Prevalence of Dental Caries in the Indian Population: A Systematic Review and Meta-analysis

Development and validation of Tamil version of CARIES-QC questionnaire among socially marginalized school children in Chennai City

BACKGROUND

The Caries Impacts and Experiences Questionnaire for Children (CARIES-QC), which was developed to assess dental caries-specific Child Oral Health Related Quality of Life (COHRQoL), has been translated into few world languages.

AIM

To develop and validate the Tamil version of Caries Impacts and Experience Questionnaire for Children (CARIES-QC).

DESIGN

This cross-sectional study was conducted among socially marginalized school children in Chennai City. The initial translation of the English CARIES-QC questionnaire to Tamil was made by two independent translators followed by an expert committee discussion to derive a prefinal version of the Tamil questionnaire. Subsequently, content validation was performed by bilingual subject experts followed by preliminary pilot testing among 30 school children aged 8-10 years studying in Adidravidar Welfare High School, Chennai, to produce the final version of the questionnaire. Convergent validity, discriminant validity, and test-retest reliability of the translated questionnaire were tested among 191 children.

RESULTS

The content validation process revealed that the translated version had relevant questions and content coverage (Scale-wise Content Validity Index score = .91). The children with and without dental caries had mean CARIES-QC scores of 5.39 + 3.7 and 3.71 + 5.1, respectively, and their statistically significant difference (p-value = .04) between them indicates the scale's satisfactory discriminant validity. The Cronbach's alpha was .87 indicating the questionnaire's good internal consistency.

CONCLUSION

The newly developed Tamil CARIES-QC questionnaire is a valid and reliable tool for assessing COHRQoL among Tamil-speaking school children.

Where do traditional healers fit in the dentist-centred oral health system? An ethnography inquiry among the indigenous communities in Gudalur, South India

Background

Adivasi (Indigenous) communities in Gudalur, Tamil Nadu, India, face significant challenges in accessing equitable oral health care, influenced by cultural and socio-political factors. This study examines the role of traditional herbal medicine healers in delivering oral health services within these communities.

Methods

Guided by the Socio-Ecological Framework, the data were collected between April 2015 and July 2018, employing ethnography tools such as participant observation, focus group discussions, and semi-structured interviews. A total of twenty-four healers took part, offering insights into how Adivasi healers perceive and treat oral health issues. The study also incorporated perspectives from community members, dentists, and doctors to provide a broader understanding of oral healthcare within the community.

Results

Adivasi healers identified overlapping oral health symptoms and provided local care that fills gaps in the formal health system. Challenges such as resource limitations and competition with Western biomedicine affect the continuity of their practices. Oral health among Adivasis is deeply intertwined with cultural and structural determinants, exacerbated by marginalisation within the mainstream public healthcare system.

Conclusion

Local health traditions, particularly those practised by Adivasi healers, play a crucial role in primary oral health care where formal dental services are inadequate. Addressing oral health disparities requires a shift towards inclusive, community-oriented health systems that recognise and integrate local healing practices.

Effect of Enamel Deproteinization Prior to Etching on the Clinical Performance of Resin-based Pit and Fissure Sealants: A Split-mouth Double-blinded Pilot Randomized Controlled Trial

Background

Enamel deproteinization using sodium hypochlorite entails the oxidation of organic components, resulting in the dissolution of proteinaceous components and subsequent cleansing of the enamel substrate. This oxidative treatment augments surface energy and promotes favorable interfacial interactions, thereby enhancing the adhesion and performance of dental materials, ultimately leading to better clinical outcomes.

Aim

To evaluate the effectiveness of enamel deproteinization prior to etching on the retention of pit and fissure sealants (PFS) at different time intervals among 6-14-year-old children.

Objective

The objective of this study was to evaluate the effect of 5.25% sodium hypochlorite on the clinical performance and retention of pit and fissure sealants in permanent molars.

Materials and methods

A double-blind randomized controlled trial using a split-mouth design was conducted for a period of 1 year. The clinical trial registry was done CTRI/2023/06/053542. About 20 children aged 6-14 years, who required bilateral PFS for permanent molars, were included and divided into 20 units for each group. The contralateral side served as the control for the same patient. Randomization was performed using computer-generated numbers (Randomizer.com). Treatment was divided into two groups: group I: pit and fissure sealant with enamel deproteinization prior to etching, group II: pit and fissure sealant without enamel deproteinization. A blinded evaluator assessed the clinical outcome using modified Simonsen's criteria.

Results

At the end of 12 months of follow-up, the results in the current study show that there is a statistical significance between groups I and II. In group I, only 10 teeth have experienced the event, while in group II, it is maximum, accounting for 33 teeth. It was found that the retention rate in group I is 88.1%, while in group II, it is 60.0%. Thus, we can conclude that the retention of pit and fissure sealant in group I is significantly better than in group II.

