journal article·2023-12-14Open access

Nutritional Factors Associated with Dental Caries across the Lifespan: A Review

Maria Dimopoulou, Maria Antoniadou, Markos Amargianitakis, Olga Gortzi, Odysseas Androutsos, Theodoros Varzakas

Applied Sciences· Volume 13· Issue 24

Abstract

Nutrition and dietetic care span various life stages, addressing nutritional needs and exploring factors that shape dietary habits. Globally, an alarming disproportion in food resource distribution, coupled with substandard nutritional intake, underscores profound implications for oral health. This is evident in the facilitation of dental caries development and its repercussions on oral soft tissue integrity. While modern markets offer advanced edible products, their effects on oral health, especially in relation to dental caries, remain uncharted. This narrative literature review pursues a four-fold objective: (a) scrutinizing the repercussions of inadequate nutrition on dental caries, (b) exploring psychological determinants influencing dietary habits contributing to caries development, (c) investigating potential implications of newly devised food products on caries formation, and (d) elucidating the role of dentists as facilitators in promoting oral health practices. A comprehensive search spanning PubMed, Web of Science, and Cochrane Library yielded 46 cohort, cross-sectional research articles and systematic reviews adhering to standardized diagnostic criteria for dental caries evaluation. The results highlight contemporary lifestyles as potent contributors to heightened risk of caries due to suboptimal nutritional quality and nutrient insufficiency. Additionally, concerns have arisen with the advent of synthetically engineered food products, warranting exploration of potential implications for future caries development and global oral health status. This review emphasizes the pivotal role of dietitians–nutritionists and dental professionals in advocating sound nutritional practices specifically geared towards preventing dental caries. Ultimately, this review contributes to the understanding of the intricate interplay between nutrition, oral health, and the imperative role of healthcare professionals in fostering preventive measures.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Dental Health and Care Utilization · Oral microbiology and periodontitis research · Nutrition and Health in Aging

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Agriculture Crop Production and Rural Environment, School of Agriculture Sciences, University of Thessaly, 38446 Volos, Greece

Department of Dentistry, School of Health Sciences, National and Kapodistrian University of Athens, 11527 Athens, Greece

Executive Mastering Program in Systemic Management, University of Piraeus, 18534 Piraeus, Greece

Laboratory of Clinical Nutrition and Dietetics, Department of Nutrition and Dietetics, University of Thessaly, 42132 Trikala, Greece

Department of Food Science and Technology, University of the Peloponnese, 24100 Kalamata, Greece

References (100+)

