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Evaluation of the Effects of Adherence to the Mediterranean Diet on Dental Caries and DMFT Index in Young Adults: A Descriptive Study

Year 2024, Volume: 13 Issue: 3, 444 - 452, 24.09.2024
https://doi.org/10.54617/adoklinikbilimler.1351948

Abstract

Aim: In this study, it was aimed to determine the relationship between dental caries and Mediterranean Diet Quality Index (MEDAS) and DMFT index in young adults.

Methods: As a descriptive study, 34 males (42.5%), 46 females (57.5%) between the ages of 18-65, a total of 80 patients who accepted the study voluntarily in a private dental clinic in Gaziantep province between October and December 2022, were included in this study. After the responsible dentist processed the DMFT index into the questionnaire as a result of the dental examination, a questionnaire containing of 25 questions was applied to the individuals who accepted the study, who were diagnosed with dental disease, and included the individuals' nutritional habits, oral hygiene habits, and the Mediterranean Diet Quality Index Scale.

Results: The distribution of the answers given by the individuals to the MEDAS scale was examined; It has been observed that olive oil is frequently used in the kitchen (68.8%), and the consumption of olive oil of 4 tablespoons or more per day is common in individuals (52.5%). The PREDIMED score distribution was in the range of 6-9 points on individuals (65.0%). The relationship between the DMFT index and the PREDIMED score of the individuals was examined, the number of fillings and the DMFT index decreased in individuals with a PREDIMED score of 10 or more (0.75(2); 0.07(0.2) (p=0.068,0.041, respectively).

Conclusion: It is known that insufficient nutrition and consumption of irregular meals have negative effects on oral and dental health, and this effect is caused by the inability to get proper nutrients from the food groups due to the decrease in diet quality. It was determined that the patients who complained of dental caries consumed less whole grains, 57.3% of the individuals consumed sugar-added and carbonated drinks higher than 330 ml, and they consumed added-sugar containing foods more than 2 times a day. In this study, the adherence of individuals to the Mediterranean diet was found to be on moderate level, their eating habits were inadequate, and therefore DMFT indices were found to be higher compared to similar studies.

