Abstract
Introduction: The indication of oral hygiene in edentulous babies is still controversial among health professionals, being necessary the search of this recommendation and the standardization of information. Objective: To investigate critically the evidence related to the indication of oral hygiene for edentulous babies. Methods: The search for articles was performed in the PUBMED, LILACS and GOOGLE SCHOLAR databases, in order to assess the following question: "Can oral cavity hygiene of edentulous babies influence oral microbiota? A search in 8 books of Pediatric Dentistry was also performed. Results: 317 articles were found (167-PUBMED, 146-GOOGLE SCHOLAR and 4-LILACS). There were no primary studies that evaluated the effect of oral hygiene of edentulous infants on microbiota, which impair the conduction of a systematic review. Thus, it was included for this review six studies that investigated microorganisms in the oral cavity of edentulous infants and the role of salivary immunoglobulins. Among the textbooks evaluated, only 4 indicated the oral hygiene in edentulous infants. Conclusion: According to the data, there are no primary studies that assessed the effect of oral hygiene in the oral microbiota of edentulous babies. It is relevant to conduct clinical studies in order to obtain scientific evidence about the indication or no of the oral hygiene in edentulous babies.
Highlights
The indication of oral hygiene in edentulous babies is still controversial among health professionals, being necessary the search of this recommendation and the standardization of information
To investigate critically the evidence related to the indication of oral hygiene for edentulous babies
The search for articles was performed in the PubMed, LILACS and Google Scholar databases, in order to assess the following question: “Can oral cavity hygiene of edentulous babies influence oral microbiota?” A search in 8 books of Pediatric Dentistry was performed
Summary
The indication of oral hygiene in edentulous babies is still controversial among health professionals, being necessary the search of this recommendation and the standardization of information. Methods: The search for articles was performed in the PubMed, LILACS and Google Scholar databases, in order to assess the following question: “Can oral cavity hygiene of edentulous babies influence oral microbiota?” A search in 8 books of Pediatric Dentistry was performed. There were no primary studies that evaluated the effect of oral hygiene of edentulous infants on microbiota, which impair the conduction of a systematic review. É importante ressaltar que apesar da cavidade bucal dos bebês edêntulos apresentar colonização de bactérias, as mesmas não são responsáveis pela cárie da primeira infância, visto que esta é uma patologia multifatorial[2]. Somente a colonização precoce de bactérias não promove o aumento da prevalência da cárie, já que a colonização é transitória e a realização da higiene bucal após o irrompimento dos primeiros dentes pode ser suficiente para prevenção de patologias que acometem a cavidade bucal, principalmente a cárie[12]. A pergunta de pesquisa desta revisão (PICO question) foi “A higienização da cavidade bucal de bebês edêntulos pode influenciar a microbiota bucal?”, sendo composta dos seguintes elementos: P (paciente): cavidade bucal de bebês edêntulos; I (intervenção): higiene; O (resultado): micro-organismos, microbiota bucal
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