About this trial
The overall objective of this study is to investigate the association of early Candida infection (known as oral thrush or oropharyngeal candidiasis, OPC) in children during the first year of life with the onset and severity of severe early childhood caries (S-ECC).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Male or female individuals at the age of 9-15-month-old
Must have at least one fully erupted tooth at baseline visit
Parent/guardian willing and able to provide informed consent
With or without a history of OPC (the study team will enroll 35 participants with and 35 participants without a history of OPC)
Disqualifiers
Presence of a systemic medical condition (e.g. Down syndrome etc.)
Presence of an orofacial deformity
Presence of dental caries
Use of systemic antimicrobial therapy within 30 days of the baseline visit
Trial population
The study team will recruit 70 subjects (35 subjects with a history of OPC and 35 subjects without a history of OPC) for this study.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
To explore the association between OPC and S-ECC onset and severity
Caries will be measured by ICDAS scoring system; Plaque and oral swab samples will be collected at each study visit (Baseline, 6-month, 12-month,18-month and 24-month follow-ups); Candida strains will be detected using culturing-dependent and -independent sequencing techniques.
Secondary outcomes
To evaluate the influence of OPC on the oral microbiota
Microbiome profiling will be done by shot gun sequencing
Other outcomes
To study the role of Candida on biofilm cariogenic properties
Candida-bacterial interaction in modulating biofilm development and virulence will be evaluated using validated experimental models
Sponsors and contacts
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Temple University
Lead sponsor
Children's Hospital of Philadelphia
Collaborator