References

  • Degirmenci K. Diş hekimliği fakültesi eğitim sürecinin öğrencilerin sağlıklı beslenme ve ağız hijyeni alışkanlıkları üzerine etkisi. Selcuk Dental Journal. 2021;8:148.
  • Şanlıer N, Özgen L. Öğrencilere farklı yöntemlerle verilen eğitimin ağız-diş sağlığı ve beslenme bilgisi üzerine etkisi. Türk Eğitim Bilimleri Dergisi. 2005;3:51-65.
  • Karaçil Ermumcu Mş, Köksal E, Uzamış Tekçiçek M. Okul çağı çocuklarında diyet asiditesi diş çürüklerini artırıyor mu? Beslenme ve Diyet Dergisi. 2016;44:97-105.
  • Merve K, Gürbüz E, Ahsen M, Şahin T, Çelik Ç, Yamanel K. Diş hekimliği fakültesi öğrencilerinde beslenme alışkanlığı ve ağız-diş sağlığı ilişkisi. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2009:161-7.
  • Behram Ö, Lofça G, Efes BG. İstanbul Üniversitesi diş hekimliği fakültesi diş hastaliklari ve tedavisi anabilim dali ilk muayene kliniğine başvuran hastalarda DMFT indeksi ile tükürük özellikleri arasindaki ilişki. Journal of Istanbul University Faculty of Dentistry. 2011;45:29-36.
  • Wiley K, Zelig R, Samavat H, Touger-Decker R, Singer S, Duda P, Rigassio Radler D. Dietary patterns of adults who came for care to predoctoral dental school clinic. Journal of the Academy of Nutrition and Dietetics. 2022;122.
  • Barrington G, Khan S, Kent K, Brennan DS, Crocombe LA, Bettiol S. Obesity, dietary sugar and dental caries in Australian adults. Int Dent J. 2019;69:383-91.
  • Garcia-Arellano A, Martínez-González MA, Ramallal R, Salas-Salvadó J, Hébert JR, Corella D, et al. Dietary inflammatory index and all-cause mortality in large cohorts: The SUN and PREDIMED studies. Clin Nutr. 2019;38:1221-31.
  • Oncina-Cánovas A, Vioque J, González-Palacios S, Martínez-González M, Salas-Salvadó J, Corella D, et al. Pro-vegetarian food patterns and cardiometabolic risk in the PREDIMED-Plus study: a cross-sectional baseline analysis. Eur J Nutr. 2022;61:357-72.
  • Martínez-González MA, García-Arellano A, Toledo E, Salas-Salvadó J, Buil-Cosiales P, Corella D, et al. A 14-Item mediterranean diet assessment tool and obesity indexes among high-risk subjects: The PREDIMED trial. PLOS ONE. 2012;7:e43134.
  • Özkan Pehlivanoğlu EF, Balcıoğlu H, Ünlüoğlu İ. Akdeniz Diyeti Bağlılık Ölçeği’nin Türkçe’ye uyarlanması geçerlilik ve güvenilirliği. Osmangazi Journal of Medicine. 2019.
  • Martínez-González MA, Salas-Salvadó J, Estruch R, Corella D, Fitó M, Ros E. Benefits of the Mediterranean Diet: insights from the PREDIMED study. Prog Cardiovasc Dis. 2015;58:50-60.
  • Altun E, Walther C, Borof K, Petersen E, Lieske B, Kasapoudis D, et al. Association between dietary pattern and periodontitis-a cross-sectional study. Nutrients. 2021;13.
  • Bousiou A, Konstantopoulou K, Martimianaki G, Peppa E, Trichopoulou A, Polychronopoulou A, et al. Oral factors and adherence to Mediterranean diet in an older Greek population. Aging Clin Exp Res. 2021;33:3237-44.
  • Guasch-Ferré M, Salas-Salvadó J, Ros E, Estruch R, Corella D, Fitó M, Martínez-González MA. The PREDIMED trial, Mediterranean diet and health outcomes: How strong is the evidence? Nutr Metab Cardiovasc Dis. 2017;27:624-32.
  • Klein H, Palmer CE, Knutson JW. Studies on Dental Caries. I. dental status and dental needs of elementary school children. Public Health Reports. 1938;53:751-65.
  • IBM Corp. IBM SPSS Statistics for Windows. 23.0 ed. Armonk, NY: IBM Corp. Released 2015; 2015.
  • Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods. 2007;39:175-91.
  • Frigaard J, Hynne H, Randsborg K, Mellin-Olsen T, Young A, Rykke M, et al. Exploring oral health indicators, oral health-related quality of life and nutritional aspects in 23 medicated patients from a short-term psychiatric ward. Front Public Health. 2023;11:1083256.
  • Abbass MMS, Mahmoud SA, El Moshy S, Rady D, AbuBakr N, Radwan IA, et al. The prevalence of dental caries among Egyptian children and adolescences and its association with age, socioeconomic status, dietary habits and other risk factors. A cross-sectional study. 2019;8:8.
  • Madali B, Inan-Eroglu E, Ozsin-Ozler C, Karahan S, Uzamis-Tekcicek M, Buyuktuncer Z. Development and validation of a comprehensive food frequency questionnaire that assesses the dietary intake related with dental health in children: A pilot study. Clin Nutr ESPEN. 2023;54:130-6.
  • Lee GCH, Chong MF, Gao X. Dental condition, diet, and glycaemic control: analysis of NHANES 2011-2014. Int Dent J. 2023;73:587-91.
  • Doding A, Hufner M, Nachtsheim F, Iffarth V, Bolter A, Bastian A, et al. Mediterranean diet component oleic acid increases protective lipid mediators and improves trabecular bone in a Porphyromonas gingivalis inoculation model. J Clin Periodontol. 2023;50:380-95.
  • Al-Jawaldeh A, Taktouk M, Naalbandian S, Aguenaou H, Al Hamad N, Almamary S, et al. Sugar reduction initiatives in the Eastern Mediterranean region: A systematic review. Nutrients. 2022;15.
  • Kossioni A, Bellou O. Eating habits in older people in Greece: the role of age, dental status and chewing difficulties. Arch Gerontol Geriatr. 2011;52:197-201.
  • Radic J, Vuckovic M, Gelemanovic A, Roguljic M, Oreskovic J, Kovacevic K, et al. Interconnectedness between periodontitis stage, oral hygiene habits, adherence to the Mediterranean diet and nutritional status in Dalmatian kidney transplant recipients: a cross-sectional study. Sci Rep. 2022;12:11614.
  • Marruganti C, Romandini M, Gaeta C, Cagidiaco EF, Discepoli N, Parrini S, et al. Healthy lifestyles are associated with a better response to periodontal therapy: A prospective cohort study. J Clin Periodontol. 2023;50:1089-100.
  • Costa SA, Nascimento GG, Colins PMG, Alves CMC, Thomaz E, Carvalho Souza SF, et al. Investigating oral and systemic pathways between unhealthy and healthy dietary patterns to periodontitis in adolescents: A population-based study. J Clin Periodontol. 2022;49:580-90.
  • Marruganti C, Traversi J, Gaeta C, Ferrari Cagidiaco E, Parrini S, Discepoli N, Grandini S. Adherence to Mediterranean diet, physical activity level, and severity of periodontitis: Results from a university‐based cross‐sectional study. Journal of Periodontology. 2022;93:1218-32.
  • Marques-Martinez L, Perez-Bermejo M, Lairon-Peris AR, Guinot-Barona C, Borrell-Garcia C, Garcia-Miralles E. Association between the severity of dental caries and the degree of adherence to the mediterranean diet in the pediatric population. Nutrients. 2022;14.
  • Altun E, Walther C, Borof K, Petersen E, Lieske B, Kasapoudis D, et al.. Association between dietary pattern and periodontitis—a cross-sectional study. Nutrients 2021;13.
  • Vilarrasa J, Peña M, Gumbau L, Monje A, Nart J. Exploring the relationship among dental caries, nutritional habits, and peri‐implantitis. Journal of Periodontology 2021;92:1306–16.