Conclusion

The present trial yielded notable enhancements in the retention outcomes of PFS following the incorporation of an adjunctive procedure involving enamel deproteinization utilizing 5.25% sodium hypochlorite, combined with intermediate bonding, over a 12-month observation period. This approach holds promise as a strategic intervention for augmenting adhesion and optimizing the efficacy of PFS as a preventive measure.

How to cite this article

Nair SM, Nene KS, Tirupathi S, et al. Effect of Enamel Deproteinization Prior to Etching on the Clinical Performance of Resin-based Pit and Fissure Sealants: A Split-mouth Double-blinded Pilot Randomized Controlled Trial. Int J Clin Pediatr Dent 2025;18(2):119-125.

Employability of Mothers and its Impact on Body Mass Index and Dental Caries of their Preschool Children: A Cross-sectional Study

Aim and background

Employment can affect a mother's role, as working mothers may have less time to oversee oral hygiene and diet, potentially leading to higher rates of dental caries. In contrast, non-working mothers often have more time for health routines and nutritious meal preparation, resulting in better dental outcomes.

Materials and methods

This comparative cross-sectional study evaluates body mass index (BMI), dental caries, and sugar consumption among 3-5-year-old schoolchildren with working and non-working mothers in Mysuru city. The study included 75 children of working mothers and 75 children of non-working mothers. Data on oral hygiene and sugar consumption were collected using a validated questionnaire, and clinical examinations and BMI measurements were conducted by a trained dentist. Statistical tests like Student "t" test, ANOVA, and logistic regression analysis were used. A p-value <0.05 was considered statistically significant.

Results

Results showed that children of working mothers had a slightly lower mean BMI (15.45 ± 2.15) than those of non-working mothers (15.65 ± 2.007). Children of working mothers had higher decayed, missing, and filled teeth/decayed, extracted, and filled teeth (dmft/deft) scores, indicating more dental caries. More children of working mothers were classified as normal weight or underweight (64 and 22.7%, respectively), while more children of non-working mothers were overweight (25.3%).

Conclusion

Both groups had similar sugary snack and dairy intake rates, but children of working mothers had higher caries rates and lower BMIs, illustrating the complex impact of maternal employment on children's oral health.

Clinical significance

This study explores how maternal employment impacts children's BMI and dental caries, highlighting connections between employment, income, nutrition, and health. Understanding these links helps develop public health interventions to improve children's health and family well-being.

How to cite this article

Paramasivam K, Manjunathappa TH, SampathKumar B, et al. Employability of Mothers and its Impact on Body Mass Index and Dental Caries of their Preschool Children: A Cross-sectional Study. Int J Clin Pediatr Dent 2025;18(1):91-99.

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

Background

Decayed Missing Filled Index is the universal index of choice to record dental caries however, it is unable to estimate the severity of dental caries. The Caries Assessment Spectrum and treatment (CAST) Index is a new index which can be used to distinguish the intensity of caries.

Aim

To ascertain dental caries using CAST index and to compare the association of CAST index with DMF Index values attained using CAST index in adults.

Materials and Methods

The cross-sectional survey recorded dental caries using CAST index in adults. 30.6% of adults experienced tooth loss and 32.3% recorded caries lesion advancing to dentin. 29.5% of adults had lesion attacking pulp but the gender predilection was insignificant. Caries severity in adults worsened with increasing age with significant association (p < 0.00). Scarcely 7.3% had undergone restorative care owing to dental caries.

Conclusions

The CAST index provides all-inclusive knowledge with regard to caries severity and transient shift in oral health in adults.

Oral health status among the transgender population of India: A systematic review and meta-analysis

BACKGROUND

The invisibility of the transgender population within official records, combined with other socio-economic factors, impacts oral health status among transgender people. Hence, our systematic review and meta-analysis aim to generate a pooled estimate of the oral health status of the transgender community in India.

MATERIAL AND METHODS

A systematic search was performed across four databases. The studies included a quantitative research design conducted in India and involved self-identified transgender individuals. The pooled prevalence was determined at a 95% confidence interval (CI). Q-statistics and the I2 test were utilized to evaluate the source of heterogeneity. Leave-one-out analysis and Baujat plots were used to detect outliers within the studies. A Doi plot and LFK index were employed to assess the publication bias.

RESULTS

A total of 12 studies comprising 1566 transgender participants were included. The pooled prevalence of toothbrush use among transgenders in India was found at 83% (95% CI: 0.73-0.91), smoking = 12% (CI: 0.03-0.26), smokeless tobacco = 53% (CI = 0.38-0.68), dental caries = 78% (CI: 67%-88%), calculus = 65% (CI: 0.4-0.86), and bleeding 18% (CI:0.08-0.32).

CONCLUSION

Oral health disparities among Indian transgender individuals are evident in the low toothbrush usage, an elevated prevalence of tobacco use, and dental disorders such as calculus, cavities, and bleeding. Tailored dental health programs that include inclusive healthcare services and awareness are essential.

PROSPERO REGISTRATION

CRD42023468872.

