Dietary and oral hygiene patterns as risk factors for oral health in a Brazilian city without water fluoridation system
DOI:
https://doi.org/10.33448/rsd-v11i12.34246Keywords:
Diet; Dental Caries; Tooth Erosion; Fluorosis, Dental.Abstract
The objective was to investigate dietary and oral hygiene patterns as risk factors for dental caries, fluorosis and tooth erosion in a subsample of individuals of a population-based study in the city of João Pessoa (without water fluoridation program), Brazil. In this cross-sectional study data were collected through clinical examinations and questionnaires addressing dietary and oral hygiene habits. The clinical examination was performed by two calibrated examiners (Kappa > 0.80). The sample (n = 244) was distributed among four age groups: G1 (0-13 years), G2 (14-30 years), G3 (31-54 years) and G4 (≥ 55 years). The prevalence of dental caries was high (87.4%) whereas fluorosis and erosion was low (4.1% and 6.1%, respectively). The mean DMFT index was 1.49 ± 2.19 in G1, 8.19 ± 6.10 in G2, 18.19 ± 7.00 in G3 and 25.81 ± 6.80 in G4. Significant associations were found between the DMFT index and both diet (p = 0.05) and income (p = 0.022), suggesting an associated effect of these variables. Oral hygiene was not related to dental caries experience. Cariogenic diet was related to the high DMFT index in all age groups supporting that dietary pattern was a stronger risk factor for caries experience in contrast to oral hygiene habits that no association was found.
References
Bueno, R. E., Moysés, S. T., Bueno, P. A. R., & Moysés, S. J. (2014) Determinantes sociais e saúde bucal de adultos nas capitais do Brasil. Revista Panamericana de Salud Pública, 36(1), 7-23. PMID: 25211673
Buzalaf, M. A. R., Magalhães, A. C., & Rios, D. (2018) Prevention of erosive tooth wear: targeting nutritional and patient-related risks factors. British Dental Journal, 224(5), 371-378. https://doi.org/10.1038/sj.bdj.2018.173
Carvalho, T. S., & Lussi, A. (2020) Acidic beverages and foods associated with dental erosion and erosive tooth wear. In Zohoori, F. V., Duckworth, R. M. (eds). Monographs in Oral Science. 91-98. https://doi.org/10.1159/000455376
Carvalho, T. S., Kehrle, H. M., & Sampaio, F. C. (2007) Prevalence and severity of dental fluorosis among students from João Pessoa, PB, Brazil. Brazilian Oral Research, 21(3), 198-203. https://doi.org/10.1590/S1806-83242007000300002
Delbem, A. C. B., & Pessan, J. P. (2019) Fluoride agents and dental caries. In: Leal, S. C., Takeshita, E. M. (eds). Pediatric Restorative Dentistry, 57-73. https://doi.org/10.1007/978-3-319-93426-6_5
Featherstone, J. D. B. (2008) Dental caries: a dynamic disease process. Australian Dental Journal, 53(3), 286-291. https://doi.org/10.1111/j.1834-7819.2008.00064.x
Feldens, C. A., Kramer, P. F., & Vargas-Ferreira, F. (2019) The role of diet and oral hygiene in dental caries. In: Leal, S. C., Takeshita, E. M. (eds). Pediatric Restorative Dentistry, 31-55. https://doi.org/10.1007/978-3-319-93426-6_4
Felix, L. C. A., Oliveira, C. C. S., Ramos, L. V. S., Lima, L. F. A., Santos, J. V. Q M., & Ponzi, E. A. C. (2021) Estudo da relação entre alimentos cariogênicos da merenda escolar e a experiência de cárie em crianças atendidas em uma escola do Recife. Research, Society and Development, 10(7), 1-14. http://dx.doi.org/10.33448/rsd-v10i7.13977
Frazão, P. (2012) Epidemiology of dental caries: when structure and context matter. Brazilian Oral Research, 26(Supl.1), 108-114. https://doi.org/10.1590/S1806-83242012000700016
Freitas, C. H. S. M., Sampaio, F. C., Roncalli, A. G., & Moysés, S. J. (2013) Methodological discussion about prevalence of the dental fluorosis on dental health surveys. Revista de Saúde Pública, 47(Supl.3), 138-147. https://doi.org/10.1590/S0034-8910.2013047004359
Lima, R. P. A., Pereira, D. C., Luna, R. C. P., Gonçalves, M. C. R., Lima, R. T., Filho, M. B., Filizola, R. G., Moraes, R. M., Asciutti, L. S. R., & Costa, M. J. C. (2015) BMI, overweight status and obesity adjusted by various factors in all age groups in the population of a city in northeastern Brazil. International Journal of Environmental Research and Public Health, 12(4), 4422-4438. https://doi.org/10.3390/ijerph120404422
Loveren, C (2019). Sugar restriction for caries prevention: amount and frequency. Which is more important? Caries Research, 53(2), 168–175. https://doi.org/10.1159/000489571
Mangueira, D. F. B., Sampaio, F. C., & Oliveira, A. F. (2009) Association between socioeconomic factors and dental erosion in brazilian schoolchildren. Journal of Public Health Dentistry, 69(4), 254-259. https://doi.org/10.1111/j.1752-7325.2009.00131.x
Manji, F., Dahlen, G., & Fejerskov, O. (2018) Caries and periodontitis: contesting the conventional wisdom on their aetiology. Caries Research, 52(6), 548–564. https://doi.org/10.1159/000488948.
