The establishment of various serotypes of Streptococcus mutans was studied serologically in plaque samples collected from labial surfaces of upper primary incisors of 22 infants (starting age, 5 to 13 months) over a period of 30 months. Clinical examinations were also performed. No clear-cut association between the initiation of dental caries and previous detection ofS. mutans was noted. However, all 12 of the infants with caries had S. mutans isolated at some time during the course of this study. The most common serotype isolated at the initial establishment of S. mutans on the tooth surfaces was serotype c, whereas types d, e, and g became established in a few cases. During the test period, changes in the distribution of serotypes of S. mutans were observed in some cases. The initiation of carious lesions could be found in a few cases even when S. mutans comprised about 1% or less of the total streptococcal count of the specimen from the tooth surfaces. Serotype dlg strains tended to develop carious lesions on smooth surfaces, although serotype c was isolated from almost all individuals who developed caries.

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