CC BY 4.0 · Eur J Dent 2022; 16(03): 557-563
DOI: 10.1055/s-0041-1735906
Original Article

Diet Implications and Oral Health Status of Women in Central Italy

Giulia Zumbo
1   Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Rome, Italy
,
Micaela Costacurta
2   Department of Surgical Sciences, University of Rome Tor Vergata, Rome, Italy
,
Francesca Zara
1   Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Rome, Italy
,
Nicola Pranno
1   Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Rome, Italy
,
Margherita Ceravolo
1   Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Rome, Italy
,
Francesco Covello
1   Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Rome, Italy
,
Matteo Saccucci
1   Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Rome, Italy
,
1   Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Rome, Italy
› Author Affiliations
Funding None.

Abstract

Objective The relationships between oral health habits, dietary practices, and oral health status, as well as general health status, in the population of Italian women, are complex, with many mutual and interrelating factors. The purpose of this study is to investigate oral habits, oral status, and dietary habits of a sample of women in Italy, highlighting the links between nutrition and oral health and discussing how oral health care professionals can integrate nutrition counseling that aimed at improving the oral health of their patients into their practices.

Materials and Methods In the period between February 2020 and July 2020, an anonymous questionnaire made up of 20 questions was administered to a randomized sample of 120 Italian women.

Results Most of women declare good manual skills in oral hygiene (50%) but just less than half of them brushes their teeth more than three times a day. Statistically significant correlations were found between frequency of dental checkups and dental mobility (p = 0.036), and halitosis (p = 0.006), as well as between frequency of flossing and gum bleeding. Correlation between the type of diet and oral health status showed more halitosis (∼21%), sensitivity (∼26%), and xerostomia (∼53.3%) for vegetarian and vegan women.

Conclusion More awareness need to be raised concerning oral hygiene habits, and regarding the importance of regular dental checkups. Brushing at least twice or three times a day needs to be encouraged and the valid support of dental aids has to be in the everyday domestic oral hygiene protocol, as scientific evidence demonstrates. Future clinical studies need to be performed on a more consistent number of vegetarian and vegan patients, to obtain more statistically significant results and support future research that will compare omnivorous, vegetarian, and vegan diets and their influence on oral health status.

Authors' Contributions

Study design: M.C. and M.C.; formal analysis: N.P.; collection of data: G.Z and F.Z.; writing of the manuscript: F.Z. and G.Z.; writing—review and editing: F.C. and M.S.; supervision: I.V. All authors have read and agreed to the published version of the manuscript.


Ethical Approval

The study protocol complied with the Guidelines for Good Clinical Practice, according to the Declaration of Helsinki (1975). The study was approved by the Institutional Review Board of territorial NHS facilities (no. 3003/19).




