Relationship of Chemical Composition of Saliva, Body Mass Index, and Nutrition with Permanent First Molar Caries in 6–12 Years Old
DOI:
https://doi.org/10.3889/oamjms.2020.4062Keywords:
Dental Caries, Saliva, Body Mass Index, NutritionAbstract
BACKGROUND: Dental caries is a major health problem worldwide, which negatively affects the quality of life. The salivary concentration of calcium, phosphorus, pH, and flow rate of the saliva plays a role in its cariostatic activity.
AIM: This study aimed to assess the relationship of biochemical composition of the saliva, body mass index (BMI), and nutrition with permanent first molar caries in 6–12 years old.
MATERIALS AND METHODS: This descriptive, cross-sectional study was conducted on 47 children between 6 and 12 years with four fully erupted first molars. Their weight and height were measured and BMI was calculated. Dental examination was performed, saliva sample was collected, and a questionnaire was filled out. Data were analyzed using the SPSS version 21.
RESULTS: A significant association was noted between BMI and caries (p = 0.002). The association between caries and frequency of drinking soft drinks per week (p = 0.002), frequency of eating sugary foods per week fast food per month (p = 0.001), saliva pH (p = 0.001), and saliva flow rate (p < 0.0001) was statistically significant. Although a significant association was noted between BMI and pH, saliva flow, and dental caries, no significant association was found between the composition of saliva (level of calcium and phosphate) with dental caries and BMI (p > 0.05).
CONCLUSION: It appears that reduction in saliva flow and pH and high sugar intake in overweight subjects increase the risk of caries. Further studies on a larger sample size are required to evaluate the role of other constituents of saliva in this respect.
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Shahraki T, Shahraki M, Omrani Mehr S. Association between body mass index and caries frequency among zahedan elementary school children. Int J High Risk Behav Addict. 2013;2(3):122-5. https://doi.org/10.5812/ijhrba.10220 PMid:24971289
Nicolau B, Marcenes W, Bartley M, Sheiham A. A life course approach to assessing causes of dental caries experience: The relationship between biological, behavioural, socio-economic and psychological conditions and caries in adolescents. Caries Res. 2003;37(5):319-26. https://doi.org/10.1159/000072162 PMid:12925821
Nowak AJ, Christensen JR, Mabry TR, Townsend JA, Wells MH. Paediatric Dentistry Infancy through Adolescence. 6th ed., Ch. 20. Philadelphia, PA: Elsevier Saunders; 2019. p. 282.
Fejerskov O. Changing paradigms in concepts on dental caries: Consequences for oral health care. Caries Res 2004;38(3):182- 91. https://doi.org/10.1159/000077753 PMid:15153687
Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J. 2006;201(10):625-6. https://doi.org/10.1038/sj.bdj.4814259 PMid:17128231
Nuttall FQ. Body Mass Index: Obesity, BMI, and health: A critical review. Nutr Today 2015;50(3):117-28. PMid:27340299
Taubes G. Dental caries and childhood obesity: Roles of diet and socioeconomic status. Science. 1998;29:91-289.
Sroda R, Reinhard T. Nutrition for Dental Health. 3th ed., Ch. 10. Philadelphia, PA: Wolters Kluwer; 2018. p. 248.
Mirmohammadi SJ, Hafezi R, Mehrparvar AH, Rezaeian B, Akbari H. Prevalence of overweight and obesity among Iranian school children in different ethnicities. Iran J Pediatr. 2011;21(4):514-20. PMid:23056841
Juárez-López ML, Villa-Ramos A. Caries prevalence in preschool children with overweight and obesity. Rev Invest Clin. 2010;62(2):115-20. PMid:20597390
Tomás I, Marinho JS, Limeres J, Santos MJ, Araújo L, Diz P. Changes in salivary composition in patients with renal failure. Arch Oral Biol. 2008;53(6):528-32. https://doi.org/10.1016/j. archoralbio.2008.01.006 PMid:18294611
Nagler RM. Saliva analysis for monitoring dialysis and renal function. Clin Chem. 2008;54(9):1415-7. PMid:18755903
Hilgers KK, Kinane DE, Scheetz JP. Association between childhood obesity and smooth-surface caries in posterior teeth: A preliminary study. Pediatr Dent. 2006;28(1):23-8. PMid:16615372
Bayada A. The relation of salivary constituents (urea, calcium and phosphorous) to root caries among overweight and obese adults aged 55-65 year-old at textile factory in Mosul City, Tikrit. J Dent Sci. 2012;1:51-8.