Matched cohort study evaluating the hemostatic efficacy of fibrin sealant versus conventional approaches following dental surgery in patients with hemophilia

Patients with hemophilia frequently require supplementary interventions, either invasive (suturing, gel foam, or cauterization) or non-invasive (fibrin sealant/glue), to attain hemostasis post dental procedures. This study aimed to compare the efficacy of fibrin sealant against traditional methods for achieving hemostasis post dental surgery. The medical records of patients with factor VIII or IX deficiency, or von Willebrand disease, who underwent dental procedures in the Department of Dentistry, Seth GSMC and KEM Hospital, were evaluated for inclusion in this retrospective matched cohort study. Cohort-1 included those treated with a fibrin sealant (Tisseel Lyo) with/without traditional hemostatic measures post-procedure, while cohort-2 (controls) included those in whom no fibrin sealant was used. A total of 128 patients, 64 in each group, were evaluated. There was no statistically significant difference in demographics, disease-related variables, dental complaints, or preoperative treatment given between the groups. However, there was a significant reduction (P < 0.001) in the requirement for secondary procedures for hemostasis (suturing, gel foam application, and/or cauterization) and postoperative requirement for factor replacement (P = 0.003) in the fibrin glue group as compared to the controls. In this study, fibrin sealant demonstrated superior efficacy in mitigating the necessity for active hemostasis control.

Shear bond strength evaluation of bioactive restorative materials on pretreated carious dentin-influence on silver diamine fluoride, potassium iodide, and glutathione

Background

Silver diamine fluoride (SDF) has gained popularity for its caries-arresting properties, yet its tendency to cause esthetic concerns due to black-staining limits its widespread acceptance.

Aim

The aim of the study was to evaluate and compare the shear bond strength of Activa BioActive and Giomer restorative material with different protocols of SDF pretreatment on carious dentin.

Materials and Methods

Ninety-two extracted teeth were decoronated at the cementoenamel junction, sectioned 1 mm into dentin, mounted in acrylic resin and randomly divided into four (n = 8) control and six (n = 10) experimental groups. Seventy-six samples underwent demineralization process for a period of 14 days for artificial carious dentin (ACD) formation. The samples categorized based on the dentin substrate (sound or ACD) were subjected to various SDF pretreatment protocols, i.e., only SDF, SDF with potassium iodide (KI), and SDF with glutathione (GSH). Further, bioactive restorative materials, i.e., Activa BioActive and Giomer (Beautifil II), were placed on it, and the samples were subjected to shear bond strength testing.

Statistical Analysis

Independent t-test was run to analyze the values obtained.

Results

Giomer exhibited better mean bond strength with SDF, SDF + KI, and SDF + GSH (6.56, 4.67, and 3.34 mega-pascals [MPa], respectively) compared to Activa BioActive (3.42, 3.27, and 2.96 MPa, respectively).

Conclusion

This study contributes to understanding the interplay between SDF application protocols, esthetic concerns, and the adhesive properties of bioactive restorative materials. Giomer exhibited enhanced bond strength after SDF application, unlike Activa BioActive. In addition, incorporation of KI or GSH adversely affected the bond strength of both the restorative materials, underscoring the critical need for cautious clinical application.

Clinical Relevance

This study highlights the importance of selecting appropriate dentin pretreatment agents to maximize the bond strength of bioactive restorative materials with carious dentin. SDF application significantly enhanced the bond strength of Giomer with carious dentin compared to Activa BioActive, thus, making it a good choice for restoring nonesthetic areas. In addition, the application of KI or GSH to mitigate discoloration of carious dentin negatively affected the bond strength of both, Activa BioActive and Giomer. Thus, the clinicians should weigh the benefits of SDF against potential bond strength reductions when using KI or GSH, especially for esthetic restorations.

Early Orthodontic Treatment Needs of Children in High Caries Population Using Index for Preventive and Interceptive Orthodontic Treatment Needs

Aim

Early identification and management of developing malocclusion can reduce or eliminate the need for future complicated treatment procedures. The present study was undertaken to assess early orthodontic treatment needs in 6- and 9-year-old children using the index for preventive and interceptive orthodontic treatment need (IPION) in Pune, India.

Materials and methods

A total of 360 children reporting to the Department of Pediatric and Preventive Dentistry were evaluated clinically and on their respective dental casts according to the IPION requirement. The overall scores were then categorized into "no treatment need," "moderate treatment need," and "definitive treatment need."

Results

The final data obtained that around 6.1% of the children had no treatment need, 25% of the children had moderate treatment need, and 68.8% of the children had definitive treatment need.

Conclusion

Within the limitations of the study, we conclude that the studied population had a high early orthodontic treatment needs which can be attributed to the high caries in the study population.

Clinical significance

This study provides a better alternative to determine early orthodontic treatment needs using IPION, as it includes more relevant orthodontic parameters in high caries population compared to conventional orthodontic treatment need indices.

How to cite this article

Khan HA, Mathur A, Shetty SS, et al. Early Orthodontic Treatment Needs of Children in High Caries Population Using Index for Preventive and Interceptive Orthodontic Treatment Needs. Int J Clin Pediatr Dent 2024;17(10):1099-1103.

