 8% CO₂ conditions. The antagonistic effects of the E.durans strains against both black stain bacteria and C.ochracea ATCC 27872 were assessed on blood agar plates. Data analysis was conducted using SPSS 25.0. The normality of data distribution was assessed using the Kolmogorov-Smirnov test. Absolute and logarithmic bacterial counts were statistically evaluated using the Kruskal-Wallis test.
Results: Among the tested strains, E.durans K2-2 exhibited the strongest antagonistic effect against C.ochracea, with a 12mm inhibition zone.
Conclusion: These results suggest that E.durans strains with probiotic potential may contribute to the prevention of dental caries by inhibiting associated bacterial species. Further studies are needed to investigate their mechanisms of action and to evaluate their potential use in preventive oral healthcare.

References

  • 1. Ronay V, Attin T. Black stain-a review. Oral Health Prev Dent 2011; 9 (1): 37-45.
  • 2. Li Y, Zhang Q, Zhang F, Liu R, Liu H, Chen F. Analysis of the microbiota of black stain in the primary dentition. PloS one 2015; 10 (9): e0137030.
  • 3. Żyła T, Kawala B, Antoszewska-Smith J, Kawala M. Black stain and dental caries: a review of the literature. Biomed Res Int 2015; 1: 469392.
  • 4. Prskalo K, Klarić Sever E, Alerić I, Antonić Jelić T, Žaja I. Risk factors associated with black tooth stain. Acta Clin Croat 2017; 56 (1): 28-35.
  • 5. de Rezende V S, Fonseca-Silva T, Drumond C L, Ramos-Jorge ML, Paiva SM, Vieira-Andrade RG. Do patients with extrinsic black tooth stains have a lower dental caries experience? A systematic review and meta-analysis. Caries Res 2019; 53 (6): 617-627.
  • 6. Chen X, Zhan JY, Lu HX, Ye W, Zhang W, Yang WJ, Feng XP. Factors associated with black tooth stain in Chinese preschool children. Clin Oral Investig 2014; 18: 2059-2066.
  • 7. Hosohama-Saito K, Kokubu E, Okamoto-Shibayama K, Kita D, Katakura A, Ishihara K. Involvement of luxS in Biofilm Formation by Capnocytophaga ochracea. PLoS One 2016;11(1):e0147114.
  • 8. Chen Y, Dou G, Wan, D, Yang J, Zhang Y, Garnett JA et al. Comparative microbial profiles of caries and black extrinsic tooth stain in primary dentition. Caries Res 2021; 55 (4): 310-321.
  • 9. İlgen G, Çoğulu D, Uçan E, Uzel A. Evaluation of the Etiological Factors of Black Tooth Stain in Children. J Pediatr Res 2023; 10 (3): 216-221.
  • 10. Saïz P, Taveira N, Alves R. Probiotics in oral health and disease: a systematic review. Applied Sciences 2021; 11 (17): 8070.
  • 11. Park JY, Lee JY, Kim Y, Kim BK, Kim BK, Choi SI. Biosafety characteristics and antibacterial activity of probiotic strains against Streptococcus mutans, Aggregatibacter actinomycetemcomitans, and Porphyromonas gingivalis. Ann Microbiol 2025; 75 (1): 2.
  • 12. Mashimo PA, Yamamoto Y, Nakamura M, Slots J. Selective recovery of oral Capnocytophaga spp. with sheep blood agar containing bacitracin and polymyxin B. J Clin Microbiol 1983; 17 (2): 187-191.
  • 13. Yuce MA. In vitro characterization of probiotic properties of microorganisms isolated from kefir grains, Ege University (729191), 2022, 162p.
  • 14. Barry AL. An overview of the Clinical and Laboratory Standards Institute (CLSI) and its impact on antimicrobial susceptibility tests. Antimicrobial susceptibility testing protocols, 2007; 1.
  • 15. Shigeishi H, Hamada N, Kaneyasu Y, Niitani Y, Takemoto T, Ohta K. Prevalence of oral Capnocytophaga species and their association with dental plaque accumulation and periodontal inflammation in middle aged and older people. Biomedical Rep 2024; 20 (6): 99.
  • 16. Barroso RGMR, Damaso MCT, Machado F, Gonçalves SB. Lactic Acid Production by Enterococcus durans Is Improved by Cell Recycling and pH Control. Fermentation 2024; 10 (3: 149.
  • 17. de Vries SP, Bootsma HJ, Hays JP, Hermans PW. Molecular aspects of Moraxella catarrhalis pathogenesis. Microbiol Mol Biol Rev 2009; 73 (3): 389-406.
  • 18. Han R, Yue J, Lin H, Du N, Wang J, Wang S et al. Salivary microbiome variation in early childhood caries of children 3–6 years of age and its association with iron deficiency anemia and extrinsic black stain. Front Cell Infect Microbiol 2021; 11: 628327.
  • 19. Bardellini E, Amadori F, Gobbi E, Ferri A, Conti G, Majorana A. Does Streptococcus salivarius Strain M18 Assumption Make Black Stains Disappear in Children? Oral Health Prev Dent 2020; 25: 1-4.
  • 20. Gobbi E, De Francesco MA, Piccinelli G, Caruso A, Bardellini E, Majorana A. In vitro inhibitory effect of two commercial probiotics on chromogenic actinomycetes. Eur Arch Paediatr Dent 2020; 21: 673-677.

