Distribution of Streptococcus mutans biotypes in five human populations.

The distribution of S mutans biotypes in five geographically separated human populations was investigated. Samples of dental plaque were obtained from recruits at the US Naval Training Center in Orlando, Fl (N=49) in San Diego, Calif (N=25), and in Great Lakes, Ill (N=194), and from a sample of Hawaiian school children (N=55) and Saudi Arabian Navy personnel (N-217). Cultural and biochemical methods were used for the isolation and identification of the five different biotypes of S mutans which correlate with Bratthall's serotypes a through e. Geographic differences in S mutans biotype distribution were most apparent when the Saudi Arabian sample was compared to the other four groups. Single and multiple biotypes were observed in each group. Multiple biotypes occurred most frequently in the Saudi Arabians. Biotypes a and b were rarely observed; c was the most common in each of the populations; and d and e were more prevalent in the Saudi Arabians than in the other groups. Because of the multifactorial nature of dental caries, caution should be exercised in the interpretation of population differences in caries experience that seem to be associated with differences in S mutans-type distribution.