» Articles » PMID: 35464781

Added Sugar and Oral Health: A Position Paper of the Brazilian Academy of Dentistry

Overview
Date 2022 Apr 25
PMID 35464781
Authors
Affiliations
Soon will be listed here.
Abstract

Excessive sugar consumption is the main cause of dental caries. Dental caries is highly prevalent and negatively impacts the quality of life at all stages. Furthermore, sugar consumption is associated with other noncommunicable conditions and diseases, such as obesity, diabetes, and cardiovascular diseases. The aim of this paper is to propose recommendations at the individual and population levels for health professionals, families, educators, stakeholders, and public officials to reduce the burden of dental caries and other noncommunicable diseases that are caused by the excessive sugar intake. A systematic search was performed in PubMed and Cochrane databases to investigate the effectiveness of strategies and policies aiming to reduce sugar consumption as well as the impact of different patterns of sugar consumption on the occurrence of dental caries. Reference list of the identified papers and practice guidelines were manually reviewed as well. Based on the best evidence available, the Brazilian Academy of Dentistry recommends not to offer sugars to children younger than 2 years of age, and to limit total sugar consumption to <25 g per day after 2 years of age. Furthermore, families should be informed to limit sugar exposure, sugar-free areas should be available, content of food labels and advertisement should be regulated, taxation of products with sugar should be introduced, and reformulation of foods and drinks to reduce concentrations of sugars should be considered.

Citing Articles

Estimation of Dental Caries in Adults coming to a Dental College in Himachal Pradesh (North-West India) using CAST Index: a Cross-Sectional Study.

Avijit A, Bhumika R J Prev Med Hyg. 2025; 65(4):E532-E537.

PMID: 40026426 PMC: 11870136. DOI: 10.15167/2421-4248/jpmh2024.65.4.3350.


Impact of Free Sugar Consumption on Dental Caries: A Cross-Sectional Analysis of Children in the United States.

Cheever V, Mohajeri A, Patel K, Burris R, Hung M Dent J (Basel). 2025; 13(2).

PMID: 39996922 PMC: 11854531. DOI: 10.3390/dj13020048.


Knowledge, Attitudes, and Practices Associated with the Selection of Sweetened Ultra-Processed Foods and Their Importance in Oral Health.

Angarita-Diaz M, Colmenares-Pedraza J, Agudelo-Sanchez V, Mora-Quila J, Rincon-Mejia L Dent J (Basel). 2024; 12(8).

PMID: 39195112 PMC: 11353065. DOI: 10.3390/dj12080268.


Assessing the impact of oral health disease on quality of life in Ecuador: a mixed-methods study.

Krishnan N, Manresa-Cumarin K, Klabak J, Krupa G, Gudsoorkar P Front Oral Health. 2024; 5:1431726.

PMID: 39092199 PMC: 11291228. DOI: 10.3389/froh.2024.1431726.


Potential interaction of sugar intake and tobacco exposure on dental caries in adults-A cross-sectional study from the National Health and Nutrition Examination Survey.

Niu X, Rong X, Sun H J Dent Sci. 2024; 19(3):1792-1800.

PMID: 39035310 PMC: 11259629. DOI: 10.1016/j.jds.2023.09.030.


References
1.
Tinanoff N, Baez R, Diaz Guillory C, Donly K, Feldens C, McGrath C . Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: Global perspective. Int J Paediatr Dent. 2019; 29(3):238-248. DOI: 10.1111/ipd.12484. View

2.
Hagenaars L, Jeurissen P, Klazinga N, Listl S, Jevdjevic M . Effectiveness and Policy Determinants of Sugar-Sweetened Beverage Taxes. J Dent Res. 2021; 100(13):1444-1451. PMC: 8640336. DOI: 10.1177/00220345211014463. View

3.
Feldens C, Giugliani E, Vigo A, Vitolo M . Early feeding practices and severe early childhood caries in four-year-old children from southern Brazil: a birth cohort study. Caries Res. 2010; 44(5):445-52. DOI: 10.1159/000319898. View

4.
Masood M, Mnatzaganian G, Baker S . Inequalities in dental caries in children within the UK: Have there been changes over time?. Community Dent Oral Epidemiol. 2018; 47(1):71-77. DOI: 10.1111/cdoe.12426. View

5.
Narain A, Kwok C, Mamas M . Soft drinks and sweetened beverages and the risk of cardiovascular disease and mortality: a systematic review and meta-analysis. Int J Clin Pract. 2016; 70(10):791-805. DOI: 10.1111/ijcp.12841. View