Modéer T, Blomberg CC, Wondimu B, Julihn A, Marcus C. Association between obesity, flow rate of whole saliva, and dental caries in adolescents. Obesity (Silver Spring). 2010;18(12):2367-73. https://doi.org/10.1038/oby.2010.63 PMid:20339364
Auad SM, Waterhouse PJ, Nunn JH, Moynihan PJ. Dental caries and its association with sociodemographics, erosion, and diet in schoolchildren from southeast Brazil. Pediatr Dent. 2009;31(3):229-35. PMid:19552228
Dawes C, Wong DTW. Role of saliva and salivary diagnostics in the advancement of oral health. J Dent Res. 2019;98(2):133-41. https://doi.org/10.1177/0022034518816961 PMid:30782091
Axelsson P. Diagnosis and Risk Prediction of Dental Caries. 1st ed. London: Quintessence; 2000. p. 10, 252.
Anamaria B, Chibelean M, Pacurar M, Esian EE, Monica- Cristina MM, Bud E. Correlation between BMI, dental caries and salivary buffer capacity in a sample of children from Mures Country, Romania. Eur Sci J. 2015;11:38-46.
RodrÃguez PN, MartÃnez Reinoso J, Gamba CA, Salgado PA, Mateo MT, Manto Mdel C, et al. Association among salivary flow rate, caries risk and nutritional status in pre-schoolers. Acta Odontol Latinoam. 2015;28(2):185-91. PMid:26355891
Jusupović F, Juricić M, Rudić A, Hazihalilović J, Kasumović M, Kalesic M. BMI of the children attending elementary schools in Tuzla Canton. Med Arh. 2005;59(2):75-8. PMid:15875465
Pannunzio E, Amancio OM, Vitalle MS, Souza DN, Mendes FM, Nicolau J. Analysis of the stimulated whole saliva in overweight and obese school children. Rev Assoc Med Bras (1992). 2010;56(1):32-6. https://doi.org/10.1590/ s0104-42302010000100012 PMid:20339783
Preshaw PM. Periodontal disease pathogenesis. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA, editors. Clinical Periodontology. 13th ed., Ch 7. Philadelphia, PA: Elsevier; 2019. p. 103-5.
Bowers LM, Fox PC, Brennan MT. Salivary gland diseases. In: Berg G, Ship G, editors. Burket’s Oral Medicine. 12th ed., Ch 10. Hamilton ON: BC Decker; 2015. p. 219-25.
Costa LR, Daher A, Queiroz MG. Early childhood caries and body mass index in young children from low income families. Int J Environ Res Public Health. 2013;10(3):867-78. https://doi. org/10.3390/ijerph10030867 PMid:23462435
Hooley M, Skouteris H, Boganin C, Satur J, Kilpatrick N. Body mass index and dental caries in children and adolescents: A systematic review of literature published 2004 to 2011. Syst Rev. 2012;1:57. https://doi.org/10.1186/2046-4053-1-57 PMid:23171603
Gerdin EW, Angbratt M, Aronsson K, Eriksson E, Johansson I. Dental caries and body mass index by socio-economic status in Swedish children. Community Dent Oral Epidemiol. 2008;36(5):459-65. https://doi. org/10.1111/j.1600-0528.2007.00421.x PMid:18284433
Shailee F, Sogi GM, Sharma KR. Association between dental caries and body mass index among 12 and 15 years school children in Shimla, Himachal Pradesh 2013. J Adv Oral Res. 2013;4:7-13. https://doi.org/10.1177/2229411220130102
Sadeghi M, Alizadeh F. Association between dental caries and Body Mass Index-for-age among 6-11-year-old children in Isfahan in 2007. J Dent Res Dent Clin Dent Prospects. 2007;1(3):119-24. https://doi.org/10.4103/0970-9290.114956 PMid:23277846
Macek MD, Mitola DJ. Exploring the association between overweight and dental caries among US children. Pediatr Dent. 2006;28(4):375-80. PMid:16903449
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Copyright (c) 2020 Fatemeh Mollaasadollah, Mahin Bakhshi, Mahshid Namdari, Zahra Papi, Samira Basir Shabestari (Author)
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