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Effects of Sugar Alcohols, found in
Sugar-free Gum, on Streptococcus
mutans using an in vitro Closed
Chamber System
By Katie Dill
Mentor: Dr. Sue Katz
Department of Biology
Rogers State University
Review: Background
• Human Mouth
▫ 700 bacteria taxa
• Biofilm
▫ Dental Plaque
 Release acids and erode enamel
• Streptococcus mutans
▫ Pathogenic
▫ Non-motile and gram positive
▫ Facultative Anaerobic
▫ Adaptable: Temp. pH
▫ Metabolizes Sucrose
Review: Background and Hypothesis
• Teeth cleaning Methods
▫ Mechanical
▫ Chemical
• Sugar Alcohols
▫ Sweetener
 Sugar-free Gum
▫ Carbohydrate
 -Polyol
 Alcohol
• Hypothesis
Mannitol
Sorbitol
Erythritol
Xylitol
Significance
• Widespread disease
▫ Expensive
▫ Painful
• S.mutans:
▫ Pathogenic
▫ Highly Adaptive
▫ Cardiovascular disease
Review: Experimental Groups and Variables
• Variables:
▫ Independent:
 Concentration of S. mutans
for each sugar
▫ Dependent:
 Sugar Type
• Experimental Groups
▫ Control
 Sucrose
▫ Sugar Alcohols
 Xylitol
 Sorbitol
 Mannitol
 Erythritol
Experimental Trial: Saliva Solution
• Sterilization
• 60mL of sucrose Broth+5mL of Saliva
• Dilute to 1:10 by adding sterile water
• Incubate: 37 C for 4 days
Experimental Trial: Running the Chamber System
• Saliva-Solution chamber
▫ [5%] of experimental group
• Mouth chamber
▫ Built in Platform
 2 disc per trial
 One disc= one sample
▫ Magnetic Stir Plate
 60-200rpm
• Waste chamber
• Trial: 20 minutes
Experiment Trial: Samples
• Ceramic Disc Treatment
▫ Rinse with sterile water
▫ 25mL of NaCl
▫ Sonicate to remove biofilm
• Weighed 15mL tube, record weight
▫ Add 10mL of biofilm
• Centrifuge
▫ 3800rmp
▫ 15 minutes
• Pour off supernatant & reweigh tubes
▫ Pellet weight
Pellet
Experimental Trial
• Each pellet
▫ Dilution set: 1:2
▫ 10-9
• Isolate S.mutans
▫ Sucrose Agar
• Incubate overnight
▫ 37 C
▫ Count clear colonies
• Qualitative analysis
▫ Concentration Factor
 CFU/mL
 10-9 section
Sucrose plates
Results: Pellet weight
Table 1: Pellet weight Standard Deviation
Sugar Sample size Standard Deviation each
pellet weight(g)
Sucrose 4 0.020615528
Erythritol 4 0.023804761
Mannitol 4 0.020615528
Sorbitol 2 0.007071068
Xylitol 2 0.014142136
Erythritol and Sucrose samples
Erythritol
Sucrose
4.88E-06
5.36E-06
4.20E-06
0.00E+00
2.64E-06
6.84E-06
8.92E-06
4.20E-06
4.80E-07
2.64E-06
8.72E-06
6.64E-06
2.20E-06
9.36E-06
9.16E-06
3.16E-06
0.00E+00 2.00E-06 4.00E-06 6.00E-06 8.00E-06 1.00E-05
Xyltiol
Sorbitol
Mannitol
Erythritol
Sucrose
Concentration Factor(CFU/mL)
Sugar
Sugar vs. Concentration Factor(CFU/mL)
Sample 4 Sample 3 Sample 2 Sample 1
Conclusion
• Mannitol
▫ Not Effective
• Xylitol, Sorbitol, & Erythritol
▫ Inconclusive
• Xylitol & Sorbitol
▫ Small sample size
• Erythritol
▫ Contradicting results
 16% of sugar alcohol samples
References
• Works Cited
• Atlas, R. M., & Parks, L. C. (1993). Handbook of microbiological media. Boca Raton: CRC Press.
• Allman, A. (2007). Streptococcus mutans: Tooth decaying Bacteria. Retrieved from Streptococcus mutans:
http://bioweb.uwlax.edu/bio203/s2007/allmann_ambe/interactions_with_other_species.htm
• Burks, B. (2014). Does cariogenic Streptococcus mutans play a role in Cardiovascular Disease? Undergraduate Reveiw: A journal of
undergraduate Research, 1-3.
