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Xu H, Ma X, Wang J, Chen X, Zou Q, Ban J. Exploring the state and influential factors of dental caries in preschool children aged 3-6 years in Xingtai City. BMC Oral Health 2024; 24:951. [PMID: 39152370 PMCID: PMC11328377 DOI: 10.1186/s12903-024-04663-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Accepted: 07/24/2024] [Indexed: 08/19/2024] Open
Abstract
OBJECTIVE To explore the main factors affecting early dental caries among preschool children aged 3-6 years in Xingtai City to formulate effective preventive measures. METHODS A cross-sectional study was conducted on 570 preschool children aged 3-6 years in Xingtai City through questionnaire surveys and oral examinations to understand their dental caries situation. Multifactorial logistic regression analysis was used to analyse the main influencing factors for the occurrence of dental caries in preschool children. RESULTS Univariate analysis showed statistically significant differences in age (χ2 = 2.636, p = 0.008), father's education level (χ2 = 4.207, p < 0.001), mother's education level (χ2 = 4.217, p < 0.001), daily tooth brushing frequency (χ2 = 3.160, p = 0.002), age of starting tooth brushing (χ2 = 8.756, p < 0.001), mouth rinsing after meals (χ2 = 89.401, p < 0.001), Streptococcus mutans positivity (χ2 = 133.503, p < 0.001), non-sweet snack consumption frequency (χ2 = 5.962, p < 0.001), snack flavour preference (χ2 = 116.119, p < 0.001), use of fluoridated toothpaste (χ2 = 75.639, p < 0.001), regular oral examinations (χ2 = 98.711, p < 0.001), sugary drink consumption frequency (χ2 = 10.370, p < 0.001) and sweet food consumption frequency (χ2 = 9.261, p < 0.001) between the caries and non-caries groups. Multifactorial analysis revealed that older age (odds ratio [OR] = 5.342, 95% confidence interval [CI]: 1.434-6.631), later initiation of tooth brushing (OR = 3.244, 95% CI: 2.413-5.424), S. mutans positivity (OR = 5.357, 95% CI: 4.529-8.563), high snack consumption frequency (OR = 3.452, 95% CI: 2.634-5.442), high sugary drink consumption frequency (OR = 4.414, 95% CI: 2.534-6.451) and high sweet food consumption frequency (OR = 4.531, 95% CI: 3.421-6.354) were risk factors for dental caries. Higher father's educational level (OR = 0.724, 95% CI: 0.564-0.891), higher mother's educational level (OR = 0.641, 95% CI: 0.601-0.813), high daily tooth brushing frequency (OR = 0.572, 95% CI: 0.423-0.864), mouth rinsing after meals (OR = 0.743, 95% CI: 0.643-0.813), use of fluoridated toothpaste (OR = 0.657, 95% CI: 0.553-0.931) and regular oral examinations (OR = 0.443, 95% CI: 0.352-0.747) were protective factors against dental caries (all p < 0.05). CONCLUSION Multiple factors result in early dental caries in preschool children aged 3-6 years; however, the most influential factors are older age and high snack consumption, as well as high sugary and sweet food/drink consumption.
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Affiliation(s)
- Hua Xu
- Department of Oral Medicine, Hebei Eye Hospital, 399 East Quanbei Street, Xingtai, 054001, Hebei, China
| | - Xiaolan Ma
- Department of Oral Medicine, Hebei Eye Hospital, 399 East Quanbei Street, Xingtai, 054001, Hebei, China
| | - Junrong Wang
- Department of Oral and Maxillofacial Surgery, Hebei Eye Hospital, Xingtai, 054001, China
| | - Xuefang Chen
- Department of Oral Medicine, Hebei Eye Hospital, 399 East Quanbei Street, Xingtai, 054001, Hebei, China
| | - Qian Zou
- Department of Oral Medicine, Hebei Eye Hospital, 399 East Quanbei Street, Xingtai, 054001, Hebei, China
| | - Jiandong Ban
- Department of Oral Medicine, Hebei Eye Hospital, 399 East Quanbei Street, Xingtai, 054001, Hebei, China.
