title: Dental caries risk in relation to dietary habits and dental services in two industrial populations.
abstract: OBJECTIVE
  Environmental hazards contribute to the poor oral health in many occupations. Among the earliest occupations mentioned are those of the baker and confectionery worker. To determine appropriate ways of promoting oral health in places of work, factors affecting caries susceptibility were studied.
  
  
  METHODS
  Dental caries status, dietary and dental health behaviors, and salivary microbiologic findings in 338 confectionery and 101 shipyard workers were compared. A caries risk index based on salivary findings was used in log-linear models where the effects of sex, diet, use of dental services, and work environment were studied.
  
  
  RESULTS
  Caries experience was found to be high in both populations. Dietary habits were the most important factor affecting caries occurrence and susceptibility. Similar dietary behaviors were found in both groups.
  
  
  CONCLUSIONS
  The confectionery industry did not seem to be an exceptionally hazardous environment for dental health in general. However, the screening of high-risk workers should be organized. Reimbursement of costs had no major effect on use of dental services or caries risk. Oral health promotion should be integrated with existing occupational health services to improve oral health in industrial populations.
authors.affiliation: Department of Dental Public Health, University of Helsinki, Finland.
authors.forename: K E
authors.initials: KE
authors.lastname: Masalin
authors.forename: H T
authors.initials: HT
authors.lastname: Murtomaa
authors.forename: K P
authors.initials: KP
authors.lastname: Sipilä
mesh_terms: D000328:Adult; D002176:Candida albicans / Q000302:isolation & purification; D002182:Candy; D016009:Chi-Square Distribution; D004245:DMF Index; D003731:Dental Caries / Q000453:epidemiology* / Q000209:etiology; D003733:Dental Caries Susceptibility; D003752:Dental Health Services / Q000191:economics / Q000706:statistics & numerical data*; D004037:Diet, Cariogenic; D005247:Feeding Behavior; D005260:Female; D005387:Finland / Q000453:epidemiology; D006801:Humans; D007778:Lactobacillus / Q000302:isolation & purification; D016013:Likelihood Functions; D016014:Linear Models; D008297:Male; D015999:Multivariate Analysis; D016273:Occupational Exposure; D009910:Oral Hygiene; D012307:Risk Factors; D012463:Saliva / Q000382:microbiology; D012737:Sex Factors; D012767:Ships; D013295:Streptococcus mutans / Q000302:isolation & purification