Candida species and selected behavioral factors co-associated with severe early childhood caries: Case-control study

Severe Early Childhood Caries (sECC) is a multifactorial disease associated with the occurrence of specific oral microorganisms and other environmental, behavioral, and genetic factors. This study aimed to construct a multivariable model including the occurrence of Candida spp. and selected behavior...

Full description

Bibliographic Details
Main Authors: Michaela Cvanova, Filip Ruzicka, Martina Kukletova, Bretislav Lipovy, Daniela Gachova, Lydie Izakovicova Holla, Zdenek Danek, Veronika Hola, Michaela Bartosova, Jiri Jarkovsky, Ladislav Dusek, Petra Borilova Linhartova
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Cellular and Infection Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcimb.2022.943480/full
_version_ 1818189860555456512
author Michaela Cvanova
Michaela Cvanova
Filip Ruzicka
Martina Kukletova
Bretislav Lipovy
Daniela Gachova
Lydie Izakovicova Holla
Zdenek Danek
Zdenek Danek
Veronika Hola
Michaela Bartosova
Jiri Jarkovsky
Ladislav Dusek
Petra Borilova Linhartova
Petra Borilova Linhartova
Petra Borilova Linhartova
Petra Borilova Linhartova
author_facet Michaela Cvanova
Michaela Cvanova
Filip Ruzicka
Martina Kukletova
Bretislav Lipovy
Daniela Gachova
Lydie Izakovicova Holla
Zdenek Danek
Zdenek Danek
Veronika Hola
Michaela Bartosova
Jiri Jarkovsky
Ladislav Dusek
Petra Borilova Linhartova
Petra Borilova Linhartova
Petra Borilova Linhartova
Petra Borilova Linhartova
author_sort Michaela Cvanova
collection DOAJ
description Severe Early Childhood Caries (sECC) is a multifactorial disease associated with the occurrence of specific oral microorganisms and other environmental, behavioral, and genetic factors. This study aimed to construct a multivariable model including the occurrence of Candida spp. and selected behavioral factors (length of breastfeeding, serving sweet beverages and beginning of brushing child’s teeth) to determine their relationships to the occurrence of sECC.In this case-control study 164 children with sECC and 147 children without dental caries were included. MALDI-TOF MS and multiplex qPCR were used to identify Candida spp. and selected bacteria in dental plaque samples, respectively. A questionnaire on oral hygiene, diet, and children’s health was filled in by the parents.The constructed multivariable logistic regression model showed an independent influence of the microbial and behavioral factors in sECC etiopathogenesis. The occurrence of C. albicans and C. dubliniensis was associated with higher odds of sECC development (odds ratio, OR: 9.62 and 16.93, respectively), together with breastfeeding of 6 months or less (OR: 2.71), exposure to sweet beverages (OR: 3.77), and starting to brush child’s teeth after the 12th month of age (OR: 4.10), all statistically significant (p < 0.01).Considering the high occurrence of C. albicans and C. dubliniensis in dental plaque in children with sECC, we propose them as “keystone pathogens” and risk factors for sECC. The models showed that presence of specific species of Candida in dental plaque may be a better descriptor of sECC than the mentioned behavioral factors.
first_indexed 2024-12-11T23:49:32Z
format Article
id doaj.art-b9c2f3e9e5d24df4badfa1d4604cc1ee
institution Directory Open Access Journal
issn 2235-2988
language English
last_indexed 2024-12-11T23:49:32Z
publishDate 2022-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Cellular and Infection Microbiology
spelling doaj.art-b9c2f3e9e5d24df4badfa1d4604cc1ee2022-12-22T00:45:32ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882022-07-011210.3389/fcimb.2022.943480943480Candida species and selected behavioral factors co-associated with severe early childhood caries: Case-control studyMichaela Cvanova0Michaela Cvanova1Filip Ruzicka2Martina Kukletova3Bretislav Lipovy4Daniela Gachova5Lydie Izakovicova Holla6Zdenek Danek7Zdenek Danek8Veronika Hola9Michaela Bartosova10Jiri Jarkovsky11Ladislav Dusek12Petra Borilova Linhartova13Petra Borilova Linhartova14Petra Borilova Linhartova15Petra Borilova Linhartova16RECETOX, Faculty of Science, Masaryk University Kotlarska 2, Brno, CzechiaInstitute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, CzechiaClinic of Microbiology, Institution Shared with St. Anne´s University Hospital, Faculty of Medicine, Masaryk University, Brno, CzechiaClinic of Stomatology, Institution Shared with St. Anne´s University Hospital, Faculty of Medicine, Masaryk University, Brno, CzechiaClinic of Burns and Plastic Surgery, Institution shared with University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, CzechiaRECETOX, Faculty of Science, Masaryk University Kotlarska 2, Brno, CzechiaClinic of Stomatology, Institution Shared with St. Anne´s University Hospital, Faculty of Medicine, Masaryk University, Brno, CzechiaRECETOX, Faculty of Science, Masaryk University Kotlarska 2, Brno, CzechiaClinic of Maxillofacial Surgery, Institution shared with the University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, CzechiaClinic of Microbiology, Institution Shared with St. Anne´s University Hospital, Faculty of Medicine, Masaryk University, Brno, CzechiaClinic of Stomatology, Institution Shared with St. Anne´s University Hospital, Faculty of Medicine, Masaryk