Enterococcus durans Suşlarının Siyah Diş Renklenmesi ile İlişkili Bakterilere Karşı Antagonistik Potansiyelinin Değerlendirilmesi

Year 2025, Volume: 26 Issue: 3, 319 - 325, 22.09.2025
https://doi.org/10.69601/meandrosmdj.1672292

Abstract

Amaç: Siyah diş renklenmesi, dişin servikal üçlüsünde, dişeti kenarı boyunca görülen koyu çizgiler veya tamamlanmamış pigmentasyon ile karakterize edilen dışsal bir renklenme türüdür. Bu renklenmenin oluşumunda, Capnocytophaga cinsine ait, fakültatif anaerobik, gram negatif, fusiform morfolojili bakterilerin rol oynadığı düşünülmektedir. Enterococcus durans gibi laktik asit bakterileri, probiyotik özellikleri nedeniyle yaygın olarak araştırılan gram pozitif basillerdir. Bu çalışmanın amacı, E. durans suşlarının siyah diş renklenmesinden ve Capnocytophaga ochracea’dan izole edilen bakterilere karşı in vitro antagonistik etkilerini değerlendirmektir.
Gereç ve Yöntem: Çalışmada, XXX Üniversitesi Diş Hekimliği Fakültesi Pedodonti Anabilim Dalı’na rutin diş muayenesi için başvuran 9-12 yaş arası 50 çocuk hastadan siyah diş renklenmesi örnekleri alınmıştır. Örnekler seyreltilmiş ve triptikaz basitrasin kan polimiksin agar besiyerine ekilerek kültürlenebilir mikroorganizmalar izole edilmiştir. İzolatların tanımlanmasında %8 CO₂ ortamında indol, katalaz, oksidaz ve gram boyama testleri kullanılmıştır. Üç farklı E. durans suşunun, siyah renklenmeye neden olan bakteriler ve C.ochracea ATCC 27872 üzerindeki antagonistik etkileri kanlı agar besiyerinde değerlendirilmiştir. Verilerin analizi SPSS 25.0 programı kullanılarak gerçekleştirilmiştir. Verilerin normallik dağılımı Kolmogorov-Smirnov testi ile değerlendirilmiştir. Elde edilen mutlak ve logaritmik bakteri sayımları Kruskal-Wallis testi ile istatistiksel olarak analiz edilmiştir.
Bulgular: Test edilen E. durans suşları arasında K2-2 suşu, C. ochracea’ya karşı 12 mm’lik inhibisyon bölgesi oluşturarak en yüksek antagonistik aktiviteyi göstermiştir.
Sonuç: Elde edilen veriler, probiyotik potansiyele sahip E. durans suşlarının siyah diş renklenmesi ile ilişkili bakterileri inhibe ederek bu durumun önlenmesinde rol oynayabileceğini göstermektedir. Bu suşların etki mekanizmalarının aydınlatılması ve koruyucu ağız sağlığındaki potansiyel uygulamalarının değerlendirilmesi amacıyla ileri çalışmalara ihtiyaç vardır.

