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Cited by 42Dental Health and Care UtilizationOral microbiology and periodontitis researchDental Erosion and Treatment

Intake of sweet drinks and sweet treats versus reported and observed caries experience

Lee, J. G., Messer, L. B.·2010·European Archives of Paediatric Dentistry
DOI 10.1007/bf03262704
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Abstract

Aim This was to study the intakes of sweet drinks and sweet treats of children and their caries risk using the Paediatric Risk Assessment Tool (PRAT, 2003) and Caries-risk Assessment Tool (CAT, 2007-8).Study design Parents of 266 healthy primary school children completed the PRAT questionnaire during their child's dental appointment at the Royal Dental Hospital of Melbourne, Australia, describing their fluid and sweet treat intakes in the past 24 hours, oral hygiene practices and past caries. A subgroup (n=100) was examined clinically (CAT) for caries requiring restoration, visible plaque, gingivitis, orthodontic appliances, enamel defects, and use of dental care.Results The estimated mean daily fluid intake was 1.5+/-0.5L; fluids were consumed 3-5/ day by 57% of children and 78% usually had evening/night drinks. Fluids consumed were: tap water by 90%, milk by 74%, juice by 50%, regular soft drink by 30%; sweet treats were consumed by 62% and confectionery by 25%. Most children (69%) brushed their teeth > or =2/day; 5% flossed daily. Parentally-reported caries was associated significantly with increasing treats frequency (p=0.006). In the subgroup, 81% were at high caries risk; 47% had irregular dental care; 21% had sweet drinks/foods frequently between meals; 49% had visible plaque/gingivitis, and 34% had enamel demineralisation. Caries observed in the past 12 months was associated significantly with evening sweet drinks (p=0.004), and suboptimal fluoride exposure (p=0.009). Caries observed in the past 24 months was associated significantly with treats frequency (p=0.006), intake of sweet drinks plus treats (p=0.000), enamel demineralisation (p=0.000) and irregular dental care (p=0.000).Conclusions The PRAT and CAT are valuable tools in assessing children's caries risk. The risk of caries from frequent intake of sweet drinks, either alone or in addition to sweet treats, must be emphasised to parents. All parents, and particularly those of children assessed at high risk from intakes of sweet drinks and sweet treats, suboptimal fluoride exposure, or enamel demineralisation, must be encouraged to obtain regular dental care for their children.

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Authors
Lee, J. G., & Messer, L. B.
Affiliations
The University of Melbourne (AU)
Corresponding author
Messer, L. B.
Venue
European Archives of Paediatric Dentistry
Publisher
Springer Science and Business Media LLC
Published
2010-02
Volume
11
Issue
1
Pages
5-17
ISSN
  • 1818-6300 (ISSN-L)
  • 1996-9805
DOI
10.1007/bf03262704
OpenAlex
W2017730190
Cited by
42
References
35
Citations by year
2025: 1 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 5 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 4 · 2015: 5 · 2014: 1 · 2013: 2 · 2012: 7
FWCI
5.19
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • European Archives of Paediatric Dentistry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Dentistry › Orthodontics › Dental Erosion and Treatment
Keywords
caries risk, sweet drinks, elementary school students, caries risk assessment, fluoride exposure, enamel demineralization, dental care, oral hygiene, sugar consumption, soft drinks
MeSH terms
Australia, Candy, Carbonated Beverages, Cariogenic Agents, Cariostatic Agents, Child, Child, Preschool, Dental Caries, DMF Index, Feeding Behavior, Female, Fluorides, Humans, Male, Oral Hygiene, Surveys and Questionnaires, Risk Factors, Logistic Models, Risk Assessment, Dietary Sucrose

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