Background and Objectives: Lactoperoxidase system contains Lactoperoxidase, Hydrogen peroxide and Thiocyanate ions, which have inhibitory action against cariogenic oral microflora. The present study was undertaken to assess the effect of lactoperoxidase system containing toothpaste on cariogenic microflora in children with early childhood caries. Methods: Study group included 30 children with Early Childhood Caries. 15 were considered as test group who used the test product Biotene® toothpaste and other 15 as control group who used Colgate Active® as control product. Salivary samples were analyzed for mutans streptococci (MS) and Lactobacilli, and for the levels of Thiocyanate ions. Results: showed significant increase in the levels of Thiocyanate ion in saliva during experimental period. Compared to the control group test group showed significant increase in the levels of thiocyanate ions during experimental and washout period, whereas the number of colonies of MS and Lactobacilli were significantly reduced in test group during experimental period. Conclusion: The levels of thiocyanate ions can be increased in vivo by supplementing the saliva with natural enzymes like lactoperoxidase. This increased concentration of thiocyanate will reduce the number of cariogenic microflora in children with Early Childhood Caries.

Tenovuo J, Grahn E, Lehtonen OP, Hyyppa T, Karhuvaara L, Vilja P. Antimicrobial factors in saliva: Ontogeny and relation to oral health. J Dent Res, 66(2): 475–9, 1987.
Antimicrobial factors in saliva: Ontogeny and relation to oral health
J Dent Res
, vol. 
66
 (pg. 
475
-
9
)
Krishna Kumar R. Comparison of levels of mutans streptococci & lactobacilli in children with nursing caries. Ind soc pedo prev dent, 20: 1–5, 2002.
Comparison of levels of mutans streptococci & lactobacilli in children with nursing caries
Ind soc pedo prev dent
, vol. 
20
 (pg. 
1
-
5
)
Rosin M, Kocher T, Kramer A. Effects of SCN-/H2O2 combinations in dentifrices on plaque and gingivitis. J Clin Periodontol, 28: 270–6, 2001.
Effects of SCN-/H2O2 combinations in dentifrices on plaque and gingivitis
J Clin Periodontol
, vol. 
28
 (pg. 
270
-
6
)
Thomas EL, Pera KA, Smith KW. Inhibition of Streptococcus mutans by the lactoperoxidase antimicrobial system. Infect immunol Feb, 767–78, 1983.
Kristila V, Lenander-Lumikari M, Soderling E, Tenovuo J. Effect of oral hygiene products containing lactoperoxidase, lysozyme, and lactoferrin on the composition of whole saliva and on subjective oral symptoms in patients with xerostomia. Acta Odontol Scand, 54: 391–7, 1996.
Effect of oral hygiene products containing lactoperoxidase, lysozyme, and lactoferrin on the composition of whole saliva and on subjective oral symptoms in patients with xerostomia
Acta Odontol Scand
, vol. 
54
 (pg. 
391
-
7
)
Wyne AH. Early childhood caries nomenclature and case definition. Dent Oral Epid, 27: 313–5, 1999.
Early childhood caries nomenclature and case definition
Dent Oral Epid
, vol. 
27
 (pg. 
313
-
5
)
Rahemtulla BM, Baldone DC, Pruitt KM, Rahemtulla F. specific assay for peroxidase in human saliva. Arch oral Biol;31(10):661-8. 1986.
Lenander-Lumikari M, Tenovuo J Mikola H. Effects of a lactoperoxidase system-containing toothpaste on levels of hypothiocyanite and bacteria in saliva. Caries Res, 27(4): 285–91, 1993.
Effects of a lactoperoxidase system-containing toothpaste on levels of hypothiocyanite and bacteria in saliva
Caries Res
, vol. 
27
 (pg. 
285
-
91
)
Thomas M, AUNE,Thomas EL. Accumulation of hypothiocyanite ion during peroxidase-catalyzed oxidation of thiocyanate ion. J Biochem, 80: 209–14, 1977.
Accumulation of hypothiocyanite ion during peroxidase-catalyzed oxidation of thiocyanate ion
J Biochem
, vol. 
80
 (pg. 
209
-
14
)
Mosimann W, Sumner JB. Salivary peroxidase. Archives of biochemistry & biophysiology, 33: 487, 1951.
Salivary peroxidase
Archives of biochemistry & biophysiology
, vol. 
33
 pg. 
487
 
Tenovuo J, Pruitt KM, Thomas EL. Peroxidase antimicrobial system of human saliva: Hypothiocyanite levels in resting and stimulated saliva. J Dent Res, 61: 982–5,1982.
Midda M, Cooksey MW. Clinical uses of an enzyme-containing dentifrice. J Clin Periodontol, 13(10): 950–6, 1986.
Clinical uses of an enzyme-containing dentifrice
J Clin Periodontol
, vol. 
13
 (pg. 
950
-
6
)
Soukka T, Lumikari M, Tenovuo J in 1991. Combined effect of lactoferrin and lactoperoxidase system on the viability of streptococcus mutans, serotype c. Scand J Dent Res, 99: 390–6, 1991.
Tenovuo J in 1991. Combined effect of lactoferrin and lactoperoxidase system on the viability of streptococcus mutans, serotype c
Scand J Dent Res
, vol. 
99
 pg. 
390
 
Thomas EL, Aune TM, Lactoperoxidase, peroxide, thiocyanate antimicrobial system: Correlation of sulfhydryl oxidation with antimicrobial action. Infect immunol May; 456–63, 1978.
Berg JH, Farell JE, Brown LR. Class II glass ionomer/silver cermet restorations and their effect on interproximal growth of mutans streptococcus. Pediatr Dent, 12(1): 20–3, 1990.
Class II glass ionomer/silver cermet restorations and their effect on interproximal growth of mutans streptococcus
Pediatr Dent
, vol. 
12
 (pg. 
20
-
3
)
Mulligan R, Navazesh M, Slots J. antibacterial activity of an alcoholfree mouthwash with enzymes [abstract]. J Dent Res, 71: 156–59, 1992.
Kirstila Y, Lenander-Lumikari M, Tenovuo J. Effects of lactoperoxidase-system-containing toothpaste on dental plaque and whole saliva in vivo. Acta Odontol Scand, 52(6): 346–53. 1994.
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