Source:http://linkedlifedata.com/resource/pubmed/id/17063023
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2006-10-25
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pubmed:abstractText |
Evidence on the caries-preventive effect of chlorhexidine (CHX) among high-risk children is inconclusive, possibly because obscured by fluoride exposure. We investigated the effect of CHX among initially 3-year-old subjects whose baseline d(3)ft was = 0 and whose only regular fluoride exposure came from toothpaste. The subjects were assigned to three groups: high-risk test (HRT, n = 70), high-risk control (HRC, n = 71), and low-risk control (LRC, n = 70). Risk classification was based on salivary mutans streptococcal levels (MS, </>or=1.0 x 10(5) cfu/ml). Basic measures (oral hygiene, dietary counselling every 4 months) were given to all groups. HRT also underwent CHX gel applications for 3 consecutive days at 3-month intervals for 15 months. Eighteen months after baseline d(3)ft increments and proportions of children with d(3)ft increment >or=1 (%d(3)ft increment >or=1) among all groups were assessed. Anti-MS effect on high-risk children and caries-preventive effect on all children were statistically analysed by residual change analysis (MS), non-parametric tests and logistic regression analysis (caries). No differences were found between the groups in basic programme compliance. CHX significantly reduced MS levels. %d(3)ft increment >or=1 and mean d(3)ft increments were 34.3%, 0.56 (HRT), 32.4%, 0.54 (HRC) and 11.4%, 0.11 (LRC), with HRT/HRC values statistically significantly higher than LRC values and no significant difference between HRT and HRC. HRT children were not less likely to show new lesions than HRC children (OR = 1.09; 95% confidence interval 0.54-2.19), while high-risk children were 4 times more likely to show new lesions than low-risk children (OR = 3.71; 95% confidence interval 1.53-9.03). CHX gel applications showed moderate anti-MS effect but negligible caries-preventive effect.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
D
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Anti-Infective Agents, Local,
http://linkedlifedata.com/resource/pubmed/chemical/Cariostatic Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Chlorhexidine,
http://linkedlifedata.com/resource/pubmed/chemical/Fluorides,
http://linkedlifedata.com/resource/pubmed/chemical/Gels,
http://linkedlifedata.com/resource/pubmed/chemical/Toothpastes
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pubmed:status |
MEDLINE
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pubmed:issn |
0008-6568
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
40
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
514-21
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:17063023-Anti-Infective Agents, Local,
pubmed-meshheading:17063023-Cariostatic Agents,
pubmed-meshheading:17063023-Chlorhexidine,
pubmed-meshheading:17063023-Dental Caries,
pubmed-meshheading:17063023-Epidemiologic Methods,
pubmed-meshheading:17063023-Fluorides,
pubmed-meshheading:17063023-Gels,
pubmed-meshheading:17063023-Humans,
pubmed-meshheading:17063023-Infant,
pubmed-meshheading:17063023-Saliva,
pubmed-meshheading:17063023-Streptococcus mutans,
pubmed-meshheading:17063023-Toothbrushing,
pubmed-meshheading:17063023-Toothpastes
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pubmed:year |
2006
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pubmed:articleTitle |
Caries-preventive effect of chlorhexidine gel applications among high-risk children.
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pubmed:affiliation |
G. Sanarelli Department of Public Health Sciences, La Sapienza University, Rome, Italy. stefano.petti@uniroma1.it
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pubmed:publicationType |
Journal Article,
Clinical Trial
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