Parents/carers collected the initial samples from the twins by following detailed instructions given in Fig. S8. The samples were cultured within 7–10 days of reception to check for Streptococcus mutans. This was undertaken to check viability of the samples collected by the parents/carers.
Samples were plated on agar selective for Streptococcus mutans (TSYC20B) which was incubated for 72 h at 37 °C in an atmosphere of 95% nitrogen and 5% carbon dioxide. Following incubation S mutans was identified by characteristic colony morphology under a dissecting microscope. A sub-sample of positive colonies was confirmed by carbohydrate fermentation patterns. Each sample was assessed independently. After three contiguous positive cultures for S mutans it was assumed that S mutans had been acquired. The samples were then placed in black semi-solid transport media VMG II50 (link) and stored at 80 °C.
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