Prolonged effect of a mother–child caries preventive program on dental caries in the permanent 1st molars in 9 to 10-year-old children

Gomez, Santiago S.; Emilson, Claes‐Göran; Weber, A.A.; Uribe, Sergio

doi:10.1080/00016350701586647

Cited by 17 publications

(16 citation statements)

References 20 publications

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“…Together, these observations suggest long-term familial behavioural changes. Recently, a similar approach on a broad oral health basis, directed at firsttime mothers during pregnancy, was successful in reducing the caries incidence in the early childhood of their children [Gomez et al, 2007;Plutzer and Spencer, 2008].…”

Section: Discussionmentioning

confidence: 99%

Mutans Streptococci and Caries Prevalence in Children after Early Maternal Caries Prevention: A Follow-Up at 19 Years of Age

Köhler¹,

Andréen²

2012

Caries Res

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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 identity, had higher salivary MS levels and DFS 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.

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Section: Discussionmentioning

confidence: 99%

Mutans Streptococci and Caries Prevalence in Children after Early Maternal Caries Prevention: A Follow-Up at 19 Years of Age

Köhler¹,

Andréen²

2012

Caries Res

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“…Several studies have demonstrated the presence of matching genotypes of S. mutants in mother-child pairs, suggesting vertical transmission (5) and the oral health care of pregnant women may cause sustained and long-term improvement of the oral health of children (10,11). However, horizontal transmission has been less studied and results have been contradictory (7,9,20,21).…”

Section: Discussionmentioning

confidence: 99%

“…Information is needed on the different sources of infection and colonization by this microorganism in children in order to develop preventive strategies against dental caries (10,11). This paper presents a cross-sectional evaluation of S. mutants genotypes isolated in saliva of 6-7 year-old children in the same class and analyzes possible patterns of horizontal transmission among the children, the genotypic diversity in each schoolchild, and its relationship with caries disease status.…”

Section: Introductionmentioning

confidence: 99%

Horizontal transmission of streptococcus mutans in schoolchildren

Baca¹,

Castillo²,

Liébana³

et al. 2012

Med Oral

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Objetive: The aim of this study was to analyze possible horizontal transmission patterns of S. mutans among 6-7-yr-old schoolchildren from the same class, identifying genotypes and their diversity and relationship with caries disease status. Study Design: Caries indexes and saliva mutans streptococci and lactobacilli counts were recorded in 42 schoolchildren. Mutans streptococci colonies were identified by means of biochemical tests and all S. mutans strains were genotyped by arbitrarily primed polymerase chain reaction. A child was considered free of S. mutans when it could not be isolated in 3 samples at 1-week intervals. Results: S. mutans was isolated in 30 schoolchildren: 20 having one genotype and 10 two genotypes. Higher mutans streptococci and caries index values were found in those with two genotypes. Five genotypes were isolated in more than 1 schoolchild and one of these was isolated in 3 schoolchildren. Our results suggest that horizontal transmission may take place. Conclusion: Schoolchildren aged 6-7 yrs may be the source of mutual transmission of S. mutans. Key words:Streptococcus mutans, Horizontal transmission, AP-PCR, genotyping

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“…Die Risikoerkennung und -minimierung (Karies, Parodontitis, Mundschleimhauterkrankungen usw.) sowie eine intensive Ernährungsberatung undlenkung der Schwangeren führen bei deren Kindern nachweislich zu einer Verbesserung der Mundgesundheit [2,7,14,15,16,17,18,19,34]. Zudem besteht eine enge Verbindung zwischen Mundgesundheit und allgemeiner Gesundheit.…”

Section: Gesundheitsförderung In Der Schwangerschaftunclassified

“…70% der Studiengruppe waren verglichen mit 33% der Kontrollgruppe kariesfrei. Die ersten Molaren der zweiten Dentition zeigten in der Studiengruppe deutlich weniger Karies [15]. Eine zahnärztliche Mutter-KindBetreuung beginnend in der Schwangerschaft hat somit nicht nur positive Auswirkungen auf die Zähne der ersten, sondern auch auf die der zweiten Dentition.…”

Section: Zusammenfassung · Abstractunclassified

Interdisziplinäre Gesundheitsfrühförderung

Günay

Meyer

2010

Praev Gesundheitsf

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Die frühkindliche Karies (ECC) stellt ein ernsthaftes "Public-Health-Problem" mit einer Polarisierung der Karieslast in Richtung der niedrigen Sozialschichten dar. Bei diesen Risikogruppen ist die Individual-und Gruppenprophylaxe nicht ausreichend. Es bestehen Forderungen nach gezielter frühzeitiger Aufklärung und Ausbau spezifischer Prophylaxeprogramme. Um die ECC und deren Folgen zu minimieren muss ein systematisches Betreuungs-und Präventionskonzept schon in der Schwangerschaft beginnen. Viele Schwangere sind weder über orale Veränderungen in der Schwangerschaft, noch über Risiken und den Einfluss ihrer eigenen Mundgesundheit auf die Mund-und allgemeine Gesundheit des Kindes aufgeklärt. Hierzu ist eine Optimierung der Kooperation zwischen verschiedenen Berufsgruppen erforderlich.

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Prolonged effect of a mother–child caries preventive program on dental caries in the permanent 1st molars in 9 to 10-year-old children

Abstract: Examination of children 4 years after discontinuation of a caries preventive program reflected a long-term reduction in the DFS score of permanent 1st molars.

Cited by 17 publications

References 20 publications

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

Horizontal transmission of streptococcus mutans in schoolchildren

Interdisziplinäre Gesundheitsfrühförderung

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