A prospective study on sucrose consumption, visible plaque and caries in children from 3 to 6 years of age

Karjalainen, S.; Söderling, Eva; Sewón, Liisi; Lapinleimu, Helena; Simell, Olli

doi:10.1034/j.1600-0528.2001.290208.x

Cited by 74 publications

(73 citation statements)

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“…However, if the evaluated parameters were simultaneously adopted in multivariable models, there was only one variable that remained significant after backward selection and this in both groups considered: the presence of visible plaque accumulation. Previous reports have already indicated that the impact of visible plaque accumulation on caries development cannot be overestimated [8,[21][22][23]. Presumably, the presence of visible plaque accumulation can be considered a proxy for many different In previous reports, it was concluded that children with early caries development were at higher risk for further caries development [24,25].…”

Section: Discussionmentioning

confidence: 99%

Risk factors for caries incidence in a cohort of Flemish preschool children

Leroy

Bogaerts

Martens³

et al. 2011

Clin Oral Invest

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The main objective of this study was to identify the risk factors for the incidence of visible caries experience in a cohort of preschool children living in Flanders. Data were collected from 1,057 children; validated questionnaires on oral health-related behaviour were completed by parents at birth (2003)(2004), at age 3 (2007) and 5 years (2009). At ages 3 and 5, the children were examined by trained dentists. Logistic regression analyses were performed with the following as outcome variables: visible caries experience at age 3 and increment in visible caries experience between ages 3 and 5. At ages 3 and 5, enamel and/or dentinal caries experience was observed in 22% and 41% of the cohort, respectively. The multivariable logistic regression analyses revealed that the presence of visible plaque accumulation on at least one primary tooth was a significant risk factor for visible caries experience at age 3 and for an increment in caries experience between ages 3 and 5. Children with previous caries experience at age 3 had significantly higher odds for new caries lesions at age 5. Presence of visible plaque and previous caries experience are confirmed as significant risk factors for visible caries experience in preschool children. Interventions aimed at caries prevention should focus on very young children and on the control of plaque accumulation. The presence of visible plaque accumulation as a screening tool to identify young children at risk for future caries experience shows high potential.

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Section: Discussionmentioning

confidence: 99%

Risk factors for caries incidence in a cohort of Flemish preschool children

Leroy

Bogaerts

Martens³

et al. 2011

Clin Oral Invest

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“…The daily consumption of sugared in-between drinks needs additional attention, as our study indicates that it is offered to the majority of children at least once a day. Consuming sugared drinks between meals has been identified as an important risk factor for caries and for dental erosion (if they have a low pH) in young children [1,7,12]. Also, the majority of threeyear olds have not yet visited the dentist, especially in the lowest education groups.…”

Section: Discussionmentioning

confidence: 99%

Oral health and oral health-related behaviour in preschool children: evidence for a social gradient

et al. 2012

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Abstract.This study aims to investigate the social gradient in the reported oral health-related behaviour and oral health status of preschool children. Participants were 1,057 children born between October 2003 and July 2004 in Flanders, Belgium. Oral health examinations were performed by trained dentists when the children were three and five years old (respectively in 2007 and 2009); data on dietary habits, oral hygiene habits and dental attendance of the children were obtained through structured questionnaires completed by the parents. Maternal educational level, measured in four categories, was used as a proxy of socio-economic status. Logistic and ordinal regressions showed a social gradient for the oral health-related behaviours: a lower educational level of the mother was related to a higher consumption of sugared drinks between meals and to a lower brushing frequency and dental attendance of the child. Children from low-educated mothers also had seven times more chance to present with caries experience than children from mothers with a bachelor degree. Contrary to the expectations, there was a deviation from the gradient in three-year-olds from the highest educational group showing an increased risk for caries experience (OR=3.84, 95% CI=1.08-13.65). Conclusion. Already in very young children, a graded relationship is observed between socio-economic position, oral health and related behaviours. The results suggest that different approaches are required to promote oral health during early childhood depending on the mother's educational background. As children from the highest social group also have an increased caries risk, specific techniques may be needed.2

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“…Prevalence of caries increased from 1.5% at age 1 (when sugars intake ~6% E) to 62.2% at age 5 (when sugars intake >14.4% E). * Karjalainen et al, 2001 Primary 135 Finnish children aged 3 yrs at baseline. Sucrose intake in those who developed caries was >10% E. Sugars intake in those who remained free of cavities (WHO criteria) was < 9% E.…”

Section: Effect Of Reducing or Increasing Sugarsmentioning

confidence: 99%

“…Five of the 8 cohort studies identified enabled us to compare dental caries development when sugars consumption was equivalent to a level < 10% E or > 10% E (Rugg-Gunn et al, 1984;Stecksen-Blicks and Gustafsson, 1986;Rodrigues et al, 1999;Karjalainen et al, 2001;Ruottinen et al, 2004) (summarized in Table 4). All studies accounted for fluoride exposure.…”

Section: Effect Of Restricting Free Sugars Intake To < 10% Ementioning

confidence: 99%

Effect on Caries of Restricting Sugars Intake

2013

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A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to < 10% and < 5% energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption. Data sources included MEDLINE, EMBASE, Cochrane Database, Cochrane Central Register of Controlled Trials, Latin American and Caribbean Health Sciences, China National Knowledge Infrastructure, Wanfang, and South African Department of Health. Eligible studies reported the absolute amount of sugars and dental caries, measured as prevalence, incidence, or severity. The review was conducted and reported in accordance with the PRISMA statement, and the evidence was assessed according to GRADE Working Group guidelines. From 5,990 papers identified, 55 studies were eligible -3 intervention, 8 cohort, 20 population, and 24 cross-sectional. Data variability limited meta-analysis. Of the studies, 42 out of 50 of those in children and 5 out of 5 in adults reported at least one positive association between sugars and caries. There is evidence of moderate quality showing that caries is lower when free-sugars intake is < 10% E. With the < 5% E cutoff, a significant relationship was observed, but the evidence was judged to be of very low quality. The findings are relevant to minimizing caries risk throughout the life course.

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A prospective study on sucrose consumption, visible plaque and caries in children from 3 to 6 years of age

Cited by 74 publications

References 0 publications

Risk factors for caries incidence in a cohort of Flemish preschool children

Risk factors for caries incidence in a cohort of Flemish preschool children

Oral health and oral health-related behaviour in preschool children: evidence for a social gradient

Effect on Caries of Restricting Sugars Intake

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