Yetişkin Bireylerin Akdeniz Diyetine Uyumlarının Diş Çürüğü ve DMFT İndeksi Üzerine Etkisinin İncelenmesi: Tanımlayıcı Araştırma

Year 2024, Volume: 13 Issue: 3, 444 - 452, 24.09.2024
https://doi.org/10.54617/adoklinikbilimler.1351948

Abstract

Amaç: Bu araştırmada, yetişkin bireylerde diş çürüğü ile Akdeniz Diyeti Kalite İndeksi (MEDAS) ile DMFT indeksi arasındaki ilişkiyi saptamak amaçlanmıştır.

Yöntem: Bu çalışmaya, tanımlayıcı bir araştırma olarak Gaziantep ili Şehitkamil ilçesinde Ekim-Aralık 2022 tarihleri arasında 1 özel diş kliniğinde araştırmayı gönüllü olarak kabul eden kabul eden diş rahatsızlığı şikâyeti olan 18-65 yaş arasında 34 erkek (%42.5), 46 kadın (%57.5) olmak üzere toplam 80 hasta katılmıştır. Araştırmayı kabul eden diş rahatsızlığı tanısı almış bireylere sorumlu diş hekimi diş muayenesinin sonucunda DMFT indeksini anket formuna işledikten sonra bireylerin beslenme alışkanlıkları, oral hijyen alışkanlıkları, Akdeniz Diyeti Kalite İndeksi Ölçeğini içeren 25 soruluk anket uygulaması gerçekleştirilmiştir.
Bulgular: Bireylerin MEDAS ölçeğine verdiği cevapların dağılımı incelendiğinde; zeytinyağının mutfakta sıklıkla kullanılan bir yağ türü olduğu (%68.8), günde 4 yemek kaşığı ve üstü zeytinyağ tüketiminin bireylerde sıklıkla olduğu (%52.5) görülmüştür. Tüm bireylerde, PREDIMED puan dağılımı 6-9 puan aralığında olduğu gözlemlenmiştir (%65.0). Bireylerin DMFT indeksi ve PREDIMED puanı arasındaki ilişki incelendiğinde 10 puan ve üzeri PREDIMED puanı olan bireylerde dolgu sayıları ve DMFT indeksi düşüş göstermiştir (sırasıyla 0.75(2); 0.07(0.2)) (p=0.068,0.041).

Sonuç: Düzensiz beslenmenin ve düzensiz öğün tüketiminin ağız ve diş sağlığına olumsuz etkisinin bulunduğunu, bu etkinin ise diyet kalitesinin düşmesinden ötürü besin gruplarından yeterince beslenememenin etki yarattığı bilinmektedir. Diş çürüğü şikayetine gelen hastaların tam tahılları az tükettikleri, şekerli ve gazlı içecekleri bireylerin %57.3’ünün 330 ml’den yüksek tükettikleri, günde 2 kereden fazla olmak üzere şekerli yiyecekleri tükettikleri saptanmıştır. Bu çalışmada, bireylerin Akdeniz diyetine uyumları orta seviyede bulunmuş olup beslenme alışkanlıkları düzensizdir ve dolayısıyla DMFT indeksleri benzer çalışmalara nazaran yüksek bulunmuştur.