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Nomura S. Current Status and Challenges in Delivering Comprehensive Care for Patients with Hemophilia. J Blood Med 2023; 14:629-637. [PMID: 38125786 PMCID: PMC10730945 DOI: 10.2147/jbm.s446204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Accepted: 12/11/2023] [Indexed: 12/23/2023] Open
Abstract
The importance of comprehensive care as a treatment strategy for patients with hemophilia is recognized worldwide. Comprehensive care entails addressing full spectrum of medical and psychological aspects impacting both patients and their families. The primary objective of comprehensive care for individuals with hemophilia is to enable them to lead their daily lives just as anyone else would. To achieve this goal, it is necessary to have a positive and collaborative approach across various healthcare disciplines. This extends beyond clinical specialists, encompassing pediatricians, hematologists, orthopedic surgeons, dental and oral surgeons, gynecologists, nurses, physical therapists, clinical psychologists, and other professionals from diverse fields. This review article discusses the current status and challenges associated with comprehensive care for patients with hemophilia. We categorize these challenges as follows: hemophilic arthritis, rehabilitation, oral care, transitioning from pediatric to adult care, addressing carrier issues, and providing psychological care. There is still substantial work to be undertaken in addressing these hurdles and advancing the quality of comprehensive care for hemophilia patients.
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Affiliation(s)
- Shosaku Nomura
- Center of Thrombosis and Hemostasis, Kansai Medical University Medical Center, Moriguchi, Osaka, Japan
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Vishwanathaiah S, Maganur PC, Albar DH, Albar RH, Jafer MA, Baeshen SA, Madkhali IA, Mohana EJ, Sahli JS, Alnajdi AK, Tahhah MK, Manoharan V. Knowledge and Role of Paediatricians/Paediatric Residents in Infant Oral Healthcare and Dental Home across Saudi Arabia: A Cross-Sectional Study. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1579. [PMID: 37761540 PMCID: PMC10530126 DOI: 10.3390/children10091579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Revised: 09/07/2023] [Accepted: 09/18/2023] [Indexed: 09/29/2023]
Abstract
The prevention of oral diseases in children is highly achievable through providing early exposure to oral healthcare habits, which would make children more receptive towards dental services. A cross-sectional study used a structured, self-explanatory questionnaire to evaluate the knowledge and role of 190 paediatricians and paediatric residents towards infant oral healthcare and the dental home across Saudi Arabia. The authors sent a link to the questionnaire, comprising 36 questions, by email, as a Google e-form. The response rate obtained was 87.36%. A major proportion (95.8%) of the respondents considered that paediatricians play an important role in promoting oral health. Around 45.8% of the practitioners recommended tooth brushing after the eruption of the first tooth. About 38% of the practitioners were unaware of the children's first dental visit. The majority (95.2%) agreed that there should be an increased awareness regarding home dental habits. Most of them (78.3%) examined the oral cavity for dental problems as a part of routine childcare, and the majority (75.3%) admitted that they did not evaluate fluoride needs. A statistically significant higher mean knowledge score was observed for practitioners with more than 30 years of experience (9.35 ± 2.29), and there was a significant positive correlation (r = 0.486) between the knowledge score and mean score for the role of paediatric practitioners. Overall, the study concluded that the knowledge of paediatricians and paediatric residents in SA towards infant oral healthcare and the dental home was inadequate, and their role in maintaining oral health was found to be moderately satisfactory.
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Affiliation(s)
- Satish Vishwanathaiah
- Division of Pediatric Dentistry, Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (S.V.); (D.H.A.)
| | - Prabhadevi C. Maganur
- Division of Pediatric Dentistry, Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (S.V.); (D.H.A.)
| | - Dhalia Hassan Albar
- Division of Pediatric Dentistry, Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (S.V.); (D.H.A.)
