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Associations between obesity, dental caries, erosive tooth wear and periodontal disease in adolescents: a case–control study

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Abstract

Purpose

To compare oral health [dental caries, periodontal status, and erosive tooth wear (ETW)], diet and oral hygiene habits between obese and normal weight adolescents, and to explore possible risk associations.

Methods

In this case–control study, a convenience sample of 71 obese adolescents (age range 11–18) from a rehabilitation centre, and 54 age-sex-matched normal weight adolescents were selected for this study. Groups were defined using the Body Mass Index and growth curves for Flemish adolescents. Oral health was measured using DMFT, gingival, plaque and BEWE index. A validated questionnaire was utilized to assess diet and oral hygiene habits. Mann–Whitney U test was used to compare oral health between groups. Multivariate Firth’s logistic regression analysis, conditional regression analysis and classification trees were used to detect associations between oral health and potential risk factors.

Results

Prevalence of ETW did not differ significantly between groups, although obese adolescents presented a significantly higher caries experience, gingivitis, presence of plaque and periodontal problems, compared to normal weight adolescents. After adjusting for age and sex, obesity was associated only with the presence of dental plaque (p ≤ 0.001). Obese participants reported a significantly higher intake of sugar-rich and caloric food items than normal weight group. The consumption of acidic drinks, however, was similar.

Conclusion

Obese adolescents presented significantly higher caries experience, gingivitis and plaque, although after adjusting, obesity became significantly associated only with the presence of dental plaque.

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References

  • Bartlett D. A personal perspective and update on erosive tooth wear—10 years on: Part 1—Diagnosis and prevention. Br Dent J. 2016;221(3):115–9. https://doi.org/10.1038/sj.bdj.2016.555.

    Article  PubMed  Google Scholar 

  • Bartlett D, Ganss C, Lussi A. Basic Erosive Wear Examination (BEWE): a new scoring system for scientific and clinical needs. Clin Oral Investig. 2008;12(Suppl 1):S65–S6868. https://doi.org/10.1007/s00784-007-0181-5.

    Article  PubMed  Google Scholar 

  • Carvalho TS, Colon P, Ganss C, Huysmans MC, Lussi A, Schlueter N, et al. Consensus report of the European Federation of Conservative Dentistry: erosive tooth wear-diagnosis and management. Clin Oral Investig. 2015;19(7):1557–611. https://doi.org/10.1007/s00784-015-1511-7.

    Article  PubMed  Google Scholar 

  • Chen D, Zhi Q, Zhou Y, Tao Y, Wu L, Lin H. Association between dental caries and BMI in children: a systematic review and meta-analysis. Caries Res. 2018;52(3):230–45. https://doi.org/10.1159/000484988.

    Article  PubMed  Google Scholar 

  • Cheung A, Zid Z, Hunt D, McIntyre J. The potential for dental plaque to protect against erosion using an in vivo–in vitro model—a pilot study. Aust Dent J. 2005;50(4):228–34.

    Article  PubMed  Google Scholar 

  • Chi DL, Masterson EE, Carle AC, Mancl LA, Coldwell SE. Socioeconomic status, food security, and dental caries in US children: mediation analyses of data from the National Health and Nutrition Examination Survey, 2007–2008. Am J Public Health. 2014;104(5):860–4.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dumitrescu AL, Kawamura M. Involvement of psychosocial factors in the association of obesity with periodontitis. J Oral Sci. 2010;52(1):115–24.

    Article  PubMed  Google Scholar 

  • Epidemiologie IC. Eindrapport Dataregistratie—en evaluatie mondgezondheid Belgische bevolking 2012–2014 Interuniversitaire cel Epidemiologie. In: Opdracht van het comité voor de Verzekering voor Geneeskundige Verzorging, RIZIV. 2012–2014.

  • Fadel HT, Pliaki A, Gronowitz E, Mårild S, Ramberg P, Dahlèn G, et al. Clinical and biological indicators of dental caries and periodontal disease in adolescents with or without obesity. Clin Oral Investig. 2014;18(2):359–68.

    Article  PubMed  Google Scholar 

  • Franchini R, Petri A, Migliario M, Rimondini L. Poor oral hygiene and gingivitis are associated with obesity and overweight status in paediatric subjects. J Clin Periodontol. 2011;38(11):1021–8.

    Article  PubMed  Google Scholar 

  • González MM, Adobes MM, de Dios JG. Systematic review about dental caries in children and adolescents with obesity and/or overweight. Nutr Hosp. 2013;28(5):1372–83.

    Google Scholar 

  • Granville-Garcia AF, de Menezes VA, de Lira PI, Ferreira JM, Leite-Cavalcanti A. Obesity and dental caries among preschool children in Brazil. Rev Salud Publica (Bogota). 2008;10(5):788–95.