References

  • Degirmenci K. Diş hekimliği fakültesi eğitim sürecinin öğrencilerin sağlıklı beslenme ve ağız hijyeni alışkanlıkları üzerine etkisi. Selcuk Dental Journal. 2021;8:148.
  • Şanlıer N, Özgen L. Öğrencilere farklı yöntemlerle verilen eğitimin ağız-diş sağlığı ve beslenme bilgisi üzerine etkisi. Türk Eğitim Bilimleri Dergisi. 2005;3:51-65.
  • Karaçil Ermumcu Mş, Köksal E, Uzamış Tekçiçek M. Okul çağı çocuklarında diyet asiditesi diş çürüklerini artırıyor mu? Beslenme ve Diyet Dergisi. 2016;44:97-105.
  • Merve K, Gürbüz E, Ahsen M, Şahin T, Çelik Ç, Yamanel K. Diş hekimliği fakültesi öğrencilerinde beslenme alışkanlığı ve ağız-diş sağlığı ilişkisi. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2009:161-7.
  • Behram Ö, Lofça G, Efes BG. İstanbul Üniversitesi diş hekimliği fakültesi diş hastaliklari ve tedavisi anabilim dali ilk muayene kliniğine başvuran hastalarda DMFT indeksi ile tükürük özellikleri arasindaki ilişki. Journal of Istanbul University Faculty of Dentistry. 2011;45:29-36.
  • Wiley K, Zelig R, Samavat H, Touger-Decker R, Singer S, Duda P, Rigassio Radler D. Dietary patterns of adults who came for care to predoctoral dental school clinic. Journal of the Academy of Nutrition and Dietetics. 2022;122.
  • Barrington G, Khan S, Kent K, Brennan DS, Crocombe LA, Bettiol S. Obesity, dietary sugar and dental caries in Australian adults. Int Dent J. 2019;69:383-91.
  • Garcia-Arellano A, Martínez-González MA, Ramallal R, Salas-Salvadó J, Hébert JR, Corella D, et al. Dietary inflammatory index and all-cause mortality in large cohorts: The SUN and PREDIMED studies. Clin Nutr. 2019;38:1221-31.
  • Oncina-Cánovas A, Vioque J, González-Palacios S, Martínez-González M, Salas-Salvadó J, Corella D, et al. Pro-vegetarian food patterns and cardiometabolic risk in the PREDIMED-Plus study: a cross-sectional baseline analysis. Eur J Nutr. 2022;61:357-72.
  • Martínez-González MA, García-Arellano A, Toledo E, Salas-Salvadó J, Buil-Cosiales P, Corella D, et al. A 14-Item mediterranean diet assessment tool and obesity indexes among high-risk subjects: The PREDIMED trial. PLOS ONE. 2012;7:e43134.
  • Özkan Pehlivanoğlu EF, Balcıoğlu H, Ünlüoğlu İ. Akdeniz Diyeti Bağlılık Ölçeği’nin Türkçe’ye uyarlanması geçerlilik ve güvenilirliği. Osmangazi Journal of Medicine. 2019.
  • Martínez-González MA, Salas-Salvadó J, Estruch R, Corella D, Fitó M, Ros E. Benefits of the Mediterranean Diet: insights from the PREDIMED study. Prog Cardiovasc Dis. 2015;58:50-60.
  • Altun E, Walther C, Borof K, Petersen E, Lieske B, Kasapoudis D, et al. Association between dietary pattern and periodontitis-a cross-sectional study. Nutrients. 2021;13.
  • Bousiou A, Konstantopoulou K, Martimianaki G, Peppa E, Trichopoulou A, Polychronopoulou A, et al. Oral factors and adherence to Mediterranean diet in an older Greek population. Aging Clin Exp Res. 2021;33:3237-44.
  • Guasch-Ferré M, Salas-Salvadó J, Ros E, Estruch R, Corella D, Fitó M, Martínez-González MA. The PREDIMED trial, Mediterranean diet and health outcomes: How strong is the evidence? Nutr Metab Cardiovasc Dis. 2017;27:624-32.
  • Klein H, Palmer CE, Knutson JW. Studies on Dental Caries. I. dental status and dental needs of elementary school children. Public Health Reports. 1938;53:751-65.
  • IBM Corp. IBM SPSS Statistics for Windows. 23.0 ed. Armonk, NY: IBM Corp. Released 2015; 2015.
  • Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods. 2007;39:175-91.
  • Frigaard J, Hynne H, Randsborg K, Mellin-Olsen T, Young A, Rykke M, et al. Exploring oral health indicators, oral health-related quality of life and nutritional aspects in 23 medicated patients from a short-term psychiatric ward. Front Public Health. 2023;11:1083256.
