Influence of a preschool preventive dental programme on caries prevalence, oral care and secretory immunity to Streptococcus mutans in young adults

Int J Dent Hyg. 2018 May;16(2):249-256. doi: 10.1111/idh.12311. Epub 2017 Oct 6.

Abstract

Objective: To evaluate oral hygiene habits, decayed, missing and filled teeth (DMFT) and surfaces (DMFS), dental care, dietetic habits and anti-Streptococcus mutans salivary secretory Immunoglobulin A (SIgA) in young adults who attended a preventive programme during preschool age.

Material and methods: The study group (Baby Clinic) comprised 72 patients, aged 18-25 years, who had participated in the Baby Clinic preventive programme. The control group was age- and gender-matched. The patients were examined and unstimulated whole saliva was sampled for detection of anti-S. mutansSIgA antibodies.

Results: Control patients presented increased DMFS scores (P < .05). Hygiene habits, cariogenic diet and antibody levels were not different between groups (P > .05). Baby Clinic patients presented better periodontal status (P < .005), less calculus (P < .005) and bleeding on probing (P < .005), and reported visiting dental services more regularly (P < .05). Adjusted multivariate linear regression analysis demonstrated that DMFT was associated with study group (P < .05), gender (P < .05), parents' education (P < .05), carbohydrate intake (P < .001) and levels of anti-S. mutansSIgA (P < .007). DMFS was associated with time elapsed since the last visit to the dentist (P < .005) and weekly carbohydrate intake (P < .005).

Conclusion: Preventive programmes for preschool children positively impact on DMFS and periodontal status in young adults, but have no long-term effects on dietary or hygiene habits.

Keywords: attitudes; caries; collective; oral hygiene; prevention individual; saliva.

MeSH terms

  • Adolescent
  • Brazil / epidemiology
  • Child, Preschool
  • DMF Index
  • Dental Caries / epidemiology*
  • Dental Caries / prevention & control*
  • Diet, Cariogenic
  • Female
  • Humans
  • Immunoglobulin A / immunology*
  • Male
  • Oral Hygiene Index
  • Prevalence
  • Primary Prevention*
  • Retrospective Studies
  • Saliva / chemistry
  • Streptococcus mutans / immunology*
  • Young Adult

Substances

  • Immunoglobulin A