Association between sugary drinks consumption and dental caries incidence among Taiwanese schoolchildren with mixed dentition

Lin, Po‐Yen; Lee, Yu Chin; Hsu, L.‐Y.; Chang, Hong Ji; Yang, Lin

doi:10.1111/cdoe.12683

Cited by 10 publications

(8 citation statements)

References 27 publications

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“…This finding is consistent with that of our previous study; over a 1-year follow-up period, schoolchildren who often consumed sugar-rich drinks and carbonated drinks had a respective 4.3 and 2.1 times higher risk of developing caries than those who seldom consumed such drinks. 22 The findings are also comparable to those of other cross-sectional Abbreviations: DMFT, decayed, missing, and filled teeth; SD, standard deviation. a Significant difference (p for trend < .05) in the mean decayed, missing, and filled teeth (DMFT) index between groups in 2012.…”

Section: Re Sultssupporting

confidence: 82%

Decline in dental caries experience among schoolchildren in Taiwan, 2012–2020

Lin

Huang

Chen

et al. 2022

Comm Dent Oral Epid

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Objectives This study investigated the association between the decline of the decayed, missing, and filled teeth (DMFT) index and several family‐level and individual‐level factors among 6‐ to 18‐year‐old Taiwanese children from 2012 to 2020. Methods This study used data from the 2012 and 2020 Taiwan National Oral Health Survey of Children and Adolescents. Both surveys used similar methods and were performed in the same study age group. A structured questionnaire was used to collect data on parents' sociodemographic background; the number of children in the family; oral health‐related knowledge, attitudes, and behaviours; and children's dietary habits. Dental caries was recorded through standardized oral examinations. Multivariable multilevel zero‐inflated negative binomial regression models were used to determine the association between family‐level and individual‐level factors and the DMFT index from 2012 to 2020. Results A total of 10 217 and 10 436 schoolchildren completed the oral examinations and questionnaires in the 2012 and 2020 surveys, respectively. The adjusted mean DMFT index of 12‐year‐old Taiwanese schoolchildren in 2020 was 2.01, denoting a significant decline from 2.50 in 2012 (adjusted mean ratio = 0.20, 95% confidence interval [CI] = 0.17, 0.23, p < .0001). Furthermore, children who often consumed sugar‐rich drinks had a significantly higher risk (mean ratio = 1.05, 95% CI = 1.01, 1.10) of having DMFT than those who seldom consumed such drinks (p = .017). Conclusions In the period of 2012–2020, the DMFT index among Taiwanese children significantly declined. Children who often consumed sugar‐rich drinks had a higher DMFT index than those who seldom consumed such drinks. Our findings are valuable to paediatricians, dentists, nutritionists, and public health policymakers.

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Section: Re Sultssupporting

confidence: 82%

Decline in dental caries experience among schoolchildren in Taiwan, 2012–2020

Lin

Huang

Chen

et al. 2022

Comm Dent Oral Epid

Self Cite

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“…Toothbrushing twice a day with fluoride-containing toothpaste, along with adjunct mouth rinses, should help reduce the risk of caries and periodontal disease [25][26][27]. Additionally, reducing the daily frequency of refined carbohydrate intake can reduce the risk of caries [28], and regular dental visits will facilitate prompt detection of oral lesions and the institution of caries reversal protocols.…”

