The relationship between erosion, caries and rampant caries and dietary habits in preschool children in Saudi Arabia

Int J Paediatr Dent. 2001 Nov;11(6):430-9.

Abstract

Objectives: The aim of this study was to investigate the possible association between dental erosion and caries, and variables including socio-economic status, reported dietary practices and oral hygiene behaviour, in a sample of children in Jeddah, Saudi Arabia. A cross-sectional study including dental examination and questionnaire survey was carried out at a number of kindergartens.

Sample and methods: A sample of 987 children (2-5-year-olds) was drawn from 17 kindergartens. Clinical examinations were carried out under standardized conditions by a trained and calibrated examiner (MAM). Information regarding diet and socio-economic factors was drawn from questionnaires distributed to the parents through the schools. These were completed before the dental examination.

Results: Of the 987 children, 309 (31%) showed signs of erosion. Caries were diagnosed in 720 (73%) of the children and rampant caries in 336 (34%). Vitamin C supplements, frequent consumption of carbonated drinks and the drinking of fruit syrup from a feeding bottle at bed- or nap-time when the child was a baby, were all related to erosion. Consumption of carbonated drinks and fruit syrups was also related to caries but they were part of a larger number of significant factors including socio-demographic measures and oral hygiene practices.

Conclusions: There was no clear relationship between erosion and social class, or between erosion and oral hygiene practices; the reverse was true for caries. Dietary factors relating to both erosion and caries and/or rampant caries were found in this sample of children.

MeSH terms

  • Age Factors
  • Ascorbic Acid / therapeutic use
  • Beverages / statistics & numerical data
  • Bottle Feeding / statistics & numerical data
  • Carbonated Beverages / statistics & numerical data
  • Chi-Square Distribution
  • Child, Preschool
  • Cross-Sectional Studies
  • Dental Caries / epidemiology*
  • Dietary Supplements
  • Educational Status
  • Feeding Behavior*
  • Female
  • Fruit
  • Humans
  • Logistic Models
  • Male
  • Multivariate Analysis
  • Occupations
  • Odds Ratio
  • Oral Hygiene
  • Parents / education
  • Physical Examination
  • Prevalence
  • Saudi Arabia / epidemiology
  • Social Class
  • Statistics, Nonparametric
  • Surveys and Questionnaires
  • Tooth Erosion / epidemiology*
  • Toothbrushing

Substances

  • Ascorbic Acid