Higher sugar intake is associated with periodontal disease in adolescents

Moreira, Ana Regina Oliveira; Batista, Rosângela Fernandes Lucena; Ladeira, Lorena Lúcia Costa; Thomaz, Érika Bárbara Abreu Fonseca; Alves, Cláudia Maria Coêlho; Saraiva, Maria da Conceição Pereira; Silva, Antônio Augusto Moura da; Brondani, Mario; Ribeiro, Cecília Cláudia Costa

doi:10.1007/s00784-020-03387-1

Cited by 37 publications

(48 citation statements)

References 41 publications

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“…This cross‐sectional study used data from the second follow‐up cohort conducted in São Luís city ( n = 2515) (Moreira et al, 2021). For the present study, 483 individuals were excluded because of having incomplete data, resulting in a final sample of 2032 adolescents.…”

Section: Methodsmentioning

confidence: 99%

“…Moreover, an unhealthy diet intake, which is rich in sugar and saturated fats, results in nutritional deficiencies (Augusto et al, 2014), increases systemic inflammation (Aragno & Mastrocola, 2017), and affects the bone (Ding et al, 2008;De Pablo et al, 2012;Ishii et al, 2013) and periodontal tissues (Lula et al, 2014;Moreira et al, 2021).…”

Section: Refmentioning

confidence: 99%

“…Consumption of soft drinks has been associated with both low BMD (Whiting et al, 2001;Libuda et al, 2008;Høstmark et al, 2011) and periodontitis (Lula et al, 2014;Ching-Yuan Fann et al, 2015;I.-S. Song et al, 2016;Menezes et al, 2019) in the same adolescent sample (Moreira et al, 2021). Intake of these beverages induce a systemic hyperinflammatory status (Aragno & Mastrocola, 2017), may increase osteoclastic activity and reduce osteoblastic activity, promoting rapid systemic bone loss (Ding et al, 2008;De Pablo et al, 2012;Ishii et al, 2013) as well as a greater destruction of periodontal tissues (Nibali et al, 2007).…”

Section: Refmentioning

confidence: 99%

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Low bone mineral density is associated with severe periodontitis at the end of the second decade of life: A population‐based study

Costa

Ribeiro

Oliveira

et al. 2021

J Clinic Periodontology

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Aim: To evaluate the association between low bone mineral density (BMD) and severe periodontitis at the end of the second decade of life.Materials and methods: This population-based study analysed 2032 youngers (18-19 years old) of the RPS cohort. BMD of lumbar spine (BMD-LS) and of the whole body (BMD-WB) were assessed by dual x-ray emission densitometry. Low BMD-LS (Z-score ≤ À2) and low BMD-WB (Z-score ≤ À1.5) were correlated with severe periodontitis. The extent of periodontal disease was also evaluated as the following outcomes: proportions of teeth affected by clinical attachment loss ≥5 mm and probing depth ≥5 mm. Multivariate models by sex, education, family income, risk of alcohol dependence, smoking, plaque, bleeding index, and body mass index were estimated through logistic regression (binary outcomes) and Poisson regression (continuous outcomes).Results: The prevalence of severe periodontitis was 10.97%. Low BMD-LS (odds ratio [OR] = 2.08, confidence interval [CI] = 1.12-3.85, p = .01) and low BMD-WB (OR = 1.34, CI = 1.001-1.81, p = .04) were associated with severe periodontitis in the final multivariate models. Low BMD-LS and BMD-WB were also associated with a greater extent of periodontitis (p < .05).Conclusions: Low BMD was found to be associated with the severity and extent of periodontitis in adolescents. Adolescents at peak bone mass age presenting low BMD are more likely to be affected by severe periodontitis.

