Educational strategies and atraumatic restorative treatment effect on salivary characteristics: A controlled clinical trial

Author(s)

Freitas, C. N. ^[1] ; Castelo, P. M. ^[2] ; Sousa, K. G. ^[1] ; Alonso, G. C. ^[3] ; Fonseca, F. L. A. ^[4] ; Klein, M. I. ^[3] ; Barbosa, T. S. ^[1]

Affiliation

^[1] Dept Pediat Dent Faculdade Odontologia Piracicaba, Univ Estadual Campinas UNICAMP, Piracicaba - Brazil

^[2] Univ Fed SAo Paulo UNIFESP Campus Diadema, Dept Pharmaceut Sci, Diadema - Brazil

^[3] Univ Estadual Paulista, Dept Dent Mat & Prosthodont Araraquara Dent Sch, UNESP, Sao Paulo - Brazil

^[4] Dept Hematol & Oncol, Faculdade Medicina ABC FMABC, Santo Andre - Brazil

• Document type: Journal article
• Source: ORAL DISEASES; v. 23, n. 8, p. 1116-1126, NOV 2017.
• Web of Science Citations: 2

Abstract

ObjectiveTo evaluate educational strategies and atraumatic restorative treatment (ART)-restoration impact on salivary physicochemical and microbiological characteristics. DesignTwo groups of 6- to 7-year-old children were included: G(ART), with at least one decayed primary molar (n=36), submitted to four sessions of oral health educational strategy (OHES) and ART restoration; G(C), a paired caries-free group (n=36), submitted to four sessions of OHES. Three evaluations were carried out: baseline, 1week after OHES, and 1month after OHES or ART, when biofilm and gingivitis frequencies, salivary flow, pH, buffer capacity, calcium and phosphorus concentrations were assessed. Total bacteria and Streptococcus mutans were quantified in unstimulated saliva (qPCR). ResultsImprovement in biofilm and gingivitis scores, salivary pH, and buffering capacity after OHES was observed in G(C), with a decrease in total bacteria and S.mutans counts. G(ART) also showed changes in salivary parameters, even before ART restoration was delivered, and total bacteria count remained lower than baseline 1month after ART restoration, although a trend to increase the proportion of S.mutans was observed. ConclusionImprovements 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 1month after ART restoration. (AU)

• FAPESP's process: 14/20464-4 - Impact of atraumatic restorative treatment associated with oral health educational strategies on dental anxiety of schoolchildren
• Grantee: Juana Rosmeri Salas Huamani
• Support Opportunities: Scholarships in Brazil - Master
• FAPESP's process: 12/04492-2 - Quality of life evaluation and the nutritional, salivary and masticatory characteristics of pre pubertal overweight and obese children
• Grantee: Paula Midori Castelo Ferrua
• Support Opportunities: Regular Research Grants