Show source-provided references
1. World Health Organization (WHO) (2023). Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030, World Health Organization. Regional summary of the African Region.
2. Fathalla, L.H. (2011). Caries Prevention Strategies Practiced In Scandinavia. A literature study. [Bachelor’s Thesis, Malmö University].
3. World Health Organization (WHO) (2022). Prevention and Treatment of Dental Caries with Mercury-Free Products and Minimal Intervention: WHO Oral Health Briefing Note Series, World Health Organization.
4. Interaction of lifestyle, behaviour or systemic diseases with dental caries and periodontal diseases: Consensus report of group 2 of the joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases10.1111/jcpe.12685 ↗
5. Marsh, P.D., Lewis, M.A.O., Rogers, H., Williams, D.W., and Wilson, M. (2016). Marsh and Martin’s Oral Microbiology, Elsevier Ltd.. [6th ed.].
6. Hernández, P., Sánchez, M.C., Llama-Palacios, A., Ciudad, M.J., and Collado, L. (2022). Strategies to combat caries by maintaining the integrity of biofilm and homeostasis during the rapid phase of supragingival plaque formation. Antibiotics, 11.10.3390/antibiotics11070880 ↗
7. Oral biofilm-associated diseases: Trends and implications for quality of life, systemic health and expenditures10.1111/j.1600-0757.2010.00360.x ↗
8. The Effects of Economic Crisis on the Demand and Supply of the Dental Services in Greece10.4103/jispcd.JISPCD_496_16 ↗
9. Najihah, L., Wan Husin, W.Z., and Marhazlinda, J. (2023). Multivariable Projections of Caries-Free Prevalence and the Associated Factors from 2019 to 2030 among Schoolchildren Aged 6, 12 and 16-Year-Old in Malaysia. Children, 10.10.3390/children10071125 ↗
10. World Health Organization (2022). Action Plan for Oral Health in South-East Asia 2022–2030: Towards Universal Health Coverage for Oral Health, World Health Organization.
11. Atkinson, F.S., Khan, J.H., Brand-Miller, J.C., and Eberhard, J. (2021). The Impact of Carbohydrate Quality on Dental Plaque pH: Does the Glycemic Index of Starchy Foods Matter for Dental Health?. Nutrients, 13.10.3390/nu13082711 ↗
12. Research in dental caries
13. The role of sucrose in cariogenic dental biofilm formation–new insight10.1177/154405910608501002 ↗
14. The consumption of processed sugar- and starch-containing foods, and dental caries: A systematic review10.1111/eos.12743 ↗
15. Oral health for baby boomers: Past, present, and future10.1111/scd.12829 ↗
16. Factors affecting diet quality in adolescents: The effect of sociodemographic characteristics and meal consumption
17. Obesity, oral health and the role of the dental profession10.1038/s41415-022-5242-2 ↗
18. World Health Organization (2022). WHO European Regional Obesity Report 2022, World Health Organization.
19. Current data in Greek children indicate decreasing trends of obesity in the transition from childhood to adolescence; results from the National Action for Children’s Health (EYZHN) program
20. Differences in diet quality and socioeconomic patterning of diet quality across ethnic groups: Cross-sectional data from the HELIUS Dietary Patterns study10.1038/s41430-019-0463-4 ↗
21. Effects of nutrition and hygiene education on oral health and growth among toddlers in rural Uganda: Follow-up of a cluster-randomised controlled trial10.1111/tmi.13036 ↗
22. Nakai, Y., and Mori-Suzuki, Y. (2022). Impact of dietary patterns on plaque acidogenicity and dental caries in early childhood: A retrospective analysis in Japan. Int. J. Environ. Res. Public Health, 19.10.3390/ijerph19127245 ↗
23. Zeng, L., Zeng, Y., Zhou, Y., Wen, J., Wan, L., Ou, X., and Zhou, X. (2018). Diet and lifestyle habits associated with caries in deciduous teeth among 3- to 5-year-old preschool children in Jiangxi province, China. BMC Oral Health, 18.10.1186/s12903-018-0686-0 ↗
24. Nutritional status and dental caries of schoolchildren from Sobral-Ceará10.1590/1981-86372019000493499 ↗
25. Bassa, S., Workie, S.B., Kassa, Y., and Tegbaru, D.W. (2023). Prevalence of dental caries and relation with nutritional status among school-age children in resource limited setting of southern Ethiopia. BMC Oral Health, 23.10.1186/s12903-023-02786-6 ↗
26. Association between Nutritional Status and Dental Caries among School Children Attending out Reach Program:-Retrospective Study10.36876/smpmph.1028 ↗
27. Relationship between dental caries status, nutritional status, snack foods, and sugar-sweetened beverages consumption among primary schoolchildren grade 4–6 in Nongbua Khamsaen school, Na Klang district, Nongbua Lampoo Province, Thailand
28. Ultra-processed food consumption and dental caries in adolescents from the 2004 Pelotas Birth Cohort study10.1111/cdoe.12851 ↗
29. Consumption frequency of added sugars and UK children’s dental caries10.1111/cdoe.12413 ↗
30. Correlation between nutritional status and dental caries in 3–18-year-old Indian school-going children: A cross-sectional study10.5005/jp-journals-10015-2136 ↗
