Diet and Caries-associated Bacteria in Severe Early Childhood Caries

Frequent consumption of cariogenic foods and bacterial infection are risk factors for early childhood caries (ECC). This study hypothesized that a short diet survey focused on frequency of foods, categorized by putative cariogenicity, would differentiate severe ECC (S-ECC) from caries-free children....

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Published in:	Journal of dental research Vol. 89; no. 11; pp. 1224 - 1229
Main Authors:	Palmer, C.A., Kent, R., Loo, C.Y., Hughes, C.V., Stutius, E., Pradhan, N., Dahlan, M., Kanasi, E., Arevalo Vasquez, S.S., Tanner, A.C.R.
Format:	Journal Article
Language:	English
Published:	Los Angeles, CA SAGE Publications 01-11-2010 International Association for Dental Research SAGE PUBLICATIONS, INC
Subjects:	Beverages Bifidobacterium - isolation & purification Biological and medical sciences Child Child Behavior Child, Preschool Colony Count, Microbial Dental Caries - etiology Dental Caries - microbiology Dental Plaque - microbiology Dentistry Diet Diet, Cariogenic Drinking Drinking Behavior Facial bones, jaws, teeth, parodontium: diseases, semeiology Feeding Behavior Female Follow-Up Studies Food Fruit Humans Male Medical sciences Non tumoral diseases Otorhinolaryngology. Stomatology Recurrence Research Reports Socioeconomic Factors Streptococcus - isolation & purification Streptococcus mutans - isolation & purification Streptococcus sobrinus - isolation & purification S. mutans Bifidobacteria food frequency cariogenicity childhood caries Eubacteria Dental carie Bifidobacteriaceae Streptococcus mutans Actinobacteria Micrococcales Bacteria Bifidobacteriales Child Human Bifidobacterium Stomatology Dental disease Dental plaque Feeding Streptococcus sobrinus Streptococcaceae Diet Actinobacteridae Risk factor Early
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Summary:	Frequent consumption of cariogenic foods and bacterial infection are risk factors for early childhood caries (ECC). This study hypothesized that a short diet survey focused on frequency of foods, categorized by putative cariogenicity, would differentiate severe ECC (S-ECC) from caries-free children. Children’s diets were obtained by survey and plaque bacteria detected by PCR from 72 S-ECC and 38 caries-free children. S-ECC children had higher scores for between-meal juice (p < 0.01), solid-retentive foods (p < 0.001), eating frequency (p < 0.005), and estimated food cariogenicity (p < 0.0001) than caries-free children. S-ECC children with lesion recurrence ate fewer putative caries-protective foods than children without new lesions. Streptococcus mutans (p < 0.005), Streptococcus sobrinus (p < 0.005), and Bifidobacteria (p < 0.0001) were associated with S-ECC, and S. mutans with S. sobrinus was associated with lesion recurrence (p < 0.05). S. mutans-positive children had higher food cariogenicity scores. Food frequency, putative cariogenicity, and S. mutans were associated with S-ECC individually and in combination.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0022-0345 1544-0591
DOI:	10.1177/0022034510376543