Background

Diet cariogenicity plays a major role as both a protective and risk factor in the development of early childhood caries (ECC).

Aim

Develop a scale measuring the cariogenicity of foods and beverages and employ it to describe the cariogenicity of young children’s diets and predict dental caries outcomes.

Design

Scores of cariogenicity and consumption frequency were applied to food frequency questionnaire (FFQ) collected from an Australian children’s cohort study with three time‐points of data. One‐way ANOVA, with post hoc Tukey test compared mean cariogenic scale measured at 18 months between the subsample of children with caries classification at age 5 years.

Results

At 6 months, children’s mean cariogenic score was 10.05, increasing to 34.18 at 12 and 50.00 at 18 months. Mean cariogenic scale score at 18 months was significantly higher in children with advanced disease at 5 years (mean scale score: 59.0 ± 15.9) compared to those that were healthy (mean score 47.7 ± 17.5, P = 0.007) or had mild‐moderate disease (mean score 48.2 ± 17.3, P = 0.008).

Conclusions

The cariogenic diet scale provides a useful indication of the increasing cariogenicity of children’s diets with age and highlights the incorporation of discretionary choice foods and beverages into the diets of young children much earlier than nutritionally recommended.


University of Lincoln, College of Social Science Research
Emily Amezdroz
Lauren Carpenter
Shae Johnson
Victoria Flood
Stuart G. Dashper
Hanny Calache
Mark Gussy

Elizabeth Waters