- Preventive Dentistry Department, Pediatric Dentistry Division, Riyadh Elm University, Riyadh 12734, Saudi Arabia
| | | | - Mohammed Abdurabu Jafer
- Division of Public Health, Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia;
| | - Safeyah A. Baeshen
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (S.A.B.); (E.J.M.); (J.S.S.); (A.K.A.); (M.K.T.)
| | - Imtinan Ahmed Madkhali
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (S.A.B.); (E.J.M.); (J.S.S.); (A.K.A.); (M.K.T.)
| | - Enas Jaber Mohana
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (S.A.B.); (E.J.M.); (J.S.S.); (A.K.A.); (M.K.T.)
| | - Jawaher Saleh Sahli
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (S.A.B.); (E.J.M.); (J.S.S.); (A.K.A.); (M.K.T.)
| | - Alhanouf K. Alnajdi
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (S.A.B.); (E.J.M.); (J.S.S.); (A.K.A.); (M.K.T.)
| | - Manal Kinani Tahhah
- College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia; (S.A.B.); (E.J.M.); (J.S.S.); (A.K.A.); (M.K.T.)
| | - Varsha Manoharan
- Department of Public Health Dentistry, KVG Dental College and Hospital, Sullia 574327, India;
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Choufani A, Barakat R. The Knowledge, Attitude, and Practice of Lebanese Mothers Toward Their Children's Oral Health: A Cross-Sectional Survey. Cureus 2023; 15:e42903. [PMID: 37664336 PMCID: PMC10474875 DOI: 10.7759/cureus.42903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/27/2023] [Indexed: 09/05/2023] Open
Abstract
OBJECTIVES This study aims to assess the knowledge, attitude, and practice of Lebanese mothers toward their children's oral health, examine the association between the three variables, and identify their predictors. METHODS A cross-sectional online survey was administered to Lebanese mothers residing in Lebanon with children aged six months to 12 years between April and May 2022. The survey was administered to mothers from various geographical areas who presented to academic medical centers, private clinics, and dispensaries. The survey gathered sociodemographic data as well as assessed the knowledge, attitude, and practice of the participating mothers toward their children's oral health. RESULTS A total of 357 responses were included in the final analysis. The mean age of mothers was 32.67 years +/- 6.35. The majority of mothers had one or two children (35.8% and 37.5%, respectively). More than two-thirds of the mothers were unemployed. Only 13% of the mothers followed best practices for their children's dental health, while 48.6.2% possessed above-average knowledge and 88.9% had great attitudes. Mothers with a university education had higher knowledge, better attitudes, and practice scores than those with school-level education (elementary, high school). Employed mothers had a significantly better knowledge score (p=0.036) and practice score (p=0.043) than unemployed mothers. The decrease in the number of children was associated with an increase in the maternal knowledge score. An increase in the mother's age was associated with a higher knowledge score. CONCLUSION The findings of this study suggest the need for targeted oral health education programs for Lebanese mothers to enhance their attitudes and practices toward their children's oral health. It highlights the importance of early oral health interventions and emphasizes the significant role of mothers in promoting good oral health practices for their children. Further research is needed on a larger scale to comprehensively understand these variables and inform the development of appropriate national oral health programs for children in Lebanon.
