Abstract
IntroductionDental caries pose distinct challenges when it comes to determining their microbial etymology. Streptococcus mutans play an important role in dental caries. The aim of the present study was to compare oral microbiota in infants delivered by these different routes. A study was conducted on 40 infants. Swab sample collection was done for the detection of S. mutans. Our study indicated no differences in oral microbiota in infants due to mode of delivery.AimTo assess whether infants born through cesarean section delivery or infants born through normal delivery influence the initial acquisition of S. mutans in infants.Settings and designThe study was carried out on the premises of Bharati Hospital, Pune, wherein 40 infants (3-36 months) were enrolled for the study. Two groups were designed.Group I: Infants born with cesarean section deliveryGroup II: Infants born with normal section deliveryMaterials and methodsBacterial swab sampling was done in the participants for the detection of S. mutans. Colony-forming units on each plate were determined for the estimation of S. mutans level in oral cavity.Statistical analysis usedBar diagram analysis and chi-square test were performed to derive p-value.ResultsThe p value derived at the end of the study was 0.52. Hence, analysis of data demonstrates no significant influence of cesarean section delivery and normal delivery on oral microbiota development in infants.ConclusionInitial acquisition of oral S. mutans in infants is not dependent on the mode of delivery.Key MessagesInitial acquisition of S. mutans, Mode of delivery.How to cite this articleUbeja RG, Bhat C. Mode of Delivery and Its Influence on the Acquisition of Streptococcus mutans in Infants. Int J Clin Pediatr Dent 2016;9(4):326-329.
Highlights
Dental caries pose distinct challenges when it comes to determining their microbial etymology
Analysis of data demonstrates no significant influence of cesarean section delivery and normal delivery on oral microbiota development in infants
The first exposure to microorganisms occurs during passage through the birth canal, whereas in infants born through cesarean section, the first exposure to bacteria is from the skin of parents and health providers, and medical equipment.[2]
Summary
Dental caries pose distinct challenges when it comes to determining their microbial etymology. During and shortly after birth, various bacterial species colonize the epithelial surfaces in the oral cavity of bacterially naive infants.[1] In vaginally delivered infants, the first exposure to microorganisms occurs during passage through the birth canal, whereas in infants born through cesarean section ( referred to as C-section in the paper), the first exposure to bacteria is from the skin of parents and health providers, and medical equipment.[2] Mutants Streptococci were detected more frequently and at a younger age in the oral cavity of children delivered by C-section than those delivered vaginally.[1] Streptococcus mutans transmission in the oral cavity of the children is more frequent from the saliva of mother who infects the child during her care, especially if she herself does not maintain oral hygiene, lacks treatment for caries in her oral cavity, and basic hygiene rules are neglected.[3]. Delivered infants offer oral bacteria in less hospitable environment. They develop more resistance to these bacteria in their first year of life, in part because of exposure to a greater variety and intensity of bacteria from their mothers and the surrounding environment at birth. C-section babies have less bacterial exposure at birth and show less resistance.[4]
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