A once-annual caries preventive (Intervention) treatment was offered to Aboriginal and
Torres Strait Islander schoolchildren—a population with disproportionately poorer oral
health than non-Indigenous Australian children—in the Northern Peninsula Area (NPA) of
Far North Queensland (FNQ), which significantly improved their oral health. Here, we
examine the salivary microbiota of these children (mean age = 10 ± 2.96 years; n = 103),
reconstructing the bacterial community composition with high-throughput sequencing of
the V4 region of bacterial
16S rRNA
gene. Microbial
communities of children who received the Intervention had lower taxonomic diversity than
those who did not receive treatment (Shannon, p < 0.05). Moreover, the Intervention
resulted in further decreased microbial diversity in children with active carious
lesions existing at the time of saliva collection. Microbial species associated with
caries were detected;
Lactobacillus salivarius, Lactobacillus
reuteri, Lactobacillus gasseri, Prevotella multisaccharivorax, Parascardovia
denticolens
, and
Mitsuokella
HMT 131 were
significantly increased (p < 0.05) in children with severe caries, especially in
children who did not receive the Intervention. These insights into microbial
associations and community differences prompt future considerations to the mechanisms
behind caries-preventive therapy induced change; important for understanding the
long-term implications of like treatment to improve oral health disparities within
Australia.
Trial registration: ANZCTR, ACTRN12615000693527. Registered 3 July
2015
,
https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=368750&isReview=true