Nutritional status, tooth eruption, and dental caries: a review

Alvarez, J O; Navia, Juan M.

doi:10.1093/ajcn/49.3.417

Cited by 70 publications

(50 citation statements)

References 64 publications

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“…A similar longitudinal study suggested a cause-effect relationship between early malnutrition and increased dental caries [20]. Various studies in India also reported a significant association between a poor nutritional status and a delayed tooth eruption [21]. It can be concluded on the basis of these studies, that malnutrition caused delayed tooth development, it affected the age distribution of dental caries, and it resulted in an increased caries experience.…”

Section: Discussionmentioning

confidence: 88%

Malnutrition and its Oral Outcome – A Review

Sheetal¹

2013

JCDR

101

103

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Malnutrition affects the oral health and a poor oral health in turn, may lead to malnutrition. This interdependent relationship sees good nutritional health, thus promoting good oral health and vice versa. Malnutrition may alter the homeostasis, which can lead to disease progression of the oral cavity, reduce the resistance to the microbial biofilm and reduce the capacity of tissue healing. It may even affect the development of the oral cavity. Protein-energy malnutrition occurs when there is a deficiency of protein, energy foods or both, which are relative to a body's need. Studies have suggested that enamel hypoplasia, salivary gland hypofunction and saliva compositional changes may be the mechanisms through which the malnutrition is associated with caries, while an altered eruption timing may create a challenge in the analysis of the age specific caries rates. This paper gives an insight on the relationship of the malnutrition and the protein-energy malnutrition with the oral health status.

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Section: Discussionmentioning

confidence: 88%

Malnutrition and its Oral Outcome – A Review

Sheetal¹

2013

JCDR

101

103

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“…It is possible that such underlying health issues, related to socioeconomic factors, had also influenced the risk of developing tooth decay in the inmates from the Kilkenny Union Workhouse long before the Famine. While several clinical studies have reported a positive correlation between malnutrition and caries in primary teeth (Alvarez & Navia, 1989; Ismail, 1998; Johansson, Saellström, Rajan, & Parameswaran, 1992), there is currently a limited understanding as to whether the same relationship exists for the permanent dentition. A review article published in 2005 (Psoter, Reid, & Katz, 2005) only identified one longitudinal case study from Peru (Alvarez et al, 1993), where a link between early childhood protein‐energy malnutrition (PEM) and caries in the permanent dentition was observed.…”

Section: Discussionmentioning

confidence: 99%

Dental markers of poverty: Biocultural deliberations on oral health of the poor in mid‐nineteenth‐century Ireland

Geber

Murphy²

2018

American J Phys Anthropol

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ObjectivesDespite subsisting on a low‐cariogenic diet comprising virtually nothing more than potatoes and dairy products, poor oral health affected the quality of life for the poor of nineteenth‐century Ireland. This study investigates potential biocultural reasons that may explain why this was the case.Material and MethodsA total of 6,860 teeth and 9,889 alveoli from 363 permanent dentitions from the skeletal remains of impoverished adult Irish males and females who died between 1847 and 1851 in the Kilkenny Union Workhouse were examined for evidence of dental caries, periodontal disease and ante‐mortem tooth loss. Caries rates were quantified and assessed by crude prevalence, frequencies, corrected caries rates and a t‐health index, and evaluated by sex and age groups.ResultsA higher rate of caries was present among 18–25‐year‐old males than females, while the opposite relationship was evident for older age groups. The prevalence rates of periodontal disease and ante‐mortem tooth loss increased with age. When assessed by corrected caries rates, tooth decay is observed at a lower rate compared to contemporaneous lower to upper‐class population samples from London.DiscussionDespite being low cariogenic foods, the potato starch and milk lactose of a nineteenth‐century Irish laborer's diet would have lowered oral pH‐values thereby increasing the risk of bacterial fermentation in dental plaque resulting in caries. Nutritional features alone cannot explain the high rates of dental caries observed in the Kilkenny workhouse population sample, however, and lifestyle factors, particularly habitual clay‐pipe smoking, is considered a significant cause of poor oral health.

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“…However, when developing countries are exposed to sugars in the diet, the level of caries is greater than expected from experience in Western countries. This observation has led to the suggestion that malnutrition enhances the cariogenic effect of sugars (Enwonwu, 1973;Nikiforuk & Frazer, 1981;Alvarez & Navia, 1989).…”

Section: A L N U T R I T I O N a N D D E N T A L C A R I E Smentioning

confidence: 99%