Salivary bacteria and oral health status in children with disabilities fed through gastrostomy

Int J Paediatr Dent. 2010 May;20(3):179-85. doi: 10.1111/j.1365-263X.2010.01039.x.

Abstract

Objectives: This study examined caries level, amount of calculus, and oral microbial environment in gastrostomy tube (GT)-fed children compared with healthy children and children with disabilities orally fed (PO).

Study design: The study group consisted of 12 GT-fed children and the two control groups consisted of 16 children with disabilities orally fed and 17 healthy children. DMF-T/dmf-t index, calculus index, Mutans Streptococci (MS), Lactobacilli (LB) levels and salivary buffer capacity were examined.

Results: DMF-T/dmf-t index was significantly lower in the tube-fed group. Calculus index was highest in the tube-fed group. MS and LB levels were the lowest in the tube-fed children. Correlation was found between MS and DMF-T/dmf-t.

Conclusions: Tube-fed children demonstrated significantly higher calculus levels and less caries, MS, and LB levels then healthy children or children with disabilities eating PO.

Publication types

  • Comparative Study

MeSH terms

  • Case-Control Studies
  • Child
  • Child, Preschool
  • Colony Count, Microbial
  • DMF Index
  • Dental Care for Chronically Ill
  • Dental Care for Disabled
  • Dental Caries / complications*
  • Dental Plaque / complications*
  • Dental Plaque Index
  • Disabled Children / statistics & numerical data*
  • Feeding Behavior
  • Female
  • Gastrostomy / adverse effects*
  • Gastrostomy / statistics & numerical data
  • Humans
  • Hydrogen-Ion Concentration
  • Infant
  • Lactobacillus / isolation & purification
  • Male
  • Matched-Pair Analysis
  • Mouth / microbiology
  • Oral Health
  • Reference Values
  • Saliva / microbiology
  • Saliva / physiology*
  • Streptococcus mutans / isolation & purification