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Affiliation(s)
- Antoine Choufani
- Pediatric and Public Health Dentistry, Lebanese University, Beirut, LBN
| | - Rasseel Barakat
- Pediatric Dentistry and Public Health, Private Practice, Windsor, CAN
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Chemelo VS, Bittencourt LO, Nascimento PC, Paiva MF, Delbem ACB, Pessan JP, do Espírito Santo AR, Albuquerque ARL, Angélica RS, Crespo-Lopez ME, Pessanha S, Aschner M, Lima RR. Maternal methylmercury exposure during early-life periods adversely affects mature enamel structure of offspring rats at human exposure levels: a concern for oral health. Front Public Health 2023; 11:1183308. [PMID: 37457266 PMCID: PMC10348892 DOI: 10.3389/fpubh.2023.1183308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 05/15/2023] [Indexed: 07/18/2023] Open
Abstract
Although there are many studies on the health effects of methylmercury (MeHg) toxicity during in utero and early development, little is known about its effects on mineralized tissues present in the oral cavity, such as enamel structure. Therefore, this study evaluated the effects of MeHg exposure on the physico-chemical, ultrastructural and functional properties of mature tooth enamel. Specifically, we studied offspring of mothers exposed to MeHg during the prenatal and postnatal periods which are the developmental stages associated with tooth enamel formation. Female rats were exposed to MeHg at a dose of 40 μg/kg/day for 42 days of pregnancy and lactation. The enamel of offspring was analyzed by (1) Fourier Transform Infrared Spectroscopy and Raman to assess physicochemical composition, (2) Scanning Electron Microscopy for ultrastructural evaluation, (3) Transmitted Polarizing Light Microscopy for analysis of the enamel extracellular matrix, and (4) resistance and hardness were evaluated by microhardness. The results showed that MeHg exposure during this sensitive enamel formation period induced changes in inorganic and organic content and enamel prisms ultrastructure alterations and disturbed the organic extracellular matrix due to a decreased enamel strength. These novel findings establish for the first time that maternal exposure to MeHg pre and postnatal promoted relevant changes in mature enamel of their offspring rats.
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Affiliation(s)
- Victória Santos Chemelo
- Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará (UFPA), Belém, Pará, Brazil
| | - Leonardo Oliveira Bittencourt
- Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará (UFPA), Belém, Pará, Brazil
| | - Priscila Cunha Nascimento
- Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará (UFPA), Belém, Pará, Brazil
| | - Mayra Frasson Paiva
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Alberto Carlos Botazzo Delbem
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Juliano Pelim Pessan
- Department of Preventive and Restorative Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, Brazil
| | - Alexandre Ribeiro do Espírito Santo
- Laboratory of Histotechnology and Tissue Biology, Department of Biomorphology, Institute of Health Sciences, Federal University of Bahia (UFBA), Salvador, Bahia, Brazil
| | | | - Rômulo Simões Angélica
- Laboratory of X-Ray Diffraction, Institute of Geosciences, Federal University of Pará, Belém, Pará, Brazil
| | - Maria Elena Crespo-Lopez
- Laboratory of Molecular Pharmacology, Institute of Biological Sciences, Federal University of Pará (UFPA), Belém, Pará, Brazil
| | - Sofia Pessanha
- Laboratory of Instrumentation, Biomedical Engineering and Radiation Physics, NOVA School of Science and Technology, Caparica, Portugal
| | - Michael Aschner
- Department of Molecular Pharmacology, Albert Einstein College of Medicine, Bronx, NY, United States
| | - Rafael Rodrigues Lima
- Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará (UFPA), Belém, Pará, Brazil
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Fatani B, Fatani OA, Kalantan R. Evaluation of Parents' Awareness about the Effect of Prolonged Exposure to Milk or Sugary Liquids during Bedtime in the Development of Rampant Caries in Preschoolchildren and Infants. Int J Clin Pediatr Dent 2022; 15:227-232. [PMID: 37457202 PMCID: PMC10338940 DOI: 10.5005/jp-journals-10005-2029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2023] Open
Abstract