    Article  PubMed  Google Scholar 

  • Greenberg AS, Obin MS. Obesity and the role of adipose tissue in inflammation and metabolism. Am J Clin Nutr. 2006;83(2):461S–S465465.

    Article  PubMed  Google Scholar 

  • Greenwood DC, Threapleton DE, Evans CE, Cleghorn CL, Nykjaer C, Woodhead C, et al. Association between sugar-sweetened and artificially sweetened soft drinks and type 2 diabetes: systematic review and dose-response meta-analysis of prospective studies. Br J Nutr. 2014;112(5):725–34.

    Article  PubMed  Google Scholar 

  • Hayden C, Bowler JO, Chambers S, Freeman R, Humphris G, Richards D, et al. Obesity and dental caries in children: a systematic review and meta-analysis. Community Dent Oral Epidemiol. 2013;41(4):289–308. https://doi.org/10.1111/cdoe.12014.

    Article  PubMed  Google Scholar 

  • Heinze G, Schemper M. A solution to the problem of separation in logistic regression. Stat Med. 2002;21(16):2409–19.

    Article  PubMed  Google Scholar 

  • Hooley M, Skouteris H, Boganin C, Satur J, Kilpatrick N. Body mass index and dental caries in children and adolescents: a systematic review of literature published 2004–2011. Syst Rev. 2012;1(1):57.

    Article  PubMed  PubMed Central  Google Scholar 

  • Irigoyen-Camacho ME, Sanchez-Perez L, Molina-Frechero N, Velazquez-Alva C, Zepeda-Zepeda M, Borges-Yanez A. The relationship between body mass index and body fat percentage and periodontal status in Mexican adolescents. Acta Odontol Scand. 2014;72(1):48–57.

    Article  PubMed  Google Scholar 

  • Isaksson H, Birkhed D, Wendt LK, Alm A, Nilsson M, Koch G. Prevalence of dental erosion and association with lifestyle factors in Swedish 20-year olds. Acta Odontol Scand. 2014;72(6):448–57.

    Article  PubMed  Google Scholar 

  • Kamal Y, O'Toole S, Bernabé E. Obesity and tooth wear among American adults: the role of sugar-sweetened acidic drinks. Clin Oral Investig. 2019. https://doi.org/10.1007/s00784-019-03079-5.

    Article  PubMed  Google Scholar 

  • Lobstein T, Jackson-Leach R, Moodie ML, Hall KD, Gortmaker SL, Swinburn BA, et al. Child and adolescent obesity: part of a bigger picture. Lancet. 2015;385(9986):2510–20.

    Article  PubMed  PubMed Central  Google Scholar 

  • Löe H, Silness J. Periodontal disease in pregnancy I. Prevalence and severity. Acta Odontol Scand. 1963;21:533–51.

    Article  PubMed  Google Scholar 

  • Marro F, Jacquet W, Bottenberg P, Martens L. The influence of behavioural and sociodemographic risk indicators on erosive tooth wear in flemish adolescents. Belgium Caries Res. 2018;52(1–2):119–28.

    Article  PubMed  Google Scholar 

  • Marshall TA, Eichenberger-Gilmore JM, Broffitt BA, Warren JJ, Levy SM. Dental caries and childhood obesity: roles of diet and socioeconomic status. Community Dent Oral Epidemiol. 2007;35(6):449–58.

    Article  PubMed  Google Scholar 

  • Martens L, De Smet S, Yusof MY, Rajasekharan S. Association between overweight/obesity and periodontal disease in children and adolescents: a systematic review and meta-analysis. Eur Arch Paediatr Dent. 2017;18(2):69–82.

    Article  PubMed  Google Scholar 

  • McGuire J, Szabo A, Jackson S, Bradley TG, Okunseri C. Erosive tooth wear among children in the United States: relationship to race/ethnicity and obesity. Int J Paediatr Dent. 2009;19(2):91–8.

    Article  PubMed  Google Scholar 

  • Modéer T, Blomberg C, Wondimu B, Lindberg TY, Marcus C. Association between obesity and periodontal risk indicators in adolescents. Int J Pediatr Obes. 2011;6(2–2):e264–e270270.

    Article  PubMed  Google Scholar 

  • Nascimento GG, Seerig LM, Vargas-Ferreira F, Correa FO, Leite FR, Demarco FF. Are obesity and overweight associated with gingivitis occurrence in Brazilian schoolchildren? J Clin Periodontol. 2013;40(12):1072–8.

    Article  PubMed  Google Scholar 

  • NRS (National Readership Survey). 2016. https://www.nrs.co.uk/nrs-print/lifestyle-and-classification-data/social-grade/.

