ÇOCUKLARA STREPTOKOKKUS MUTANS GEÇİŞİNİN DEĞERLENDİRİLMESİ: ETKİLİ FAKTÖRLER VE ENFEKTİVİTE PENCERESİ

OZET Dis curugu gecis gosteren enfektif bir hastaliktir.  Insanlarda dis curugunden sorumlu olan, fenotipik ozellikleri benzer bakteriler belirlenmis ve Mutans streptokoklar olarak adlandirilmistir. Mutans streptokoklar’ in kolonizasyonu, ozellikle cocugun 19 ve 31. aylar arasi donemi boyunca devam eden ve ‘enfektivite penceresi’ olarak adlandirilan ozel bir donemde gerceklesmektedir. Mutans streptokok’ larin gecisinde temel faktor tukuruk transferidir. Cocuklarin Mutans streptokoklar’i kazaniminda ana kaynagin yakin temas nedeniyle anne oldugu dusunulmektedir. Ancak cocuktaki genotipler dikkate alindiginda Mutans streptokoklar’ in diger kaynaklardan da transfer edilebilecegi gorulmustur. Mutans streptokoklar’ in gecisinde etkin kaynaklarin belirlenmesi dis curugunun onlenmesine dair stratejilerin gelistirilebilmesi icin gereklidir Bu derlemenin amaci cocuklara Mutans streptokok gecisi ile iliskili faktorlerin degerlendirilmesidir. Anahtar kelimeler: Anne-cocuk agiz sagligi, Curuk riski,Enfektivite penceresi, Mutans Streptokoklar EVALUATION OF TRANSMISSION OF STREPTOCOCCUS MUTANS TO CHILDREN: EFFECTIVE FACTORS AND WINDOW OF INFECTIVITY ABSTRACT Dental caries is a transmissible infectious disease. A group of phenotypically similar bacterias, that has been responsible bacterias for dental caries in humans, was determined and called Mutans streptococci. The colonization of Mutans streptococci.  especially consist in a specific period which is continued between 19 and 31 months of children and called "window of infectivity". The saliva transfer is the main factor for transmission of Mutans streptococci . The major source for transmission of Mutans streptococci  to children is thought to be their mothers due to intimate contact. However, considering of genotypes in children shown that Mutans streptococci may also be transferred from other sources . Essential to the development of strategies for the prevention of dental caries, the identification of effective sources must be known in transition of Mutans streptococci. The aim of this review is the determination of factors that associated with the transmission of the Mutans streptococci in children. Key words: Mutans streptococci, Caries risk, Mother-child oral health, window of infectivity