  • Abbass MMS, Mahmoud SA, El Moshy S, Rady D, AbuBakr N, Radwan IA, et al. The prevalence of dental caries among Egyptian children and adolescences and its association with age, socioeconomic status, dietary habits and other risk factors. A cross-sectional study. 2019;8:8.
  • Madali B, Inan-Eroglu E, Ozsin-Ozler C, Karahan S, Uzamis-Tekcicek M, Buyuktuncer Z. Development and validation of a comprehensive food frequency questionnaire that assesses the dietary intake related with dental health in children: A pilot study. Clin Nutr ESPEN. 2023;54:130-6.
  • Lee GCH, Chong MF, Gao X. Dental condition, diet, and glycaemic control: analysis of NHANES 2011-2014. Int Dent J. 2023;73:587-91.
  • Doding A, Hufner M, Nachtsheim F, Iffarth V, Bolter A, Bastian A, et al. Mediterranean diet component oleic acid increases protective lipid mediators and improves trabecular bone in a Porphyromonas gingivalis inoculation model. J Clin Periodontol. 2023;50:380-95.
  • Al-Jawaldeh A, Taktouk M, Naalbandian S, Aguenaou H, Al Hamad N, Almamary S, et al. Sugar reduction initiatives in the Eastern Mediterranean region: A systematic review. Nutrients. 2022;15.
  • Kossioni A, Bellou O. Eating habits in older people in Greece: the role of age, dental status and chewing difficulties. Arch Gerontol Geriatr. 2011;52:197-201.
  • Radic J, Vuckovic M, Gelemanovic A, Roguljic M, Oreskovic J, Kovacevic K, et al. Interconnectedness between periodontitis stage, oral hygiene habits, adherence to the Mediterranean diet and nutritional status in Dalmatian kidney transplant recipients: a cross-sectional study. Sci Rep. 2022;12:11614.
  • Marruganti C, Romandini M, Gaeta C, Cagidiaco EF, Discepoli N, Parrini S, et al. Healthy lifestyles are associated with a better response to periodontal therapy: A prospective cohort study. J Clin Periodontol. 2023;50:1089-100.
  • Costa SA, Nascimento GG, Colins PMG, Alves CMC, Thomaz E, Carvalho Souza SF, et al. Investigating oral and systemic pathways between unhealthy and healthy dietary patterns to periodontitis in adolescents: A population-based study. J Clin Periodontol. 2022;49:580-90.
  • Marruganti C, Traversi J, Gaeta C, Ferrari Cagidiaco E, Parrini S, Discepoli N, Grandini S. Adherence to Mediterranean diet, physical activity level, and severity of periodontitis: Results from a university‐based cross‐sectional study. Journal of Periodontology. 2022;93:1218-32.
  • Marques-Martinez L, Perez-Bermejo M, Lairon-Peris AR, Guinot-Barona C, Borrell-Garcia C, Garcia-Miralles E. Association between the severity of dental caries and the degree of adherence to the mediterranean diet in the pediatric population. Nutrients. 2022;14.
  • Altun E, Walther C, Borof K, Petersen E, Lieske B, Kasapoudis D, et al.. Association between dietary pattern and periodontitis—a cross-sectional study. Nutrients 2021;13.
  • Vilarrasa J, Peña M, Gumbau L, Monje A, Nart J. Exploring the relationship among dental caries, nutritional habits, and peri‐implantitis. Journal of Periodontology 2021;92:1306–16.
There are 32 citations in total.

Details

Primary Language Turkish
Subjects Dentistry (Other)
Journal Section Araştırma Makalesi
Authors

Buse Bayram 0000-0001-5544-3333

Perya Pelin Özsöyler Bozan 0000-0002-8551-008X

Publication Date September 24, 2024
Submission Date August 29, 2023
Published in Issue Year 2024 Volume: 13 Issue: 3

Cite

Vancouver Bayram B, Özsöyler Bozan PP. Yetişkin Bireylerin Akdeniz Diyetine Uyumlarının Diş Çürüğü ve DMFT İndeksi Üzerine Etkisinin İncelenmesi: Tanımlayıcı Araştırma. ADO Klinik Bilimler Dergisi. 2024;13(3):444-52.