[HN Gopher] The molecule DIM reduces biofilms causing dental pla...
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       The molecule DIM reduces biofilms causing dental plaque: study
        
       Author : hanniabu
       Score  : 103 points
       Date   : 2023-09-10 12:11 UTC (10 hours ago)
        
 (HTM) web link (scitechdaily.com)
 (TXT) w3m dump (scitechdaily.com)
        
       | m3kw9 wrote:
       | Whatever dental society that is gets paid for giving dentists
       | licences is not gonna approve this if it means it will lower
       | cavities by a lot, a big portion of dentists fees is from
       | patching up cavities and it's sideffects.
        
       | TheAceOfHearts wrote:
       | I can't wait for daily teeth brushing to be a thing of the past.
       | It amazes me we've had so many technological advances while still
       | having such primitive mouth cleaning solutions.
       | 
       | There's people that basically never have to brush their teeth,
       | why can't their magical bacteria be used by everyone? I recently
       | asked a dentist in training and they told me the bacteria would
       | die after eating the plaque. Even if you have to regularly re-add
       | the bacteria, it doesn't seem like that big of a deal. You could
       | make a lozenge which you suck on once a week, and it's still less
       | effort than brushing daily.
        
         | [deleted]
        
         | anonym29 wrote:
         | Technically, teeth brushing can become a thing of the past for
         | you at any time, if you're not in love with your teeth.
        
           | WhereIsTheTruth wrote:
           | If you are referring to implants, you still have to brush
           | them daily
        
             | pdimitar wrote:
             | Do you really have to do it daily with them? I have two
             | zirconium-based implanted teeth and they're always smooth.
             | Zero biological film or gunk on them, and I had some
             | periods this year during which I didn't brush teeth for 4-5
             | days. All other teeth were nasty but the zirconium implants
             | looked and felt pristine. (Sadly still prone to food bits
             | getting stuck in-between though, but oral shower and
             | interdental brushes take care of that.)
             | 
             | Though I agree that even if you replace all your teeth you
             | still have to brush somewhat because the gums need the
             | cleanup as well and you can't replace those. Though I'd
             | think I can get away with a much shorter procedure than
             | what I do for several years now (powerful oral shower,
             | interdental brushes, brushing teeth and gums, and
             | Listerine).
        
               | WhereIsTheTruth wrote:
               | If I remember correctly, it's mostly inter-dental
               | brushing/flushing to avoid gum related problems or food
               | getting stuck (infections)
        
               | pdimitar wrote:
               | That's what I thought, thanks. Interdental brushing is
               | the one and only unavoidable cleaning procedure even if
               | all your teeth are artificial, it seems.
               | 
               | Gums and inter-teeth space are still prone to pollution
               | that can easily grow to infections and ultimately nasty
               | stuff like periodontitis (I got operated to be cured of
               | it several years ago).
        
             | agumonkey wrote:
             | I think he had soup and straws in mind
        
         | bigbillheck wrote:
         | Never brushing your teeth is a great way for nobody to ever
         | want to smooch you.
        
           | amelius wrote:
           | But note that more brushing != more smooching.
        
             | dghughes wrote:
             | Only if you brush up against somone.
        
             | bigbillheck wrote:
             | It's necessary but not sufficient.
        
             | xorbax wrote:
             | It depends on what range of the x-axis you select, and what
             | units you use for y
        
             | lijok wrote:
             | Speak for yourself - my wife is a dentist
        
           | happytoexplain wrote:
           | I can attest that this is not a rule. Some people simply do
           | not develop bad breath despite never brushing (I am not one
           | of them). I assume it is a lucky minority.
        
         | tsss wrote:
         | I would still brush my teeth after every meal if I can. Not
         | only to prevent smells. I find it also reduces the frequency of
         | snacking and thus helps to keep the weight down.
        
         | SanderNL wrote:
         | [flagged]
        
           | TheHumanist wrote:
           | Seems like an unnecessarily condescending comment
        
             | testbjjl wrote:
             | Weird that the parent comment somehow triggered this
             | person. I'd be curious as to why, perhaps a dentist or a
             | dental sympathizer?
        
