The microbiota on different oral surfaces in healthy children
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Updated: Jun 23, 2026

Oral Biofilm Sampling for Microbiome Analysis in Healthy Children
Published on: December 31, 2017
W Papaioannou1, S Gizani, A D Haffajee
1Department of Preventive and Community Dentistry, University of Athens, Athens, Greece. vpapaio@dent.uoa.gr
Insights
Early oral colonization patterns in children mirror adult profiles, with distinct microbial communities in different mouth locations. Oral microbiota gradually matures with age, showing increased periodontal pathogens in older children.
Area of Science:
- Microbiology
- Oral Health
- Pediatric Dentistry
Background:
- Understanding early oral colonization is crucial for deciphering oral biofilm development and disease initiation.
- This knowledge can inform the development of early preventive strategies for oral diseases.
Purpose of the Study:
- To investigate the early oral colonization patterns in children.
- To characterize the microbial profiles across different oral habitats in pediatric populations.
- To assess age-related changes in the oral microbiota composition.
Main Methods:
- Collected microbial samples from five oral sites in 93 children (aged 3-12 years).
- Utilized the checkerboard DNA-DNA hybridization technique to detect 38 microbial species.
- Stratified participants into three distinct age groups for comparative analysis.
Main Results:
- Distinct microbial profiles were observed across different oral surfaces, with exceptions for Parvimonas micra and Porphyromonas gingivalis.
- Supragingival and subgingival plaque shared similar profiles, rich in Actinomyces and Green complex species.
- Soft tissues were dominated by Yellow complex streptococci, while tongue and saliva exhibited similar profiles.
- Periodontal pathogens, particularly Red complex species (Tannerella forsythia, P. gingivalis, Treponema denticola), significantly increased with age across all sampled locations.
Conclusions:
- The oral microbiota colonization pattern in children resembles that of adults.
- Age-related differences in microbial profiles indicate a gradual maturation of the oral microbiota.
- An increasing abundance of Orange and Red complex species is associated with aging in the pediatric oral environment.
Introduction:
Knowledge of the early oral colonization patterns could provide a better understanding of oral biofilm development and disease initiation that in turn could be the basis for early preventive programmes.
Methods:
Microbial samples were collected from five different oral habitats from a total of 93 children (age 3-12 years), attending the Dental School of the University of Athens, who were split into three age groups. A total of 38 microbial species were sought out by the checkerboard DNA-DNA hybridization technique.
Results:
All of the test species, except Parvimonas micra and Porphyromonas gingivalis, differed significantly among sample locations providing quite distinct microbial profiles for the different oral surfaces. Supragingival and subgingival plaque had similar profiles and exhibited higher proportions of Actinomyces species and Green complex while soft tissue samples were dominated by streptococci of the Yellow complex. The profiles of the tongue dorsum and saliva were also similar. Many of the species were in similar proportions in all three age groups for a given location. Periodontal pathogens showed increases in proportions with increasing age. Specifically, the Red complex species (Tannerella forsythia, P. gingivalis, Treponema denticola) showed a significant increase in proportion with age (P < 0.05) in all sample locations.
Conclusions:
The results showed a pattern of colonization in children similar to that previously found in adults. Differences in the profile between age groups suggest a gradual maturation of the oral microbiota, with it being made up of an increasing number of Orange and Red complex species.
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