Prevalence of dental caries among children and adolescents with intellectual disability in India: A scoping review

BACKGROUND

Children with intellectual and developmental disabilities are at a higher risk of developing dental caries. Few scoping reviews have been conducted in India to understand their issues. We aimed to summarise the distribution and risk factors of dental caries among children and adolescents with intellectual disabilities in India.

METHODS

A scoping review was conducted based on the Arksey O Malley framework. Quality assessment of studies, descriptive and thematic analyses were also conducted.

RESULTS

We charted, collated, and summarised from four databases. Thirty-one studies met the study criteria consisting of children and adolescents with intellectual disabilities. Median caries prevalence was 70%, decayed missing and fIlled permenant teeth (DMFT) was 2.4, decayed missing and filled decidous teeth (dmft) was 2.36, and DMFS was 3.7. Major determinants were the severity of disability, socioeconomic status and parents' education. Oral care and dental visits were inadequate.

CONCLUSION

Further exploration is required to improve access and reduce caries experience and prevalence among children with intellectual and developmental disabilities in India.

Oral health status of prisoners in India: A systematic review and meta-analysis

AIMS

Given the high prevalence of oral health problems among prisoners, the goal of this systematic review is to provide a better knowledge of the scope of this problem.

METHODS

Electronic searches of PubMed/MEDLINE, Embase, Scopus, and Google Scholar were performed. Studies that investigated inmates aged 18 or older with oral health problems were eligible. Variables reported in four or less studies were described narratively. Conversely, for variables reported in more than four studies, a meta-analysis was performed using random effect model. Furthermore, meta-regression and sensitivity analysis is also performed to evaluate moderator effect on outcome. Doi and LFT index is applied to assess publication bias.

RESULTS

Out of 494 results, 12 studies were included. The pooled prevalence of caries among prisoners is 78.42% (59.48%-92.58%). On meta-regression, the prevalence of caries appears to be lower in studies with a higher male percentage; however, non-significant (p = .079) due to small sample size. Community periodontal index (CPI) scores revealed periodontal disease, with scores of 3 and 4. Moreover, a significant need for oral hygiene instruction, prosthesis, extraction, and tooth ache, periodontal disease, oral mucosal lesions, leucoplakia, attrition, abrasion, bruxism, and smoking behaviors were also reported.

CONCLUSION

Poor oral health status in the incarcerated population highlights the urgent need for comprehensive oral health intervention in prisons.

Improved Esthetics Using Silver Diamine Fluoride in the Management of Early Childhood Caries: A Case Series

Dental caries prevention using an application of silver diamine fluoride (SDF) is an emerging advanced treatment modality in pediatric dentistry. However, a major drawback of SDF application is the black staining of carious lesions, which limits its clinical use due to esthetic concerns. Improving the esthetic outcome by reducing black staining would significantly enhance the opportunity for the universal use of SDF. This case series comprises three cases demonstrating the clinical success of using potassium iodide (KI) to reduce staining, followed by glass ionomer cement (GIC) restoration in primary molars. Upon 12-month follow-up visits, the treated teeth remained clinically asymptomatic, with esthetically acceptable restoration margins. Additionally, the esthetic results were acceptable to both parents and patients. The significance of utilizing KI and GIC following SDF application lies in their synergistic effect on masking discoloration resulting from SDF treatment while enhancing tooth functionality, thereby meeting patients' esthetic requirements and improving chewing efficiency.

Oral health practices related risk factors and prevalence of dental caries in Armed Forces: A multicentric study

Background

Dental caries is a multifactorial disease known to be associated with the individual's lifestyle and attitude to health. Prevalence of dental caries in military personnel is higher due to their rugged profession, where soldiers endure the toughest of hostilities. The aim of this study was to assess the prevalence of dental caries in Indian Armed Forces and its association with oral health related behaviours, i.e., tooth brushing, flossing, smoking, use of fluoride toothpaste, and pattern of dental attendance.

Methods

Total of 22690 individuals with a mean age of of 35 ± 8 were examined. A cross-sectional questionnaire survey was conducted to collect data on oral hygiene habits, following which oral inspection of the individuals was done. Once the data was compiled, the Decayed, Missing and Filled Teeth (DMFT) index was used to determine caries experience and to compare with oral health behaviours.

Results

Armed Forces of India has a pan India presence, and as a result, study pertaining to soldiers becomes cumbersome. The study was conducted to assess the changing patterns of oral diseases, create oral awareness, and to initiate oral health bank data of soldiers. The prevalence of dental caries 58.4% and DMFT rate 4.67+/-1.94 of Indian soldiers remains lower than those of the rest of the Armed Forces of the world.

Conclusion

Prevalence of caries in Indian soldiers is lower than that of the rest of the Armies. The study depicts caries experience was lesser in soldiers practising positive oral health behaviours and a strong association between the rate of caries experience and oral health-related behaviours.

