Mode of delivery, mutans streptococci colonization, and early childhood caries in three- to five-year-old Thai children.
Mode of delivery, mutans streptococci colonization, and early childhood caries in three- to five-year-old Thai children.
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DOI：
10.1111/cdoe.12013
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发表时间：
2013-06
影响因子：
2.3
通讯作者：
Li Y
中科院分区：
文献类型：
--
作者：
Pattanaporn K;Saraithong P;Khongkhunthian S;Aleksejuniene J;Laohapensang P;Chhun N;Chen Z;Li Y
调查分娩方式是否与泰国学龄前儿童变形链球菌（MS）定植和幼儿龋齿（ECC）有关。350名母亲和她们3- 5岁的孩子（184名顺产，166名剖腹产）参加了这项研究。数据包括牙科检查、通过Dentocult® SM Strip Mutans方法评估的MS定植、家庭社会人口统计信息的问卷调查以及儿童的出生史、饮食习惯和口腔健康实践。总体而言，ECC患病率为56%，3岁和78%，5岁的泰国儿童。与剖腹产分娩的儿童相比，阴道出生的儿童的ECC患病率增加（73.8% vs 59.6%; P = 0.009），更可能具有较高的MS评分（OR = 1.8，95% CI = 1.1-2.9），调整母亲的胎龄，MS评分，喂养习惯;儿童的年龄和刷牙习惯。儿童MS评分与母亲MS评分高度相关（P < 0.001）。此外，儿童的年龄，MS殖民，和母亲的prechewing喂养习惯是最重要的风险指标ECC在泰国儿童。我们的研究结果表明，交付方式是显着相关的MS定植和龋齿的结果在年轻的泰国儿童。未来的研究需要进一步了解分娩方式与致龋菌群定植和ECC发展之间可能的生物学机制。
To investigate whether mode of delivery is associated with mutans streptococci (MS) colonization and early childhood caries (ECC) in preschool Thai children. Three hundred and fifty mothers and their 3-to 5-year-old children (184 born vaginally and 166 born by Caesarean section) participated in the study. Data included a dental examination, MS colonization assessed by the Dentocult® SM Strip Mutans method, and a questionnaire survey of family socio-demographic information, as well as children’s birth history, dietary habits, and oral health practices. Overall, ECC prevalence was 56% in 3-year-old and 78% in 5-year-old Thai children. Compared to children delivered by C-section, vaginally born children experienced increased ECC prevalence (73.8% versus 59.6%; P = 0.009) and were more likely to have higher MS scores (OR = 1.8, 95% CI = 1.1–2.9), adjusting for mother’s gestational age, MS score, feeding practice habits; child’s age and tooth brushing habits. Children’s MS scores were highly correlated with their mothers’ MS scores (P < 0.001). Additionally, children’s age, MS colonization, and mothers’ prechewing feeding habits were the most significant risk indicators for ECC in Thai children. Our findings suggest that mode of delivery is significantly correlated with MS colonization and caries outcomes in young Thai children. Future studies are needed to further understand the possible biological mechanisms linking mode of child delivery to the colonization of cariogenic microbiota and development of ECC.
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影响因子：
2.5
作者：
Chalmers, Beverley;Kaczorowski, Janusz;Lee, Lily
通讯作者：
Lee, Lily
DOI：
10.1073/pnas.1002601107
发表时间：
2010-06-29
影响因子：
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作者：
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DOI：
10.1111/j.1365-263x.2011.01136.x
发表时间：
2011-11-01
影响因子：
3.8
作者：
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DOI：
10.1111/j.1600-0528.2006.00246.x
发表时间：
2006-02-01
影响因子：
2.3
作者：
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通讯作者：
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影响因子：
4.2
作者：
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通讯作者：
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