CUMULATIVE DIETARY CARIOGENICITY AND DENTAL CARIES IN ADULTS

Öz

Objective: This study was conducted to determine the total cariogenic load of diet and its effect on dental caries in adults. Method: Patients aged 19-65 years (n=506) who applied for dental treatment were included in the study. A questionnaire including sociodemographic characteristics, a food consumption frequency questionnaire, and a decayed, missing, filled teeth (DMFT) index calculation were used to collect the data. The data were evaluated using SPSS (Statistical Package for Social Sciences) and Jamovi 2.3 package program and the level of significance was accepted as p<0.05. Mann Whitney U, Kruskal Wallis H, One-Way ANOVA, Spearman Correlation, Linear Regression, and Mediator Analysis tests were used to analyze the data. Results: In our study, the DMFT index score increased with increasing age, and the total cariogenic diet score increased as the education level decreased. There was a weak statistically significant positive correlation between the DMFT index scores and the total cariogenic diet score. It has been shown that an increase of 1 unit in the total cariogenic diet score causes an increase of 0.011 units in the DMFT index. In addition, it was found that the cariogenic diet had a positive mediator effect of 3.91% on the DMFT index. Conclusion: It is important to determine the cariogenic properties of the diet and to reduce the total cariogenic load of the diet in preventing dental caries and protecting oral and dental health in adults. For this reason, it may be more beneficial to evaluate the diet as a holistic and develop nutritional recommendations to reduce the risk of caries.

Anahtar Kelimeler

• Cariogenic Diet
• Dental Caries
• Oral Health

YETİŞKİNLERDE KÜMÜLATİF DİYET KARYOJENİTESİ VE DİŞ ÇÜRÜKLERİ

Öz

Amaç: Bu çalışma, yetişkinlerde diyetin toplam karyojenik yükünün belirlenmesi ve diş çürükleri üzerine etkisinin belirlenmesi amacıyla yapılmıştır. Yöntem: Araştırmaya diş tedavisi için başvuran 19-65 yaş aralığındaki yetişkin hastalar (n=506) dâhil edildi. Verilerin toplanmasında sosyodemografik özellikler, besin tüketim sıklığı anketi ve çürük, eksik, dolgulu, diş (DMFT) indeks hesaplanmasını içeren anket formu kullanıldı. Veriler SPSS (Statistical Package for Social Sciences) ve Jamovi 2.3 paket programı kullanılarak değerlendirildi ve anlamlılık düzeyi p<0.05 olarak kabul edildi. Verilerin analizinde Mann Whitney U, Kruskal Wallis H, One-Way ANOVA, Spearman Korelasyon, Lineer Regresyon ve Mediatör Analiz testleri kullanıldı. Bulgular: Çalışmamızda yaş arttıkça DMFT indeksi puanı arttı, eğitim düzeyi azaldıkça toplam karyojenik diyet skoru arttı. DMFT indeksi puanları ile toplam karyojenik diyet skoru arasında pozitif yönde zayıf istatistiksel olarak anlamlı korelasyon bulundu. Toplam karyojenik diyet skorundaki 1 birimlik artışın DMFT indeksinde 0.011 birimlik artışa neden olduğu gösterildi. Aynı zamanda karyojenik diyetin DMFT indeksi üzerinde %3.91 oranında pozitif mediatör etkisi olduğu bulundu. Sonuç: Yetişkinlerde diş çürüklerinin önlenmesi ve ağız ve diş sağlığının korunmasında diyetin karyojenik özelliklerinin belirlenmesi ve diyetin toplam karyojenik yükünün azaltılması önemlidir. Bu sebeple çürük riskini azaltmak için diyetin bütünsel olarak değerlendirilmesi ve beslenme önerileri geliştirilmesi daha yararlı olabilir.

