Community Dental Health

cover art

Cover Date:
March 2017
Print ISSN:
0265 539X
Vol:
34
Issue:
1

Sugar before bed: a simple dietary risk factor for caries experience

Clinical care pathways have placed renewed emphasis on caries risk assessment and the ability to predict and prevent further disease. With diet considered a key factor in the development of caries, the level of caries risk posed by dietary habits, such as the frequency of intake and timing of free sugars is questioned. Objective: To identify reliable and simple dietary risk factors for caries experience. Research Design: A cross-sectional observational study of a convenience sample with data gained from clinical examinations, questionnaire and a
24 hour dietary-recall interview. Participants: 128 subjects aged 11-12 from comprehensive schools in Greater Manchester and Newcastleupon-Tyne, UK. Outcome measures: free sugars consumed between meals, before bed and total % of total free sugars consumed were assessed from dietary assessments led by a dietitian. D4-6MFT was generated with a caries threshold of ICDAS stage 4 from clinical examinations. Results: Analysis revealed no significant differences in caries experience when looking specifically at caries into dentine, referred to as the cavity group (split at D4-6MFT), between high and low deprivation, consumption of free sugars between meals and free sugars (%). The consumption of free sugars within the hour before bed revealed a statistically significant difference between the cavity/no cavity groups (p=0.002). Logistic regression analysis on the cavity/no cavity groups revealed an odds ratio of 2.4 (95%CI 1.3,4.4) for free sugars consumption before bedtime. Conclusions: The study suggests that the consumption of free sugars before bedtime may be an important risk factor for adolescent caries into dentine experience.

Key words: dental caries, diet, dental cavity, sugars, snacks, UK

doi:10.1922/CDH_3926Goodwin06

Article Price
£15.00
Institution Article Price
£
Page Start
8
Page End
13
Authors
M. Goodwin, D.K. Patel, A. Vyas, A.J. Khan, M.G. McGrady, N. Boothman, I.A. Pretty

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  1. Editorial
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  1. The oral health of people with learning disabilities - a user-friendly questionnaire survey
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  1. Sugar before bed: a simple dietary risk factor for caries experience
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  1. Measuring oral health impact among care home residents in Wales
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  1. Access to urgent dental care: a scoping review
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  1. Urinary fluoride excretion in preschool children after intake of fluoridated milk and use of fluoride-containing toothpaste
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  1. Directly observed daily mouth care provided to care home residents in one area of Kent, UK
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  1. Association between sense of coherence and oral health-related quality of life among toddlers
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  1. Tobacco use in late adolescence among rural Sri Lankans
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  1. Dental caries experience among Albanian pre-school children: a national survey
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  1. A model for oral health gradients in children: using structural equation modeling
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  1. Oral health and oral health behaviours of five-year-old children in the Charedi Orthodox Jewish Community in North London, UK
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