Dietary Supplements

A Chewing Gum Containing Heyndrickxia coagulans SNZ1969® and Volatile Sulphur Compounds: An Exploratory Secondary Analysis of a Double-Blind Randomized Controlled Trial.

TL;DR

The probiotic gum containing Heyndrickxia coagulans SNZ1969® did not show a statistically significant additional effect on volatile sulphur compound concentrations compared with the placebo gum.

Key Findings

H2S and CH3SH concentrations did not differ between the probiotic and placebo groups at any visit.

  • 52 healthy adults were randomized to sugar-free gum with H. coagulans SNZ1969® or matched placebo gum for four weeks
  • 44 participants completed follow-up
  • Volatile sulphur compounds (VSCs) were measured by OralChroma™ at baseline (T0), during intervention (T1-T2), and one week after gum discontinuation (T3)
  • Changes from baseline were also similar between arms at all time points

Within the probiotic group, H2S was significantly lower than baseline at T2 and T3, but this decrease was not greater than the change seen with placebo.

  • H2S was lower than baseline at T2 (p = 0.008) and T3 (p = 0.031) within the probiotic arm
  • The within-arm decrease did not constitute a statistically significant between-group difference compared to placebo
  • T3 was measured one week after gum discontinuation, suggesting the effect persisted briefly after stopping use
  • The authors characterize this within-arm H2S decrease as exploratory

Taxon-level microbiome analyses showed nominal associations with taxa plausibly linked to sulphur metabolism, but none survived false-discovery-rate correction.

  • Dental plaque 16S rRNA profiles from the parent trial were re-analysed in relation to VSC values
  • Nominal associations were found mainly for H2S rather than CH3SH
  • No taxon-level association survived false-discovery-rate correction
  • The associations involved taxa described as 'plausibly linked to sulphur metabolism'

The study was designed as an exploratory secondary analysis of a parent randomized controlled trial not originally powered to detect VSC outcomes.

  • This was a double-blind, placebo-controlled, randomized design
  • The study enrolled healthy adults, not participants with clinically established halitosis
  • The authors note findings require confirmation in trials designed for participants with clinically established halitosis
  • The parent trial's 16S rRNA microbiome data were re-analysed for this secondary analysis

Chewing gum itself may reduce oral malodor through salivary stimulation independent of probiotic content.

  • Both probiotic and placebo groups showed within-arm reductions in H2S over the intervention period
  • The authors note that chewing gum 'may reduce oral malodor through salivary stimulation and may also serve as a carrier for oral probiotics'
  • The placebo gum was matched to the probiotic gum, making it difficult to isolate probiotic-specific effects from mechanical/salivary effects of gum chewing

What This Means

This research examined whether a chewing gum containing a specific probiotic bacterium (Heyndrickxia coagulans SNZ1969®) could reduce the compounds responsible for bad breath (called volatile sulphur compounds, or VSCs) more effectively than a plain sugar-free gum. Fifty-two healthy adults chewed either the probiotic gum or a placebo gum for four weeks, and breath measurements were taken at multiple points including one week after stopping. Forty-four participants completed the study. The study found no meaningful difference between the probiotic gum and the placebo gum in reducing VSC levels at any measurement point. Interestingly, people in the probiotic group did show lower levels of hydrogen sulphide (a major bad-breath compound) compared to their own starting levels at weeks two and three, but this same pattern was also seen in the placebo group, suggesting the act of chewing gum itself — not the probiotic — may be responsible for any improvement. Analysis of bacteria in dental plaque hinted at some connections between certain bacterial species and sulphur compound levels, but these associations were too weak to be considered reliable after statistical correction. This research suggests that adding H. coagulans to chewing gum does not provide an additional benefit for reducing bad-breath compounds beyond what plain chewing gum already offers, at least in healthy people without diagnosed bad breath. The authors caution that the results are exploratory and that future studies should specifically recruit people who have clinically confirmed halitosis and be designed from the start to measure VSC outcomes, in order to draw firmer conclusions about whether oral probiotics in gum could be a useful tool for managing bad breath.

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Citation

Cirio S, Mantegazza G, Salerno C, Guglielmetti S, Allam A, Campus G, et al.. (2026). A Chewing Gum Containing Heyndrickxia coagulans SNZ1969® and Volatile Sulphur Compounds: An Exploratory Secondary Analysis of a Double-Blind Randomized Controlled Trial.. Nutrients. https://doi.org/10.3390/nu18162735