Fluoride, beverages and dental caries in the primary dentition.
Knowledge concerning risk factors for primary dentition caries in young children is incomplete. Models are presented for caries development using longitudinally gathered fluoride exposure and dietary intake data in the Iowa Fluoride Study. Primary tooth caries examinations were conducted at age 5. Dietary (beverage) and fluoride exposure data were gathered longitudinally from age 6 weeks through 4 years (n = 291); 23% had decayed or filled surfaces. Logistic regression revealed that beverage components and toothbrushing made unique contributions to caries experience. Water consumption (36-48 months), milk consumption (24-36 months), and fluoridated toothpaste brushings (36-48 months) were negatively associated with caries; sugared beverages and milk (6 weeks to 12 months) were positively associated. Although fluoride exposure is important, sugared beverages contribute substantially to caries risk, while water and milk consumption and frequent toothbrushing early can have protective effects.
Levy
S M
SM
Department of Preventive and Community Dentistry, The University of Iowa, Iowa City, Iowa, USA. steven-levy@uiowa.edu
Warren
J J
JJ
Broffitt
B
B
Hillis
S L
SL
Kanellis
M J
MJ
D000818:Animals; D019540:Area Under Curve; D001628:Beverages / Q000009:adverse effects; D002327:Cariostatic Agents / Q000008:administration & dosage; D002417:Cattle; D002648:Child; D002675:Child, Preschool; D003731:Dental Caries / Q000209:etiology* / Q000517:prevention & control; D004037:Diet, Cariogenic; D019422:Dietary Sucrose / Q000009:adverse effects*; D004326:Drinking; D005260:Female; D005459:Fluorides / Q000008:administration & dosage; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008892:Milk; D016017:Odds Ratio; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014094:Tooth, Deciduous; D014099:Toothbrushing
D002327:Cariostatic Agents; D019422:Dietary Sucrose; D005459:Fluorides