title: Association between the number of early carious lesions and diet in children with a high prevalence of caries.
abstract: OBJECTIVE
  An investigation was conducted in a population of paediatric patients with a high risk of caries in order to assess the association between caries history (CH) and the number of early carious lesions (ECLs) and the frequency and timing of cariogenic food and beverage intake, sugar-containing medication, the frequency and efficacy of tooth brushing, and the use of topical fluorides.
  
  
  METHODS
  Study design: descriptive study. One hundred children aged 6-15 years with≥ ECL of a permanent tooth and not enrolled in any dental health educational or preventive programme were selected. For diagnosis it was used an explorer according to the ICDAS II criteria. The participants completed a closed-list questionnaire on the frequency and timing of cariogenic food intake.
  
  
  RESULTS
  There was a nonsignificant tendency to present more ECLs and a greater CH among patients who consumed cariogenic foods and beverages. A significant relationship (p<0.05) was observed between cariogenic beverages and the number of ECL or CH. Using the number of ECLs as dependent variable, regular fluoridated rinses (p=0.003), frequent sugar-containing medication (p=0.007), and cariogenic beverage consumption (p=0.024) were identified as explanatory parameters in the linear regression model.
  
  
  METHODS
  The Student t-test was used to compare ECL and CH with dietetic factors, fluoridated rinses, sugar- containing medicines, and the frequency and efficacy of tooth brushing. Linear regression analysis correlated the number of ECLs to the mentioned explanatory variables.
  
  
  CONCLUSIONS
  The frequent consumption of sugary beverages and medications, and failure to regularly use fluoridated rinses, were positively correlated to an increased number of ECLs in patients with a high prevalence of caries.
authors: Department of Dentistry, University of Valencia, Valencia (Spain).
authors: C
authors: C
authors: Llena
authors: Department of Dentistry, University of Valencia, Valencia (Spain).
authors: A
authors: A
authors: Leyda
authors: Department of Dentistry, University of Valencia, Valencia (Spain).
authors: L
authors: L
authors: Forner
authors: Rockefeller University, Valencia (Spain).
authors: S
authors: S
authors: Garcet
mesh_terms: D000293:Adolescent; D001628:Beverages; D001939:Bread; D002099:Cacao; D002182:Candy; D002253:Carbonated Beverages; D002326:Cariogenic Agents / Q000008:administration & dosage; D002327:Cariostatic Agents / Q000627:therapeutic use; D002648:Child; D004245:DMF Index; D003731:Dental Caries / Q000145:classification; D003733:Dental Caries Susceptibility / Q000502:physiology*; D003774:Dental Plaque Index; D019422:Dietary Sucrose / Q000008:administration & dosage; D005247:Feeding Behavior; D005260:Female; D005460:Fluorides, Topical / Q000627:therapeutic use; D005502:Food; D006801:Humans; D008297:Male; D014677:Pharmaceutical Vehicles / Q000008:administration & dosage; D012307:Risk Factors; D062410:Snacks; D013395:Sucrose / Q000008:administration & dosage; D013549:Sweetening Agents / Q000008:administration & dosage; D014099:Toothbrushing
chemical_list: D002326:Cariogenic Agents; D002327:Cariostatic Agents; D019422:Dietary Sucrose; D005460:Fluorides, Topical; D014677:Pharmaceutical Vehicles; D013549:Sweetening Agents; D013395:Sucrose