Background Nursing caries (NC) is a specific type of dental rampant caries with an infectious and transmissible potential that usually affect preschool children or infants that are still in the nursing phase. Prolonged exposure to milk or sugary liquids or other cariogenic substance during bedtime has shown to be the most common cause of rampant caries in preschoolchildren and infants which contributes to lowering of both functional and cosmetic appearance. Aim and objective This study aims to evaluate parents' awareness about the effect of prolonged exposure to milk or sugary liquids during bedtime in the development of rampant caries (NC) in preschool children and infants in Riyadh, Saudi Arabia. Materials and methods The research design is an observational quantitative cross-sectional with a sample size of 303 participants. The targeted subjects were Saudi parents' males and females, older than 20 and living in Riyadh, Saudi Arabia, and those under 20 years old, non-Saudi without children, and not living in Riyadh were excluded. Results A sample of 303 parents was analyzed. Comparison between NC knowledge and gender showed that a higher percentage of mothers (71.0%) knew that bottle-feeding during bedtime can increase the incidence of caries compared to the fathers (51.9%), p value 0.003. The relation between NC awareness and previously heard about NC showed that those who heard about NC before knew more about bottle feeding during bedtime can cause NC, p value < 0.001. Most of the parents (88.7%) who previously heard about NC also knew that oral hygiene follow-up is important in preschool children, p value < 0.001. A significant difference in knowledge existed between those who heard about NC and those who are not in terms of the proper time to follow-up with a child's oral hygiene (p value < 0.001), and the proper time to visit a dentist (p value 0.012). Conclusion Our study showed that the parents are significantly aware of the incidence of NC during childhood (90.4%). In addition to the significant awareness among the parents who have previously heard about NC. However, (61.7%) of the parents acknowledged the most common leading cause of early childhood caries. How to cite this article Fatani B, Fatani OA, Kalantan R. Evaluation of Parents' Awareness about the Effect of Prolonged Exposure to Milk or Sugary Liquids during Bedtime in the Development of Rampant Cariesin Preschoolchildren and Infants. Int J Clin Pediatr Dent 2022;15(2):227-232.
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Affiliation(s)
- Bader Fatani
- College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Omar A Fatani
- College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Rania Kalantan
- Department of Pedodontics Dental Center, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia
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Interventions Targeting Bottle and Formula Feeding in the Prevention and Treatment of Early Childhood Caries, Overweight and Obesity: An Integrative Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312304. [PMID: 34886023 PMCID: PMC8656950 DOI: 10.3390/ijerph182312304] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 11/17/2021] [Accepted: 11/18/2021] [Indexed: 11/21/2022]
Abstract
Overweight, obesity and early childhood caries (ECC) are preventable conditions affecting infants and young children, with increased prevalence in those formula-fed. Previous research has focused on distinct outcomes for oral health and healthy weight gain. However, the aetiology may be linked through overlapping obesogenic and cariogenic feeding behaviours, such as increased sugar exposure through bottle propping and overfeeding. Best-practice bottle feeding and transition to cup use may concurrently reduce overweight, obesity and ECC. This integrative review aimed to identify interventions supporting best-practice formula feeding or bottle cessation and examine the intervention effects on feeding, oral health and weight outcomes. The reviewers searched nine databases and found 27 studies that met the predetermined inclusion criteria. Eighteen studies focused on populations vulnerable to ECC or unhealthy weight gain. All studies focused on carer education; however, only 10 studies utilised behaviour change techniques or theories addressing antecedents to obesogenic or cariogenic behaviours. The outcomes varied: 16 studies reported mixed outcomes, and eight reported worsened post-intervention outcomes. While some studies reported improvements, these were not maintained long-term. Many study designs were at risk of bias. Effective intervention strategies for preventing ECC and child obesity require the holistic use of interdisciplinary approaches, consumer co-design and the use of behavioural change theory.
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Meyer JM, Bichir N, Langford S. Common Dental Issues in Pediatrics. Prim Care 2021; 48:429-442. [PMID: 34311849 DOI: 10.1016/j.pop.2021.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
This article reviews common issues in pediatric dental health, including normal development, developmental issues, infections, trauma, and preventative care.
