IADR Abstract Archives

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
    VariablesCFS-ECCMultivariate
    analysis
      
    n (%)n (%)Adjusted OR95%CIp-value 
    S. sanguinis (initial plaque)
    < 105
    =105
    30 (50)
    30 (50)
    51(78.5)
    14(21.5)
    5.272.008-13.8310.001*
    Household income /month
    < 10,000 baht
    = 10,000 baht

    27 (39.1)
    42 (60.9)
    38 (56.7)
    29 (43.3)
    2.8851.164-7.1530.022*
    Bottle sleeping or breast feeding
    Yes
    No
    11 (16.7)
    55 (83.3)
    25 (37.3)
    42 (62.7)
    2.6010.966-7.0040.059
    * p-value < 0.05
    Amount of bacteria in initial plaque
    Species in initial plaqueMean±SDp-value 
    CFS-ECC  
    S. mutans3.51x109±2.67x10102.11x108±1.24x1090.607
    S. sanguinis2.4x105±5.96x1041.88x107±1.88x1070.225
    S. mutans/ S. sanguinis8.85x104±1.14x1042.66x104±1.26x1040.005*
    * Mann-Whitney U Test at p<0.05
    Amount of bacteria in mature plaque
    Species in mature plaque Mean±SD p-value
     
    CFS-ECC
      
    S. mutans 1.8x104±7.3x103 7.9x105±5.4x105 0.000*
    S. sanguinis 1.8x105±2.5x104 2.9x105±4.5x104 0.225
    S. mutans/ S. sanguinis 0.49±0.25 2.0x102±1.8x102 0.005*
    * Mann-Whitney U Test at p<0.05