رابطه‌ی کاندیدا آلبیکانس و استرپتوکوکوس موتانس با پوسیدگی زودرس دوران کودکی

نوع مقاله : مقاله‌های پژوهشی

چکیده

مقدمه: کاندیدا آلبیکانس می تواند باعث افزایش ریسک ابتلا کودکان به پوسیدگی زودرس دوران کودکی شودو همچنین می تواند پتانسیل پوسیدگی زایی استرپتوکوکوس موتانس را افزایش دهد. ولی اثر این دو میکروارگانیسم بر یکدیگر بر روی پوسیدگی به صورت تجربی به طور کامل ارزیابی نشده است. هدف این مطالعه بررسی رابطه ی کاندیدا آلبیکانس و استرپتوکوکوس موتانس با پوسیدگی زودرس دوران کودکی بود
مواد و روش ها: این مطالعه مورد شاهدی روی30 کودک 6-3 سال (15 کودک دارای پوسیدگی زودرس دوران کودکی و 15 کودک بدون پوسیدگی) انجام شد. نمونه های بزاق غیرتحریکی از کودکان جمع آوری گردید. از محیط کشت کروم آگار کاندیدا جهت تشخیص کاندیدا آلبیکانس و از محیط کشت میتیس سالیواریوس باسیتراسین آگار جهت تشخیص استرپتوکوکوس موتانس استفاده شد. جهت تجزیه و تحلیل داده ها از آزمون های آماری کای دو، من­ویتنی وضریب همبستگی اسپیرمن استفاده گردید(05/0= α).
یافته ها: کلنی های استرپتوکوکوس موتانس در 100% موارد پوسیدگی زودرس دوران کودکی و 26% موارد فاقد پوسیدگی وجود داشتند(001/0>p). همچنین کلنی های کاندیدا آلبیکانس در86% موارد پوسیدگی زودرس دوران کودکی و 13% موارد فاقد پوسیدگی مشاهده شدند(001/0>p).
نتیجه گیری: ارتباط مستقیمی بین استرپتوکوکوس موتانس و کاندیدا آلبیکانس با پوسیدگی زودرس دوران کودکی وجود دارد

عنوان مقاله [English]

Relationship between Candida Albicans and Streptococcus Mutans with Early Childhood Caries

چکیده [English]

Introduction: Candida albicans can increase the risk of early childhood caries in children and can also increase the caries-causing potential of Streptococcus mutans. However, the effect of these two microorganisms on each other on caries has not been fully evaluated experimentally. The aim of this study was to investigate the relationship between Candida albicans and Streptococcus mutans with Early Childhood Caries.
Materials and Methods: This case-control study involved 30 children aged 3 to 6 years (15 children with ECC and 15 without caries). This study was conducted in the Isfahan branch of Islamic Azad University in 2019. Non-stimulating saliva samples were collected from children. Chromagar candida culture medium was used to detect Candida albicans, and Mitis salivarius-bacitracin agar culture medium was used to detect Streptococcus mutans. Chi-square, Mann-Whitney, and Spearman correlation coefficients were used to analyze the data (α = 0.05).
Results: Streptococcus mutans colonies were presented in 100% of cases of ECC and 26% of cases of caries-free children (p value < 0.001). Also, Candida albicans colonies were observed in 86% of cases of ECC and 13% of cases of caries-free children (p value < 0.001).
Conclusion: There is a direct relationship between Streptococcus mutans and Candida albicans with Early Childhood Caries.
Key words: Candida albicans; Streptococcus mutans; Dental Caries; Child

