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Association of Candida albicans and Cbp+ Streptococcus mutans with early childhood caries recurrence.


ABSTRACT: Early childhood caries (ECC) recurrence occurs in approximately 40% of treated cases within one year. The association of Streptococcus mutans and Candida albicans with the onset of ECC is well known. Also, S. mutans strains harboring collagen-binding proteins (Cbps) avidly bind to collagen-rich dentin and are linked to increased caries risk. Here, we investigated the presence of Cbp+ S. mutans and C. albicans in saliva and dental plaque of children with varying caries statuses, and their salivary microbiome. In this cross-sectional study, 143 children who were caries-free (n = 73), treated for ECC with no signs of recurrence after 6 months (n = 45), or treated for ECC and experiencing recurrence within 6 months following treatment (n = 25) were enrolled. Co-infection with C. albicans and S. mutans, especially Cbp+ S. mutans, was strongly associated with caries recurrence. Subjects of the recurrence group infected with Cbp+ S. mutans showed a greater burden of Candida spp. and of Mutans streptococci in dentin than those infected with Cbp- strains. Salivary microbiome analysis revealed that Streptococcus parasanguinis was overrepresented in the caries recurrence group. Our findings indicate that Cbp+ S. mutans and C. albicans are intimately associated with caries recurrence, contributing to the establishment of recalcitrant biofilms.

SUBMITTER: Garcia BA 

PROVIDER: S-EPMC8144385 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature

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Association of Candida albicans and Cbp<sup>+</sup> Streptococcus mutans with early childhood caries recurrence.

Garcia B A BA   Acosta N C NC   Tomar S L SL   Roesch L F W LFW   Lemos J A JA   Mugayar L R F LRF   Abranches J J  

Scientific reports 20210524 1


Early childhood caries (ECC) recurrence occurs in approximately 40% of treated cases within one year. The association of Streptococcus mutans and Candida albicans with the onset of ECC is well known. Also, S. mutans strains harboring collagen-binding proteins (Cbps) avidly bind to collagen-rich dentin and are linked to increased caries risk. Here, we investigated the presence of Cbp<sup>+</sup> S. mutans and C. albicans in saliva and dental plaque of children with varying caries statuses, and th  ...[more]

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