           | happytoexplain wrote:
           | What a strange thing to have this feeling about.
        
           | TheAceOfHearts wrote:
           | Are you trying to make a point that it's unrealistic? Because
           | there's definitely people that don't have to brush their
           | teeth daily to maintain great dental health. Calling it
           | magical bacteria is a bit of a hyperbole, but I figured
           | anyone reading my post in good faith would catch that.
        
             | avery17 wrote:
             | Do you have a source of this claim that people exist who
             | dont "need" to brush their teeth?
        
               | [deleted]
        
               | happytoexplain wrote:
               | I've never looked into the facts, but anecdotally I've
               | known of two close friends who never (and I mean never -
               | not an observation, but an admission) brushed their teeth
               | and never had one solitary cavity. They ate pretty normal
               | American diets (meat, sugar, carbs, soda, coffee, but
               | nothing in excess). Additionally, I've heard this same
               | second-hand anecdote from others multiple times in my
               | life.
        
       | ipnon wrote:
       | Interestingly enough, it's a cannabinoid receptor agonist.
       | 
       | https://onlinelibrary.wiley.com/doi/10.1002/ardp.202200493
        
       | beefman wrote:
       | Conveniently doesn't mention that DIM smells horrible!
        
       | kej wrote:
       | I feel like I've read some variation of "new thing will make
       | tooth brushing obsolete" every few years for the last two decades
       | at least, but they never seem to come to fruition.
        
       | briHass wrote:
       | I'd like to see more research on bleach (sodium hypochlorite) for
       | this purpose. The limited studies out there are very promising
       | for bleach as a mouthwash, where it compares favorably to
       | chlorhexidine, another bacteria killer available as prescription
       | mouthwash. Unlike chlorhexidine, however, it doesn't stain teeth
       | as significantly, and it's obviously much cheaper. (Note: the
       | concentration is 0.1% typically, so diluted from the 6% common in
       | the jug)
       | 
       | One interesting point I saw was that bleach is unlikely to
       | promote oral cancers, unlike alcohol mouthwash or oxygenating
       | compounds like hydrogen peroxide.
        
         | vidarh wrote:
         | Where is chlorhexidine prescription only? Here (UK) there are
         | several brands sold everywhere as daily mouthwash.
         | 
         | Staining w/chlorhexidine appears to be very individual.
        
         | klipt wrote:
         | I've had several hygienists and dentists tell me Closys (sodium
         | fluoride) is great for killing the bad bacteria without
         | staining.
        
       | dlg wrote:
       | There was a version of streptococcus mutans developed that didn't
       | produce tons of lactic acid and would have pretty much ended
       | tooth decay back in 2000. Iirc, it was built to outcompete the
       | regular bacteria too. As far as I can tell there's been no
       | progress in commercializing this---I assume because of the cost
       | and complexity of FDA approval.
       | 
       | E.g., https://pubmed.ncbi.nlm.nih.gov/12369203/
        
         | TheHumanist wrote:
         | I wonder if there is anything more to the reason that it has
         | never gained any real traction? A lot of groups would stand to
         | lose a lot of money if something like this become used by even
         | half the population. This would mean a massive reduction in
         | purchases of many dental products, visits to dentists,
         | procedures needed by dentists, etc.
        
           | isoprophlex wrote:
           | How'd you call this lactic acid promoting cartel? Big
           | Toothpaste? Big Plaque? Big Teeth?
        
             | maximinus_thrax wrote:
             | You're trying to make a joke here, but please do some
             | reasearch about the dental lobbying groups. The ADA is no
             | joke.
             | 
             | What OP is implying is not really tinfoil hat material. As
             | one example, one of the reasons parroted (by democrats,
             | actually) that we won't have universal healthcare ever, is
             | that it's going to cause thousands of health insurance jobs
             | to dissapear.
        
               | beebmam wrote:
               | Then why doesn't a country with a nationalized health
               | care system do it? There are incentives in other
               | countries that would encourage this, if it were possible.
        
               | zaat wrote:
               | I'm not saying there isn't such a country, but the
               | countries with national health care that I know about
               | don't or don't fully cover dental health (presumably
               | because one can live in perfect health with a rotting
               | mouth and not due to a strong dental healthcare lobby
               | /s).
        
