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Cited by 47Dental Health and Care UtilizationOral microbiology and periodontitis researchDental Research and COVID-19

Caries Prevalence, Caries-Related Factors and Plaque pH in Adolescents with Long-Term Asthma

Stensson, M., Wendt, L.-K., Koch, G., Oldaeus, G., Lingström, P., Birkhed, D.·2010·Caries Research
DOI 10.1159/000321566
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Abstract

The aim of the present case-control study was to investigate dental caries, various caries-related factors as well as gingival condition, in 12- to 16-year-olds with long-term asthma (n = 20) and a matched healthy control group (n = 20). Data on dietary and oral hygiene habits, numbers of mutans streptococci and lactobacilli in saliva were also obtained. The plaque pH drop after a sucrose rinse was measured up to 40 min at 2 approximal tooth sites. A lower salivary flow rate was found in the asthma group compared to the control group (p < 0.05). The mean (± SD) of DFS, including manifest and initial caries, was 4.9 ± 5.5 in the asthma and 1.4 ± 2.3 (p < 0.01) in the control group. Only 1 adolescent in the asthma group was caries free compared to 13 in the control group. Concerning pH in plaque, adolescents with asthma had a lower initial value (p < 0.01) and final pH (p < 0.05) than the control group. The Cariogram data showed that 55% of the subjects in the control group had ‘a high chance of avoiding caries’ compared to 10% in the asthma group (p < 0.01). The asthmatic adolescents had higher numbers of sites with gingival bleeding (p < 0.01). To conclude, adolescents with long-term asthma had a higher total DFS and caries risk (according to Cariogram), decreased salivary rate, more gingival bleeding and lower plaque pH than adolescents without asthma.

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  • Fermentable carbohydrates such as lactose monohydrate in anti-asthmatic medications may increase the risk of oral conditions such as dental caries by acidifying oral pH through fermentation.

    “Stensson et al. [77] explained that this association may be due to the presence of fermentable carbohydrates, such as lactose monohydrate, in anti-asthmatic medications. These excipients may increase the risk of oral conditions, such as dental caries, by acidifying the pH of the oral cavity due to acid formation from the fermentation of ingested carbohydrates.”

    From Drugs Prescribed for Asthma and Their Adverse Effects on Dental Health (2023) · cites this paper as [77]

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Authors
Stensson, M., Wendt, L.-K., Koch, G., Oldaeus, G., Lingström, P., & Birkhed, D.
Affiliations
  • University of Gothenburg (SE)
  • Jönköping University (SE)
ORCID
Venue
Caries Research
Publisher
S. Karger AG
Published
2010
Volume
44
Issue
6
Pages
540-546
ISSN
  • 0008-6568 (ISSN-L)
  • 1421-976X
DOI
10.1159/000321566
OpenAlex
W2083135290
Cited by
47
References
1
Citations by year
2026: 2 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 4 · 2019: 3 · 2018: 3 · 2017: 8 · 2016: 4 · 2015: 1 · 2014: 1 · 2013: 5 · 2012: 4
FWCI
3.68
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Caries Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
Futurum - Akademin för Hälsa och Vård, Region Jönköpings läns
Topics
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Dentistry › General Dentistry › Dental Research and COVID-19
Keywords
dental caries, asthma, adolescents, plaque pH, salivary flow rate, caries risk, Cariogram, gingival bleeding, mutans streptococci, lactobacilli, oral hygiene, dietary habits
MeSH terms
Adolescent, Asthma, Child, Dental Caries, Dental Caries Activity Tests, Dental Plaque, Dental Plaque Index, Female, Gingivitis, Humans, Hydrogen-Ion Concentration, Male, Oral Hygiene Index, Reference Values, Risk Factors, Case-Control Studies, Matched-Pair Analysis, Statistics, Nonparametric, Anti-Asthmatic Agents

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