The purpose of this study was to investigate the association between the probability of having high DMFT scores and reported consumption of eight food groups. The sample included Americans (aged from 9 to 29 years) examined during the first National Health and Nutrition Examination Survey conducted between 1971 and 1974. Analysis was restricted to comparing those individuals having DMFT scores equal to or above the 80th percentile of the DMFT distribution with those having scores equal to or below the 20th percentile of the distribution.
The strongest discriminator between the low- and high-DMFT groups was the between-meal consumption of table sugars and syrups. The between-meal consumption of sugary desserts was also significantly associated with high DMFT scores. Foods to which table sugars are usually added before consumption, such as coffee, chocolate, and tea drinks, were associated with high DMFT scores in the bivariate analysis. When the same-day consumption of table sugars and syrups was accounted for, the associations became nonsignificant. The reported consumption of breakfast cereals, bread, fruit juices, ice cream, and nuts and crackers was not associated with high DMFT scores, perhaps because they were consumed only infrequently.
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References
1.
Afonsky, D. (1951): Some Observations on Dental Caries in Central China, J Dent Res30:53-61.
2.
Bagramian, R.A. and Russell, A.L. (1973): Epidemiologic Study of Dental Caries Experience and Between-meal Eating Patterns, J Dent Res52:342-347.
3.
Beaton, G.H.,; Milner, J.; Corey, P.; McGuire, V.; Cousins, M.; Stewart, E.; de Ramos, M.; Hewitt, D.; Crambsch, P.V.; Kassim, N.; and Little, J.A. (1979): Sources of Variance in the 24-hour Dietary Recall Data: Implications for Nutrition Study Design and Interpretation, Am J Clin Nutr32:2546-2559.
4.
Brunelle, J.A. and Carlos, J.P. (1982): Changes in the Prevalence of Dental Caries in U.S. Schoolchildren, 1961-1980, J Dent Res61 (Sp Iss):1346-1351.
5.
Burt, B.A. and Eklund, S.A. (1981): Sugar Consumption and Dental Caries: Some Epidemiological Patterns in the United States. In: Foods, Nutrition, and Dental Health, Vol. 3, J.J. Hefferren, W. Ayer, and H.M. Koehler , Eds., Park Forest South, IL: Pathotox, pp. 171-179.
6.
Burt, B.A.; Eklund, S.A.; Landis, J.R.; Larkin, F.A.; Guire, K.E.; and Thompson, F.E. (1982): Diet and Dental Health, a Study of Relationships: United States, 1971-1974, National Center for Health Statistics. Series 11, no. 225, Washington : Government Printing Office, pp. 10-14.
7.
Burt, B.A. and Ismail, A.I. (1986): Diet, Nutrition, and Food Cariogenicity, J Dent Res65 (Spec Iss):1475-1484.
8.
Bowen, W.H.; Amsbaugh, S.M.; Monell-Torrens, S.; Brunelle, J.; Kuzmiak-Jones, H.; and Cole, M.F. (1980): A Method to Assess Cariogenic Potential of Foodstuffs , JAm Dent Assoc100:677-681.
9.
Centers For Disease Control (1973): Ten-State Nutrition Survey, 1968-1970. DHEW Pub. no. (HSM) 72-8131, Washington : Government Printing Office, pp. 87-93.
10.
Cleaton-Jones, P.; Richardson, B.D.; Winter, G.B.; Sinwel, R.E.; Rantsho, J.M.; and Jodaikin, A. (1984): Dental Caries and Sucrose Intake in Five South African Preschool Groups, Community Dent Oral Epidemiol12:381-385.
11.
Duany, L.F.; Zinner, D.D.; and Jablon, J.M. (1972): Epidemiologic Studies of Caries-free and Caries-active Students: II. Diet, Dental Plaque, and Oral Hygiene, J Dent Res51:727-733.
12.
Fleiss, J.L. (1981): Statistical Methods for Rates and Proportions , 2nd ed., New York: John Wiley and Sons, pp. 61-71.
13.
Garn, S.M.; Larkin, F.A.; and Cole, P.E. (1976): The Problem with One-day Dietary Intakes, Ecol Food Nutr5:245-247.
14.
Gersovitz, M.; Madden, J.P.; and Simici Klas-Wright, H. (1978): Validity of the 24-hr. Dietary Recall and Seven Day Record for Group Comparisons, J Am Diet Assoc73:48-55.
15.
Gustafsson, B.E.; Quensel, C.-E.; Swenander Lanke, L.; Lundqvist, C.; Grahnen, H.; Bonow, B.E.; and Krasse, B. (1954): The Vipeholm Dental Caries Study. The Effect of Different Levels of Carbohydrate Intake on Caries Activity in 436 Individuals Observed for Five Years, Acta Odontol Scand11:232-364.
16.
Imfeld, T.N. (1983): Identification of Low Caries Risk Dietary Components , Basel: Karger, pp. 9-48.
17.
Ismail, A.I.; Burt, B.A.; and Eklund, S.A. (1983): Epidemiologic Patterns of Smoking and Periodontal Disease in the United States, J Am Dent Assoc106 :617-621.
