Original scientific paper
Effectiveness of Different Preventive Procedures in the Control of Some Caries Risk Factors
Hrvoje Jurić
Ilija Škrinjarić
Andrija Bošnjak
Abstract
Caries risk assessment is a valuable clinical procedure that in many ways alleviates implementation of preventive procedures in the entire population. When high-risk individuals for new caries lesions are identified the most effective preventive protocol should be applied. The aim of this study was to investigate the caries preventive values of certain preventive procedures in in vivo conditions. Five groups of subjects, each with 18 children aged from 4-5 and 10-12 years (n=90) were treated with different preventive procedures (aminfluoride solution, professional prophylactic paste, chewing gum containing xylitol and fluoride, chlorhexidine solution, chlorhexidine 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), the amount of stimulated saliva and buffer capacity. At the end of the study the best result in the reduction of the number of bacteria was achieved by the application of Proxyt paste and daily use of chewing gum, (p<0.001). In patients treated with this preventive procedure the number of SM was reduced by 1 class and LB to <104 after two months of study. The results obtained indicate that professional teeth cleaning and use of chewing gum with xylitol and fluorides on daily basis can be very effective protocol for controlling most important caries risk factors or predictors.
Keywords
dental caries; Streptococcus; fluorides; topical; cariogenic agents; cariostatic agents; chewing gum
Hrčak ID:
11691
URI
Publication date:
15.3.2007.
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