Mutans Streptococci and Caries Prevalence in Children after Early Maternal Caries Prevention: A Follow-Up at 19 Years of Age
Mutans Streptococci and Caries Prevalence in Children after Early Maternal Caries Prevention: A Follow-Up at 19 Years of Age
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DOI：
10.1159/000339665
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发表时间：
2012-01-01
期刊：
影响因子：
4.2
通讯作者：
Andreen, I.
中科院分区：
文献类型：
--
作者：
Koehler, B.;Andreen, I.
目的：评价早期预防母亲龋病的效果。此外，儿童之间的差异与变形链球菌（MS）在早期或晚期阶段的龋损的患病率进行了测定。研究方法：根据高唾液MS水平选择的第一次母亲的儿童在19岁时被召回参加龋齿预防计划。他们进行了检查唾液MS，病变患病率（腐烂和填充表面，DFS）和MS斑块从12个选定的近端表面。结果：高控制组和干预组儿童的回忆率均为70%。所有高对照儿童和67%的干预儿童被MS定植。所有唾液中检测不到MS的儿童在所有牙菌斑样本中也呈阴性。两组间DFS无统计学显著差异，但干预组无龋儿童多于对照组。早期定居儿童，无论组的性别，唾液MS水平和DES高于后来MS定居儿童。结论：结果表明，如果在早期未定植，则可能在成年期保持MS阴性，这会影响龋损的发展。因此，儿童早期龋齿的预防策略应包括预防或延迟致龋细菌早期定植的措施。版权所有（C）2012 S. Karger AG，巴塞尔
Aim: The efficacy of early maternal caries prevention was evaluated. Furthermore, the difference between children colonised with mutans streptococci (MS) at an early or late stage with regard to the prevalence of carious lesions was determined. Methods: The children of first-time mothers selected on the basis of high salivary levels of MS for participation in a caries prevention programme were recalled at the age of 19 years. They were examined for salivary MS, lesion prevalence (decayed and filled surfaces, DFS) and MS in plaque from 12 selected proximal surfaces. Results: The recall rate was 70% for the children of both the high-control and interventional groups. All high-control children and 67% of the interventional children were colonised by MS. All the children with non-detectable MS in saliva were also negative in all plaque samples. No statistically significant difference was found between the groups in terms of DFS, although more interventional children were caries free than in the control group. Early-colonised children, irrespective of group iden-tity, had higher salivary MS levels and DES than later MS-colonised children. Conclusion: The results indicate that it is possible to remain negative for MS into adulthood if non-colonised at an early age and this affects the development of carious lesions. Strategies for the prevention of dental caries in early childhood should, therefore, include measures to prevent or delay early colonisation by cariogenic bacteria. Copyright (C) 2012 S. Karger AG, Basel