Dental caries experience and salivary Streptococcus mutans, lactobacilli scores, salivary flow rate, and salivary buffering capacity among 6-year-old Indian school children

Basha, Sakeenabi; Hiremath, SS

doi:10.4103/2231-0762.97697

Cited by 27 publications

(13 citation statements)

References 20 publications

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“…Many of the 5-year old children hesitated to cooperate with the collection procedure and obtained secretion rates were most often considered non-reliable. On the other hand, true hyposalivation is relatively uncommon among preschool children [24] so its influence on final Cariogram was likely limited. Moreover, an earlier study using Cariogram in schoolchildren have shown good validity despite omitted saliva secretion rates [25].…”

Section: Discussionmentioning

confidence: 99%

Comparing caries risk profiles between 5- and 10- year-old children with cleft lip and/or palate and non-cleft controls

et al. 2015

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BackgroundPrevious studies have suggested that children with oral clefts may have higher caries prevalence in comparison with non-cleft controls but the relative importance of the potential risk factors is not clear. The aim of this study was to compare the caries risk profiles in a group of cleft lip and/or palate (CL(P)) children with non-cleft controls in the same age using a computerized caries risk assessment model.MethodsThe study group consisted of 133 children with CL(P) (77 subjects aged 5 years and 56 aged 10 years) and 297 non-cleft controls (133 aged 5 years and 164 aged 10 years). A questionnaire was used to collect data concerning the child’s oral hygiene routines, dietary habits and fluoride exposure. Oral hygiene was assessed using Quigley-Hein plaque Index and the caries prevalence and frequency was scored according to the International Caries Detection and Assessment System. Whole saliva samples were analyzed for mutans streptococci, lactobacilli, buffering capacity and secretion rate. The risk factors and risk profiles were compared between the groups with aid of Cariogram and the estimated risk for future caries was categorized as “high” or “low”.ResultsChildren with CL(P) (the entire study group) had significantly higher counts of salivary lactobacilli (p < 0.05) and displayed less good oral hygiene (p < 0.05). More 10-year-old children in the CL(P) group had low secretion rate but this difference was not significant. The average chance to avoid caries ranged from 59 to 67 % but there were no significant differences between the groups. The odds of being categorized with high caries risk in the CL(P) group was significantly elevated (OR = 1.89; 95 % CI = 1.25–2.86). In both groups, children in the high risk category had a higher caries experience than those with low risk.ConclusionChildren with CL(P) displayed increased odds of being categorized at high caries risk with impaired oral hygiene and elevated salivary lactobacilli counts as most influential factors. The results suggest that a caries risk assessment model should be applied in the routine CL(P) care as a basis for the clinical decision-making and implementation of primary and secondary caries prevention.

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Section: Discussionmentioning

confidence: 99%

Comparing caries risk profiles between 5- and 10- year-old children with cleft lip and/or palate and non-cleft controls

et al. 2015

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“…[ 1 2 ] Among the microorganisms, mutans streptococci (MS) have been regarded as the major culprit. [ 3 4 5 ] It has been established that the number of MS in saliva is directly linked to its number colonized on hard and soft tissue surfaces that are the basis for salivary counting of MS.[ 5 6 ] A subject with low salivary MS count has a lower risk of developing caries lesions and the caries risk threshold is usually set to values ≥10 5 colony forming units per milliliter (CFU/ml) of saliva. [ 7 ]…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the effect of three supplementary oral hygiene measures on salivary mutans streptococci levels in children: A randomized comparative clinical trial

et al. 2015

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Objective:The aim of this study was to evaluate and compare the effect of tongue scraping, tongue brushing, and saturated saline on salivary MS levels.Materials and Methods:A single-blinded, randomized, parallel group clinical trial was conducted in children aged 9–12 years. Total sample of 45 subjects were randomly assigned to three groups, that is, Group A, Group B, and Group C comprised of 15 each. Group A, Group B, and Group C were asked to do tongue scraping, tongue brushing and saturated saline rinsing twice daily, respectively for 21 days. Saliva samples, collected from the subjects on the baseline, 7th day and 21st day, were inoculated on mitis salivarius bacitracin agar and incubated at 37°C for 48 h. The mean streptococcal colony forming counts were enumerated. The data were subjected to statistical analysis using Wilcoxon signed rank sum test for intragroup comparisons and Mann–Whitney U-test for intergroup comparisons.Results:Intragroup comparisons showed statistically significant reduction in MS levels (P < 0.01). However, the intergroup comparisons showed no statistically significant difference (P > 0.05).Conclusion:The oral hygiene measures evaluated proved equal efficacy in reducing the colony counts. Hence, there is a need to emphasize the importance of incorporating supplementary oral hygiene measures in daily oral care.

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“…He gave the concept of "extension for prevention". [5] The minimally invasive approach in treating dental caries incorporates the dental science ⋆ Corresponding Author:…”

Section: Discussionmentioning

confidence: 99%

“…Email: novsheba.showkat31@gmail.com of detecting, diagnosing, intercepting and treating dental caries at microscopic level. [6] This has evolved from increased caries process understanding and the development of biomimetic and adhesive restorative materials. [3] With minimally invasive dentistry, dental caries is treated as an infectious condition.…”

Section: Discussionmentioning

confidence: 99%

Minimal Invasive Dentistry: Literature Review

Showkat¹,

Singh²,

Singla³

et al. 2020

J Current Med Res Opinion

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Minimally invasive procedures are the new paradigm in health care. Everything from heart bypasses to gall bladder, surgeries are being performed with these dynamic new techniques. Dentistry is joining this exciting revolution as well. Minimally invasive dentistry adopts a philosophy that integrates prevention, remineralisation and minimal intervention for the placement and replacement of restorations. Minimally invasive dentistry reaches the treatment objective using the least invasive surgical approach, with the removal of the minimal amount of healthy tissues. This paper reviews in brief the concept of minimal intervention in dentistry.

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Dental caries experience and salivary Streptococcus mutans, lactobacilli scores, salivary flow rate, and salivary buffering capacity among 6-year-old Indian school children

Cited by 27 publications

References 20 publications

Comparing caries risk profiles between 5- and 10- year-old children with cleft lip and/or palate and non-cleft controls

Comparing caries risk profiles between 5- and 10- year-old children with cleft lip and/or palate and non-cleft controls

Evaluation of the effect of three supplementary oral hygiene measures on salivary mutans streptococci levels in children: A randomized comparative clinical trial

Minimal Invasive Dentistry: Literature Review

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