Association between S. sanguinis and caries-free oral environment in the initial and mature plaques
Objectives: To quantify S. mutans and S. sanguinis in initial and mature plaque between 2 groups and to analyze the association between caries-related factors and these bacteria in each group. Methods: Supra gingival plaque were obtained from 138 Thai children aged 2-6 years old (S-ECC=68, CF=72). Plaque and gingival indices were recorded. Firstly, an overnight mature plaque was obtained then after a thoroughly prophylaxis, initial plaque was collected 4 hrs. after. Assessed parent attitude and behavior in child’s oral hygiene care and diet using questionnaire. After DNA extraction, quantitative real-time PCR using SYBR green was performed. Results: For initial plaque, S. sanguinis was higher in CF. S. mutans (0.011) and S. mutans/S. sanguinis ratio (0.005, Mann-Whitney U test at p<0.05) were higher in S-ECC. S. sanguinis amount was inverse correlated with dmft (0.00), gingival index (0.044), and plaque index (0.011, Spearman correlation test at p<0.05). For mature plaque, S. mutans (0.00) and S. mutans/S. sanguinis ratio (0.005, Mann-Whitney U test at p<0.05) were also higher in S-ECC. There was a positive correlation between S. mutans, S. mutans/S. sanguinis ratio and dmft (0.00, Spearman correlation test at p<0.05). There were different in parent education levels (0.041) and bottle sleeping or breast feeding habit (0.019, Chi square test at p<0.05) between 2 groups. From multivariate analysis, child who has S. sanguinis in initial plaque <105 (cfu/ml) is 5.27 chance of child who has S. sanguinis>105 in develop S-ECC, child who came from low family income (<10,000 baht/month) is 2.885 chance in develop S-ECC of child who came from family income >10,000 and child who was bottle sleeping is 2.601 chance in develop S-ECC of child who was not. Conclusions: The amount of S. sanguinis in the initial plaque, low family income and bottle sleeping are important factors in determining risk of S-ECC.
Japanese Division Meeting
2014 Japanese Division Meeting (Osaka, Japan) Osaka, Japan
2014
Cariology Research - Detection, Risk Assessment and Others
Mitrakul, Kemthong
( Mahidol University
, Bangkok
, Thailand
)
Poster Session
JADR 2014 Poster Session
Association between caries-related factor and caries status
Variables
CF
S-ECC
Multivariate analysis
n (%)
n (%)
Adjusted OR
95%CI
p-value
S. sanguinis (initial plaque) < 105 =105
30 (50) 30 (50)
51(78.5) 14(21.5)
5.27
2.008-13.831
0.001*
Household income /month < 10,000 baht = 10,000 baht
27 (39.1) 42 (60.9)
38 (56.7) 29 (43.3)
2.885
1.164-7.153
0.022*
Bottle sleeping or breast feeding Yes No
11 (16.7) 55 (83.3)
25 (37.3) 42 (62.7)
2.601
0.966-7.004
0.059
* p-value < 0.05
Amount of bacteria in initial plaque
Species in initial plaque
Mean±SD
p-value
CF
S-ECC
S. mutans
3.51x109±2.67x1010
2.11x108±1.24x109
0.607
S. sanguinis
2.4x105±5.96x104
1.88x107±1.88x107
0.225
S. mutans/ S. sanguinis
8.85x104±1.14x104
2.66x104±1.26x104
0.005*
* Mann-Whitney U Test at p<0.05
Amount of bacteria in mature plaque