31. Adherence to dietary guidelines and dental caries among children: A longitudinal cohort study10.1093/eurpub/ckad097 ↗
32. Investigating Nutritional Behavior and Oral Health Habits among Adults and Children in Nοrth-Eastern Greece10.3390/oral1020007 ↗
33. Rosli, T.I., Chan, Y.M., Kadir, R.A., and Hamid, T.A.A. (2019). Association between oral health-related quality of life and nutritional status among older adults in district of Kuala Pilah, Malaysia. BMC Public Health, 19.10.1186/s12889-019-6867-1 ↗
34. Oral health indicators for risk of malnutrition in elders10.1007/s12603-017-0887-2 ↗
35. Relationship between oral health and nutritional status in the elderly: A pilot study in Lebanon10.1016/j.jcgg.2014.04.002 ↗
36. Parent-child relationships in nutrient intake: The Framingham Children’s Study10.1093/ajcn/56.3.593 ↗
37. Aggregation of dietary calories, fats, and sodium in Mexican-American and Anglo families10.1016/S0749-3797(18)31200-5 ↗
38. Lessons learned about adolescent nutrition from the Minnesota Adolescent Health Survey10.1016/S0002-8223(98)00329-0 ↗
39. Fruit and vegetable consumption, nutritional knowledge and beliefs in mothers and children10.1006/appe.1998.0180 ↗
40. Parental smoking and the nutrient intake and food choice of British teenagers aged 16–17 years10.1136/jech.50.3.306 ↗
41. Childhood overweight: A contextual model and recommendations for future research10.1046/j.1467-789x.2001.00036.x ↗
42. Breaking the vicious circle of diet, malnutrition and oral health for the independent elderly10.1080/10408398.2020.1793729 ↗
43. Oral frailty indicators to target major adverse health-related outcomes in older age: A systematic review10.1007/s11357-022-00663-8 ↗
44. Chan, A.K.Y., Tsang, Y.C., Jiang, C.M., Leung, K.C.M., Lo, E.C.M., and Chu, C.H. (2023). Diet, Nutrition, and Oral Health in Older Adults: A Review of the Literature. Dent. J., 11.10.3390/dj11090222 ↗
45. Tungare, S., and Paranjpe, A.G. (2023). Diet and Nutrition to Prevent Dental Problems, StatPearls Publishing. Updated: 10th July, 2023.
46. Poor oral health and the association with diet quality and intake in older people in two studies in the UK and USA10.1017/S0007114521000180 ↗
47. Beneficial Effects of Vitamin C in Maintaining Optimal Oral Health10.3389/fnut.2021.805809 ↗
48. The relationship between nutrition and systemic and oral well-being in older people
49. Peponis, M., Antoniadou, M., Pappa, E., Rahiotis, C., and Varzakas, T. (2023). Vitamin D and Vitamin D Receptor Polymorphisms Relationship to Risk Level of Dental Caries. Appl. Sci., 13.10.3390/app13106014 ↗
50. Added sugar and dental caries in children: A scientific update and future steps10.1016/j.cden.2018.08.003 ↗
51. Impact of the global burden of periodontal diseases on health, nutrition and wellbeing of mankind: A call for global action10.1111/jcpe.12732 ↗
52. Egbuna, C., and Dable-Tupas, G. (2020). Functional Foods and Nutraceuticals: Bioactive Components, Formulations and Innovations, Springer Nature.10.1007/978-3-030-42319-3 ↗
53. Malnutrition and Dental Caries: A Review of the Literature10.1159/000088178 ↗
54. Nutrition, dental caries and periodontal disease: A narrative review10.1111/jcpe.12672 ↗
55. Effectivity of Calcium, Phosphate and Vitamin D in Dental Caries Prevention10.30649/denta.v17i2.4 ↗
56. Nizami, M.Z.I., Xu, V.W., Yin, I.X., Yu, O.Y., and Chu, C.H. (2021). Metal and Metal Oxide Nanoparticles in Caries Prevention: A Review. Nanomaterials, 11.10.3390/nano11123446 ↗
57. Sensory attributes of soft drinks and their influence on consumers’ preferences10.1039/C4FO00181H ↗
58. Benzon, H.T., Raja, S.N., Molloy, R.E., Liu, S.S., and Fishman, S.M. (2018). Essentials of Pain Medicine and Regional Anesthesia, Elsevier Ltd.. [4th ed.].
59. Jolly, R. (2014). UNICEF (United Nations Children’s Fund): Global Governance That Works, Routledge. [1st ed.].10.4324/9781315795508 ↗
60. Nutrition and oral health10.4314/bjpm.v11i1.48830 ↗
61. Amargianitakis, M., Antoniadou, M., Rahiotis, C., and Varzakas, T. (2021). Probiotics, Prebiotics, Synbiotics and Dental Caries. New Perspectives, Suggestions, and Patient Coaching Approach for a Cavity-Free Mouth. Appl. Sci., 11.10.3390/app11125472 ↗
62. Green Tea in the Prevention of Dental Caries A Systematic Review10.21276/iabcr.2017.3.1.1 ↗
63. Brick tea consumption is a risk factor for dental caries and dental fluorosis among 12-year-old Tibetan children in Ganzi10.1007/s10653-018-0216-7 ↗
64. Effects of Lactobacillus salivarius WB21 combined with green tea catechins on dental caries, periodontitis, and oral malodor10.1016/j.archoralbio.2018.11.027 ↗
65. Reducing industrial energy demand in the UK: A review of energy efficiency technologies and energy saving potential in selected sectors10.1016/j.rser.2018.06.040 ↗
66. Dental caries and salivary calcium-phosphate levels among soft drinks factory workers: Exploring the relationship
67. Dental erosion and severe tooth decay related to soft drinks: A case report and literature review10.1631/jzus.B0820245 ↗
