DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20181737

Dental caries and its association with present day dietary patterns: a cross-sectional study

Vaibhav Munjal, Puneet Singh Talwar, Jagjit Singh, Mandeep Kumar, Ramandeep Gambhir

Abstract


Background: Dental caries is a multifactorial disease with diet being one of the contributing factors. The influence of vegetarianism on the development of caries has scarcely been investigated in the past. Therefore, this study was done to evaluate the association of dental caries with frequency of sugar exposures and vegetarian / mixed diet.

Methods: The present cross-sectional study was conducted among 2500 school children of 12 and 15 years age groups selected on the basis of simple random sampling from different schools of the city. Dental caries was recorded using Decayed, Missing and Filled teeth index (WHO modification, 1997) and correlated with the different dietary variables. Subjects were also segregated on the basis of diet: vegetarian and mixed. Statistical analysis was done using Student t-test and Pearson’s Correlation Coefficient.

Results: The prevalence of dental caries in the 12 and 15 year age group of subjects consuming mixed diet was 83.36% and 86.47% respectively. It was lower in case of subjects on vegetarian diet. The correlation between DMFS and TSE, FSE and AMSE was found to be statistically significant (p<0.05) in the 12 year age-group. In the 15 year age-group the correlation of DMFS with TSE and LSE was also found to be statistically significant (p<0.05).

Conclusions: There was no statistically significant difference in dental caries status among subjects in both the groups (vegetarian and mixed). However, there was significant association between sugar exposures and dental caries among subjects of both the age-groups.


Keywords


Dental caries, Vegetarians, Schools, Life style, Oral hygiene

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References


Kishore M, Panat SR, Choudhary A, Aggarwal A, Upadhyay N, Agarwal N, et al. Oral diagnostics: an integral component to geriatric health care. Aging Male. 2013;16:159-63.

Petersen PE. World Health Organization global policy for improvement of oral health-World Health Assembly 2007. Int Dent J. 2008;58:115-21.

Kutsch VK. Dental caries: an updated medical model of risk assessment. J Prosthet Dent. 2014;111:280-5.

Fejerskov O. Concepts of dental caries and their consequences for understanding the disease. Community Dent Oral Epidemiol. 1997;25:5-12.

WHO Oral Health Country / Area Profile Programme, WHO Headquarters Geneva, Oral Health Programme, WHO Collaborating Centre, Malmo University, Sweden. CAPP Home Page: http://www.whocollab.od.mah.se/index.html. Accessed on 12 July 2017.

Bratthal D, Hansel Petersson G, Sundberg H. Reasons for Caries Decline. What do experts believe? Eur J Oral Sci. 1996;104:423.

Lagerweij MD, van Loveren C. Declining Caries Trends: Are We Satisfied? Curr Oral Health Rep. 2015;2:212-7.

Bali RK, Mathur VB, Talwar PP, Chanana HB. National oral health survey and fluoride mapping. New Delhi: Dental Council of India; 2002-03.

Ghimire N, Rao A. Comparative evaluation of the influence of television advertisements on children and caries prevalence. Glob Health Action. 2013;6:20066.

Green R, Milner J, Joy EJ, Agrawal S, Dangour AD. Dietary patterns in India: a systematic review. Br J Nutr. 2016;116:142-8.

World Health Organization. Oral Health Surveys: Basic Methods. 4th ed. Geneva: WHO; 1997: 40–45.

Nizel AE. Preventing dental caries: the nutritional factors. Pediatr Clin North Am. 1977;24:141-55.

Agrawal S, Millett CJ, Dhillon PK, Subramanian SV, Ebrahim S. Type of vegetarian diet, obesity and diabetes in adult Indian population. Nutr J. 2014;13:89.

SS Rajesh, P Venkatesh. Prevalence of dental caries among school-going children in South India. Int J Med Sci Public Health. 2016;5:700-4.

Laffranchi L, Zotti F, Bonetti S, Dalessandri D, Fontana P. Oral implications of the vegan diet: observational study. Minerva Stomatol. 2010;59:583-91.

Rahmatulla M, Guile EE. Relationship between dental caries and vegetarian and non-vegetarian diets. Comm Dent Oral Epidemiol. 1990;18:277-8.

Walsh T, Worthington HV, Glenny AM, Appelbe P, Marinho VC, Shi X. Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2010;(1):CD007868.

Gustafasson B, Quersel C, Larka L, Lurdqvist C, Graham H, Bonous B, et al. The Vipeholm dental caries study: The effect of different level of carbohydrate intake on caries activity in 436 individuals - Observed for 5 years. Acta Odont Scand. 1954;11:232.

Gupta P, Gupta N, Pawar AP, Birajdar SS, Natt AS, Singh HP. Role of sugar and sugar substitutes in dental caries: a review. ISRN Dent. 2013;2013:519421.

Moynihan PJ, Kelly SA. Effect on caries of restricting sugars intake: systematic review to inform WHO guidelines. J Dent Res. 2014;93:8-18.

Rugg-Gunn AJ. Diet and dental caries. Dent Update. 1990;17:198-201.

Skrīvele S, Care R, Bērziņa S, Kneist S, de Moura-Sieber V, de Moura R, et al. Caries and its risk factors in young children in five different countries. Stomatologija. 2013;15:39-46.

Pereira SM, Tagliaferro EP, Pardi V, Cenci MS, Cortellazzi KL, Ambrosano GM et al. Sugar consumption and dental health: Is there a correlation? Gen Dent. 2010;58:e6-12.

Sheiham A. Dietary effects on dental diseases. Public Health Nutr. 2001;4:569-91.

Walker AR, Cleaton-Jones PE. Sugar intake and dental caries: where do we stand? ASDC J Dent Child. 1989;56:30-5.

Sujlana A, Pannu PK. Family related factors associated with caries prevalence in the primary dentition of five-year-old children. J Indian Soc Pedod Prev Dent. 2015;33:83-7.

Ramos-Gomez F, Crystal YO, Ng MW, Tinanoff N, Featherstone JD. Caries risk assessment, prevention, and management in pediatric dental care. Gen Dent. 2010;58:505-17.