Comparative study of preventive protocols in children at high cariogenic risk

The aim of this study was to compare the efficacy of two preventive protocols - fluoride gel (F) alone or combined with chlorhexidine varnishes (CHX) - on sialochemical, clinical and microbiological parameters in a group of children at high cariogenic risk. Two therapeutic-preventive protocols were...

Full description

Bibliographic Details
Main Authors: Martínez, M. C., Tolcachir, B., Lescano de Ferrer, A., Bojanich, M. A., Barembaum, S. R., Calamari, S. E., Azcurra, A. I.
Format: publishedVersion
Language:eng
Published: Acta Odontológica Latinoamericana 2017
Subjects:
Online Access:http://hdl.handle.net/11086/4882
_version_ 1801211316726136832
author Martínez, M. C.
Tolcachir, B.
Lescano de Ferrer, A.
Bojanich, M. A.
Barembaum, S. R.
Calamari, S. E.
Azcurra, A. I.
author_facet Martínez, M. C.
Tolcachir, B.
Lescano de Ferrer, A.
Bojanich, M. A.
Barembaum, S. R.
Calamari, S. E.
Azcurra, A. I.
author_sort Martínez, M. C.
collection Repositorio Digital Universitario
description The aim of this study was to compare the efficacy of two preventive protocols - fluoride gel (F) alone or combined with chlorhexidine varnishes (CHX) - on sialochemical, clinical and microbiological parameters in a group of children at high cariogenic risk. Two therapeutic-preventive protocols were applied in 73 children at high cariogenic risk (average age 6.2±1.4 years old) and clinical parameters (simplified oral hygiene index: OHIS; decayed, missing and filled teeth: dmf index; sugar intake and exposure to fluoride), as well as sialochemical parameters (salivary pH and flow, buffer capacity) and microbiological parameters (CFU/mg of dental biofilm of Streptococcus mutans group) were recorded and correlated before and after the protocols. Association was found between parameters that cause deficient control of dental biofilm: high values of OHIS index, CFU/mg dental biofilm, sugar intake and the d component of dmft index, and lower values of salivary flow rate and buffer capacity. After the protocols, a significant decrease was found in OHI-S and CFU/mg dental biofilm. No significant difference was found with children’s gender and age. The association observed between OHI-S and cariogenic bacteria emphasizes the importance of prevention, especially regarding the oral health of the most vulnerable children. The early inclusion of F associated with CHX in the initial step of preventive and therapeutic protocols would provide benefits regarding oral microbe control while children acquire new habits of oral hygiene.
format publishedVersion
id rdu-unc.4882
institution Universidad Nacional de Cordoba
language eng
publishDate 2017
publisher Acta Odontológica Latinoamericana
record_format dspace
spelling rdu-unc.48822022-06-08T19:46:51Z Comparative study of preventive protocols in children at high cariogenic risk Martínez, M. C. Tolcachir, B. Lescano de Ferrer, A. Bojanich, M. A. Barembaum, S. R. Calamari, S. E. Azcurra, A. I. Dental caries susceptibility Child Saliva Fluorides Chlorhexidine publishedVersion The aim of this study was to compare the efficacy of two preventive protocols - fluoride gel (F) alone or combined with chlorhexidine varnishes (CHX) - on sialochemical, clinical and microbiological parameters in a group of children at high cariogenic risk. Two therapeutic-preventive protocols were applied in 73 children at high cariogenic risk (average age 6.2±1.4 years old) and clinical parameters (simplified oral hygiene index: OHIS; decayed, missing and filled teeth: dmf index; sugar intake and exposure to fluoride), as well as sialochemical parameters (salivary pH and flow, buffer capacity) and microbiological parameters (CFU/mg of dental biofilm of Streptococcus mutans group) were recorded and correlated before and after the protocols. Association was found between parameters that cause deficient control of dental biofilm: high values of OHIS index, CFU/mg dental biofilm, sugar intake and the d component of dmft index, and lower values of salivary flow rate and buffer capacity. After the protocols, a significant decrease was found in OHI-S and CFU/mg dental biofilm. No significant difference was found with children’s gender and age. The association observed between OHI-S and cariogenic bacteria emphasizes the importance of prevention, especially regarding the oral health of the most vulnerable children. The early inclusion of F associated with CHX in the initial step of preventive and therapeutic protocols would provide benefits regarding oral microbe control while children acquire new habits of oral hygiene. publishedVersion 2017-08-02T13:56:03Z 2017-08-02T13:56:03Z 2012 article Martínez, M. C, Tolcachir, B., Lescano de ferrer, A, Bojanich, M. A, Barembaum, S. R., Calamari, S. E., Azcurra, A. I. Comparative study of preventive protocols in children at high cariogenic risk. Acta Odontol Latinoam. 2012;25(2): 218-223. 0326-4815 http://hdl.handle.net/11086/4882 eng Atribución-NoComercial-CompartirIgual 4.0 Internacional http://creativecommons.org/licenses/by-nc-sa/4.0/ Acta Odontológica Latinoamericana
spellingShingle Dental caries susceptibility
Child
Saliva
Fluorides
Chlorhexidine
Martínez, M. C.
Tolcachir, B.
Lescano de Ferrer, A.
Bojanich, M. A.
Barembaum, S. R.
Calamari, S. E.
Azcurra, A. I.
Comparative study of preventive protocols in children at high cariogenic risk
title Comparative study of preventive protocols in children at high cariogenic risk
title_full Comparative study of preventive protocols in children at high cariogenic risk
title_fullStr Comparative study of preventive protocols in children at high cariogenic risk
title_full_unstemmed Comparative study of preventive protocols in children at high cariogenic risk
title_short Comparative study of preventive protocols in children at high cariogenic risk
title_sort comparative study of preventive protocols in children at high cariogenic risk
topic Dental caries susceptibility
Child
Saliva
Fluorides
Chlorhexidine
url http://hdl.handle.net/11086/4882
work_keys_str_mv AT martinezmc comparativestudyofpreventiveprotocolsinchildrenathighcariogenicrisk
AT tolcachirb comparativestudyofpreventiveprotocolsinchildrenathighcariogenicrisk
AT lescanodeferrera comparativestudyofpreventiveprotocolsinchildrenathighcariogenicrisk
AT bojanichma comparativestudyofpreventiveprotocolsinchildrenathighcariogenicrisk
AT barembaumsr comparativestudyofpreventiveprotocolsinchildrenathighcariogenicrisk
AT calamarise comparativestudyofpreventiveprotocolsinchildrenathighcariogenicrisk
AT azcurraai comparativestudyofpreventiveprotocolsinchildrenathighcariogenicrisk