University, Brno, CzechiaInstitute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, CzechiaInstitute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, CzechiaRECETOX, Faculty of Science, Masaryk University Kotlarska 2, Brno, CzechiaClinic of Stomatology, Institution Shared with St. Anne´s University Hospital, Faculty of Medicine, Masaryk University, Brno, CzechiaClinic of Maxillofacial Surgery, Institution shared with the University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, CzechiaDepartment of Pathophysiology, Faculty of Medicine, Masaryk University, Brno, CzechiaSevere Early Childhood Caries (sECC) is a multifactorial disease associated with the occurrence of specific oral microorganisms and other environmental, behavioral, and genetic factors. This study aimed to construct a multivariable model including the occurrence of Candida spp. and selected behavioral factors (length of breastfeeding, serving sweet beverages and beginning of brushing child’s teeth) to determine their relationships to the occurrence of sECC.In this case-control study 164 children with sECC and 147 children without dental caries were included. MALDI-TOF MS and multiplex qPCR were used to identify Candida spp. and selected bacteria in dental plaque samples, respectively. A questionnaire on oral hygiene, diet, and children’s health was filled in by the parents.The constructed multivariable logistic regression model showed an independent influence of the microbial and behavioral factors in sECC etiopathogenesis. The occurrence of C. albicans and C. dubliniensis was associated with higher odds of sECC development (odds ratio, OR: 9.62 and 16.93, respectively), together with breastfeeding of 6 months or less (OR: 2.71), exposure to sweet beverages (OR: 3.77), and starting to brush child’s teeth after the 12th month of age (OR: 4.10), all statistically significant (p < 0.01).Considering the high occurrence of C. albicans and C. dubliniensis in dental plaque in children with sECC, we propose them as “keystone pathogens” and risk factors for sECC. The models showed that presence of specific species of Candida in dental plaque may be a better descriptor of sECC than the mentioned behavioral factors.https://www.frontiersin.org/articles/10.3389/fcimb.2022.943480/fullsevere early childhood caries (sECC)Candida sp.Streptococcus mutansbreastfeedingsweet beveragesbrushing of teeth
spellingShingle Michaela Cvanova
Michaela Cvanova
Filip Ruzicka
Martina Kukletova
Bretislav Lipovy
Daniela Gachova
Lydie Izakovicova Holla
Zdenek Danek
Zdenek Danek
Veronika Hola
Michaela Bartosova
Jiri Jarkovsky
Ladislav Dusek
Petra Borilova Linhartova
Petra Borilova Linhartova
Petra Borilova Linhartova
Petra Borilova Linhartova
Candida species and selected behavioral factors co-associated with severe early childhood caries: Case-control study
Frontiers in Cellular and Infection Microbiology
severe early childhood caries (sECC)
Candida sp.
Streptococcus mutans
breastfeeding
sweet beverages
brushing of teeth
title Candida species and selected behavioral factors co-associated with severe early childhood caries: Case-control study
title_full Candida species and selected behavioral factors co-associated with severe early childhood caries: Case-control study
title_fullStr Candida species and selected behavioral factors co-associated with severe early childhood caries: Case-control study
title_full_unstemmed Candida species and selected behavioral factors co-associated with severe early childhood caries: Case-control study
title_short Candida species and selected behavioral factors co-associated with severe early childhood caries: Case-control study
title_sort candida species and selected behavioral factors co associated with severe early childhood caries case control study
topic severe early childhood caries (sECC)
Candida sp.
Streptococcus mutans
breastfeeding
sweet beverages
brushing of teeth
url https://www.frontiersin.org/articles/10.3389/fcimb.2022.943480/full
work_keys_str_mv AT michaelacvanova candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy
AT michaelacvanova candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy
AT filipruzicka candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy
AT martinakukletova candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy
AT bretislavlipovy candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy
AT danielagachova candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy
AT lydieizakovicovaholla candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy
AT zdenekdanek candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy
AT zdenekdanek candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy
AT veronikahola candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy
AT michaelabartosova candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy
AT jirijarkovsky candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy
AT ladislavdusek candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy
AT petraborilovalinhartova candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy
AT petraborilovalinhartova candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy
AT petraborilovalinhartova candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy
AT petraborilovalinhartova candidaspeciesandselectedbehavioralfactorscoassociatedwithsevereearlychildhoodcariescasecontrolstudy