Publication History

Article published online:
10 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Pla GW. Oral health and nutrition. Prim Care 1994; 21 (01) 121-133
  • 2 Hornick B. Diet and nutrition implications for oral health. J Dent Hyg 2002; 76 (01) 67-78 , quiz 79–81
  • 3 Hakeem FF, Bernabé E, Sabbah W. Association between oral health and frailty among American older adults. J Am Med Dir Assoc 2021; 22 (03) 559-563.e2
  • 4 Bassim CW. Oral health in healthy aging. J Am Geriatr Soc 2018; 66 (03) 439-440
  • 5 van der Putten G-J, de Baat C, De Visschere L, Schols J. Poor oral health, a potential new geriatric syndrome. Gerodontology 2014; 31 (Suppl. 01) 17-24
  • 6 Buckinx F, Rolland Y, Reginster J-Y, Ricour C, Petermans J, Bruyère O. Burden of frailty in the elderly population: perspectives for a public health challenge. Arch Public Health 2015; 73 (01) 19
  • 7 König KG. Diet and oral health. Int Dent J 2000; 50 (03) 162-174
  • 8 Ahn-Jarvis JH, Piancino MG. Chapter 14: impact of oral health on diet/nutrition. Monogr Oral Sci 2020; 28: 134-147
  • 9 Anekar J. Diet and oral health. Journal of Dental Sciences and Research. 2011; 2: 175-182
  • 10 Bettinelli ME, Bezze E, Morasca L. et al. Knowledge of health professionals regarding vegetarian diets from pregnancy to adolescence: an observational study. Nutrients 2019; 11 (05) 1149
  • 11 Lemale J, Mas E, Jung C, Bellaiche M, Tounian P. French-speaking Pediatric Hepatology, Gastroenterology and Nutrition Group (GFHGNP). Vegan diet in children and adolescents. Recommendations from the French-speaking Pediatric Hepatology, Gastroenterology and Nutrition Group (GFHGNP). Arch Pediatr 2019; 26 (07) 442-450
  • 12 Zick SM, Snyder D, Abrams DI. Pros and cons of dietary strategies popular among cancer patients. Oncology (Williston Park) 2018; 32 (11) 542-547
  • 13 Cramer H, Kessler CS, Sundberg T. et al. Characteristics of Americans choosing vegetarian and vegan diets for health reasons. J Nutr Educ Behav 2017; 49 (07) 561-567.e1
  • 14 Sebastiani G, Herranz Barbero A, Borrás-Novell C. et al. The effects of vegetarian and vegan diet during pregnancy on the health of mothers and offspring. Nutrients 2019; 11: 557
  • 15 Vergeer L, Vanderlee L, White CM, Rynard VL, Hammond D. Vegetarianism and other eating practices among youth and young adults in major Canadian cities. Public Health Nutr 2020; 23 (04) 609-619
  • 16 Hawkins IW, Mangels AR, Goldman R, Wood RJ. Dietetics program directors in the United States support teaching vegetarian and vegan nutrition and half connect vegetarian and vegan diets to environmental impact. Front Nutr 2019; 6: 123
  • 17 Sakkas H, Bozidis P, Touzios C. et al. Nutritional status and the influence of the vegan diet on the gut microbiota and human health. Medicina (Kaunas) 2020; 56 (02) 88
  • 18 Smits KPJ, Listl S, Jevdjevic M. Vegetarian diet and its possible influence on dental health: a systematic literature review. Community Dent Oral Epidemiol 2020; 48 (01) 7-13
  • 19 Jain P, Gary JJ. Which is a stronger indicator of dental caries: oral hygiene, food, or beverage? A clinical study. Gen Dent 2014; 62 (03) 63-68
  • 20 Lula EC, Ribeiro CC, Hugo FN, Alves CM, Silva AA. Added sugars and periodontal disease in young adults: an analysis of NHANES III data. Am J Clin Nutr 2014; 100 (04) 1182-1187
  • 21 Mazur M, Bietolini S, Bellardini D. et al. Oral health in a cohort of individuals on a plant-based diet: a pilot study. Clin Ter 2020; 171 (02) e142-e148
  • 22 Cervino G, Fiorillo L, Laino L. et al. Oral health impact profile in celiac patients: analysis of recent findings in a literature review. Gastroenterol Res Pract 2018; 2018: 7848735
  • 23 Zotti F, Laffranchi L, Fontana P, Dalessandri D, Bonetti S. Effects of fluorotherapy on oral changes caused by a vegan diet. Minerva Stomatol 2014; 63 (05) 179-188
  • 24 Procter SB, Campbell CG. Position of the Academy of Nutrition and Dietetics: nutrition and lifestyle for a healthy pregnancy outcome. J Acad Nutr Diet 2014; 114 (07) 1099-1103
  • 25 Petrini M, Costacurta M, Biferi V, Benavoli D, Docimo R, Spoto G. Correlation between halitosis, oral health status and salivary ß-galactosidases and time spent in physical activities in children. Eur J Paediatr Dent 2018; 19 (04) 260-264
  • 26 Costacurta M, Petrini M, Biferi V, Arcuri C, Spoto G, Docimo R. The correlation between different techniques for the evaluation of oral malodour in children with and without orthodontic treatment. Eur J Paediatr Dent 2019; 20 (03) 233-236
  • 27 Richter M, Boeing H, Grunewald-Funk D, Heseker H, Kroke A, Leschik-Bonnet E, Strohm D. Watzl B. for the German Nutrition Society (DGE) (2016). Vegan Diet. Position of the German Nutrition Society (DGE). Emahrungus Umschau 2016; 63 (04) 92-102 DOI: 10.4455/eu.2016.021.
  • 28 Crozier SR, Robinson SM, Godfrey KM, Cooper C, Inskip HM. Women's dietary patterns change little from before to during pregnancy. J Nutr 2009; 139 (10) 1956-1963
  • 29 Cepeda MS, Weinstein R, Blacketer C, Lynch MC. Association of flossing/inter-dental cleaning and periodontitis in adults. J Clin Periodontol 2017; 44 (09) 866-871
  • 30 Worthington HV, MacDonald L, Poklepovic Pericic T. et al. Home use of interdental cleaning devices, in addition to toothbrushing, for preventing and controlling periodontal diseases and dental caries. Cochrane Database Syst Rev 2019; 4 (04) CD012018
  • 31 Vozza I, Capasso F, Marrese E, Polimeni A, Ottolenghi L. Infant and child oral health risk status correlated to behavioral habits of parents or caregivers: a survey in Central Italy. J Int Soc Prev Community Dent 2017; 7 (02) 95-99
  • 32 Luzzi V, Ierardo G, Corridore D. et al. Evaluation of the orthodontic treatment need in a paediatric sample from Southern Italy and its importance among paediatricians for improving oral health in pediatric dentistry. J Clin Exp Dent 2017; 9 (08) e995-e1001