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Effect of Radiation-Induced Xerostomia on Human Oral Microflora

Lee R. Brown

University of Texas Dental Science Institute, and The University of Texas M. D. Anderson Hospital and Tumor Institute, Houston, Texas 77025, USA

Samuel Dreizen

University of Texas Dental Science Institute, and The University of Texas M. D. Anderson Hospital and Tumor Institute, Houston, Texas 77025, USA

Sandra Handler

University of Texas Dental Science Institute, and The University of Texas M. D. Anderson Hospital and Tumor Institute, Houston, Texas 77025, USA

Dennis A. Johnston

University of Texas Dental Science Institute, and The University of Texas M. D. Anderson Hospital and Tumor Institute, Houston, Texas 77025, USA

A longitudinal study was performed to assess the effects of radiation-induced xerostomia on the human oral microflora. Pronounced microbial population shifts were found in each of five intraoral sites tested. Cariogenic microorganisms gained prominence at the expense of noncariogenic microorganisms in concert with the saliva shutdown. These changes occurred before the onset of clinical caries irrespective of whether or not a topical fluoride gel was used as a caries preventive.

Journal of Dental Research, Vol. 54, No. 4, 740-750 (1975)
DOI: 10.1177/00220345750540040801


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