• Cappuccino, J. G., & Sherman, N. (2014). Microbiology: A Labratory Manual tenth edition. Glenview,IL: Pearson Education Inc.
• (2013). Cultivating Organisms. In D. R. Wessner, C. Dupont, & T. C. Charles, Microbiology (pp. 1-867). Hoboken,NJ: Wiley.
• Forssten, S. D., Bjorklund, M., & Ouwehand, A. C. (2010). Streptococcus mutans, caries and Simulation Models. Nutrients, 290-298.
• Gehrig, J. S. (2003). Dental Plaque Bioflilms. 1-6. Asheville, North Carolina, United States.
• Hauser-Gerspach, I. (2007, June 26). Adhesion of Oral Streptococci to enamel and dental materials- Studies using a flow chamber and
microcalorimetry. University of Basal, pp. 1-89.
• J.Loesche, W. (1986). Role of Streptococcus mutans in Human Dental Decay. Mircobiology Reviews, 353-380.
• Krause, R. M. (1957). Studies on bacteriophages of Hemolytic streptococci : I. Factors influencing the interaction of phage and
susceptible host cells. The Journal of Experimental Medicine, 106(3), 365–384.
• Loveren, C. (2004). Sugar Alcohols: What is the Evidence for Caries-Therapeutic Effects? Caries Research, 286-293.
• Riley, P., Moore, D., Ahmed, F., Sharif, O. M., & Worthington, H. V. (2015, March 26). Xylitol-containing products for preventing dental
caries in children and adults. Cochrane Library.
• Runnel, R., Makinen, K. K., Honkala, S., Olak, J., Makinen, P.-L., Nommela, R, Saag, M. (2013). Effect of Three Year Consumption of
Erythritol, xylitol and Sorbitol Candies on various plaque and Salviary caries-related variables. Journal of Dentistry, 1236-1244.
• Sharman, Grover, & Blaggana. (2008, September). Chewing Gum: the Good the Bad and the Ugly. Journal of Pierre Fauchard Academy
(India Section), 105-114.
• Williams, D. L., & Bloebaum, R. D. (2009). Observing the Biofilm Matrix of Staphylococcus epidermidis ATCC 35984 Grown Using the CDC
Biofilm Reactor. Cambridge Journals, 143-152.

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Final Presentation

  • 1. Effects of Sugar Alcohols, found in Sugar-free Gum, on Streptococcus mutans using an in vitro Closed Chamber System By Katie Dill Mentor: Dr. Sue Katz Department of Biology Rogers State University
  • 2. Review: Background • Human Mouth ▫ 700 bacteria taxa • Biofilm ▫ Dental Plaque  Release acids and erode enamel • Streptococcus mutans ▫ Pathogenic ▫ Non-motile and gram positive ▫ Facultative Anaerobic ▫ Adaptable: Temp. pH ▫ Metabolizes Sucrose
  • 3. Review: Background and Hypothesis • Teeth cleaning Methods ▫ Mechanical ▫ Chemical • Sugar Alcohols ▫ Sweetener  Sugar-free Gum ▫ Carbohydrate  -Polyol  Alcohol • Hypothesis Mannitol Sorbitol Erythritol Xylitol
  • 4. Significance • Widespread disease ▫ Expensive ▫ Painful • S.mutans: ▫ Pathogenic ▫ Highly Adaptive ▫ Cardiovascular disease
  • 5. Review: Experimental Groups and Variables • Variables: ▫ Independent:  Concentration of S. mutans for each sugar ▫ Dependent:  Sugar Type • Experimental Groups ▫ Control  Sucrose ▫ Sugar Alcohols  Xylitol  Sorbitol  Mannitol  Erythritol
  • 6. Experimental Trial: Saliva Solution • Sterilization • 60mL of sucrose Broth+5mL of Saliva • Dilute to 1:10 by adding sterile water • Incubate: 37 C for 4 days
  • 7. Experimental Trial: Running the Chamber System • Saliva-Solution chamber ▫ [5%] of experimental group • Mouth chamber ▫ Built in Platform  2 disc per trial  One disc= one sample ▫ Magnetic Stir Plate  60-200rpm • Waste chamber • Trial: 20 minutes
  • 8. Experiment Trial: Samples • Ceramic Disc Treatment ▫ Rinse with sterile water ▫ 25mL of NaCl ▫ Sonicate to remove biofilm • Weighed 15mL tube, record weight ▫ Add 10mL of biofilm • Centrifuge ▫ 3800rmp ▫ 15 minutes • Pour off supernatant & reweigh tubes ▫ Pellet weight Pellet