Evaluation of the efficacy of buffered local anesthetic in extraction of infected teeth-randomized double-blind study

PURPOSE

In the presence of infection, acidic pH of a lignocaine local anesthetic causes undesirable effects such as burning on injection, relatively slow onset, and lack of numbness. Buffered lignocaine will increase the pH of the solution and may resolve above problems. Thus, the objective of this study is to compare the efficacy of buffered lignocaine with that of commercial lignocaine.

METHOD

Seventy patients with infected teeth were randomly divided into two equal groups. The study group received buffered lignocaine (8.4% sodium bicarbonate added to 2% lignocaine mixture) while the control received commercial lignocaine preparation (2% lignocaine with 1:80,000 adrenaline). Burning while injection, pain using VAS scale and onset of action with EPT (electric pulp tester) were recorded.

RESULTS

In the study group, the VAS score after injection was 1.20 ± 0.68 and the control group was 2.57 ± 0.92 (p = 0.001). There was a statistically significant reduction in pain reduction in the study group. The time of onset was 3.97 ± 0.71 and 5.67 ± 1.15 min, respectively, and the difference was statically significant. Only one-third of the study group experienced burning on injection as compared to two-thirds in the control group.

CONCLUSION

Buffered lignocaine is more effective as compared to commercial lignocaine in the extraction of infected teeth.

CTRI NUMBER

CTRI/2022/01/039476.

Comparison of Dental Caries Risk Assessment Using CaRisk- A Simple Mobile Based Application and WHO deft, DMFT Scores: A Cross Sectional Study

Statement of the Problem

It is essential to address caries risk at an early stage for the prevention of dental caries. Mobile application CaRisk is designed in a particular way to self-assess the dental caries risk by the individual's themselves.

Purpose

The current study aimed to assess the dental caries risk among age groups 5-6 and 35-44 using self-assessment caries risk mobile application CaRisk and compare it with the deft and DMFT values.

Materials and Method

This cross-sectional study was conducted in Chennai, India; to evaluate the risk of dental caries in children aged 5 to 6 and adults aged 35 to 44. The scores of the mobile application CaRisk and the decayed- extracted- filled teeth (deft)/ decayed-missing-filled-teeth (DMFT) caries risk assessment were evaluated. Descriptive statistics were performed. The risk category was determined by frequency. Chi-square analysis was done to determine whether the DMFT scores and the CaRisk mobile app were associated. The correlation was performed between the CaRisk mobile application and DMFT scores.

Results

Association was found between the caries risk assessment score of the mobile application CaRisk and the DMFT and deft scores of the adults and children for both the age groups 5-6 and 35-44 years respectively and it indicates that it was found to be statistically significant. Pearson's correlation was performed to assess the strength of association and R-values obtained for the age group 5-6 and 35-44 years respectively, which was statistically significant (0.892 and 0.840).

Conclusion

This CaRisk mobile application scores correlate with the deft and DMFT scores and it is an effective self-diagnosis tool for assessing dental caries risk assessment. Further, it is suggested that the mobile application CaRisk should be tested among a huge population.

Bibliometric Analysis of Clinical Trials on the Effect of Sugar Alcohol Consumption on Oral Health: Trends, Insights, and Future Directions (1967-2024)

In recent years, the quest for healthier alternatives to sugar has led to the widespread use of sugar alcohol in various food and beverage products. Sugar alcohols, such as xylitol, sorbitol, and erythritol, are popular substitutes due to their sweet taste and lower calorie content than sucrose. Beyond their role in calorie reduction, sugar alcohols have garnered attention for their potential impact on oral health. The bibliometric analysis of clinical trials on sugar alcohol and oral health in PubMed reveals a dynamic and multifaceted research landscape shaped by various factors. Fluctuations in publication rates over time suggest influences such as shifts in research interests, technological advancements, regulatory changes, and evolving consumer behaviors. Key authors like Makinen KK, Makinen PL, and Soderling E emerge as prolific contributors with collaborative solid networks within the research community. The University of Turku in Finland has been identified as the highest contributing university, while Caries Research is the most contributing journal based on the number of clinical trials published. The country-wise analysis highlights Italy and the United States as substantial contributors, with diverse trajectories of research activity observed across nations. The subject-specific words with the highest cooccurrence are xylitol, dental caries, chewing gum, Streptococcus mutans, and saliva. Thematic analysis dives deep into how sugar alcohols relate to oral health, using different methods to study their effectiveness, safety, and how they affect the oral microbiome. The analysis of topic trends indicates ongoing exploration of sorbitol and xylitol, with an increasing emphasis on the potential advantages of xylitol. Additionally, there is notable attention on cariostatic agents, strategies for dental caries prevention, and the emergence of novel research domains like probiotics and erythritol, showcasing the dynamic evolution of oral health research focuses and developments. Overall, this analysis provides valuable insights into the distribution and trends of clinical trial publications, contributing to a nuanced understanding of the research landscape in sugar alcohol and oral health.