Ministério da Saúde do Brasil. (2004, January). Diretrizes da Política Nacional de Saúde Bucal. Coordenação Nacional de Saúde Bucal. https://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_brasil_sorridente.htm
Moyniham, P. (2016) Sugars and dental caries: evidence for setting a recommended threshold for intake. Advances in Nutrition, 7(1), 149–156. https://doi.org/10.3945/an.115.009365
Nascimento, H. A. R., Ferreira, J. M. S., Granville-Garcia, A. F., Costa, A. M. M. B., Cavalcante, A. L. A., & Sampaio, F. C. (2013) Estimation of toothpaste fluoride intake in preschool children. Brazilian Dental Journal, 24(2), 142-146. https://doi.org/10.1590/0103-6440201302087
Oliveira, N. R., Souza, D. M., Santos, L. P. S., Figueiredo, F. M. P., Oliveira, P. R., Bahia, F. C., Pereira, L. R., Sacramento, C. A., Porto, G. C. C., & Lima, T. H. K. (2022) Consumo de alimentos cariogênicos com a presença de cárie dentária em escolares no Recôncavo da Bahia. Research, Society and Development, 11(11), 1-13. http://dx.doi.org/10.33448/rsd-v11i11.33698
O’Mullane, D. M., Baez, R. J., Jones, S., Lennon, M. A., Petersen, P. E., Rugg-Gunn, A. J., Whelton, H., & Whitford, G. M. (2016) Fluoride and oral health. Community Dental Health, 33(2), 69-99. https://doi.org/10.1922/CDH_3707O’Mullane31
Pereira, M. G. (2018) Epidemiologia :teoria e prática.(21ª reimpr). Guanabara Koogan.
Peres, M. A., Barbato, P. R., Reis, S. C. G. B., Freitas, C. H. S. M., & Antunes, J. L. F. (2013) Tooth loss in Brazil: analysis of the 2010 Brazilian Oral Health Survey. Revista de Saúde Pública, 47(Supl.3), 78-89. https://doi.org/10.1590/S0034-8910.2013047004226
Pyati, S. A., Kumar, R. N., Kumar, V., Kumar, N. H. P., & Reddy, K. M. P. (2018) Salivary flow rate, pH, buffering capacity, total protein, oxidative stress and antioxidant capacity in children with and without dental caries. Journal of Clinical Pediatric Dentistry, 42(6), 445-449. https://doi.org/10.17796/1053-4625-42.6.7
Saintrain, M. V. L., Correa, C. R. S., Saintrain, S. V., Nuto, S. A. S., & Vieira Meyer, A. P. G. F. (2015) Brazilian adolescents’ oral health trends since 1986: an epidemiological observational study. BMC Research Notes, 8, 1-7. https://doi.org/10.1186/s13104-015-1538-5
Sampaio, F. C., & Levy, S. M. (2011) Systemic fluoride. In: Buzalaf, M. A. R. (eds). Monographs in Oral Science, 133-145. https://doi.org/10.1159/000325161
Sampaio, F. C., Bönecker, M., Paiva, S. M., Martignon, S., Ricomini Filho, A. P., Pozos-Guillen, A., Oliveira, B. H., Bullen, M., Naidu, R., Guarnizo-Herreño, C., Gomez, J., Malheiros, Z., Stewart, B., Ryan, M., & Pitts, N. (2021) Dental caries prevalence, prospects, and challenges for Latin America and Caribbean countries: a summary and final recommendations from a Regional Consensus. Brazilian Oral Research, 35(Supl.1), e056-e056. https://doi.org/10.1590/1807-3107bor-2021.vol35.0056
Sampaio, F. C., Hossain, A. N., von der Fehr, F. R., & Arneberg, P. (2000) Dental caries and sugar intake of children from rural areas with different water fluoride levels in Paraíba, Brazil. Community Dentistry and Oral Epidemiology, 28(4), 307-313. https://doi.org/10.1034/j.1600-0528.2000.280409.x
Schlueter, N., & Luka, B. (2018) Erosive tooth wear - a review on global prevalence and on its prevalence in risk groups. British Dental Journal, 224(5), 364-370. https://doi.org/10.1038/sj.bdj.2018.167
Schwendicke, F., Dörfer, C. E., Schlattmann, P., Foster Page, L., Thomson, W. M., & Paris, S. (2015) Socioeconomic inequality and caries: a systematic review and meta-analysis. Journal of Dental Research, 94(1), 10-18. https://doi.org/10.1177/0022034514557546.
Sheiham, A., & James,W. P. T. (2015) Diet and dental caries: the pivotal role of free sugars reemphasized. Journal Of Dental Research, 94(10), 1341-1347. https://doi.org/10.1177/0022034515590377
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Helene Soares Moura; Dayane Franco Barros Mangueira Leite ; Danielle da Nóbrega Alves ; Claudia Helena Soares de Morais Freitas ; Maria José de Carvalho Costa ; Fábio Correia Sampaio
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