1. Dean JA. McDonald and Avery’s Dentistry for the children and adolescent. 11th ed. St. Louis: Mosby; 2021. P. 240-7.
2. Ghafourifard R, Bahrololoomi Z, Hoseini A, Jafarzadeh-Samani Z, Mirzaeeian A. The effect of Training of Preventing Methods of Early Childhood Caries on Awareness, Attitude and Performance of Pregnant Mothers [in Persian]. Journal of Health and Care 2020; 22(1): 25-33.
3. Ritter AV, Boushell LW, Walter R, Sturdevant CM. Sturdevant's art and science of operative dentistry.7th ed. St. Louis: Elsevier, 2019. P. 63-85.
4. Rahmandoost S, Amini K. Identification of Streptococcus Mutans Isolated from Dental Plaques Based on the Presence of gtfB Gene [in Persian]. J Isfahan Med Sch 2015; 33(356): 1804-9.
5. Taghizadeh Armaki M, Farahbakhsh E, Yadegari MH, Rajabi Bazl M, Katiraee F. Evaluating the sensitivity of Candida Albicans isolates from oral candidiasis of AIDS patients to fluconazole by microdilution broth and disk diffusion methods [in Persian]. J Isfahan Med Sch 2011; 29(158): 1583-92.
6. Xiao J, Huang X, Alkhers N, Alzamil H, Alzoubi S, Wu TT, et al. Candida albicans and early childhood caries: A systematic review and meta-analysis. Caries Res 2018; 52(1-2): 102-12.
7. Bachtiar EW, Bachtiar BM. Relationship between Candida albicans and Streptococcus mutans in early childhood caries, evaluated by quantitative PCR. F1000Res 2018; 7: 1645.
8. Bahrololoumi Z,Soleymani A, Zandi H, Dastjerdi F, Rashidi M, Aghelinejad S. Evaluating the effect of enviromental factors and early childhood caries on salivary Streptococcus Mutants count in 3-5 year old children in Yazd [in Persian]. TB 2017; 15 (6): 23-34.
9. Cui Y, Wang Y, Zhang Y, Pang L, Zhou Y, Lin H, Tao Y. Oral mycobiome differences in various spatial niches with and without severe early childhood caries. Front Pediatr 2021; 9: 748656.
10. Sridhar S, Suprabha BS, Shenoy R, Suman E, Rao A. Association of streptococcus mutans, candida albicans and oral health practices with activity status of caries lesions among 5-year-old children with early childhood caries. Oral Health Prev Dent 2020; 18: 911-9.
11. Lu Y, Lin Y, Li M, He J. Roles of Streptococcus mutans-Candida albicans interaction in early childhood caries: a literature review. Front Cell Infect Microbiol 2023; 13: 1151532.
12. Moulana Z, Ghasem Pour M, Asghar Pour F, Elmi M, Shaker P. The frequency of Streptococcus Mutans and Lactobacillus spp.in 3-5-year- old children with and without dental caries [in Persian]. MLJ. 2013; 7(1): 29-34.
13. Fragkou S, Balasouli C, Tsuzukibashi O, Argyropoulou A, Menexes G, Kotsanos N, et al. Streptococcus mutants, Streptococcus sobrinus and Candida albicans in oral samples from caries-free and caries-active children. Eur Arch Paediatr Dent 2016; 17(5): 367-75.
14. Beena MS, Peedikayil FC, GufranAfmed MB, Chandru TP, Soni K, Dhanesh N. Comparison of Candida species isolated from children with and without early childhood caries: A descriptive cross-sectional study. J Indian Soc Pedod Prev Dent 2017; 35(4): 296-300.
15. Jin P, Wang L, Chen D, Chen Y. Unveiling the complexity of early childhood caries: Candida albicans and Streptococcus mutans cooperative strategies in carbohydrate metabolism and virulence. J Oral Microbiol 2024; 16(1): 2339161.
16. Fechney JM, Browne GV, Prabhu N, Irinyi L, Meyer W, Hughes T, et al. Preliminary study of the oral mycobiome of children with and without dental caries. J Oral Microbiol 2019; 11(1): 153-82.
17. Isfahani A, Nasrolahi Omran A. Examine the antagonistic effects of Streptococcus mutans and Candida albicans isolated from the mouth in a biofilm model. The proceedings of first national conference on new findings in microbiology, Islamic azad university Lahijan branch. Gilan, Lahijan: 2015. Avilable from: https://civilica.com/doc/740562, [in Persian]
18. Hwang G, Liu Y, Kim D, Li Y, Krysan DJ, Koo H. Candida albicans mannans mediate Streptococcus mutans exoenzyme GtfB binding to modulate cross-kingdom biofilm development in vivo. PLoS Pathog 2017; 13(6): e1006407.
19. Falsetta ML, Klein MI, Colonne PM, Scott-Anne K, Gregoire S, Pai CH, et al. Symbiotic relationship between Streptococcus mutans and Candida albicans synergizes virulence of plaque biofilms in vivo. Infect Immun 2014; 82(5): 1968-81.
20. Sampaio AA, Souza SE, Ricomini-Filho AP, Cury AA, Cavalcanti YW, Cury JA. Candida Albicans increases dentine demineralization provoked by Streptococcus mutants Biofilm. Caries Res 2019; 53(3): 322-31.
21. Willems HM, Kos K, Jabra-Rizk MA, Krom BP. Candida albicans in oral biofilms could prevent caries. Pathog Dis 2016; 74(5): ftw039