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ORIGINAL RESEARCH article

Front. Microbiol.

Sec. Microbial Symbioses

This article is part of the Research TopicNutrition and Oral Microbiology: Integrative Perspectives for Improved Oral HealthView all articles

Host Sweet Preference Modulates the Salivary Microbiome and Its Divergent Associations with Plaque-Associated and Non-Plaque-Related Oral Diseases

Provisionally accepted
Zhenzhen  LiZhenzhen Li1Xiao  PengXiao Peng1Qi  WangQi Wang2Liangying  GuoLiangying Guo1Shanshan  LiuShanshan Liu1*Li  XuLi Xu1*
  • 1Bengbu Medical College, Bengbu, China
  • 2Lanzhou University Second Hospital, Lanzhou, China

The final, formatted version of the article will be published soon.

Background: Microorganisms play a critical role in the progression of oral diseases. However, it remains unclear whether the frequency of sweet consumption influences the salivary microbiota in both plaque-associated and non-plaque-related oral diseases. Methods: Based on salivary microbiome analysis, unstimulated saliva samples were collected from university students aged 17-20, including healthy controls (HC), dental caries (DC), and dental fluorosis (DF) groups, under different sweet consumption frequencies. Microbiota potentially critical in disease development were identified. Results: No significant differences in α-and β-diversity were observed among the three groups. However, distinct microbial structures at the genus and species levels were evident under different sweet consumption conditions. Under high sweet consumption, the caries group exhibited enrichment of microbiota closely associated with sugar metabolism and acid production (e.g., Streptococcus, Rothia), while Ralstonia was significantly enriched in the caries group, suggesting its potential role in high-sweet-induced caries development. Under low sweet consumption, the healthy control group showed enrichment of taxa such as Stenotrophomonas, potentially linked to ecological stability, whereas the dental fluorosis group demonstrated significant enrichment of Fastidiosipila, reflecting specific fluoride-induced selective pressure on the microbiome. This study indicates that although sweet consumption frequency did not significantly alter overall microbial diversity, it reshaped the oral microbiota structure in a disease-specific context. The caries group was more prone to developing a cariogenic microbial profile under high-sugar conditions, while the fluorosis group exhibited unique ecological adaptive characteristics

Keywords: oral microbiome, Sweet consumption frequency, Dental Caries, Dental fluorosis, Salivary

Received: 27 Oct 2025; Accepted: 21 Nov 2025.

Copyright: © 2025 Li, Peng, Wang, Guo, Liu and Xu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Shanshan Liu, liushanshancan@163.com
Li Xu, kqxuli@163.com

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