  • O'Toole S, Bernabé E, Moazzez R, Bartlett D. Timing of dietary acid intake and erosive tooth wear: a case–control study. J Dent. 2017;56:99–104.

    Article  PubMed  Google Scholar 

  • O'Toole S, Newton T, Moazzez R, Hasan A, Bartlett D. Randomised controlled clinical trial investigating the impact of implementation planning on behaviour related to the diet. Sci Rep. 2018;8(1):8024.

    Article  PubMed  PubMed Central  Google Scholar 

  • Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005;83(9):661–9.

    PubMed  PubMed Central  Google Scholar 

  • Reeves AF, Rees JM, Schiff M, Hujoel P. Total body weight and waist circumference associated with chronic periodontitis among adolescents in the United States. Arch Pediatr Adolesc Med. 2006;160(9):894–9. https://doi.org/10.1001/archpedi.160.9.894.

    Article  PubMed  Google Scholar 

  • Salas MM, Vargas-Ferreira F, Nascimento GG, Huysmanns MC, Demarco FF. Tooth erosion association with obesity: findings from a Brazilian survey in schoolchildren. Pesquisa Brasileira em Odontopediatria e Clinica Integrada. 2018;18:e3764.

    Google Scholar 

  • Scorzetti L, Marcattili D, Pasini M, Mattei A, Marchetti E, Marzo G. Association between obesity and periodontal disease in children. Eur J Paediatr Dent. 2013;14(3):181–4.

    PubMed  Google Scholar 

  • Shivakumar K, Prasad S, Chandu G. International Caries Detection and Assessment System: a new paradigm in detection of dental caries. J Conserv Dent. 2009;12(1):10–6.

    Article  PubMed  PubMed Central  Google Scholar 

  • Silness J, Löe H. Periodontal disease in pregnancy II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand. 1964;22(1):121–135. https://doi.org/10.3109/00016356408993968.

    Article  PubMed  Google Scholar 

  • Silva AE, Menezes AM, Demarco FF, Vargas-Ferreira F, Peres MA. Obesity and dental caries: systematic review. Rev Saude Publica. 2013;47(4):799–812.

    Article  PubMed  Google Scholar 

  • Team RC. R: a language and environment for statistical computing. Vienna: R Foundation for Statistical Computing; 2018.

    Google Scholar 

  • Tong HJ, Rudolf MC, Muyombwe T, Duggal MS, Balmer R. An investigation into the dental health of children with obesity: an analysis of dental erosion and caries status. Eur Arch Paediatr Dent. 2014;15(3):203–10.

    Article  PubMed  Google Scholar 

  • Tschammler C, Simon A, Brockmann K, Röbl M, Wiegand A. Erosive tooth wear and caries experience in children and adolescents with obesity. J Dent. 2019;83:77–86.

    Article  PubMed  Google Scholar 

  • Vartanian LR, Schwartz MB, Brownell KD. Effects of soft drink consumption on nutrition and health: a systematic review and meta-analysis. Am J Public Health. 2007;97(4):667–75.

    Article  PubMed  PubMed Central  Google Scholar 

  • WHO. Oral health surveys: basic methods. 4th edn. Geneva: WHO; 1997.

    Google Scholar 

  • WHO. Global strategy on diet, physical activity & health. The role of the schools. 2008. https://www.who.int/dietphysicalactivity/childhood_schools/en/. Accessed 25 Jul 2019.

  • WHO. WHO/BMI-for-age (5–19 years). WHO. 2016. https://www.who.int/growthref/who2007_bmi_for_age/en/. Accessed 12 May 2016.

  • Zeigler CC, Persson GR, Wondimu B, Marcus C, Sobko T, Modéer T. Microbiota in the oral subgingival biofilm is associated with obesity in adolescence. Obesity (Silver Spring). 2012;20(1):157–64.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Paediatric Dentistry, PAECOMEDIS research cluster, Ghent University, De Pintelaan 185 (P8), 9000, Ghent, Belgium

    F. Marro, S. De Smedt, S. Rajasekharan & L. Martens

  2. Oral Health Research Group ORHE, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium

    P. Bottenberg & W. Jacquet

  3. Department of Educational Sciences EDWE-LOCI, Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Brussels, Belgium

    W. Jacquet

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  1. F. Marro
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  2. S. De Smedt
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  3. S. Rajasekharan
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  4. L. Martens
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  6. W. Jacquet
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Correspondence to F. Marro.

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Marro, F., De Smedt, S., Rajasekharan, S. et al. Associations between obesity, dental caries, erosive tooth wear and periodontal disease in adolescents: a case–control study. Eur Arch Paediatr Dent 22, 99–108 (2021). https://doi.org/10.1007/s40368-020-00534-w

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  • DOI: https://doi.org/10.1007/s40368-020-00534-w

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