Sweets and other sugary products tend to be the primary etiologic factors in dental caries

Sundin, Bertil; Granath, Lars

doi:10.1111/j.1600-0722.1992.tb01728.x

Cited by 13 publications

(16 citation statements)

References 4 publications

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“…There were 15 papers graded B1, reporting a total quantity of sucrose as measured in gm d −1 , one paper stated gm of sucrose consumed per 1000 kcal consumed (35), and one paper stated quantities of sucrose as large , moderate and small amounts (28). All other manuscripts did not assess total sugar consumption, and this was recorded in Table 3 as NA (not applicable).…”

Section: Discussionmentioning

confidence: 99%

Sucrose and dental caries: a review of the evidence

et al. 2009

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The aim of this study was to conduct a review of the literature to assess the relationship between quantity and pattern of sucrose use and dental caries. Using hand and electronic methods (MEDLINE, EMBASE) the literature was searched for epidemiological papers concerning any relationship of sugars and dental caries published since 1856. Superficial hand searching was carried out between 1856 and 1940, detailed hand searching 1940-1966 and electronic 1966-2007. Selection criteria were set based on, but not confined to, Cochran style standards. Investigations were categorized as A, fulfilling all criteria; B1, relevant fulfilling 19 of 23 criteria; B2, relevant but fulfilling only between 12 and 18 of the selection criteria; and C, all other papers. There were 95 papers meeting most (more than 12) or all of the selected criteria. Only 1 paper was graded A; 31 as B1. There were in addition some 65 as B2 and all the rest as C, which were discarded. There were a wide variety of study designs and those graded A or B1 comprised 23 ecological cross-sectional, 7 cohort and 2 case control studies. Summary results showed that 6 papers found a positive, significant relationship of sugar quantity to dental caries, 19 of 31 studies reported a significant relationship of sugar frequency of use to dental caries. The balance of studies does not demonstrate a relationship between sugar quantity, but a moderately significant relationship of sugar frequency to dental caries.

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Section: Discussionmentioning

confidence: 99%

Sucrose and dental caries: a review of the evidence

et al. 2009

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“…The r value increased to 0.70 in children with poor cleanliness and considerable dental plaque and low salivary flow. They stated that the`¼ explanatory value of about 49%,¼ is remarkable and seems to be the highest value reported for any caries-etiologic factor in observational studies' 89 . The authors concluded that`¼ consumption of sweets should still be considered an important caries-related factor ¼' 89 .…”

Section: Relationship Between Frequency and Amount Of Sugar Intake Anmentioning

confidence: 98%

“…They stated that the`¼ explanatory value of about 49%,¼ is remarkable and seems to be the highest value reported for any caries-etiologic factor in observational studies' 89 . The authors concluded that`¼ consumption of sweets should still be considered an important caries-related factor ¼' 89 . Recent investigations in the Netherlands show a strong relation between the consumption of sweets and caries experience in school children 90 .…”

Section: Relationship Between Frequency and Amount Of Sugar Intake Anmentioning

confidence: 98%

Dietary effects on dental diseases

Sheiham¹

2001

Public Health Nutr.

270

201

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Dental caries is a highly prevalent chronic disease and its consequences cause a lot of pain and suffering. Sugars, particularly sucrose, are the most important dietary aetiological cause of caries. Both the frequency of consumption and total amount of sugars is important in the aetiology of caries.`The evidence establishing sugars as an aetiological factor in dental caries is overwhelming. The foundation of this lies in the multiplicity of studies rather than the power of any one.' 1 . That statement by the British Nutrition Foundation's Task Force on Oral Health, Diet and Other Factors, sums up the relationship between sugars and caries in Europe. There is no evidence that sugars naturally incorporated in the cellular structure of foods (intrinsic sugars) or lactose in milk or milk products (milk sugars) have adverse effects on health. Foods rich in starch, without the addition of sugars, play a small role in coronal dental caries. The intake of extrinsic sugars beyond four times a day leads to an increase risk of dental caries. The current dose-response relationship between caries and extrinsic sugars suggests that the sugars levels above 60 g/person/day for teenagers and adults increases the rate of caries. For pre-school and young children the intakes should be proportional to those for teenagers; about 30 g/person/day for pre-school children. Fluoride, particularly in toothpastes, is a very important preventive agent against dental caries. Toothbrushing without fluorides has little effect on caries. As additional fluoride to that currently available in toothpaste does not appear to be benefiting the teeth of the majority of people, the main strategy to further reduce the levels of caries, is reducing the frequency of sugars intakes in the diet. Dental erosion rates are considered to be increasing. The aetiology is acids in foods and drinks and to a much lesser extent from regurgitation.

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“…In the presence of poor oral hygiene, the use of sugary products is extremely harmful for dental health, as shown among young adults in Sweden (19). In Finland, the nationwide survey in 1980 showed analogous findings among adults: the combination of frequent toothbrushing and limited use of sugar was associated with a lower occurrence of caries (20, 21), which may partly result from the beneficial topical effect of fluoride toothpaste.…”

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confidence: 99%

The role of sugar, xylitol, toothbrushing frequency, and use of fluoride toothpaste in maintenance of adults’ dental health: findings from the Finnish National Health 2000 Survey

Tseveenjav

Suominen

Hausen

et al. 2011

European J Oral Sciences

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We assessed the effect of certain oral health-related behaviours on adults' dental health. As part of the Finnish nationwide Health 2000 Survey, dentate subjects, 30-64 yr of age, reported their frequency of consumption of eight sugar- and xylitol-containing products, together with toothbrushing frequency and use of fluoride toothpaste, and underwent clinical oral examination (n = 4,361). The mean number of teeth present (NoT) was 24.2 and the mean numbers of sound teeth (ST), filled teeth (FT), and decayed teeth (DT) were 10.8, 12.1, and 1.1 for men and 9.6, 13.8, and 0.5 for women, respectively. Consumption of sugar-sweetened beverages was more frequent than that of other sugar-containing products, and greater in men than in women. Daily use of xylitol chewing gum was reported by 13% of the men and by 22% of the women. Toothbrushing at least twice daily was reported by 47% of the men and by 79% of the women; 86% and 96%, respectively, reported daily use of fluoride toothpaste. The frequency of consumption of sugar- and xylitol-containing products and of toothbrushing, as well as use of fluoride toothpaste, play a role in the dental health of dentate adults, with the impact being weak on NoT, ST, and FT, but stronger on DT, especially concerning toothbrushing frequency (relative risk = 1.5) and use of fluoride toothpaste (relative risk = 1.8). Understanding the impact of certain oral health-related behaviours on dental health in adults would facilitate better targeting of oral self-care messages.

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Sweets and other sugary products tend to be the primary etiologic factors in dental caries

Cited by 13 publications

References 4 publications

Sucrose and dental caries: a review of the evidence

Sucrose and dental caries: a review of the evidence

Dietary effects on dental diseases

The role of sugar, xylitol, toothbrushing frequency, and use of fluoride toothpaste in maintenance of adults’ dental health: findings from the Finnish National Health 2000 Survey

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