Aida K L, de Paula Ramos S, Seixas G F, Bozza A, Couto de Almeida R S, Dezan Garbelini C C
Department of Oral Medicine and Odontopediatric, Health Sciences Center, Universidade Estadual de Londrina, Londrina, Brazil.
Department of Histology, Center of Biological Sciences, Universidade Estadual de Londrina, Londrina, Brazil.
Int J Dent Hyg. 2018 May;16(2):249-256. doi: 10.1111/idh.12311. Epub 2017 Oct 6.
To evaluate oral hygiene habits, decayed, missing and filled teeth (DMFT) and surfaces (DMFS), dental care, dietetic habits and anti-Streptococcus mutans salivary secretory Immunoglobulin A (SIgA) in young adults who attended a preventive programme during preschool age.
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-S. mutansSIgA antibodies.
Control patients presented increased DMFS scores (P < .05). Hygiene habits, cariogenic diet and antibody levels were not different between groups (P > .05). Baby Clinic patients presented better periodontal status (P < .005), less calculus (P < .005) and bleeding on probing (P < .005), and reported visiting dental services more regularly (P < .05). Adjusted multivariate linear regression analysis demonstrated that DMFT was associated with study group (P < .05), gender (P < .05), parents' education (P < .05), carbohydrate intake (P < .001) and levels of anti-S. mutansSIgA (P < .007). DMFS was associated with time elapsed since the last visit to the dentist (P < .005) and weekly carbohydrate intake (P < .005).
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.
评估曾在学龄前参加预防项目的年轻成年人的口腔卫生习惯、龋失补牙数（DMFT）及龋失补牙面数（DMFS）、牙齿护理、饮食习惯和抗变形链球菌唾液分泌型免疫球蛋白A（SIgA）水平。
研究组（儿童诊所组）由72名年龄在18至25岁之间、曾参加儿童诊所预防项目的患者组成。对照组在年龄和性别上与之匹配。对患者进行检查，并采集非刺激性全唾液样本以检测抗变形链球菌SIgA抗体。
对照组患者的DMFS得分更高（P < 0.05）。两组之间的卫生习惯、致龋饮食和抗体水平无差异（P > 0.05）。儿童诊所组患者的牙周状况更好（P < 0.005），牙石更少（P < 0.005），探诊出血情况更少（P < 0.005），且报告称看牙更规律（P < 0.05）。校正后的多元线性回归分析表明，DMFT与研究组（P < 0.05）、性别（P < 0.05）、父母教育程度（P < 0.05）、碳水化合物摄入量（P < 0.001）和抗变形链球菌SIgA水平（P < 0.007）相关。DMFS与上次看牙后的时间间隔（P < 0.005）和每周碳水化合物摄入量（P < 0.005）相关。
学龄前儿童预防项目对年轻成年人的DMFS和牙周状况有积极影响，但对饮食习惯或卫生习惯没有长期影响。