               | peteradio wrote:
               | How oh how did our ancestors survive without the dental
               | lobby!? How did the children with their rotten ass teeth
               | consume all their goodies and sodie pops with such poorly
               | functioning teeth!? Its a complete mystery, one I'm sure
               | is lost to the sands of the 1950s.
        
               | zaat wrote:
               | They died at young age, miserably?
        
               | klipt wrote:
               | Most of our ancestors just ate much less refined sugar,
               | so probably had less need for dental care in the first
               | place.
        
               | zaat wrote:
               | > ...there was never yet philosopher that could endure
               | the toothache patiently (shakespeare)
               | 
               | Why defer to a baseless "probably" when you can easily
               | check what is known about the past? Wikipedia doesn't put
               | the blame on refined sugar but rather point to farming as
               | to what correlated with dental issues. Are you familiar
               | with the barber's pole? that's the sign for the location
               | where our ancestors went to be relived from owning teeth.
               | 
               | https://en.wikipedia.org/wiki/Barber%27s_pole
        
               | maximinus_thrax wrote:
               | My nationalized healthcare comment is unlreated to the
               | existence of the dental industry in its current form. It
               | was just an example to point out that protecting jobs is
               | something our elected leaders are worried about when
               | lobbyists are paying up (they're not really that worried
               | about jobs dissapearing due to automation or mergers or
               | monolopies, etc..)
               | 
               | Regardless of the type of healthcare (nationalized,
               | private, etc..) the dental health industry is still
               | getting paid, the only diffference is who is doing it.
               | The original statement was that a breakthrough in
               | preventive medicine will destroy a large portion of the
               | bread and butter of the dental health industry, which
               | will lead to it being only a fraction of what it is
               | today. Industries fight tooth and nail to keep growing.
               | Guess what they do when their existence is threatened.
        
               | zaat wrote:
               | > Regardless of the type of healthcare (nationalized,
               | private, etc..) the dental health industry is still
               | getting paid, the only diffference is who is doing it.
               | 
               | No, one difference is who is doing it, another one is the
               | sums being payed. That's why the dental industry in
               | countries with national health care fight to stay out of
               | the general health system. The lucrative compensation of
               | the practitioners lead people to want to go specifically
               | for that. If it were part of national health care it
               | would cease to be sure path to accumulating loads of
               | money, the incentive to become a dentist as well as the
               | power of current practitioner will be similar to that of
               | family doctors or orthopedic specialist. Spoiler alert:
               | in countries with national health care their status is
               | higher then the status of teachers in national school
               | systems, but not by much.
        
           | Finnucane wrote:
           | What's more likely, vast cabal conspiring against competing
           | product, or competing product just doesn't work as well as
           | claimed? There aren't nearly as many grand conspiracies out
           | there as there should be.
        
         | amelius wrote:
         | > it was built to outcompete the regular bacteria too
         | 
         | What if it invades the gut?
        
           | piuantiderp wrote:
           | Very different conditions
        
         | tyre wrote:
         | Looks like that research led the lead author to found a
         | company[0] and develop a probiotic tablet[1]. Seems like it
         | could be worth trying.
         | 
         | [0]: https://www.dentistryiq.com/dentistry/oral-systemic-
         | health/a...
         | 
         | [1]: https://probiorahealth.com/
        
           | darkclouds wrote:
           | [1]: https://probiorahealth.com/ resolves to google, yet it
           | shows in google results, so dont know if the HN hug of death
           | has forced this change.
           | 
           | Last scan by the wayback machine.
           | 
           | https://web.archive.org/web/20230628125533/https://probiorah.
           | ..
        
           | clumsysmurf wrote:
           | There are a few of these kinds of products, I wonder how they
           | compare
           | 
           | https://www.lifeextension.com/vitamins-
           | supplements/item02120...
        
           | Obscurity4340 wrote:
           | No way?! Great find, dude. I wonder if anyone can comment
           | about it specifically or if it might be worthwhile to start a
           | thread soliciting users experience...
        
