Age‐related morphological, histological and functional changes in teeth

Carvalho, Thiago Saads; Lussi, Adrian

doi:10.1111/joor.12474

Cited by 145 publications

(120 citation statements)

References 51 publications

(60 reference statements)

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“…A notable finding from our study was the age specificity of the associations between dietary patterns and dental caries. Differences in associations may indicate mechanistic changes in dental decay due to ageing, such as changes in cariogenic microbiota or calcium absorption . It is possible that associations are only revealed in older adults because the lifelong, cumulative exposure to a cariogenic diet leads to dental decay.…”

Section: Discussionmentioning

confidence: 99%

“…Cohort and period effects could also explain this finding: cumulative fluoride exposure differences by birth cohort or a period effect related to the introduction of fluoride products could modify relationships between food intake and caries outcomes . Alternatively, these differences in associations could reflect reverse causation, with changes in eating habits resulting from age‐related tooth loss . Owing to the cross‐sectional nature of NHANES, it was not possible to tease out age, period and cohort effects or to exclude noncausal explanations for age‐specific differences in associations between dietary patterns and dental decay; longitudinal study designs are needed.…”

Section: Discussionmentioning

confidence: 99%

“…in dental decay due to ageing, such as changes in cariogenic microbiota or calcium absorption. 5,37 It is possible that associations are only revealed in older adults because the lifelong, cumulative exposure to a cariogenic diet leads to dental decay. Consistent with the literature, adults >30 years had more dental decay than younger adults.…”

Section: Differences In Associations May Indicate Mechanistic Changesmentioning

confidence: 99%

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Dietary patterns associated with dental caries in adults in the United States

Blostein

Jansen

Jones

et al. 2019

Comm Dent Oral Epid

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Objectives Dental caries experience, which affects 91% of US adults, is a consequence of a carious process influenced by diet. Although individual foods have been implicated, we hypothesized that dietary patterns might be important predictors of caries presence. Methods We analysed data from 4467 people ≥18 years old participating in the 2013‐2014 National Health and Nutrition Examination Survey, a nationally representative sample of the US population. Data from 24‐hour dietary recalls were classified into standard food categories and reduced to three dietary patterns using principal components (PCs) analysis. We used regression to model the log‐transformed decayed, missing and filled teeth (DMFT) score and the prevalence of any caries experience by quartiles of PC scores, controlling for potential confounders. Dietary patterns differed by age with respect to dental caries so 18‐30‐year‐olds (n = 1074) and >30‐year‐olds (n = 3393) were analysed separately. Results Similar dietary patterns existed among individuals aged 18‐30 and >30 years, but the prevalence of DMFT score >0 and the median of DMFT was greater in those >30:78.7% (95% CI: 76.1, 81.3) vs 92.6% (95% CI: 91.4, 93.7) and 4 (95% CI: 4, 5) vs 12 DMFT (95% CI: 11, 13), respectively. In those 18‐30, no dietary pattern was associated with greater prevalence or severity of dental caries experience. Among those >30, the prevalence of DMFT>0 was higher by 2% for those in each subsequent quartile of a diet high in sugar‐sweetened beverages and sandwiches (adjusted PR: 1.02, 95% CI: 1.001, 1.03)—thus, the prevalence of dental caries experience was 6% higher among those in the uppermost quartile than in the lowest quartile. For every subsequent quartile in the same pattern, there was a 1.98% higher (95% CI: 0.15, 3.85) DMFT score. However, analysis using the two strongest loading food groups from any of the PCs did not identify any predictors of caries experience. Conclusions Dietary patterns were associated with the prevalence of dental caries experience, with differing findings by age. Although effect sizes were small, the population impact may be substantial. While food groups high in sugar were associated with caries prevalence and severity, associations were more apparent in the context of overall diet. Prospective studies are needed to confirm whether particular dietary patterns are causally related to the development of dental caries.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Differences In Associations May Indicate Mechanistic Changesmentioning

confidence: 99%

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Dietary patterns associated with dental caries in adults in the United States

Blostein

Jansen

Jones

et al. 2019

Comm Dent Oral Epid

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“…Dentin hypersensitivity [DHS] affects 4% to 69% of the population, depending on the source of information . Classically, it is thought to be caused by gingival recession, often after periodontal treatment or tooth erosion . The hydrodynamic theory states that the sharp pain is caused by changes in the flow rate of dentine fluids .…”

Section: Introductionmentioning

confidence: 99%

Self‐assembling peptide matrix for treatment of dentin hypersensitivity: A randomized controlled clinical trial

Schlee¹,

Rathe

Bommer

et al. 2018

Journal of Periodontology

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Both SAPM gel and ACC toothpaste were successful in providing relief from DHS and showed similar outcomes on VAS and verbal response scale (VRS) throughout the study period of 90 days. The new therapeutic regimen using SAPM resulted in higher patient satisfaction at day 7, as indicated by the patient questionnaire and the higher number of pain-free patients at day 7 and day 90. This is a pilot study describing a novel therapy for DHS.

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“…The magnitude of these stresses has been widely studied and depends on the geometry and mechanical properties of the surrounding tissue . On the other hand, the structural changes of tooth tissues with ageing raise questions as to whether the restorative materials should be chosen according to the patient's age as dentin undergoes changes in both microstructure and chemical composition with ageing …”

Section: Introductionmentioning

confidence: 99%