Effect of diet on the development of dental caries from childhood to adolescence: prospective longitudinal study
Keywords:
dental caries; diet; fluorides; sugar.Abstract
Objective: This prospective study evaluated the relationship between diet and caries in adolescents with high sugar intake in childhood. Methods: 220 children were examined to assess dental caries. Parents completed Food Frequency and oral health questionnaires, and foods consumed during school snacks were recorded. After 10 years, re-evaluation was done using the same criteria. Determinants of caries experience in both exams were analyzed. Results: 176 adolescents were re-examined (80%). Extrinsic sugar consumption at home and brushing frequency were similar in both phases. In the second phase, there was an increase in sugar consumption (p < 0.001). Caries lesions increased, predominantly with low severity. Twenty percent of caries-free children in primary dentition developed the disease in adolescence (p = 0.012). Conclusion: Higher consumption of sugar-containing foods and less time since the last dental visit are associated with increased caries experience in adolescents.
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