Effect of Diet on the Development of Dental Caries

摘要

Relationships between incidence of dental caries and consumption of sugars were examined in a three-year cohort study of 499 children, initially aged 10-15, resident in nonfluoridated communities in Michigan. Dietary information was obtained by a series of 24-hour recall interviews, caries incidence by baseline and three-year dental examinations. Children with above-average smooth-surface caries incidence consumed more snacks, and a higher proportion of total kilocalories from snack sugars, than did children with zero caries incidence. Children with above-average consumption of sugars as a proportion of total kilocalories, both as a daily average and as between-meal consumption, developed more smooth-surface lesions than did children with below-average consumption. Frequency of eating could not be related to incidence of smooth-surface caries. No patterns of sugars consumption could be related to incidence of pit-and-fissure caries. The incidence of smooth surface caries in the group studied was very low. The report includes literature review and bibliography.