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Affiliation(s)
- Jeffrey M Meyer
- UofL Department of Pediatrics, 571 S. Floyd Street, Louisville, KY 40202, USA.
| | - Nicole Bichir
- UofL Department of Pediatrics, 571 S. Floyd Street, Louisville, KY 40202, USA
| | - Sheridan Langford
- UofL Department of Pediatrics, 571 S. Floyd Street, Louisville, KY 40202, USA
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Letieri ADS, Freitas-Fernandes LB, Albarello LL, Fontes GP, de Souza IPR, Valente AP, Fidalgo TKDS. Analysis of Salivary Metabolites by Nuclear Magnetic Resonance Before and After Oral Mucosa Cleaning of Infants in the Pre-dental Period. FRONTIERS IN DENTAL MEDICINE 2021. [DOI: 10.3389/fdmed.2021.667365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The aim of the present study was to verify if a protocol for cleaning the oral cavity of infants in the pre-dental period can reduce extrinsic salivary metabolites observed through Nuclear Magnetic Resonance (NMR). A cross-sectional clinical study with a convenience sample was conducted, and infants were recruited at the UFRJ Pediatric Dentistry Clinic. Participants who had used antibiotics and/or antifungals up to 3 months before and whose legal guardians did not consent or sign the Informed Consent Form were excluded. An anamnesis was performed with the guardians and the participants' intraoral clinical examination. Initial collection of unstimulated total saliva was performed using an automatic pipette with sterile plastic tips in the buccal floor region, at least 1 h after the last feeding. Subsequently, the infants' oral mucosa was cleaned with gauze moistened with filtered water, and after 5 min, a new collection was performed, using the same methodology. The obtained samples were immediately transferred on ice to the laboratory, centrifuged (10,000 g), and stored at −80°C. The NMR analyses were performed using a 500-MHz spectrometer Bruker, Germany); evaluations were done via the 1H and 1H-1H TOCSY spectra for metabolite signaling. Eleven pre-dental infants were evaluated, with a mean age of 3.8 months, including six girls (55%). Of these, nine participants (82%) were exclusively breastfed. The higher presence of components such as lactose, glucose, sugars, acetate, alanine, and lactate were observed in the samples before oral mucosa cleaning. Regarding the type of diet, more lactose was observed in the saliva of patients who were exclusively breastfed than those that received mixed feeding. We conclude that the oral mucosa cleaning of infants in the pre-dental period tends to reduce the concentration of extrinsic components from the diet, such as lactose, in the salivary metabolomic profile analyzed by NMR.
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Lewis CW. Teeth: Small but Mighty and Mighty Important. A Comprehensive Review of Children's Dental Health for Primary Care Clinicians. Curr Pediatr Rev 2020; 16:215-231. [PMID: 32108010 DOI: 10.2174/1573396316666200228093248] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2019] [Revised: 12/12/2019] [Accepted: 01/27/2020] [Indexed: 11/22/2022]
Abstract
Healthy teeth allow us to eat and stay well-nourished. Although primary care clinicians receive limited training about teeth, given the common nature of dental problems, it is important that they understand and recognize normal and abnormal dental conditions and can implement primary and secondary prevention of dental conditions in their practice. PubMed has been used to search the scientific literature for evidence on the following topics: normal dental development, dental abnormalities, malocclusion, teething, dental caries and related epidemiology and prevention, fluoride, dental injury and its management and prevention; and identification, prevention and treatment of gingivitis and periodontal disease. Literature review relied on randomized controlled trials, meta-analyses, systematic reviews, and Cochrane reviews when relevant and available. Other sources of evidence included cohort and case-control studies. Consensus statements and expert opinion were used when there was a paucity of high-quality research studies. The literature has been synthesized on these topics to make them relevant to pediatric primary care clinicians, and as available, the strength of evidence has been characterized when making clinical recommendations.
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Affiliation(s)
- Charlotte W Lewis
- Division of General Pediatrics, Department of Pediatrics, University of Washington School of Medicine,Seattle Children’s Hospital, Seattle, WA, USA
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