Educational strategies and atraumatic restorative treatment effect on salivary characteristics: A controlled clinical trial
Autor: | Gabriela Caroline Alonso, Taís de Souza Barbosa, Paula Midori Castelo, Karina Guedes de Sousa, Camila Nobre de Freitas, Fernando Luiz Affonso Fonseca, Marlise Inês Klein |
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Rok vydání: | 2017 |
Předmět: |
0301 basic medicine
Molar Male Saliva Dentistry Oral Health Oral health Dental Caries Oral hygiene Streptococcus mutans 03 medical and health sciences Gingivitis 0302 clinical medicine Patient Education as Topic Medicine Humans Child Dental Restoration Permanent General Dentistry biology business.industry Phosphorus 030206 dentistry Hydrogen-Ion Concentration biology.organism_classification Restorative treatment Clinical trial 030104 developmental biology Otorhinolaryngology Biofilms Calcium Female medicine.symptom business |
Zdroj: | Oral diseases. 23(8) |
ISSN: | 1601-0825 |
Popis: | Summary Objective To evaluate educational strategies and ART-restoration impact on salivary physicochemical and microbiological characteristics. Design Two groups of 6-7-yr-old children were included: GART, with at least one decayed primary molar (n=36), submitted to 4 sessions of oral health educational strategy (OHES) and ART-restoration; GC, a paired caries-free group (n=36), submitted to 4 sessions of OHES. Three evaluations were carried out: baseline, one week after OHES and one month after OHES or ART, when biofilm and gingivitis frequencies, salivary flow, pH, buffer capacity, calcium and phosphorus concentrations were assessed. Total bacteria and S. mutans were quantified in unstimulated saliva (qPCR). Results Improvement in biofilm and gingivitis scores, salivary pH and buffering capacity after OHES was observed in GC, with a decrease in total bacteria and S. mutans counts. GART also showed changes in salivary parameters, even before ART-restoration was delivered, and total bacteria count remained lower than baseline one month after ART-restoration, although a trend to increase the proportion of S. mutans was observed. Conclusion Improvements in salivary physicochemical and microbiological characteristics were observed after educational strategies, thus reducing the caries-risk of children with decayed teeth, although a trend to increase the S. mutans percentage was observed one month after ART-restoration. This article is protected by copyright. All rights reserved. |
Databáze: | OpenAIRE |
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