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全口修复后幼儿龋患儿口腔微生物群落变化的评估

Evaluation of Changes in Oral Microflora in Children with Early Childhood Caries after Full Mouth Rehabilitation.

作者信息

Mathew Mebin George, Jeevanandan Ganesh, Rathod Neha N

机构信息

Department of Pedodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences (SIMATS) (Deemed to be University), Chennai, Tamil Nadu, India.

出版信息

Int J Clin Pediatr Dent. 2024 Jan;17(1):21-25. doi: 10.5005/jp-journals-10005-2707.

Abstract

AIM

To evaluate the change in microflora in children suffering from severe early childhood caries (ECC) after full mouth rehabilitation.

MATERIALS AND METHODS

A total of 60 children, aged 3-5 years suffering from severe ECC who fulfilled the inclusion and exclusion criteria were included in the study. Pooled plaque samples were taken and subjected to quantitative reverse transcriptase polymerase chain reaction (PCR) to obtain baseline mean values of (), (), (), and () before full mouth rehabilitation was done under general anesthesia. Posttreatment samples were collected at 6, 12, and 18 months. Wilcoxon signed-rank test was used to compare the mean values of , , and before and after full mouth rehabilitation.

RESULTS

A total of 60 patients recruited for the study were present at the follow-up at 6 and 12 months. At 18 months, 55 patients returned, and five were lost due to follow-up. A statistically significant reduction was seen in all microorganisms at 6, 12, and 18 months compared to baseline values. At 18 months a slight increase in , and was seen. was not detected in any cases after full mouth rehabilitation. Caries recurrence was seen in four patients at 18 months.

CONCLUSION

Significant reduction of and was seen at 6, 12, and 18 months. A complete reduction of only was seen. A significant but not permanent reduction of , and . Caries recurrence was seen in 7.27% of patients at 18 months.

HOW TO CITE THIS ARTICLE

Mathew MG, Jeevanandan G, Rathod NN. Evaluation of Changes in Oral Microflora in Children with Early Childhood Caries after Full Mouth Rehabilitation. Int J Clin Pediatr Dent 2024;17(1):21-25.

摘要

目的

评估重度幼儿龋(ECC)患儿全口修复后口腔微生物群的变化。

材料与方法

本研究纳入了60名年龄在3至5岁、患有重度ECC且符合纳入和排除标准的儿童。采集混合菌斑样本,并进行定量逆转录聚合酶链反应(PCR),以获得在全身麻醉下进行全口修复前的()、()、()和()的基线平均值。在治疗后6、12和18个月收集样本。采用Wilcoxon符号秩检验比较全口修复前后()、()、()和()的平均值。

结果

共有60名招募参加研究的患者在6个月和12个月的随访中出现。在18个月时,55名患者返回,5名因随访丢失。与基线值相比,在6、12和18个月时所有微生物均有统计学意义的减少。在18个月时,()、()和()略有增加。全口修复后在任何病例中均未检测到()。在18个月时,4名患者出现龋齿复发。

结论

在6、12和18个月时,()和()显著减少。仅()完全减少。()、()和()显著但非永久性减少。18个月时,7.27%的患者出现龋齿复发。

如何引用本文

Mathew MG, Jeevanandan G, Rathod NN. Evaluation of Changes in Oral Microflora in Children with Early Childhood Caries after Full Mouth Rehabilitation. Int J Clin Pediatr Dent 2024;17(1):21 - 25.

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