             | lisper wrote:
             | I've never tried it but I see cause for skepticism: the
             | claim is that these beneficial bacteria will out-compete
             | the harmful ones. But if that's true, why would it take 30
             | days for them to get established? One shot of Listerine to
             | kill what's there now, then one batch of the good critters
             | to get them started, and, if the claims are true, you
             | should be set for life, right? So something doesn't add up.
        
               | darkclouds wrote:
               | Zinc starves bacteria via a variety of means, and a high
               | zinc intake will see high levels of zinc in the saliva
               | and in the teeth, helping to keep bacterial levels down,
               | but RDA's are highly conservative amounts for young
               | healthy people, not old or ill people, which then makes
               | some RDA's woefully inadequate.
               | 
               | Very few products kill 100% of bacteria, even deionised
               | water will still have less than 25 colony forming
               | bacteria per litre in it, although by virtue of being
               | deionised has less in it to help bacteria get
               | established. Acidifying water will make it harder for
               | pseudomonas to get established. But when scientists say
               | they are searching for life on mars or an asteroid, they
               | are referring to bacteria, mainly the bacillus aka rod
               | shaped bacteria as it can survive in radiation 100,000
               | times more than humans can survive in, and extreme cold
               | like space, so global warming and melting ice at the
               | poles presents new viral and bacterial risks.
               | 
               | Diet can also reduce the body's own immune response, for
               | example calcium disodium ethylene diamine tetra-acetate
               | aka Calcium disodium EDTA found in a variety of products
               | from makeup to food like Mayonnaise chelates zinc
               | reducing zinc's ability to activate GPR39.
               | 
               | Zinc's inability from deficiency or chemicals like the
               | one mentioned above, from being able to activate GPR39,
               | creates a myriad of problems in human health, including
               | reducing saliva production. [1]
               | 
               | There isnt anything wrong with using bacteria to out
               | compete other bacteria, but adaptions occur.
               | 
               | Phages are viruses that kill bacteria, something the
               | Russians developed decades ago as the West when with
               | antibiotics[2]. I would also consider Georgia as a
               | medical destination for some conditions as they are
               | superior to Western options. Some of their doctors do
               | scoff at the Western doctors!
               | 
               | You can find millions if not billions of phages in just
               | 1ml of seawater [3]. The problem with phages is they take
               | time to develop, so you could be dead before the
               | bacterial strain is identified and a phage is developed,
               | so antibiotics are the fastest immediate response, but
               | the gold standard is antibiotics until the phages have
               | been developed and then used as a part of a treatment
               | program, but you'll only get this from very expensive
               | private healthcare.
               | 
               | Of course drinking seawater when one goes surfing is a
               | bit of pot luck, or lucky dip with regards to consuming
               | phages. It makes me wonder if Surfers Against Sewage know
               | about phages. [4]
               | 
               | So lots of different ways to tackle health problems, but
               | medical experts cant always use them due to cost or
               | simply lack of knowledge.
               | 
               | [1] https://www.mdpi.com/1422-0067/22/8/3872
               | 
               | [2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203130/
               | 
               | [3] https://www.bbc.com/future/article/20210115-the-
               | viruses-that....
               | 
               | [4] https://www.sas.org.uk/
        
               | rdedev wrote:
               | It could be the case that these specific strain of good
               | bacteria does not last long enough in the mouth for some
               | reason. For example they could mutate or they might not
               | have the capability to attach itself to the tooth surface
               | for long enough.
               | 
               | In their website they claim that within 30 days the good
               | bacteria will outcompetes the bad one. I don't think you
               | can stop taking the tablets after those 30 days
               | completely to keep tits benefits. Those bacteria might
               | die down over a course of a few months for various
               | reasons.
        
               | lisper wrote:
               | What do you think "outcompete" _means_ in the context of
               | evolutionary biology? _Something_ is going to set up shop
               | in your mouth; it 's just too attractive an environment
               | to be left fallow. Whatever that ends up being without
               | intervention has _by definition_ outcompeted all the
               | other contenders. So if the good bacteria don 't persist,
               | then _by definition_ they have not  "outcompeted" the
               | competition.
        
