Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1999-7-28
pubmed:abstractText
This report presents the first three children who developed dental caries despite being enrolled in a randomized, control trial to test methods to prevent early childhood caries. The children's caretakers received education on decreasing frequent and prolonged feeding with a nursing bottle and other sugar containing foods, as well as brushing the children's teeth daily with 0.4% SnF2 gel. One of the child's caretaker additionally received training sessions to improve confidence in eliminating the child's nursing bottle habit and in performing daily tooth brushing. The two other children received monthly topical fluoride treatments with 2% NaF. Despite these intensive preventive efforts, these three children developed dental caries. Two of the children had mutans streptococci colonization at the time of initial visit, (12 and 14 months of age, respectively). All had high mutans streptococci levels at the time that caries was detected. Incorrigible, high-frequency sugar consumption from a bottle or from solid foods was suggested in all three cases. In one case, dental caries was associated with defects of the tooth enamel. Conceivably, the cariogenic challenge and harmful behaviors in certain children may be so extreme that they can overwhelm even extraordinary preventive efforts.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
D
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0164-1263
pubmed:author
pubmed:issnType
Print
pubmed:volume
21
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
160-3
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:10355005-Bottle Feeding, pubmed-meshheading:10355005-Cariostatic Agents, pubmed-meshheading:10355005-Chemoprevention, pubmed-meshheading:10355005-Colony Count, Microbial, pubmed-meshheading:10355005-Dental Caries, pubmed-meshheading:10355005-Dental Enamel, pubmed-meshheading:10355005-Dietary Carbohydrates, pubmed-meshheading:10355005-Fluorides, pubmed-meshheading:10355005-Fluorides, Topical, pubmed-meshheading:10355005-Health Education, Dental, pubmed-meshheading:10355005-Humans, pubmed-meshheading:10355005-Infant, pubmed-meshheading:10355005-Intervention Studies, pubmed-meshheading:10355005-Longitudinal Studies, pubmed-meshheading:10355005-Sodium Fluoride, pubmed-meshheading:10355005-Streptococcus mutans, pubmed-meshheading:10355005-Tin Fluorides, pubmed-meshheading:10355005-Toothbrushing, pubmed-meshheading:10355005-Toothpastes, pubmed-meshheading:10355005-Treatment Failure
pubmed:articleTitle
Failure of intense preventive efforts to arrest early childhood and rampant caries: three case reports.
pubmed:affiliation
Department of Pediatric Dentistry, University of Connecticut Health Center, USA.
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, U.S. Gov't, P.H.S., Randomized Controlled Trial, Case Reports