References

  • 1. Ronay V, Attin T. Black stain-a review. Oral Health Prev Dent 2011; 9 (1): 37-45.
  • 2. Li Y, Zhang Q, Zhang F, Liu R, Liu H, Chen F. Analysis of the microbiota of black stain in the primary dentition. PloS one 2015; 10 (9): e0137030.
  • 3. Żyła T, Kawala B, Antoszewska-Smith J, Kawala M. Black stain and dental caries: a review of the literature. Biomed Res Int 2015; 1: 469392.
  • 4. Prskalo K, Klarić Sever E, Alerić I, Antonić Jelić T, Žaja I. Risk factors associated with black tooth stain. Acta Clin Croat 2017; 56 (1): 28-35.
  • 5. de Rezende V S, Fonseca-Silva T, Drumond C L, Ramos-Jorge ML, Paiva SM, Vieira-Andrade RG. Do patients with extrinsic black tooth stains have a lower dental caries experience? A systematic review and meta-analysis. Caries Res 2019; 53 (6): 617-627.
  • 6. Chen X, Zhan JY, Lu HX, Ye W, Zhang W, Yang WJ, Feng XP. Factors associated with black tooth stain in Chinese preschool children. Clin Oral Investig 2014; 18: 2059-2066.
  • 7. Hosohama-Saito K, Kokubu E, Okamoto-Shibayama K, Kita D, Katakura A, Ishihara K. Involvement of luxS in Biofilm Formation by Capnocytophaga ochracea. PLoS One 2016;11(1):e0147114.
  • 8. Chen Y, Dou G, Wan, D, Yang J, Zhang Y, Garnett JA et al. Comparative microbial profiles of caries and black extrinsic tooth stain in primary dentition. Caries Res 2021; 55 (4): 310-321.
  • 9. İlgen G, Çoğulu D, Uçan E, Uzel A. Evaluation of the Etiological Factors of Black Tooth Stain in Children. J Pediatr Res 2023; 10 (3): 216-221.
  • 10. Saïz P, Taveira N, Alves R. Probiotics in oral health and disease: a systematic review. Applied Sciences 2021; 11 (17): 8070.
  • 11. Park JY, Lee JY, Kim Y, Kim BK, Kim BK, Choi SI. Biosafety characteristics and antibacterial activity of probiotic strains against Streptococcus mutans, Aggregatibacter actinomycetemcomitans, and Porphyromonas gingivalis. Ann Microbiol 2025; 75 (1): 2.
  • 12. Mashimo PA, Yamamoto Y, Nakamura M, Slots J. Selective recovery of oral Capnocytophaga spp. with sheep blood agar containing bacitracin and polymyxin B. J Clin Microbiol 1983; 17 (2): 187-191.
  • 13. Yuce MA. In vitro characterization of probiotic properties of microorganisms isolated from kefir grains, Ege University (729191), 2022, 162p.
  • 14. Barry AL. An overview of the Clinical and Laboratory Standards Institute (CLSI) and its impact on antimicrobial susceptibility tests. Antimicrobial susceptibility testing protocols, 2007; 1.
  • 15. Shigeishi H, Hamada N, Kaneyasu Y, Niitani Y, Takemoto T, Ohta K. Prevalence of oral Capnocytophaga species and their association with dental plaque accumulation and periodontal inflammation in middle aged and older people. Biomedical Rep 2024; 20 (6): 99.
  • 16. Barroso RGMR, Damaso MCT, Machado F, Gonçalves SB. Lactic Acid Production by Enterococcus durans Is Improved by Cell Recycling and pH Control. Fermentation 2024; 10 (3: 149.
  • 17. de Vries SP, Bootsma HJ, Hays JP, Hermans PW. Molecular aspects of Moraxella catarrhalis pathogenesis. Microbiol Mol Biol Rev 2009; 73 (3): 389-406.
  • 18. Han R, Yue J, Lin H, Du N, Wang J, Wang S et al. Salivary microbiome variation in early childhood caries of children 3–6 years of age and its association with iron deficiency anemia and extrinsic black stain. Front Cell Infect Microbiol 2021; 11: 628327.
  • 19. Bardellini E, Amadori F, Gobbi E, Ferri A, Conti G, Majorana A. Does Streptococcus salivarius Strain M18 Assumption Make Black Stains Disappear in Children? Oral Health Prev Dent 2020; 25: 1-4.
  • 20. Gobbi E, De Francesco MA, Piccinelli G, Caruso A, Bardellini E, Majorana A. In vitro inhibitory effect of two commercial probiotics on chromogenic actinomycetes. Eur Arch Paediatr Dent 2020; 21: 673-677.
There are 20 citations in total.

Details

Primary Language English
Subjects Dentistry (Other)
Journal Section Research Article
Authors

Esra Çengel 0009-0003-6383-0722

Ahuse Senem Karaağaç 0009-0001-0401-0754

Dilşah Çoğulu 0000-0002-3156-9801

Ataç Uzel 0000-0002-1304-0509

Publication Date September 22, 2025
Submission Date April 9, 2025
Acceptance Date August 4, 2025
Published in Issue Year 2025 Volume: 26 Issue: 3

Cite

EndNote Çengel E, Karaağaç AS, Çoğulu D, Uzel A (September 1, 2025) Investigation of the Antagonistic Effect of Enterococcus Durans Strains on Microorganisms Responsible for Black Tooth Staining. Meandros Medical And Dental Journal 26 3 319–325.