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一项针对母婴的龋齿预防项目的效果——一项18个月的随访研究。

The effectiveness of a caries preventive program in mothers and infants - An 18- month follow-up study.

作者信息

Mutluay Abidin Talha, Mutluay Merve, Dulgergil Turksel

机构信息

Vocational School of Health Services, Department of Dental Hygiene, Kirikkale University, Kirikkale, Turkey.

Private Dentist, Istanbul, Turkey.

出版信息

J Dent Sci. 2020 Dec;15(4):536-541. doi: 10.1016/j.jds.2019.12.008. Epub 2020 Mar 6.

Abstract

BACKGROUND/PURPOSE: MS and LB, the primary bacteria groups responsible for dental caries, and high levels of these bacteria in the mother promote transmission from mother to infant. The aim of this study was prevention of maternal MS and LB transmission on infants by using different preventive strategies and inhibition of early childhood caries proggession.

MATERIALS AND METHODS

This study was conducted with 50 mother-child pairs who were randomly allocated into either a study group or a control group (n = 25 each). Mothers in the study group were enrolled in a detailed preventive program that included elimination of dental caries with restorative and antibacterial procedures, whereas those in the control group received only a single episode of oral-health education.

RESULTS

After 18 months, significant MS and LB inhibition was observed in the study group (p < 0.0001). In addition, caries prevalence in the infants in the study and control groups was 0% and 20% respectively, and the difference between the two groups was statistically significant (p = 0.020).

CONCLUSION

These results indicate that primary preventive intervention and oral-health instruction can significantly inhibit the MS and LB levels of mothers and prevent caries in their children during the early years of life.

摘要

背景/目的:变形链球菌(MS)和乳杆菌(LB)是导致龋齿的主要菌群,母亲口腔中这些细菌水平较高会促使其向婴儿传播。本研究的目的是通过采用不同的预防策略以及抑制幼儿龋齿进展,来预防母亲的MS和LB向婴儿传播。

材料与方法

本研究纳入了50对母婴,将其随机分为研究组和对照组(每组n = 25)。研究组的母亲参加了一个详细的预防项目,包括通过修复和抗菌程序消除龋齿,而对照组的母亲仅接受了一次口腔健康教育。

结果

18个月后,研究组中观察到MS和LB受到显著抑制(p < 0.0001)。此外,研究组和对照组婴儿的龋齿患病率分别为0%和20%,两组之间的差异具有统计学意义(p = 0.020)。

结论

这些结果表明,初级预防干预和口腔健康指导可以显著抑制母亲的MS和LB水平,并在儿童生命早期预防其龋齿。

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