Decoding Early Childhood Caries: A Comprehensive Review Navigating the Impact of Evolving Dietary Trends in Preschoolers

This comprehensive review delves into the intricate relationship between evolving dietary trends in preschoolers and the prevalence of early childhood caries (ECC). The investigation meticulously analyzes ECC epidemiology, etiology, and preventive strategies. The review unveils the multifaceted nature of ECC, highlighting microbial, dietary, and environmental factors contributing to its development. Significantly, the study explores the global prevalence of ECC and its substantial implications for the overall health, nutrition, and development of preschool-aged children. The implications for public health and policy are deliberated, advocating for targeted interventions and collaborative efforts among healthcare professionals, policymakers, educators, and parents. The conclusion presents a compelling call to action, urging collective engagement to mitigate the impact of ECC and prioritize the well-being of preschoolers. This review offers valuable insights for healthcare professionals, policymakers, educators, and parents to inform evidence-based strategies for addressing ECC and promoting early childhood oral health.

Assessment of Interleukin-6 Levels and Lactobacillus casei Counts in Pediatric Stainless Steel and Zirconia Crowns: A Comparative Study

Background

Pediatric dental crowns play an integral role as they maintain the form and function and prolong the life of the affected tooth. However, placing a crown in the oral cavity creates a new niche for the adhesion of microorganisms that can lead to plaque accumulation, gingival inflammation, and the development of secondary caries, which in the long term might determine the clinical success of the restored tooth. The present study allowed us to assess the changes caused by the full coverage restorations at a clinical, immunological, and microbiological level using enzyme-linked immunosorbent assay (ELISA) and microbial analysis.

Materials and methods

The in vivo analysis consisted of a total of 26 children aged 3-10 years. They were divided into two groups, group I (n = 13) children receiving preformed zirconia crowns and group II receiving stainless steel crowns (SSCs). Plaque index (PI) scores, gingival index (GI) scores, and interleukin-6 (IL-6) levels were assessed at baseline and at 45 days of follow-up. The in vitro part of the study consisted of 13 preformed zirconia crowns and 13 SSCs which were immersed in artificial saliva containing strains of Lactobacillus casei which were then processed for their microbial analysis.

Results

On mean comparison, preformed zirconia crowns performed superiorly both clinically and immunologically compared to SSCs. Microbial analysis using independent t-test revealed that the colony-forming units (CFU) per milliliter was statistically significantly higher for the SSCs, and the mean difference among the groups was statistically significant (p < 0.01).

Conclusion

Preformed zirconia crowns can be a relative replacement for SSCs in primary teeth with the advantage of esthetics and superior periodontal health.

How to cite this article

Saharia NP, Malik M, Jhingan P, et al. Assessment of Interleukin-6 Levels and Lactobacillus casei Counts in Pediatric Stainless Steel and Zirconia Crowns: A Comparative Study. Int J Clin Pediatr Dent 2024;17(4):395-403.

Polymerase chain reaction-based identification of various serotypes of Streptococcus mutans in adults with and without dental caries

Background

Dental caries is a multistep process which initiates the development of plaque' defined as a structured biofilm containing microbial communities. Teeth provide unique surfaces for bacterial colonization. Serotypes of Streptococcus mutans implicate the development of dental caries.

Aim

The aim of the study was to determine the prevalence and association of serotypes of S. mutans in groups with and without dental caries.

Materials and Methods

One hundred and fifty adults aged between 18 and 35 years were included in the study. Supragingival plaque samples were collected, followed by deoxyribonucleic acid extraction. Polymerase chain reaction was performed to identify S. mutans and its serotypes. Proportions of S. mutans and its serotypes were correlated with caries-active (CA) and caries-free (CF) groups.

Results

CA group showed 66.7% positivity for S. mutans and CF group showed only 42.7% of positivity. Serotype C showed a higher proportion followed by E' F, and K in the CA group, whereas in the CF group, higher proportion was observed with K followed by C' E, and F. 70.8% cases showed single serotype in the CA group and 83.3% in CF group. Multiple serotypes were seen in 29.2% in the CA group and 16.7% in the CF group.

Conclusions

The study clearly established variation in proportions of S. mutans and its serotypes between CA and CF groups. Positive correlation was observed in the CA group for S. mutans and its serotypes.

Effectiveness of Oral Cephalexin-Clavulanic Acid, Cefuroxime, and Amoxicillin-Clavulanic Acid in the Management of Dental Infections: A Real-World, Retrospective, Electronic Medical Record-Based Study in India

BACKGROUND

Despite multiple antibiotics being available to manage dental infections (DI), there is lack of data comparing commonly prescribed antibiotics in India.

OBJECTIVES

The aim of this study was to evaluate the real-world effectiveness and tolerability of cephalexin-clavulanic acid fixed-dose combination (cephalexin CV FDC) in contrast with amoxicillin-clavulanic acid (co-amoxiclav FDC) and cefuroxime among patients with dental infections (odontogenic) in India.

