SALIVARY LACTOBACILLUS COUNTS IN THE PREDICTION OF CARIES ACTIVITY
SALIVARY LACTOBACILLUS COUNTS IN THE PREDICTION OF CARIES ACTIVITY
复制标题
DOI：
10.1111/j.1600-0528.1981.tb01052.x
复制
发表时间：
1981-01-01
影响因子：
2.3
通讯作者：
CROSSNER, CG
中科院分区：
文献类型：
--
作者：
CROSSNER, CG
通过检测唾液中乳酸杆菌的数量、唾液分泌率和唾液中酵母菌的存在，探讨了其预测龋病活动性的可靠性和临床价值。一个完整的年龄组的学生（115 14岁）参加1个义务9年制综合学校在Orebro [瑞典]被选中进行纵向检查。在64周的时间内，进行了3次临床记录，并收集了7份唾液样本。检查龋齿活动性、龋齿频率（DFS）、唾液中乳杆菌计数、酵母菌、唾液分泌率与牙龈炎之间的相关性。尽管有组织良好的牙科保健服务，包括适当的预防措施，龋齿活动的显着变化仍然存在，因此，预测龋齿发病的手段将是一个宝贵的资产。统计学上显着的相关性，发现一方面龋齿活动和龋齿频率和乳酸菌计数的其他。乳酸菌计数被认为是一个合适的措施，在预测龋齿活动。因此，乳酸菌计数应用于健康，适当治疗的患者的龋齿预测。重要的是，牙齿上没有微生物保留的区域，例如开放性龋损，执行不良的修复，假牙或正畸带。在这种情况下，乳酸菌计数似乎反映了摄入可发酵碳水化合物的频率，从而间接反映了引发龋损的风险。
The reliability and clinical value for prediction of caries activity by determining the number of lactobacilli in saliva, the salivary secretion rate and the presence of yeasts in the saliva were investigated. One entire age group of pupils (115 14-yr-olds) attending 1 of the compulsory 9 yr comprehensive schools in Orebro [Sweden] was selected for longitudinal examination. Over a period of 64 wk, 3 clinical recordings were made and 7 salivary samples were collected. The correlations between caries activity, caries frequency (DFS), Lactobacillus counts, yeasts in saliva, salivary secretion rate and gingivitis were examined. In spite of a well-organized dental health service, including adequate preventive measures, a pronounced variation in caries activity remained and thus a means of predicting the onset of caries would be a valuable asset. Statistically significant correlations were found between caries activity on the one hand and caries frequency and Lactobacillus counts on the other. The Lactobacillus count was found to be a suitable measure in predicting caries activity. Thus, the Lactobacillus count should be used for caries prediction in healthy, properly treated patients. It is important that there are no areas of microbial retention on the teeth such as open carious lesions, poorly executed restorations, dentures or orthodontic bands. In such situations, the Lactobacillus count seems to reflect the frequency of ingested fermentable carbohydrates and thus, indirectly, the risk of initiating carious lesions.