Abstract

(1) Background: The aetiology of oral disease is multifactorial, involving genetic and environmental factors, including dietary ones. Bitter taste genetics may be related to oral health through dietary modulation or non-gustatory roles, including modulation of inflammation. Investigations of bitter taste and oral health associations to date have been restricted to specific polymorphisms, limited outcomes (caries), and age-groups (children), and links to inflammation remain to be elucidated. (2) Methods: A cross-sectional study (n = 65) investigated the correlations between bitter taste genotypes, oral health outcomes, and oral inflammation markers. Oral examinations were conducted, including saliva testing with evaluation of flow rate, pH, and buffering and antioxidant capacity (FRAP) and IL-1β, TNF-α, IL-6 levels. DNA was collected via buccal swabs and used to evaluate the presence of multiple bitter-taste receptor gene polymorphisms. (3) Results: The major allele for TAS2R4-rs2233998, TAS2R5-rs2227264, TAS2R50-rs1376251, and TAS2R9-rs3741845 was associated with a higher mean of unstimulated salivary flow rate, FRAP, TNF-α, IL-1β, and likelihood of filled teeth. Presence of the major allele for TAS2R4-rs2234001 and TAS2R9-rs3741845 was associated with lower means FRAP, TNF-α, IL-1β, DMFT index, and likelihood of missing teeth. (4) Conclusions: These findings suggest relationships between bitter-taste genotypes, oral health outcomes, and inflammatory markers. These findings justify the need for further studies that could help identify risk groups and develop novel agents for maintaining oral health.

Highlights

  • A total of 63 participants were included in the analysis as 2 samples were discarded due to labelling error

  • The presence of the major allele was related to increased inflammation and other outcomes for some genotypes, while outcomes were decreased in other genotypes

  • The current study found no significant associations between bitter-taste receptor genotypes, clinical salivary markers, and periodontal disease except for unstimulated salivary flow rate

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Summary

Introduction

Oral health is a growing public health concern worldwide [1]. In 2017, 3.60 billion people were affected globally by chronic oral conditions, including untreated dental caries, periodontal disease, and complete tooth loss [2]. Oral diseases are highly prevalent in Australia, contributing up to 2.3% of the total health burden in 2015 [3]. Poor oral health may impact general well-being [4]. The consequences of chronic, untreated oral diseases include pain, discomfort, and tooth loss, which impact quality of life [5,6]. Loss of functionality associated with tooth loss has been associated with poor diet quality and compromised nutritional intake [7].

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