engleski

Effectiveness of different preventive procedures in the control of cariogenic risk factors in children

Caries risk assessment is a valuable clinical procedure that in many ways alleviates implementation of preventive procedures in high caries risk children. The aim of this study was to investigate the effectiveness of five different caries preventive procedures in vivo. A 100 children, divided in five groups, each with 20 children (aged 4-5 and 10-12 years) were treated with different preventive procedures (amine fluoride solution, professional prophylactic paste, chewing gum containing xylitol and fluoride, chlorhexidine solution, chlorhexidine-fluoride gel). During a period of two months five measurements were performed and the following variables evaluated: the number of Streptococcus mutans (SM) and Lactobacilli (LB), oral hygiene index (OHI) and the amount of stimulated saliva. Results showed that the highest reduction of the number of bacteria was achieved by the application of professional prophylactic paste and daily use of chewing gum containing xylitol and fluoride, (P<0.001). In these children the number of SM was reduced by class 1 and LB to <104 CFU/ml after two months. In conclusion, the professional teeth cleaning and use of chewing gum with xylitol and fluorides on daily basis could be very effective protocol for controlling the caries risk factors in children.

children ; caries risk assessment ; amine fluoride solution ; prophylactic paste ; chlorhexidine ; chewing gum ; xylitol

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