Evaluation of the Impact of Body Mass Index on Tooth Development, Tooth Eruption and Dental Caries Formation in Childhood: A Cross-sectional Study

Evaluation of the Impact of Body Mass Index on Tooth Development, Tooth Eruption and Dental Caries Formation in Childhood: A Cross-sectional Study

Purpose: The aim of this cross-sectional study was to evaluate the impact of different body mass index status on dental caries, tooth development, and tooth eruption regarding the development of dental tissues and dental health problems. Materials & Methods: One-hundred-seventy-six children, aged between 3-12 years old, were included in the study and distributed into 4 groups (n:44) according to their body mass index as underweight, healthy, overweight, and obesity. Data on tooth development, tooth eruption, and dental caries were recorded by using modified Demirjian, Carvalho, and decayed-missing-filled-tooth (DMFT), respectively. According to the obtained data, p<0.05 was accepted as significant. Results: According to the results, DMFT was significantly higher in children with underweight than overweight and obesity whereas, whereas earlier tooth eruption was seen in children with healthy and obesity than underweight (p<0.05). Also, there was a significant difference between the groups in terms of DMFT (p<0.05). Conclusion: Dental caries was higher in children with malnourishment while tooth eruption was earlier in children with obesity. Therefore, general practitioners or pediatricians should be aware of the oral effects of obesity or malnutrition and consult a pediatric dentist.

___

  • LiangJJ,ZhangZQ,ChenYJ,MaiJC,MaJ,YangWH,etal.Dental caries is negatively correlated with body mass index among 7-9 years old children in Guangzhou, China. BMC Public Health. 2016;16:638. doi:10.1186/s12889-016-3295-3.
  • WHOchildgrowthstandards:length/height-for-age,weight- for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. World Health Orga- nization; 2006.
  • Flegal KM, Kit BK, Orpana H, Graubard BI. Associa- tion of all-cause mortality with overweight and obesity using standard body mass index categories: a system- atic review and meta-analysis. Jama. 2013;309(1):71–82. doi:10.1001/jama.2012.113905.
  • Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. Jama. 2012;307(5):483–90. doi:10.1001/jama.2012.40.
  • Psoter WJ, Reid BC, Katz RV. Malnutrition and dental caries: a review of the literature. Caries Res. 2005;39(6):441–7. doi:10.1159/000088178.
  • Singh A, Purohit BM. Malnutrition and Its Association with Dental Caries in the Primary and Permanent Denti- tion: A Systematic Review and Meta-Analysis. Pediatr Dent. 2020;42(6):418–426.
  • Kirthiga M, Murugan M, Saikia A, Kirubakaran R. Risk Factors for Early Childhood Caries: A Systematic Review and Meta- Analysis of Case Control and Cohort Studies. Pediatr Dent. 2019;41(2):95–112.
  • Ismail AI, Sohn W, Lim S, Willem JM. Predictors of dental caries progression in primary teeth. J Dent Res. 2009;88(3):270–5. doi:10.1177/0022034508331011.
  • MoradiG,MohamadiBolbanabadA,MoinafsharA,AdabiH, Sharafi M, Zareie B. Evaluation of Oral Health Status Based on the Decayed, Missing and Filled Teeth (DMFT) Index. Iran J Public Health. 2019;48(11):2050–2057.
  • Carvalho JC, Ekstrand KR, Thylstrup A. Dental plaque and caries on occlusal surfaces of first permanent molars in re- lation to stage of eruption. J Dent Res. 1989;68(5):773–9. doi:10.1177/00220345890680050401.
  • Demirjian A, Levesque GY. Sexual differences in dental develop- ment and prediction of emergence. J Dent Res. 1980;59(7):1110– 22. doi:10.1177/00220345800590070301.
  • Liversidge HM, Chaillet N, Mörnstad H, Nyström M, Rowl- ings K, Taylor J, et al. Timing of Demirjian’s tooth formation stages. Ann Hum Biol. 2006;33(4):454–70. doi:10.1080/03014460600802387.
  • Zandi M, Shokri A, Malekzadeh H, Amini P, Shafiey P. Evalua- tion of third molar development and its relation to chronologi- cal age: a panoramic radiographic study. Oral Maxillofac Surg. 2015;19(2):183–9. doi:10.1007/s10006-014-0475-0.
  • Alm A, Fåhraeus C, Wendt LK, Koch G, Andersson-Gäre B, Birkhed D. Body adiposity status in teenagers and snack- ing habits in early childhood in relation to approximal caries at 15 years of age. Int J Paediatr Dent. 2008;18(3):189–96. doi:10.1111/j.1365-263X.2007.00906.x.
  • Kopycka-Kedzierawski DT, Auinger P, Billings RJ, Weitz- man M. Caries status and overweight in 2- to 18-year-old US children: findings from national surveys. Community Dent Oral Epidemiol. 2008;36(2):157–67. doi:10.1111/j.1600- 0528.2007.00384.x.
  • Lempert SM, Froberg K, Christensen LB, Kristensen PL, Heit- mann BL. Association between body mass index and caries among children and adolescents. Community Dent Oral Epi- demiol. 2014;42(1):53–60. doi:10.1111/cdoe.12055.
  • 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. doi:10.1111/j.1600-0528.2006.00353.x.
  • Mathus-Vliegen EM, Nikkel D, Brand HS. Oral aspects of obesity. Int Dent J. 2007;57(4):249–56. doi:10.1111/j.1875- 595x.2007.tb00128.x.
  • Oliveira LB, Sheiham A, Bönecker M. Exploring the association of dental caries with social factors and nutritional status in Brazilian preschool children. Eur J Oral Sci. 2008;116(1):37–43. doi:10.1111/j.1600-0722.2007.00507.x.
  • Sánchez-Pérez L, Irigoyen ME, Zepeda M. Dental caries, tooth eruption timing and obesity: a longitudinal study in a group of Mexican schoolchildren. Acta Odontol Scand. 2010;68(1):57–64. doi:10.3109/00016350903449367.
  • Vázquez-Nava F, Vázquez-Rodríguez EM, Saldívar-González AH, Lin-Ochoa D, Martinez-Perales GM, Joffre-Velázquez VM. Association between obesity and dental caries in a group of preschool children in Mexico. J Public Health Dent. 2010;70(2):124–30. doi:10.1111/j.1752-7325.2009.00152.x.
  • Willerhausen B, Blettner M, Kasaj A, Hohenfellner K. Asso- ciation between body mass index and dental health in 1,290 children of elementary schools in a German city. Clin Oral In- vestig. 2007;11(3):195–200. doi:10.1007/s00784-007-0103-6.
  • Pahel BT, Vann J W F, Divaris K, Rozier RG. A Con- temporary Examination of First and Second Permanent Molar Emergence. J Dent Res. 2017;96(10):1115–1121. doi:10.1177/0022034517716395.
  • Nicholas CL, Kadavy K, Holton NE, Marshall T, Richter A, Southard T. Childhood body mass index is associated with early dental development and eruption in a longitudinal sample from the Iowa Facial Growth Study. Am J Orthod Dentofacial Orthop. 2018;154(1):72–81. doi:10.1016/j.ajodo.2017.10.033.
  • Must A, Phillips SM, Tybor DJ, Lividini K, Hayes C. The associ- ation between childhood obesity and tooth eruption. Obesity (Silver Spring). 2012;20(10):2070–4. doi:10.1038/oby.2012.23.