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- Title
Influence of a preschool preventive dental programme on caries prevalence, oral care and secretory immunity to <italic>Streptococcus mutans</italic> in young adults.
- Authors
Aida, K. L.; de Paula Ramos, S.; Seixas, G. F.; Bozza, A.; Couto de Almeida, R. S.; Dezan Garbelini, C. C.
- Abstract
Abstract: Objective: To evaluate oral hygiene habits, decayed, missing and filled teeth (DMFT) and surfaces (DMFS), dental care, dietetic habits and anti‐<italic>Streptococcus mutans</italic> salivary secretory Immunoglobulin A (SIgA) in young adults who attended a preventive programme during preschool age. Material and methods: The study group (Baby Clinic) comprised 72 patients, aged 18‐25 years, who had participated in the Baby Clinic preventive programme. The control group was age‐ and gender‐matched. The patients were examined and unstimulated whole saliva was sampled for detection of anti‐<italic>S. mutans</italic>SIgA antibodies. Results: Control patients presented increased DMFS scores (<italic>P </italic><<italic> </italic>.05). Hygiene habits, cariogenic diet and antibody levels were not different between groups (<italic>P </italic>><italic> </italic>.05). Baby Clinic patients presented better periodontal status (<italic>P </italic><<italic> </italic>.005), less calculus (<italic>P </italic><<italic> </italic>.005) and bleeding on probing (<italic>P </italic><<italic> </italic>.005), and reported visiting dental services more regularly (<italic>P </italic><<italic> </italic>.05). Adjusted multivariate linear regression analysis demonstrated that DMFT was associated with study group (<italic>P </italic><<italic> </italic>.05), gender (<italic>P </italic><<italic> </italic>.05), parents’ education (<italic>P </italic><<italic> </italic>.05), carbohydrate intake (<italic>P </italic><<italic> </italic>.001) and levels of anti‐<italic>S. mutans</italic>SIgA (<italic>P </italic><<italic> </italic>.007). DMFS was associated with time elapsed since the last visit to the dentist (<italic>P </italic><<italic> </italic>.005) and weekly carbohydrate intake (<italic>P </italic><<italic> </italic>.005). Conclusion: Preventive programmes for preschool children positively impact on DMFS and periodontal status in young adults, but have no long‐term effects on dietary or hygiene habits.
- Subjects
BRAZIL; SALIVA analysis; CHI-squared test; CHILDREN'S dental care; DENTAL caries; DIET; IMMUNOGLOBULINS; EVALUATION of medical care; ORAL hygiene; PREVENTIVE dentistry; PROBABILITY theory; RESEARCH evaluation; RESEARCH funding; STREPTOCOCCUS mutans; TOOTH care &; hygiene; MULTIPLE regression analysis; CONTROL groups; INTER-observer reliability; RETROSPECTIVE studies; DESCRIPTIVE statistics; MANN Whitney U Test; CHILDREN
- Publication
International Journal of Dental Hygiene, 2018, Vol 16, Issue 2, p249
- ISSN
1601-5029
- Publication type
Article
- DOI
10.1111/idh.12311