Section: Introductionmentioning

confidence: 99%

Oral health practices and self-reported adverse effects of E-cigarette use among dental students in 11 countries: an online survey

et al. 2022

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Objectives E-cigarette use has become popular, particularly among the youth. Its use is associated with harmful general and oral health consequences. This survey aimed to assess self-reported oral hygiene practices, oral and general health events, and changes in physiological functions (including physical status, smell, taste, breathing, appetite, etc.) due to E-cigarette use among dental students. Methods This online, multicounty survey involved undergraduate dental students from 20 dental schools across 11 different countries. The questionnaire included demographic characteristics, E-cigarette practices, self-reported complaints, and associated physiological changes due to E-cigarette smoking. Data were descriptively presented as frequencies and percentages. A Chi-square test was used to assess the potential associations between the study group and sub-groups with the different factors. Statistical analysis was performed using SPSS at P < 0.05. Results Most respondents reported regular brushing of their teeth, whereas only 70% used additional oral hygiene aids. Reported frequencies of complaints ranged from as low as 3.3% for tongue inflammation to as high as 53.3% for headache, with significant differences between E-cigarette users and non-users. Compared to non-smokers, E-cigarette users reported significantly higher prevalence of dry mouth (33.1% vs. 23.4%; P < 0.001), black tongue (5.9% vs. 2.8%; P = 0.002), and heart palpitation (26.3%% vs. 22.8%; P = 0.001). Although two-thirds of the sample reported no change in their physiological functions, E-cigarette users reported significant improvement in their physiological functions compared to never smokers or tobacco users. Conclusion Dental students showed good oral hygiene practices, but E-cigarette users showed a higher prevalence of health complications.

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“…We compared the model fitting results of the Poisson mixture regression model with those of the zero-inflated Poisson (ZIP) regression model (29)(30)(31)(32). To quantify the similarity level between the fitted and observed DMFT values, we calculated the frequency number of the corresponding DMFT taking different integers, which can be found in Table 3.…”

Section: Discussionmentioning

confidence: 99%

Subgroup detection-based dental caries status and inequalities trend exploration: A nationwide, 10-year-repeated cross-sectional study

Kang

et al. 2022

Front. Public Health

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BackgroundThe goal of this study was to identify potentially important factors for the dental health though heterogeneous effects of risk factors within Chinese adolescent populations with different characteristics by analyzing the repeated cross-sectional data collected in the 3rd (2005) and 4th (2015) National Oral Health Survey.MethodsWe studied the relationships between the decayed, missing and filled permanent teeth (DMFT) score, which was a discrete value, with the caries risk factors (region, census type, gender, only child or not, parents' education level, tooth bushing, dentist visit history, knowledge score, sugar intake, and pit-and-fissure sealants status), though the Poisson mixture regression model, which could identify subgroups among the full population and estimate the heterogeneous effects of risk factors simultaneously. We performed a series of tests and trend analysis based on the model fitting results to explore the primary causes for the dental caries issue clearly and intuitively.ResultsA total of 39,049 teenagers aged 12 years were involved in the analysis. The Poisson mixture regression model clustered all individuals into three subgroups, where the mean values (standard deviations) of DMFT were 0.18 (0.56), 1.31 (1.49), and 2.91 (1.89), respectively. Model fitting results indicated that the heterogeneous effects of the involved risk factors were significant. In addition, we also found significant differences in the distributions and trends of DMFT within different categories of selected risk factors (region, census type, gender and dentist visiting history) from the projection analysis results. The estimated and projected proportions showed that the proportion of high caries risk population in the southwestern region increased by 31.8%, and will become even more severe as it will be the major component of high caries risk population in 2025.ConclusionsWe found that the trends for the developments and changes of dental caries within populations with different characteristics were inequality. The regional difference is the primary factor for diversified changes in DMFT. The findings in this study provide support for intervention and prevention policies for the deterioration of dental caries risk within different adolescent populations.

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Association between sugary drinks consumption and dental caries incidence among Taiwanese schoolchildren with mixed dentition

Cited by 10 publications

References 27 publications

Decline in dental caries experience among schoolchildren in Taiwan, 2012–2020

Decline in dental caries experience among schoolchildren in Taiwan, 2012–2020

Oral health practices and self-reported adverse effects of E-cigarette use among dental students in 11 countries: an online survey

Subgroup detection-based dental caries status and inequalities trend exploration: A nationwide, 10-year-repeated cross-sectional study

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