Bacterial, behavioral and environmental factors associated with early childhood caries.
Bacterial, behavioral and environmental factors associated with early childhood caries.
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DOI：
10.17796/jcpd.26.2.t6601j3618675326
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发表时间：
2002
期刊：
影响因子：
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通讯作者：
F. Ramos-Gomez;J. Weintraub;S. Gansky;C. Hoover;J. Featherstone
中科院分区：
文献类型：
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作者：
F. Ramos-Gomez;J. Weintraub;S. Gansky;C. Hoover;J. Featherstone
这项横断面研究的目的是表征和比较人口统计学，行为和环境因素可能与幼儿龋齿（ECC），并评估唾液中的变形链球菌（MS）和乳酸杆菌（LB）水平不足，主要是西班牙裔儿童。一百四十六名儿童年龄3至55个月的范围龋齿的经验进行了鉴定和检查。ECC主要与MS的存在和缺乏牙科护理有关。患有ECC的幼儿的唾液MS水平高于牙齿健康人群的预期水平，但低于龋齿高风险的年长儿童报告的水平。校正年龄后，log10 MS >或= 3.0或log10 LB >或= 1.5的儿童患ECC的可能性约为细菌水平较低的儿童的5倍（OR=4.9，95% CI=2.0，12.0）。这项研究表明，相对较低的致龋细菌水平和婴幼儿龋齿之间存在显着关联。抗生素使用、铅暴露和贫血与龋齿和填充表面或龋齿和填充牙齿的数量没有显著相关性。幼儿保育与儿童的年龄和缺乏牙科保险的儿童，以及与家庭收入和儿童的母亲的教育水平呈负相关。
The goals of this cross-sectional study were to characterize and compare demographic, behavioral, and environmental factors potentially associated with early childhood caries (ECC) and to assess salivary levels of mutans streptococci (MS) and lactobacilli (LB) in underserved, predominantly Hispanic children. One hundred forty-six children aged 3 to 55 months with a range of caries experience were identified and examined. ECC was primarily associated with the presence of MS and lack of access to dental care. Salivary MS levels among young children with ECC were higher than would be expected in a dentally healthy population, but lower than levels reported among older children at high risk for caries. After adjustment for age, children with log10 MS > or = 3.0 or log10 LB > or = 1.5 were about five times as likely (OR=4.9, 95% CI=2.0, 12.0) to have ECC than those with lower bacterial levels. This study demonstrated a significant association between relatively low cariogenic bacterial levels and dental caries in infants and toddlers. Antibiotic use, exposure to lead, and anemia were not significantly associated with the number of decayed and filled surfaces or decayed and filled teeth. ECC correlated significantly with child's age and lack of dental insurance of the children, as well as inversely with both family income and the educational level of the mother of the child.