  • 9. Experimental Trial • Each pellet ▫ Dilution set: 1:2 ▫ 10-9 • Isolate S.mutans ▫ Sucrose Agar • Incubate overnight ▫ 37 C ▫ Count clear colonies • Qualitative analysis ▫ Concentration Factor  CFU/mL  10-9 section Sucrose plates
  • 10. Results: Pellet weight Table 1: Pellet weight Standard Deviation Sugar Sample size Standard Deviation each pellet weight(g) Sucrose 4 0.020615528 Erythritol 4 0.023804761 Mannitol 4 0.020615528 Sorbitol 2 0.007071068 Xylitol 2 0.014142136
  • 11. Erythritol and Sucrose samples Erythritol Sucrose
  • 12. 4.88E-06 5.36E-06 4.20E-06 0.00E+00 2.64E-06 6.84E-06 8.92E-06 4.20E-06 4.80E-07 2.64E-06 8.72E-06 6.64E-06 2.20E-06 9.36E-06 9.16E-06 3.16E-06 0.00E+00 2.00E-06 4.00E-06 6.00E-06 8.00E-06 1.00E-05 Xyltiol Sorbitol Mannitol Erythritol Sucrose Concentration Factor(CFU/mL) Sugar Sugar vs. Concentration Factor(CFU/mL) Sample 4 Sample 3 Sample 2 Sample 1
  • 13. Conclusion • Mannitol ▫ Not Effective • Xylitol, Sorbitol, & Erythritol ▫ Inconclusive • Xylitol & Sorbitol ▫ Small sample size • Erythritol ▫ Contradicting results  16% of sugar alcohol samples
  • 14. References • Works Cited • Atlas, R. M., & Parks, L. C. (1993). Handbook of microbiological media. Boca Raton: CRC Press. • Allman, A. (2007). Streptococcus mutans: Tooth decaying Bacteria. Retrieved from Streptococcus mutans: http://bioweb.uwlax.edu/bio203/s2007/allmann_ambe/interactions_with_other_species.htm • Burks, B. (2014). Does cariogenic Streptococcus mutans play a role in Cardiovascular Disease? Undergraduate Reveiw: A journal of undergraduate Research, 1-3. • Cappuccino, J. G., & Sherman, N. (2014). Microbiology: A Labratory Manual tenth edition. Glenview,IL: Pearson Education Inc. • (2013). Cultivating Organisms. In D. R. Wessner, C. Dupont, & T. C. Charles, Microbiology (pp. 1-867). Hoboken,NJ: Wiley. • Forssten, S. D., Bjorklund, M., & Ouwehand, A. C. (2010). Streptococcus mutans, caries and Simulation Models. Nutrients, 290-298. • Gehrig, J. S. (2003). Dental Plaque Bioflilms. 1-6. Asheville, North Carolina, United States. • Hauser-Gerspach, I. (2007, June 26). Adhesion of Oral Streptococci to enamel and dental materials- Studies using a flow chamber and microcalorimetry. University of Basal, pp. 1-89. • J.Loesche, W. (1986). Role of Streptococcus mutans in Human Dental Decay. Mircobiology Reviews, 353-380. • Krause, R. M. (1957). Studies on bacteriophages of Hemolytic streptococci : I. Factors influencing the interaction of phage and susceptible host cells. The Journal of Experimental Medicine, 106(3), 365–384. • Loveren, C. (2004). Sugar Alcohols: What is the Evidence for Caries-Therapeutic Effects? Caries Research, 286-293. • Riley, P., Moore, D., Ahmed, F., Sharif, O. M., & Worthington, H. V. (2015, March 26). Xylitol-containing products for preventing dental caries in children and adults. Cochrane Library. • Runnel, R., Makinen, K. K., Honkala, S., Olak, J., Makinen, P.-L., Nommela, R, Saag, M. (2013). Effect of Three Year Consumption of Erythritol, xylitol and Sorbitol Candies on various plaque and Salviary caries-related variables. Journal of Dentistry, 1236-1244. • Sharman, Grover, & Blaggana. (2008, September). Chewing Gum: the Good the Bad and the Ugly. Journal of Pierre Fauchard Academy (India Section), 105-114. • Williams, D. L., & Bloebaum, R. D. (2009). Observing the Biofilm Matrix of Staphylococcus epidermidis ATCC 35984 Grown Using the CDC Biofilm Reactor. Cambridge Journals, 143-152.

Editor's Notes

  1. moved comma; italics in vitro