               | Obscurity4340 wrote:
               | Doesn't your body have a reservoir of your microbiome
               | throughout your body (like in the appendix or whatever)?
               | Is it that far-out that some of the mouth stuff makes it
               | there as well? Keep in mind, these bacteria have probably
               | adapted and co-evolved over our development as a species,
               | they must be fairly hardy and well-positioned
               | 
               | Not qualified to argue with your very logical position
               | here but I feel like it might be a longer-term transition
               | and there might still be hold-outs if its only a one-and-
               | done deal like you've described.
               | 
               | Mea culpa tho, I definitely want to believe
        
               | lisper wrote:
               | > I definitely want to believe
               | 
               | Me too. Nothing would make me happier than for someone to
               | show me why I'm wrong here.
        
               | Obscurity4340 wrote:
               | It totally makes sense as a real-life conspiracy theory
               | too, although I'm not super familiar with the ADA's
               | exploits. Obviously, dentists have an enormous amount to
               | lose if something like this ever escaped the laboratory,
               | so to speak.
        
               | lisper wrote:
               | That's true, but if it really were the case that you
               | could stop cavities and gum disease by popping a pill
               | that was already on the market I don't see any way they
               | could stop it. I also think that there are a few ADA
               | members who actually care about people's dental health,
               | and if they thought that there was a conspiracy to
               | suppress such a thing, they would have said so.
               | 
               | Like I said, nothing would make me happier than to be
               | proven wrong about this. But right now my money is on the
               | things-that-sound-too-good-to-be-true-usually-are theory.
        
         | 0cf8612b2e1e wrote:
         | My naive thought, assuming it was effective, could outcompete
         | acid spewing species, and you had dosed a handful of the
         | population: why would it not have been able to spread through
         | the population?
         | 
         | Inoculated person X kisses two people, they go on to kiss two
         | people, etc. Probably too simple a model, but I assume that
         | kissing spreads all manner of microorganisms. How much do you
         | need for the bacteria to take hold?
        
       | tycho-newman wrote:
       | Y'all will do anything to avoid some mouthwash.
        
         | justinclift wrote:
         | Well, it's pricing is kind of extraordinary.
         | 
         | Like soft drinks, it's pretty much water + additives.
         | 
         | Yet it makes brand name soft drinks look extremely cheap. ;)
        
           | retSava wrote:
           | You could call my child, or me, water + additives, yet she is
           | priceless :).
        
             | doubled112 wrote:
             | Interesting. My children seem to be incredibly expensive.
        
         | Obscurity4340 wrote:
         | Is that really all it takes?
        
           | klipt wrote:
           | No, you need mechanical stimulation to break up biofilm, aka
           | brushing.
           | 
           | Most effective are those Oral B electric brushes that
           | alternately rotate back and forth.
        
       | lifty wrote:
       | Is there a DIY version of this molecule?
        
         | stereo wrote:
         | Broccoli contains loads of it. You can also buy a bag for $19:
         | https://www.amazon.com/PURE-ORIGINAL-INGREDIENTS-Diindolylme...
        
           | amelius wrote:
           | From:
           | 
           | https://www.webmd.com/vitamins/ai/ingredientmono-1049/diindo.
           | ..
           | 
           | > Diindolylmethane might act like estrogen in the body, but
           | might also block estrogen effects.
           | 
           | Right, so don't swallow it?
           | 
           | > People commonly use diindolylmethane for breast cancer,
           | prostate cancer, and many other conditions, but there is no
           | good scientific evidence to support these uses.
           | 
           | Or perhaps do swallow it?
        
             | LinuxBender wrote:
             | I take it in capsule form. It may be worth noting should
             | anyone decide to take this to remember in advance how it
             | will color the urine. The first time can be rather
             | disturbing. It makes the urine kindof a splotchy red/bronze
             | color if it has not been consumed in a while. I totally
             | forgot about that the first time and though I was
             | experiencing renal failure at first.
             | 
             | I personally only take small amounts as it seems to up-
             | regulate some repair pathways that can cause pain in some
             | joints. No pain no gain but I'm just lazy enough to stick
             | with broccoli sprouts for DIM and sulforaphane most of the
             | time. I also don't measure serum estrogen and _guess_ as
             | with most things.
        