68. In vitro effects of sports and energy drinks on Streptococcus mutans biofilm formation and metabolic activity
69. Galanakis, C.M. (2016). Innovation Strategies in the Food Industry: Tools for Implementation, Academic Press.
70. Food design strategies to increase vegetable intake: The case of vegetable enriched pasta10.1016/j.tifs.2016.03.008 ↗
71. Tortora, P. (2002). Global Processes and Local Effects: Food Processing Transnational Corporations in the Developing World. [Ph.D. Thesis, London School of Economics and Political Science].
72. Nutrition in Infants: Risks and Management
73. Comparison of Imported European and US Infant Formulas: Labeling, Nutrient and Safety Concerns10.1097/MPG.0000000000002395 ↗
74. Guo, M. (2021). Human Milk Biochemistry and Infant Formula Manufacturing Technology, Elsevier. Ltd. [2nd ed.].10.1016/B978-0-08-102898-8.00005-2 ↗
75. Food-Level Analysis to Identify Dietary Choices With the Highest Nutritional Quality and Lowest Greenhouse Gas Emissions and Price10.3389/fnut.2022.851826 ↗
76. Conveying information through food packaging: A literature review comparing legislation with consumer perception10.1016/j.jff.2021.104734 ↗
77. World Health Organization (WHO) (2023). Carbohydrate Intake for Adults and Children: WHO Guideline, in Carbohydrate Intake for Adults and Children: WHO Guideline, World Health Organization.
78. Voidarou, C., Antoniadou, M., Rozos, G., Alexopoulos, A., Giorgi, E., Tzora, A., Skoufos, I., Varzakas, T., and Bezirtzoglou, E. (2021). An In Vitro Study of Different Types of Greek Honey as Potential Natural Antimicrobials against Dental Caries and Other Oral Pathogenic Microorganisms. Case Study Simulation of Oral Cavity Conditions. Appl. Sci., 11.10.3390/app11146318 ↗
79. Timing of energy intake and BMI in children: Differential impacts by age and sex10.1017/S0007114522003014 ↗
80. Periodontal complications with obesity10.1111/prd.12239 ↗
81. A review of potential carcinogenic effects of aspartame
82. EFSA Panel on Food Contact Materials, Enzymes and Processing Aids (CEP), Lambré, C., Barat Baviera, J.M., Bolognesi, C., Cocconcelli, P.S., Crebelli, R., Gott, D.M., Grob, K., and Lampi, E. (2023). Safety evaluation of the food enzyme α-amylase from the non-genetically modified Bacillus licheniformis strain T74. EFSA J., 21, e08160.10.2903/j.efsa.2023.8160 ↗
83. Tenelanda-López, D., Valdivia-Moral, P., and Castro-Sánchez, M. (2020). Eating habits and their relationship to oral health. Nutrients, 12.10.3390/nu12092619 ↗
84. Recommendations to health professionals on the use of fluoride varnish for caries prevention in preschool children10.1111/ipd.13074 ↗
85. Fejerskov, O., Nyvad, B., and Kidd, E. (2015). Dental Caries: The Disease and Its Clinical Management, Wiley Blackwell. [3rd ed.].
86. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids10.1016/S0002-8223(02)90346-9 ↗
87. Dietary fibre in Europe: Current state of knowledge on definitions, sources, recommendations, intakes and relationships to health10.1017/S095442241700004X ↗
88. Iizuka, K., and Yabe, D. (2023). Dietary and Nutritional Guidelines for People with Diabetes. Nutrients, 15.10.3390/nu15204314 ↗
89. How fad diets May Jeopardize your oral well-being: The hidden consequences10.1016/j.hnm.2023.200214 ↗
90. Need for nutrition education in health professional programs: A review of the literature
91. Lieffers, J.R.L., Vanzan, A.G.T., Rover de Mello, J., and Cammer, A. (2021). Nutrition Care Practices of Dietitians and Oral Health Professionals for Oral Health Conditions: A Scoping Review. Nutrients, 13.10.3390/nu13103588 ↗
92. Effective behaviour change techniques for physical activity and healthy eating in overweight and obese adults; systematic review and meta-regression analyses10.1186/s12966-017-0494-y ↗
93. State of the evidence regarding behavior change theories and strategies in nutrition counseling to facilitate health and food behavior change10.1016/j.jada.2010.03.021 ↗
94. Diagnosis, treatment, and long-term management of Kawasaki disease: A scientific statement for health professionals from the American Heart Association10.1161/CIR.0000000000000484 ↗
95. American Diabetes Association (2022). Standards of medical care in diabetes—2022 abridged for primary care providers. Clin. Diabetes, 40, 10–38.10.2337/cd22-as01 ↗
96. Antoniadou, M., and Varzakas, T. (2020). Diet and Oral Health Coaching Methods and Models for the Independent Elderly. Appl. Sci., 10.10.3390/app10114021 ↗
97. Toward a global definition of professionalism for nutrition and dietetics education: A systematic review of the literature10.1016/j.jand.2019.01.007 ↗
98. The shrinking of formalized nutrition education in health professions curricula and postgraduate training10.1177/0148607116685049 ↗
99. Collaboration between dietetics and dentistry: Dietetic internship in pediatric dentistry10.1097/00008486-200507000-00010 ↗
100. Glanz, K., Rimer, B.K., and Viswanath, K. (2008). Health Behavior and Health Education: Theory, Research, and Practice, John Wiley & Sons. [4th ed.].