March 2022

Volume 39, Issue 1

Diet drinks and dental caries among U.S. adults: cluster analysis

Authors: Meyassara Samman Elizabeth Kaye Howard Cabral Thayer Scott Woosung Sohn
doi: 10.1922/CDH_00154Samman07


Background: In recent years, the consumption of sugar sweetened beverages has been declining, while low calorie sweetener and diet beverage consumption is increasing. Evidence about the effect of diet drinks on dental caries is insufficient, and has not accounted for the complexity of beverage consumption patterns. Therefore, the aim of this study is to examine the association between consuming diet drinks and dental caries among US adults. Methods: We analyzed 2011-2014 NHANES dietary data of adults using cluster analysis, with individuals grouped based on their beverage consumption. Clusters were identified based on the R-square statistic and the local peak of the pseudo F statistic. Survey procedure and sample weights were used to account for the complex NHANES sampling design. Results: Four beverage consumption patterns were identified: “high soda”, “high diet drinks”, “high coffee/tea” and “high water”. The “High soda” cluster was the only one associated with higher DMFT after controlling for confounders (β=1.02, 95% CI=0.42 - 1.63), whereas DT was associated with “high soda” (β=0.45, 95% CI=0.25 - 0.64) and “high coffee/tea” (β=0.24, 95% CI=0.01 - 0.47). On the other hand, the “high diet drinks” cluster was neither associated with DMFT (β=0.69, 95% CI=0.51 - -0.35) nor DT (β=0.07, 95% CI=-0.21 0.35). Conclusion: Diet drinks consumption may not be associated with increased risk of dental caries. However, more studies should be conducted in order to confirm this finding. Keywords: Soft drinks, beverages, decay, tooth demineralization, low calorie sweetener, artificially sweetened drinks

£10 single article

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CDH Board 2022 1-1 Download
Acknowledgement of Reviewers 2-2 Download
Editorial: Going forward, not straight. 3-3 Download
Dental Public Health in Action: The covid-19 restrictions on dentistry in England and their impact on access to dental care for high-risk patient groups in the North-East and North Cumbria 4-7 Download
Sociodemographic and Clinical Factors That Influence Oral Health-Related Quality of Life in Adolescents: a Cohort Study 8-13 £10 single article
The impact of HPV vaccination on the prevention of oropharyngeal cancer: A scoping review 14-21 £10 single article
Effectiveness of The Wikipedia Collaboration of Dental Schools’ Training Programme: a new Paradigm for Teaching and Learning of Evidence-Based Dentistry 22-26 Download
Innovative methodology to guide planning of dental workforce distribution: a GIS-based study in Nepal 27-32 £10 single article
Diet drinks and dental caries among U.S. adults: cluster analysis 33-39 £10 single article
Effect of social isolation on oral health status - A systematic review 40-45 £10 single article
Links between oral health-related quality of life in US adults and type 2 diabetes: structural equation modeling analysis 46-53 £10 single article
Dental fluorosis among 15- year- old school children in an endemic district in Sri Lanka 54-58 £10 single article
Social justice, activism and dentistry in the era of #BLM 59-63 £10 single article
Letter to the Editor 64-64 £10 single article


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