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Mutans streptococci and caries prevalence in children after early maternal caries prevention: a follow-up at eleven and fifteen years of age.

Artikel i vetenskaplig tidskrift
Författare Birgitta Köhler
I Andréen
Publicerad i Caries research
Volym 44
Nummer/häfte 5
Sidor 453-8
ISSN 1421-976X
Publiceringsår 2010
Publicerad vid Institutionen för odontologi
Sidor 453-8
Språk en
Länkar dx.doi.org/10.1159/000320168
Ämnesord caries prevalence; colonisation; lactobacilli; longitudinal; maternal caries prevention; mutans streptococci; permanent dentition; Strep. mutans; Strep. sobrinus
Ämneskategorier Cariologi

Sammanfattning

Aim: The efficacy of early maternal caries prevention on children was evaluated. Material: First-time mothers selected on the basis of a high level of salivary mutans streptococci (MS) and mothers excluded at screening due to a low level of MS (“low”) were recalled when their children were 11 yrs old. The salivary MS was determined in the mothers. Their children were examined for salivary MS and lesion prevalence (DFS) at age 11 and 15 yrs. Results: More high control mothers displayed > 106 MS than the high interventional and “low” control mothers and, vice versa, more interventional and “low” control mothers had MS counts of < 3x105 than control mothers. More of “interventional” and “low” children had < 105 MS/ml as compared with control children. All the “high control” children had detectable MS. MS were undetected in 5 “interventional” and 5 “low children” at 15 yrs. Significantly fewer “high control” than “interventional” and “low children” were caries free at 11 and 15 yrs of age. Non-MS-colonised children at 3 yrs of age, irrespective of group identity, displayed statistically lower MS counts and DFS at 15 yrs than those colonised at 3 yrs of age. Children with clinical caries/fillings at 15 yrs had had a significantly higher level of MS at 11 yrs of age than those without clinical caries/fillings. Conclusion: The clinical trial focusing on the mothers resulted in long-term benefits for their children. Children colonised by MS at an early stage developed more caries than those colonised at a later stage.

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