METHODS

This retrospective, multi-centric, observational, real-world electronic medical record (EMR)-based study was conducted between January 2022 and December 2022. The EMRs of 355 adults with DI receiving oral cephalexin CV, co-amoxiclav, or cefuroxime were categorized into two distinct groups: Group I (Test Group) with patients prescribed cephalexin extended release 375/750 mg along with clavulanic acid 125 mg; and Group II (Comparator Group) with patients prescribed co-amoxiclav 625 mg (500 mg amoxicillin + 125 mg clavulanic acid) or cefuroxime (250 mg/500 mg).

RESULTS

Toothache was the most common complaint, reported by 95.5% of patients, followed by swelling (46.8%), tooth sensitivity (35.5%), pus discharge (33.0%), redness and halitosis (30.4% each). Dental caries was observed in 81.1% of patients. Clinical improvement, defined as improvement/partial resolution of infection-related clinical signs and symptoms (composite measure of pain, swelling, fever, requirement of additional antimicrobial therapy) as per dentists' judgment, was recorded in 98.3% of patients with cephalexin CV, 96.8% of patients with co-amoxiclav, and 98.9% of patients treated with cefuroxime within 10 days. Time (days) to clinical improvement was numerically lesser among patients receiving cephalexin CV (4.6 ± 2.0) compared with cefuroxime (4.9 ± 2.1) and co-amoxiclav (5.0 ± 2.6). All treatments were well tolerated.

CONCLUSION

Cephalexin CV was as effective as co-amoxiclav and cefuroxime, with faster clinical improvement and better resolution of certain symptoms.

Utilization of dental health services and its associated factors among adult population in Ernakulam district, Kerala, India: A mixed-method analysis

Background

There exists a high burden of oral diseases. Yet, the utilization of oral health care remains low. Understanding how, when, and why/why not individuals utilize dental healthcare resources is essential for planning health services and developing policies as it reflects the population's oral health needs, helps allocate resources efficiently, and formulate policies that are tailored to address their needs.

Objectives

To assess the utilization of dental health services and its associated factors along with barriers and facilitators among adults residing in Ernakulam district, Kerala, using the Anderson healthcare model for healthcare utilization.

Methods

A mixed-method study was conducted among adults aged 18 years and above in urban and rural wards of Ernakulam district using the cluster sampling method. Univariate and multivariate analysis were used for the quantitative part, and thematic analysis was used for the qualitative aspect. The total sample size was 544.

Results

The dental healthcare utilization was 15.4 ± 2.9 % among the study participants. Age and education were associated with dental healthcare utilization. The level of education, pain, and self-consciousness of oral diseases were independent predictors. Barriers identified were negative attitudes, financial restraints, and difficulty in access, while facilitators were trust in service providers, availability of services, and a positive attitude.

Conclusion

Utilization was poor despite the perceived need for oral health care. This was affected by several personal and system-level facilitators and barriers.

Interplay between dental caries pathogens, periodontal pathogens, and sugar molecules: approaches for prevention and treatment

Globally, oral diseases affect nearly 3.5 billion people, accounting for 4.6% of the healthcare expenditure. Common oral diseases include dental caries and periodontal disease, associated with biofilms formed by cariogenic pathogens. Epidemiological studies associate carbohydrates with these diseases due to  the sugars metabolized by cariogenic pathogens. This review focuses on dental caries and periodontal pathogens, quorum sensing, lectin-carbohydrate interactions, and various sugar molecules. Cariogenic sugars significantly influence biofilms by enhancing pathogen adhesion, viability, and gene expressions associated with biofilm formation. Moreover, lectin-carbohydrate interactions contribute to biofilm stability. Disrupting these interactions is a potential strategy for oral disease prevention. The use of nanoparticles, such as quantum dots, provides novel insights into lectin-sugar interactions and the development of inhibitors. Additionally, nanomaterials like calcium phosphate nanoparticles neutralize acids and inhibit microbial growth. This overview emphasizes understanding the relationships between oral diseases, microbial communities, and sugars to devise preventive and therapeutic strategies against oral diseases.

Tobacco use and oral health related quality of life among Indian adolescents

OBJECTIVES

The present study was conducted to assess tobacco use and its effect on Oral Health-Related Quality of Life (OHRQoL) in Indian adolescents.

METHODS

The present study was conducted on 1,600 13-14 year old adolescents from the schools of Modinagar, western Uttar Pradesh, India selected using stratified random sampling technique. OHRQoL was assessed using Hindi version of Child Perceptions Questionnaire (CPQ). Information regarding demographic, socioeconomic and oral health measures was also collected from the study participants. Tobacco use was assessed through questions derived from Global Youth Tobacco Survey (GYTS) questionnaire. Influence of predictor variables on tobacco use was evaluated using multilevel Poisson regression model.

RESULTS

The tobacco use among the study population was 8.1 % and CPQ scores were 9.15±0.32. Adolescents who used tobacco had worse OHRQoL scores. Low socioeconomic status, presence of dental caries, absence of regular dental visits (last 6 months) were associated with increased regular consumption of tobacco products.

CONCLUSIONS

The findings of the present study play an important role in planning public health strategies to improve adolescent OHRQoL and reduce tobacco use.