             | tourmalinetaco wrote:
             | As is common in food sciences, "we have no idea what this
             | actually does but SOME small studies have SOME big
             | conclusions so here you go".
        
               | Projectiboga wrote:
               | This molecule is safe to eat, it helps the body fight the
               | stomach ulcer bacteria. This cuts the slime that these
               | bacteria use but aren't indiscriminate at killing
               | microbes. You're immune system still does the actual work
               | this just prevents evasive measures resistant bugs use.
        
         | typingonmyphone wrote:
         | Careful, if this molecule is basically an antibiotic (and at
         | that, with poor effectiveness outside of a specific dose
         | range), you could produce resistant bacteria or hard-to-predict
         | side effects
        
       | ravenstine wrote:
       | This molecule, DIM, _supposedly_ breaks up the biofilms of S.
       | mutans. But there are other substances known to break up
       | biofilms, including xylitol. There 's been research around this,
       | and it suggests that it can work but only under the condition
       | that sucrose (and possibly other sugars) not be present.
       | 
       | https://pubmed.ncbi.nlm.nih.gov/32932149/
       | 
       | https://www.researchgate.net/publication/342535934_Xylitol_a...
        
         | klipt wrote:
         | We already have a reliable way to break up biofilm, it's called
         | brushing ... unfortunately you have to repeat the process twice
         | daily.
        
       | ironborn123 wrote:
       | So any salad that contains chopped cabbage/broccoli and eaten
       | daily should do the trick?
        
       | xk_id wrote:
       | there is something odd about their results. the compound was
       | found not to be effective at either 0.1x or 10x of the effective
       | dose. and they don't really explain why. this kind of dose-
       | response curve makes it impractical to use.
        
         | ta988 wrote:
         | Unfortunately typical of compounds that have promiscuous
         | activities. Lets wait for this to be replicated or applied
         | before getting excited.
        
         | kens wrote:
         | Wow, you're right; the results are very strange. Concentrations
         | of 50, 5, and .05 have no effect at all, while .5 almost
         | completely eliminated biofilm. That kind of looks like
         | experimental error.
         | 
         | Figure 1 at https://www.mdpi.com/2079-6382/12/6/1017
        
           | arcticfox wrote:
           | Wowwwww. I desperately want this approach to hold up but who
           | in their right mind puts that in a paper with only the caveat
           | "interestingly, only one dose worked." when they tested three
           | others with literally zero effect and there's no known
           | mechanistic reason listed.
           | 
           | I hope I'm missing something but that _looks_ like a
           | ridiculous blunder perhaps made to get forward to publishing.
        
       | smeej wrote:
       | > A significant portion of the global population experiences
       | persistent issues with dental plaque and cavities or will face
       | them at some time.
       | 
       | How significant a percentage are we talking about?
       | 
       | Pretty much every dentist I've seen throughout my life has told
       | me that I'm somehow immune to cavities. I don't know how they're
       | figuring this out just from looking in my mouth (I'm not aware of
       | having had any saliva tests or anything like that), but they've
       | all agreed about it.
       | 
       | I wonder if I'm in some less significant percentage of people who
       | foster this bacteria (or something like it) on our own somehow?
        
         | peteradio wrote:
         | [flagged]
        
           | ipnon wrote:
           | In my opinion this is a bad comment because its only purpose
           | is to denigrate the person you're replying to.
        
         | tremon wrote:
         | _Pretty much every dentist I 've seen throughout my life has
         | told me that I'm somehow immune to cavities_
         | 
         | My dentist told me there's two types of mouth flora: one that
         | causes cavities, and one that causes calculus. My mouth seems
         | to be of the latter.
        
         | micromacrofoot wrote:
         | stop brushing and find out
        
         | HWR_14 wrote:
         | They can see the beginning stages of cavity development long
         | before they need to be dealt with. I would take it as "my teeth
         | are abnormally healthy"
        
       | impish9208 wrote:
       | 9 out of 10 dentists hate this molecule.
        
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       (page generated 2023-09-10 23:01 UTC)