Experimental dental caries in the albino rat; incidence of caries in animals maintained on powdered purified diets containing either 67% sucrose or 67% potato starch

An oral care programme for adults- Evaluation after 15 years

The present retrospective analysis sought to investigate the impact of the oral care programme (OCP) for adults provided at the Department of Conservative and Preventive Dentistry, Justus-Liebig-University of Giessen, Germany, on oral health parameters. The OCP was modular and included oral hygiene instruction/professional toothcleaning, nutrition counselling, fluoridation and re-motivation. From 1999–2014, data from 1665 patients (55.1% female, 44.9% male; median age 33 years, range 15;80) were available. Type/date of modules, % of proximal sites with plaque (PP) and with bleeding after probing (PB) and D_3/4MFT/D_3/4MFS were recorded. PP and PB values are given as median (min;max). Overall, 60.2% of the patients attended the OCP once, 19.1% twice, and 20.7% ≥ three times. Initially, PP/PB were 0.68(0;1)/0.08(0;1) resp. decreasing at visit two (0.62(0;1)/0.07(0;1) resp.; p≤0.001 each) with no further improvement over next visits. Patients with poor oral hygiene improved, but those with good oral hygiene worsened (p≤0.001 each). Shorter intervals between visits were more effective than longer intervals. Attendance patterns changed significantly over the years: earlier, patients attended more visits with different modules; later, patients preferred the oral hygiene module and the intervals between visits lengthened. Prevalence and incidence of caries was associated with higher PP levels. Attendance patterns changed over time and had a significant impact on the outcome of the OCP. The improvement of oral hygiene was limited and occurred within the first two visits; repeated sessions maintained this improvement. The results indicate the need for new strategies improving patients’ skills for efficient hygiene techniques.

The effect of uncooked and roll-dried maize starch, alone and mixed in equal quantity with sucrose, on dental caries in the albino rat

1. One hundred and ten weanling rats were distributed between five dietary groups in randomized blocks. Each block was constructed from within a litter and each member of the block received a different diet.

2. The main features of the diets were: group I (twenty-six rats) 72% sucrose, group 2 (sixteen rats) 72% uncooked maize starch, group 3 (sixteen rats) 72% roll-dried maize starch, group 4 (twenty-six rats) 36% sucrose and 36% uncooked starch, group 5 (twenty-six rats) 36% sucrose and 36% roll-dried starch.

3. The animals were killed after 20 days on the diets and assessed for dental caries. The rats of group 1 (sucrose) had significantly more caries than all other groups, the rats of group 2 (uncooked starch) had significantly less caries than any of the other groups. Roll-dried starch (group 3) produced significantly more caries than uncooked starch (group 2). The mixture of uncooked starch and sucrose (group 4) was significantly more cariogenic than the mixture of roll-dried starch and sucrose (group 5).

The effect of differing high-carbohydrate diets on dental caries in the albino rat

1. Fifty-six albino rats were distributed between four dietary groups in fourteen randomized blocks of four animals. Each block consisted of siblings and each member of the block received a different dietary treatment. 2. The diets permitted normal growth and the only variations were: group I contained 67% sucrose, group 2 an equivalent amount of uncooked maize starch and groups 3 and 467 % of finely ground Thin Wine and Morning Coffee biscuits respectively. 3. After 31 days on the diet, the animals were killed and assessed for dental caries. The rats of group I had significantly more caries than the other groups. The rats of group 2 had significantly less caries than the other groups. The biscuit diets produced significantly less caries than the sucrose diet, but significantly more caries than the starch diet.