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Updated: Aug 17, 2026

An Analytical Tool-box for Comprehensive Biochemical, Structural and Transcriptome Evaluation of Oral Biofilms Mediated by Mutans Streptococci
Published on: January 25, 2011
Distribution and determinants of mutans streptococci among African-American children and association with selected
A P Dasanayake1, J M Roseman, P W Caufield
1School of Dentistry, University of Alabama at Birmingham, USA.
Insights
Early childhood antibiotic use and household crowding significantly increase the risk of mutans streptococci (MS) oral colonization in children. These factors may alter the oral environment, promoting MS prevalence.
Area of Science:
- Oral microbiology
- Pediatric health
- Epidemiology
Background:
- Mutans streptococci (MS) are key pathogens in dental caries development.
- Understanding factors influencing MS colonization is crucial for early intervention.
- Early childhood is a critical period for oral microbiome development.
Purpose of the Study:
- To investigate the prevalence of MS in African-American children aged 5-12.
- To examine the association between early childhood antibiotic use and MS oral colonization.
- To identify other variables affecting MS colonization.
Main Methods:
- Cross-sectional study of 353 African-American children.
- MS prevalence assessed via pooled plaque and stimulated saliva samples.
- Data on antibiotic use and other factors collected through questionnaires and validated with health records.
Main Results:
- MS prevalence was 92% and associated with dental caries, age, sweet consumption, and number of teeth.
- Higher MS levels correlated with decayed teeth and maternal primary caregiving in the second year of life.
- Early childhood antibiotic use (OR=8.3) and household crowding (OR=1.5) significantly increased MS prevalence.
Conclusions:
- Early childhood antibiotic exposure and household crowding are significant risk factors for MS colonization.
- Potential mechanisms include antibiotic-induced oral ecological shifts and sugar exposure from medications.
- Further research is needed to elucidate the precise pathways linking early antibiotic use to increased MS prevalence.
Abstract:
Prevalence of mutans streptococci (MS) and the effect of selected variables, including the early childhood use of antibiotics on the oral colonization of MS, were studied among 353, 5- to 12-year-old African-American children using a cross-sectional study. MS prevalence was estimated using pooled plaque and stimulated saliva samples (spatula). Data on antibiotic use and other potential determinants of oral colonization of MS were obtained using a self-administered questionnaire. Antibiotic data were validated using health records of subjects. MS prevalence (92%, 95% Confidence Interval [CI] = 89-95%) was associated with dental caries (Odds Ratio [OR] = 2.5, 95% CI = 1.3-6.2), age (Chi for trend = 4.3, P = 0.04), increased frequency of sweet consumption (Chi for trend = 5.1, P = 0.02), and increased number of teeth in the mouth (unit OR = 1.3, 95% CI = 1.1-1.6). Higher MS levels were associated with higher number of decayed teeth (P < 0.0001), and also, with having the mother as the primary caregiver during the second year of life (P = 0.02). Furthermore, children who took antibiotics during early childhood and those who lived in the same household with many others during the second year of life had a higher MS prevalence than those who did not (OR = 8.3, 95% CI = 2.0-35.0; unit OR = 1.5, 95% CI = 1.03-2.2, respectively). It is unclear why those exposed to antibiotics during the "window of infectivity" of MS exhibit a higher MS prevalence. Antibiotic-related oral ecological changes (i.e, lower levels of S. sanguis) and environmental changes (i.e., frequent exposure to sugar through most pediatric antibiotic preparations) may make the oral cavity more favorable for initial MS colonization.
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