• About
  • Editorial Board
  • Current Issue
  • Archive
Search
EJPD
  • About
  • Editorial Board
  • Current Issue
  • Archive
  • Sioi
  • Guidelines for Authors
  • Article submission
  • Terms of use
  • Privacy
Home Clinical outcomes for Early Childhood Caries (ECC): the influence of salivary mutans...

Clinical outcomes for Early Childhood Caries (ECC): the influence of salivary mutans streptococci levels

Authors:

  • I. Chase
    Department of Pediatric Dentistry, School of Dentistry, Dalhousie University, Halifax, Nova Scotia (Canada)
  • R. J. Berkowitz
    Division of Pediatric Dentistry, Eastman Department of Dentistry, University of Rochester, Rochester, NY(USA)
  • S. A. Mundorff-Shrestha
    Department Dental Research, Eastman Department of Dentistry, University of Rochester, Rochester, NY(USA)
  • H. M. Proskin
    Division of Community Dentistry, Eastman Department of Dentistry, University of Rochester, Rochester, NY(USA)
  • P. Weinstein
    Department of Public Health Sciences, School of Dentistry, University of Washington, Seattle, WA (USA)
  • R. Billings
    Division of Community Dentistry, Eastman Department of Dentistry, University of Rochester, Rochester, NY(USA)

ABSTRACT


Aim

To assess the relationship between clinical outcomes for children treated for Early Childhood Caries (ECC) and salivary
mutans streptococci (MS) levels. STUDY DESIGN AND

Methods

The study cohort consisted of 79 children (42 males, 37 females)
treated for ECC, aged from 2.3 to 7.3 years at time of entry. Whole non-stimulated saliva samples were obtained from each subject prior
to dental surgery and at 6 mths post dental surgery, by saturating a cotton swab in the saliva pooled in the floor of the mouth. Samples
were placed into PBS on ice and processed within 2 hours. Samples were sonicated, serially diluted and plated onto MSB and SBA
agar plates, then incubated 48 hours anaerobically; SBA plates were incubated an additional 24 hours aerobically. The MS level in each
sample was expressed as a percentage of the total cultivable flora. The cohort was evaluated for new caries lesions at 6 months post
dental surgery. Relapse was defined as the presence of new smooth surface caries lesions. STATISTICS: Comparisons between
Relapse (R) and Non-Relapse (NR) groups with respect to mutans streptococci levels were performed using Wilcoxon tests. Within
group comparisons were performed using Wilcoxon signed-rank tests.

Results

57 children (72) returned for the 6 months
examination and 21 of these subjects (37) relapsed. No statistically significant difference in median salivary MS levels existed
between the R (0.20) and NR (0.033) groups at baseline (p=0.647) or at 6 months post dental surgery
(R=0.03; NR=0.01; p=0.273). A statistically significant difference between baseline and 6 months post dental surgery
was noted in the median salivary MS level within the R group (p=0.0007) and within the NR group (P<0.0001). CONCLUSIONS: The relapse rate (37) was high and rapid for children treated for ECC. Dental surgery resulted in a statistically significant reduction in salivary MS reservoirs for children treated for ECC. However, this did not translate into acceptable clinical outcomes.

PLUMX METRICS

Publication date:

Sep /2004

Keywords:

clinical outcomes, early childhood caries, mutans streptococci

Issue:

Vol.5 – n.3/2004

Page:

143 – 146

Publisher:

Ariesdue

Cite:


Harvard: I. Chase, R. J. Berkowitz, S. A. Mundorff-Shrestha, H. M. Proskin, P. Weinstein, R. Billings (2004) "Clinical outcomes for Early Childhood Caries (ECC): the influence of salivary mutans streptococci levels", European Journal of Paediatric Dentistry, 5(3), pp143-146. doi:
Vancouver: I. Chase, R. J. Berkowitz, S. A. Mundorff-Shrestha, H. M. Proskin, P. Weinstein, R. Billings. Clinical outcomes for Early Childhood Caries (ECC): the influence of salivary mutans streptococci levels. European Journal of Paediatric Dentistry [Internet]. 2004Sep.1 [cited 2023Feb.08];5(3):143-146. Available from: https://www.ejpd.eu/abstract-pubmed/clinical-outcomes-for-early-childhood-caries-ecc-the-influence-of-salivary-mutans-streptococci-levels/
MLA: I. Chase, R. J. Berkowitz, S. A. Mundorff-Shrestha, H. M. Proskin, P. Weinstein, R. Billings Clinical outcomes for Early Childhood Caries (ECC): the influence of salivary mutans streptococci levels. European Journal of Paediatric Dentistry. 2004;5(3):143-146

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Facebook
Twitter
Pinterest
Linkedin
WhatsApp
Email
Print
    webfactory.bm24
    Editor in chief: dott. Luigi Paglia
    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    powered by Ariesdue

    CONTACT US
    • About
    • Editorial Board
    • Current Issue
    • Archive
    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    Registrazione del Tribunale di Milano n. 285 del 14.04.1998 | ROC 1946 - 26.09.2001
    /* ----------------------------------------- */ /* Modello di contenuto: Abstracts PubMed - inizio */ /* ----------------------------------------- */ /* ----------------------------------------- */ /* Modello di contenuto: Abstracts PubMed - fine */ /* ----------------------------------------- */