Preliminary report on the effect of complete mouth rehabilitation on oral lactobacilli counts

Shklair, I.L.; Englander, Harold R.; Stein, Margot; Kesel, Robert G.

doi:10.14219/jada.archive.1956.0159

Cited by 14 publications

(9 citation statements)

References 6 publications

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“…These findings suggest that the high numbers of lactoba cilli in cavities is due to the provision of favourable local conditions, such as a retentive area with a low pH. The de pendence of lactobacilli on cavities has been demon strated previously in patients who lost their oral lactoba cilli following restorative treatment [Shklair et al, 1956;Steinle et al, 1967], The relative increase in the numbers of lactobacilli in cavities and their ability to produce large amounts of acid indicate a role for lactobacilli in progress ing cavitation once initial lesions have been formed.…”

Section: Childrenmentioning

confidence: 58%

Mutans Streptococci and Lactobacilli in Breast-Fed Children with Rampant Caries

et al. 1992

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This study aimed to investigate the prevalence of selected components of the oral microflora in breast-fed children who developed rampant caries (resembling nursing caries) under hitherto unexplained circumstances. Dental plaque and saliva samples were collected from breast-fed children, aged between 1 and 2.5 years, with and without rampant caries. Mutans streptococci and lactobacilli were isolated from dental plaque of all children with rampant caries and from most caries-free children. None of the colonies of mutans streptococci resembled those of Streptococcus sobrinus. The mean counts of the mutans streptococci and lactobacilli were 100-fold higher in plaque samples from children with rampant caries as compared with caries-free children. No difference could be found between the numbers of mutans streptococci in plaque overlaying cavities and that from adjacent sound enamel. In contrast, the counts of lactobacilli in plaque were approximately 100-fold higher from cavities than from sound surfaces. The levels of mutans streptococci in saliva were directly related to the presence of rampant caries. The results show that caries-free and caries-active breast-fed children, aged 1 to 2.5 years, harbour mutans streptococci and lactobacilli on their teeth. Rampant caries in these children can occur in the absence of nursing bottles or any other feeding abuse during weaning and in the presence of an aciduric plaque microflora, as has been reported for children with nursing bottle caries.

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Section: Childrenmentioning

confidence: 58%

Mutans Streptococci and Lactobacilli in Breast-Fed Children with Rampant Caries

et al. 1992

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“…In addition, their numbers on teeth tend to increase only after decay has begun, and hence a carious lesion may be a prerequi site for their colonization. The observation that lactobacilli disappear from the mouth following restoration of lesions is consistent with this concept (75,76). This relationship may be explained by the fact that lactobacilli have a relatively feeble ability to sorb to teeth, and their numbers in saliva available for sorption are generally low (73).…”

Section: Lactobacillimentioning

confidence: 66%

Dental Caries

Gibbons¹,

Houte²

1975

Annu. Rev. Med.

272

155

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“…Therefore, further studies on the oro-facial function in children with clefts would be of interest. Furthermore, untreated and open caries lesions are associated with increased lactobacilli counts [28]. The frequent occurrence of enamel defects (hypoplasia and hypomineralisation) in this CL(P) material [6] can also act as retention sites for plaque and may contribute to the elevated counts of salivary lactobacilli.…”

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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Preliminary report on the effect of complete mouth rehabilitation on oral lactobacilli counts

Cited by 14 publications

References 6 publications

Mutans Streptococci and Lactobacilli in Breast-Fed Children with Rampant Caries

Mutans Streptococci and Lactobacilli in Breast-Fed Children with Rampant Caries

Dental Caries

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

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