Revista clínica de periodoncia, implantología y rehabilitación oral
versión ISSN 0719-0107
GIACAMAN, RA; ROJAS QUINTANILLA, T y SOTO POBLETE, A. Association between dietary macronutrients and caries in type 2 diabetic adults and elderly. Rev. Clin. Periodoncia Implantol. Rehabil. Oral [online]. 2012, vol.5, n.2, pp. 78-82. ISSN 0719-0107. doi: 10.4067/S0719-01072012000200005.
Objectives: Higher caries rates have been reported for type 2 diabetes mellitus patients (DM). Changes in dietary patterns may be partly responsible. The aim of this study was to examine a potential association between dietary macronutrient composition and caries experience in DM patients. Methods: Thirty three adults with DM and thirty seven controls, not affected by DM, were examined to assess coronal caries through DMFT index and root caries by ICDAS II. A 24-hr diet recall survey was used to determine dietary macronutrient composition supplemented with standardized tables and expressed as grams /day, kilocalories/nutrient and percentage of nutrient/day. Results were compared using Kruskal-Wallis and Mann-Whitney. A correlation analysis was performed and a linear regression model was built for a potential association between macronutrient composition and coronal or root caries. A 95% significance level was set. Results: DM patients showed lower remaining teeth, more fillings and more root caries (p<0.05) than controls. Lower carbohydrate consumption (p=0.021), but higher protein intake (p=0.0405) was observed in DM patients as compared with controls. A statistically significant association between an increased protein consumption and higher percentage of root caries was found in DM patients (p<0.001). Conclusion: Although differences in macronutrient consumption in DM patients are not correlated with differential rates of coronal caries, higher protein consumption appears to be associated with higher prevalence of root caries.
Palabras clave : Dental caries; root caries; diabetes; nutrients; dietary fats; dietary carbohydrates; dietary proteins; diet; DMFT index; ICDAS II.