If a patient has a high count of lactobacillus, what dietary advice should be given?

A high count of lactobacillus in a patient can indicate an imbalance in the oral microbiome, often related to an excess of sugar intake. Lactobacillus is a type of bacteria that thrives in sugary environments, and its overgrowth may suggest a diet high in fermentable carbohydrates.

Reducing sugar intake can help restore balance in the oral microbiome by diminishing the food supply for lactobacillus and other potentially harmful bacteria or yeast that thrive on sugar. By lowering sugar consumption, you reduce the risk of dental caries (cavities) and promote a healthier oral environment. This is crucial for maintaining overall oral health and preventing issues associated with a high count of lactobacillus, such as increased acidity and the potential for tooth decay.

The other dietary advice options, while beneficial for overall health, do not directly address the specific issue of high lactobacillus levels linked to sugar intake. Increasing calcium could benefit bone health, increasing fiber aids in digestive health, and limiting acidic foods might help with acid erosion but does not directly counteract the effects of high sugar consumption related to lactobacillus overgrowth.