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Updated: Jan 1, 2026

Oral Biofilm Sampling for Microbiome Analysis in Healthy Children
Published on: December 31, 2017
Oral Microbiota Development in Early Childhood
Beatrice Kennedy1, Sari Peura2,3, Ulf Hammar2
1Department of Medical Sciences, Molecular Epidemiology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden. beatrice.kennedy@medsci.uu.se.
Insights
The oral microbiome undergoes significant changes in the first two years of life. Early life factors like birth mode, breastfeeding, and stress influence this crucial oral microbiota development.
Area of Science:
- Microbiology
- Developmental Biology
- Human Health
Background:
- The determinants of the oral microbiota in early life are not fully understood.
- The oral microbiome plays a critical role in infant health and development.
Purpose of the Study:
- To investigate the association between birth and early childhood characteristics and the composition of the oral microbiota.
- To identify early life factors influencing oral microbiome maturation.
Main Methods:
- 16S ribosomal RNA (rRNA) gene sequencing was used to analyze oral microbiota composition.
- A population-based Swedish cohort of 59 children was studied at 6, 12, and 24 months of age.
- Repeated-measurement regression models were employed, adjusting for potential confounders.
Main Results:
- Oral microbiota composition undergoes profound shifts during early life, characterized by increased alpha diversity and decreased beta diversity.
- Birth characteristics, breastfeeding, and antibiotic use were associated with changes in bacterial phyla distribution and specific operational taxonomic units (OTUs).
- A novel association was found between morning salivary cortisol levels (a marker of stress) and oral microbiota composition, including a decreased abundance of Streptococcaceae.
Conclusions:
- The first two years of life are critical for oral microbiome maturation.
- Early life circumstances, including physiological stress markers, significantly influence the developing oral microbiome.
Abstract:
Early life determinants of the oral microbiota have not been thoroughly elucidated. We studied the association of birth and early childhood characteristics with oral microbiota composition using 16 S ribosomal RNA (rRNA) gene sequencing in a population-based Swedish cohort of 59 children sampled at 6, 12 and 24 months of age. Repeated-measurement regression models adjusted for potential confounders confirmed and expanded previous knowledge about the profound shift of oral microbiota composition in early life. These alterations included increased alpha diversity, decreased beta diversity and alteration of bacterial composition with changes in relative abundance of 14 of the 20 most common operational taxonomic units (OTUs). We also found that birth characteristics, breastfeeding and antibiotic use were associated with overall phyla distribution and/or with the relative abundance of specific OTUs. Further, we detected a novel link between morning salivary cortisol level, a physiological marker of neuroendocrine activity and stress, and overall phyla distribution as well as with decreased abundance of the most common OTU mapped to the Streptococcaceae family. In conclusion, a major part of the maturation of the oral microbiome occurs during the first two years of life, and this development may be influenced by early life circumstances.
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