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Section: Methodsmentioning

confidence: 99%

Section: Refmentioning

confidence: 99%

Section: Refmentioning

confidence: 99%

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Low bone mineral density is associated with severe periodontitis at the end of the second decade of life: A population‐based study

Costa

Ribeiro

Oliveira

et al. 2021

J Clinic Periodontology

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“…Devido à dificuldade de localização dos indivíduos e para ampliar o tamanho da amostra do estudo, incluímos os participantes de duas formas: por sorteio no banco de dados do Sistema de Informação sobre Nascidos Vivos (Cadastro Nacional de Nascidos Vivos -SINASC) (n=1.716), e pela inclusão de voluntários identificados em escolas, universidades e redes sociais nascidos em maternidades de São Luís em 1997 (n=145). Esses novos participantes foram submetidos aos mesmos testes e questionários da coorte original 21 .…”

Section: Métodosunclassified

Persistem iniquidades sociais na distribuição da cárie dentária em adolescentes maranhenses? Contribuições de um estudo de base populacional

Sousa

Lopes²,

Costa

et al. 2021

Ciênc. saúde coletiva

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Resumo O objetivo foi analisar a associação de fatores socioeconômicos com a prevalência de cárie dentária em adolescentes de São Luís, Maranhão, para responder se as iniquidades sociais persistem na distribuição desta doença. Este é um estudo transversal aninhado a uma coorte prospectiva. Incluímos 2.413 adolescentes de 18-19 anos, avaliados em 2016 (2º seguimento). O desfecho foi a ocorrência de dentes com cárie dentária não tratada (sim ou não), avaliada pelo índice CPO-D. Características socioeconômicas e demográficas foram as variáveis independentes. Foram realizadas análises estatísticas descritivas e de regressão de Poisson, calculando-se razões de prevalência (RPs) brutas e ajustadas (alpha=5%). Pertencer às classes econômicas C (RP=1,23; IC95%:1,11-1,37) ou D-E (RP=1,48; IC95%: 1,32-1,65), estar casado/morar com companheiro (RP=1,22; IC95%:1,07-1,39), ter pais separados (RP=1,11; IC95%1,03-1,19) e maior número de pessoas na residência (RP=1,05; IC95%:1,03-1,07) foram associadas a maior prevalência de cárie dentária. Apesar da implementação da Política Nacional de Saúde Bucal, as iniquidades sociais em saúde bucal de adolescentes persistem. É fundamental que o modelo de atenção à saúde vigente busque a reorientação das estratégias de educação em saúde, direcionando-as a populações vulneráveis.

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“…49,50 A high consumption of sugar has been associated with gingival inflammation in adolescents and young adults. [51][52][53][54] In people with eating disorders, there are still conflicting results in the literature regarding plaque control and gingival inflammation (Table 1).…”

Section: Oral Mucosa and Periodontiummentioning

confidence: 99%

Eating disorders through the periodontal lens

Rangé

Colon

Godart

et al. 2021

Periodontology 2000

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People with eating disorders suffer from a mental disorder that negatively affects their physical and/or mental health. The three most frequent eating disorders are binge eating disorder, bulimia nervosa, and anorexia nervosa. Environmental and genetic factors are involved in the pathogenesis of eating disorders in vulnerable persons. Although treatment varies among different types of eating disorders, nutrition, medical care combined with psychotherapy and medications are standard of care. The aim of this review is to give an overview of the oral health impact of eating disorders with a special emphasis on the periodontium. Oral health professionals have a unique role to play in the early diagnosis of eating disorders because of the important impact that eating disorders have on the oral cavity. In vomiting‐associated eating disorders, the risk of erosive tooth wear is mainly localized to the palatal surfaces of the incisors. Emerging evidence also indicates a high frequency of gingivitis and gingival recessions associated with compulsive toothbrushing. A holistic approach, including oral health and functional rehabilitation, should be promoted by physicians, psychiatrists, and dentists for people with eating disorders.

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Higher sugar intake is associated with periodontal disease in adolescents

Cited by 37 publications

References 41 publications

Low bone mineral density is associated with severe periodontitis at the end of the second decade of life: A population‐based study

Low bone mineral density is associated with severe periodontitis at the end of the second decade of life: A population‐based study

Persistem iniquidades sociais na distribuição da cárie dentária em adolescentes maranhenses? Contribuições de um estudo de base populacional

Eating disorders through the periodontal lens

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