18.
Ismail, A.I.; Burt, B.A.; and Eklund, S.A. (1984): The Cariogenicity of Soft Drinks in the United States, J Am Dent Assoc109:241-245.
19.
Jensen, M.E.; Polansky, P.J.; and Schachtele, C.F. (1982): Plaque Sampling and Telemetry for Monitoring Acid Production on Human Buccal Tooth Surfaces, Arch Oral Biol27:21-31.
20.
Kleemola-Kujala, E. and Rasanen, L. (1979): Dietary Pattern of Finnish Children with Low and High Caries Experience, Community Dent Oral Epidemiol7:199-205.
21.
Kleemola-Kujala, E. and Rasanen, L. (1982): Relationship of Oral Hygiene and Sugar Consumption to Risk of Caries in Children, Community Dent Oral Epidemiol10:224-233.
22.
Klein, H.; Palmer, C.E.; and Knutson, J.W. (1938): Studies on Dental Caries. I. Dental Status and Dental Needs of Elementary School Children, Pub Health Rep53:751-765.
23.
Kleinbaum, D.G.; Kupper, L.L.; and Morgenstern, H. (1982): Epidemiologic Research. Principles and Quantitative Methods, Belmont, CA: Lifetime Learning Pub., pp. 297-300, 476-491.
24.
Koulourides, T.; Bodden, S.; Keller, S.; Manson-Hing, L.; Lastra, J.; and Housch, T. (1976): Cariogenicity of Nine Sugars Tested with an Intraoral Device in Man, Caries Res10 :427-441.
25.
Madden, J.P.; Goodman, S.J.; and Simici Klas-Wright, H. (1976): Validity of the 24-hr. Recall, J Am Diet Assoc68 :143-147.
26.
Marshall-Day, C.D. (1944): Nutritional Deficiencies and Dental Caries in Northern India, Br Dent J76:115-122.
27.
Martinsson, T. (1972): Socio-economic Investigation of School Children with High and Low Caries Frequency. III. A Dietary Study Based on Information Given by the Children, Odont Revy23:93-114.
28.
Moller, I.G. (1978): Impact of Oral Disease Across Cultures, Int Dent J2:376-380.
29.
Morgan, K.J. and Zabik, M.E. (1981): Amount and Food Sources of Total Sugar Intake by Children Ages 5 to 12 Years, Am J Clin Nutr34:404-413.
30.
Mühlemann, H.R. (1971): Intra-oral Radio Telemetry, Int Dent J21:456-465.
31.
Newbrun, E. (1979): Dietary Carbohydrates: Their Role in Cariogenicity , Med Clin North Am63:1069-1086.
32.
Newbrun, E.; Hoover, C.; Mettraux, G.; and Graf, H. (1980): Comparison of Dietary Habits and Dental Health of Subjects with Hereditary Fructose Intolerance and Control Subjects, J Am Dent Assoc101:619-626.
33.
Rugg-Gunn, A.J.; Edgar, W.M.; Geddes, D.A.M.; and Jen-Kins, G.N. (1975): The Effect of Different Meal Patterns Upon Plaque pH in Human Subjects, Br Dent J139:351-356.
34.
Rugg-Gunn, A.J.; Hackett, A.F.; Appleton, D.R.; Jen-Kins, G.N.; and Eastoe, J.E. (1984): Relationship Between Dietary Habits and Caries Increment Assessed over Two Years in 405 English Adolescent School Children , Arch Oral Biol29 :983-992.
35.
Russell, A.L. (1963): International Nutrition Surveys: a Summary of Preliminary Dental Findings, J Dent Res42:233-244.
36.
Sardo Infirri, J. and Barmes, D.E. (1979); Epidemiology of Oral Diseases - Differences in National Problems, Int Dent J29:183-190.
37.
Sheiham, A. (1983): Sugars and Dental Decay, Lancet1:282-284.
38.
South Carolina Department Of Health And Environmental Control (1983): The South Carolina Dental Health and Pediatric Blood Pressure Survey 1982-83, Columbia, SC: South Carolina Department of Health and Environmental Control, pp. 13-27.
39.
Sreebny, L.M. (1982a): Sugar Availability, Sugar Consumption and Dental Caries, Community Dent Oral Epidemiol10:1-7.
40.
Sreebny, L.M. (1982b): Sugar and Human Dental Caries, World Rev Nutr Diet40:19-65.
41.
Sundin, B.; Birkhed, D.; and Granath, L. (1983): Is There Not a Strong Relationship Nowadays Between Caries and Consumption of Sweets? Swed Dent J7:103-108.
42.
United States Public Health Service (1973): Plan and Operation of the Health and Nutrition Examination Survey, Series 1, nos. 10a and 10b, Washington, D.C.: Government Printing Office.
43.
Weiss, R.L. and Trithart, A.H. (1960): Between-meal Eating Habits and Dental Caries Experience in Preschool Children, Am J Pub Health50:1097-1104.
