Changes in the Prevalence of Dental Caries: How Much Can Be Attributed to Changes in Diet?

Tm, Marthaler

doi:10.1159/000261313

Cited by 89 publications

(80 citation statements)

References 28 publications

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“…The prevalence of caries in Europe continues to decline in those countries which previously had higher DMFT scores. In a review of caries prevalence in relation to diet, Marthaler (1990) concluded`in those countries where caries prevalence is declining, the overall consumption of sugar is ceasing to be the most important Figure 2 National sugar supply vs dental caries in 12 y olds for 90 countries. Source: Woodward & Walker (1994); industrial r 7 0.09 NS: developing r 0.49, P`0.01.…”

Section: Guidelines For Sugar Consumption In Europe Chs Ruxton Et Almentioning

confidence: 99%

Guidelines for sugar consumption in Europe: Is a quantitative approach justified?

Ruxton¹,

Garceau²,

Cottrell³

1999

Eur J Clin Nutr

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Objectives: There is incongruity between the sugar consumption guidelines set in different European countries. A number have adopted maximum limits ranging from 10 ± 25% energy, while others have no quantitative recommendations at all. This raises the question whether or not there should be a common European guideline for sugar consumption. Design: This paper examines if such a goal for sugar is merited and reviews the published literature on associations between sugar consumption and dental caries, obesity and micronutrient dilution. Results: Evidence showed that higher intakes of sugar were related to leanness, not obesity, and had no detrimental effects on micronutrient intakes in most people. In the case of dental caries, there was a relationship between frequency of sugar intake and the incidence of decay. However, in populations where¯uoride use was adequate, associations between sugar intake and caries rarely reached statistical signi®cance. Conclusions: The available evidence does not justify a common quantitative recommendation for sugar. It is suggested that dental caries merits a more integrated public health approach where advice on the frequency of foods containing fermentable-carbohydrates is placed in context alongside oral hygiene.

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Section: Guidelines For Sugar Consumption In Europe Chs Ruxton Et Almentioning

confidence: 99%

Guidelines for sugar consumption in Europe: Is a quantitative approach justified?

Ruxton¹,

Garceau²,

Cottrell³

1999

Eur J Clin Nutr

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“…Sugars are undoubtedly the most important dietary factor in the development of dental caries (1)(2)(3)(4)(5)(6)(7)(8) and dental caries is the most common chronic disease in the world (9) . Treating caries is responsible for 6-10 % of total health costs, even though there has been a decline in dental caries levels in many countries (10,11) .…”

mentioning

confidence: 99%

A new understanding of the relationship between sugars, dental caries and fluoride use: implications for limits on sugars consumption

Sheiham

James

2014

Public Health Nutr.

145

115

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Objective: To examine the quantitative relationship between sugar intake and the progressive development of dental caries. Design: A critical in-depth review of international studies was conducted. Methods included reassessing relevant studies from the most recent systematic review on the relationship between levels of sugars and dental caries. Reanalysis of dose-response relationships between dietary sugars and caries incidence in teeth with different levels of caries susceptibility in children was done using data from Japanese studies conducted by Takeuchi and co-workers. Setting: Global, with emphasis on marked differences in both national sugar intake and fluoride use and preferably where one factor such as sugar intake changed progressively without changes in other factors over a decade or more. Subjects: Children aged 6 years or more and adults. Results: Caries occurred in both resistant and susceptible teeth of children when sugar intakes were only 2-3 % of energy intake, provided that the teeth had been exposed to sugars for > 3 years. Despite increased enamel resistance after tooth eruption, there was a progressive linear increase in caries throughout life, explaining the higher rates of caries in adults than in children. Fluoride affects progression of caries development but there still is a pandemic prevalence of caries in populations worldwide. Conclusions: Previous analyses based on children have misled public health analyses on sugars. The recommendation that sugar intakes should be ≤10 % of energy intake is no longer acceptable. The much greater adult burden of dental caries highlights the need for very low sugar intakes throughout life, e.g. 2-3 % of energy intake, whether or not fluoride intake is optimum.

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“…Data from the literature indicate that only 21% and 45% of children in Finland and Denmark, respectively, consumed sweets once a week (Matilla et al 2000). The consumption of sweets containing sucrose constituents may be considered an important factor in the occurrence of caries (Marthaler 1990). The association between the intake of sucrose and dental caries has been well established in numerous studies, conducted mainly in northern and western European countries and in North America (Rugg-Gunn 1993).…”

Section: Mother's Knowledge Regarding Feeding Habitsmentioning

confidence: 99%

“…The association between the intake of sucrose and dental caries has been well established in numerous studies, conducted mainly in northern and western European countries and in North America (Rugg-Gunn 1993). On the other hand, authors have reported that with the correct implementation of preventive and educational measures, there was a reduction in the development of caries, despite continued consumption of sucrose containing foods (Marthaler 1990). Kosovar cuisine is similar to that in the Middle and Near East, especially regarding sweets, with relatively frequent and high amounts of starch.…”

Section: Mother's Knowledge Regarding Feeding Habitsmentioning

confidence: 99%

Oral Health Care in Children – A Preventive Perspective

Begzati¹,

Meqa²,

Azemi³

et al. 2012

Oral Health Care - Pediatric, Research, Epidemiology and Clinical Practices

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Changes in the Prevalence of Dental Caries: How Much Can Be Attributed to Changes in Diet?

Cited by 89 publications

References 28 publications

Guidelines for sugar consumption in Europe: Is a quantitative approach justified?

Guidelines for sugar consumption in Europe: Is a quantitative approach justified?

A new understanding of the relationship between sugars, dental caries and fluoride use: implications for limits on sugars consumption

Oral Health Care in Children – A Preventive Perspective

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