Anahtar Kelimeler

• Karyojenik Diyet
• Diş Çürükleri
• Ağız Sağlığı

Kaynakça

1. Pitts NB, Zero DT, Marsh PD, et al. Dental caries. Nature Reviews Disease Primers. 2017;3(1):17030.
2. Radler DR. Nutrition for oral and dental health. In: L. Kathleen Mahan JLR, eds. Krause's Food & Nutrition Therapy. 14th ed. St. Louis, Missouri: Elsevier; 2017:468-477.
3. World Health Organization (WHO). Guideline: sugars intake for adults and children. 2015. Available from: https://www.who.int/publications/i/item/9789241549028.
4. Tungare S, Paranjpe AG. Diet and Nutrition to Prevent Dental Problems. StatPearls Publishing LLC.; 2023.
5. Amezdroz E, Carpenter L, Johnson S, et al. Feasibility and development of a cariogenic diet scale for epidemiological research. Int J Paediatr Dent. 2019;29(3):310-324.
6. Faul F, Erdfelder E, Buncher A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-191.
7. Palmer CA, Kent R, Jr., Loo CY, et al. Diet and caries-associated bacteria in severe early childhood caries. J Dent Res. 2010;89(11):1224-1229.
8. Shulman JD, Cappelli DP. Chapter 1 - Epidemiology of Dental Caries. In: Cappelli DP, Mobley CC, eds. Prevention in Clinical Oral Health Care. Saint Louis: Mosby; 2008:2-13.

9. The Jamovi Project. Jamovi (Version 2.3) [Computer Software]. Retrieved from https://www.jamovi.org.
10. Fisher J, Selikowitz H-S, Mathur M, Varenne B. Strengthening oral health for universal health coverage. The Lancet. 2018;392(10151):899-901.
11. Tanık A. Evaluation of the relationship of CPITN and DMFT index of adult patients in Turkey with their demographic characteristics: an epidemiological study. Biotechnology & Biotechnological Equipment. 2019;33(1):1626-1634.
12. Ceylan S, Açikel CH, Okçu KM, et al. Evaluation of the dental health of the young adult male population in Turkey. Military medicine. 2004;169(11):885-889.
13. Bal MV, Bengi U, Açikel C, Saygun I. Oral hygiene and oral health status of the nursing students in Turkey. Gülhane Tip Dergisi. 2015;57(3):264.
14. Karabekiroglu S, Şener S, Ünlü N. Pattern of dental caries experience in Turkish young adults in different risk groups. J Dent Med Sci. 2017;16(9):89-97.
15. Blostein FA, Jansen EC, Jones AD, Marshall TA, Foxman B. Dietary patterns associated with dental caries in adults in the United States. Community Dentistry and Oral Epidemiology. 2020;48(2):119-129.
16. Roland E, Gueguen G, Longis MJ, Boiselle J. Validation of the reproducibility of the DMF index used in oral health epidemiology and evaluation of its two clinical forms. World Health Statistics Quarterly. 1994;47(2):44-53.
17. Sachdev PK, Freeland-Graves J, Babaei M, et al. Associations Between Diet Quality and Dental Caries in Low-Income Women. Journal of the Academy of Nutrition and Dietetics. 2021;121(11):2251-2259.
18. Kaye EA, Sohn W, Garcia RI. The Healthy Eating Index and coronal dental caries in US adults: National Health and Nutrition Examination Survey 2011-2014. J Am Dent Assoc. 2020;151(2):78-86.
19. Dalla Nora Â, Knorst JK, Comim LD, et al. Factors associated with a cariogenic diet among adolescents: a structural equation modeling approach. Clin Oral Investig. 2023;27(1):213-220.
20. Li X, Kolltveit KM, Tronstad L, Olsen I. Systemic diseases caused by oral infection. Clin Microbiol Rev. 2000;13(4):547-558.
21. Peters R, Ee N, Peters J, et al. Common risk factors for major noncommunicable disease, a systematic overview of reviews and commentary: the implied potential for targeted risk reduction. Ther Adv Chronic Dis. 2019;10:2040622319880392.
22. de Medeiros TCC, Areas e Souza A, Prates RC, Chapple I, Steffens JP. Association between tooth loss, chronic conditions, and common risk factors: Results from the 2019 Brazilian Health Survey. J Periodontol. 2022;93(8):1141-1149.
23. Wagner MC, Haas AN, Oppermann RV, et al. Effect of Alcohol Consumption on Clinical Attachment Loss Progression in an Urban Population From South Brazil: A 5-Year Longitudinal Study. J Periodontol. 2017;88(12):1271-1280.
24. Tezal M, Grossi SG, Ho AW, Genco RJ. Alcohol consumption and periodontal disease. J Clin Periodontol. 2004;31(7):484-488.
25. Virkkala VF, Eloranta AM, Suominen AL, et al. Associations of diet quality, food consumption, eating frequency and eating behaviour with dental caries experience in Finnish children: a 2-year longitudinal study. Br J Nutr. 2023;129(8):1415-1425.