Formulation and antibacterial properties of lollipops containing of chitosan- zinc oxide nano particles on planktonic and biofilm forms of Streptococcus mutans and Lactobacillus acidophilus

This study aimed to formulate and characterize the experimental lollipops containing chitosan- zinc oxide nanoparticles (CH-ZnO NPs) and investigate their antimicrobial effects against some cariogenic bacteria. The CH-ZnO NPs were synthesized and characterized by X-ray diffraction (XRD), Fourier Transform Infrared Spectroscopy (FTIR) analysis, and Transmission electron microscope (TEM). Then, four groups were made, including lollipops coated with 2 and 4 ml of CH-ZnO NPs, 0.7 ml CH-ZnO NPs incorporated lollipops, and those with no CH-ZnO NPs. Their antibacterial effectiveness against Streptococcus mutans and Lactobacillus acidophilus was evaluated by direct contact test and tissue culture plate method in planktonic and biofilm phases, respectively. Chlorhexidine mouthrinse (CHX) was used as a positive control group. In the planktonic phase, the antibacterial properties of both groups coated with CH-ZnO NPs were comparable and significantly higher than incorporated ones. There was no significant difference between CHX and the lollipops coated with 4 ml of NPs against S. mutans and CHX and two coated groups against L. acidophilus. None of the experimental lollipops in the biofilm phase could reduce both bacteria counts. The experimental lollipops coated with 2 and 4 ml of CH-ZnO NPs could reveal favorable antimicrobial properties against two cariogenic bacteria in the planktonic phase.

Role of diet and dietary habits in causing dental caries among adults reporting to a tertiary care hospital in Pakistan; a case-control study

Objective

To determine the association of diet and dietary practices with dental caries among adults.

Design

A case-control study.

Setting

Operative Department, Rawal Institute of Health Sciences, Islamabad, Pakistan.

Participants

300 participants of both genders, aged 25-50 years.

Interventions

A food frequency questionnaire and a patient proforma were used to determine the frequency and preferences of diet and dietary habits that may be associated with dental caries among adults, respectively. The diet and dietary habits of 150 adults with caries (cases) were compared with those of 150 adults without dental caries (control). An independent sample T-test was applied to determine the difference in mean age. Mann-Whitney and Chi-Square tests were applied to determine the significance of diet and dietary habits respectively. Multivariate logistic regression analysis determined the odd ratio change in significant variables. P-value ≤0.05 was considered significant.

Results

Refined sugar (p-value = 0.69), fruit juices (p-value = 0.45), carbonated beverages (p-value = 0.91), duration of consumption of sugary food (p-value = 0.07), and frequency of brushing (p-value = 0.15) were not found to be significantly associated with dental caries in adults. The gender (p-value = 0.02), preferred time for eating sugary foods (p-value <0.001), smoking (p-value <0.001), and tea consumption (p-value = 0.02) were found to be significantly associated with dental caries.

Conclusion

Adults who regularly consumed sugar as a snack other than regular mealtimes were more likely to be associated with dental caries. Men, smokers, and adults who frequently took shots of sugar with their tea were more likely to be associated with dental caries.

Prevalence of root caries in Indian population - a systematic review and meta-analysis

AIM

To evaluate the pooled prevalence of root caries among Indian population through systematic review and meta-analysis.

MATERIALS AND METHODS

The study protocol adhered to the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines and was registered in PROSPERO (CRD42022367365). Research articles published in English language till July 2022 were evaluated with the use of databases like PubMed, Science Direct, Google Scholar, Cochrane, and Scopus and employed standard Boolean operators.

RESULTS

The search turned up a total of 194 articles; however, only 14 of those matched the requirements for inclusion and were used to compile the meta-analysis. MedCalc® Statistical Software version 20.2 was used to determine the pooled estimates. Using the random effect model, the analysis was carried out. By estimating the heterogeneity using Higgins' I2 statistics, the extent and importance of differences between the chosen studies were ascertained. Publication bias was assessed using the funnel plot and Egger's test. The random effects model yielded a pooled prevalence of 27.617 (95% CI = 17.422-39.154).

CONCLUSION

Three out of ten persons in India may be affected by root caries, which is a serious health issue. To enhance the quality of life for the aged population, oral health policies and preventive actions should concentrate on this issue.

Arginine: A New Paradigm in Preventive Oral Care

Dental caries is ubiquitous and one of the most prevalent oral diseases and the foremost cause of dental pain and poor quality of life (QoL). Fluoride is an effective caries preventive agent; however, despite its use, there remain some gaps in prevention of dental caries. Arginine, an amino acid, helps to maintain a noncariogenic plaque. It shows synergistic effects with fluoride in dental caries and can help nourish the tooth by enhancing the remineralization effect of fluoride. Supplementing fluoride dentifrices with arginine can bridge the gap in caries prevention. Several clinical studies with 1.5% arginine + fluoride provide evidence for its use in prevention of dental caries. This report throws light on the benefits of arginine in dental caries and guides on its use with fluoride. Recommendations given in the report will help in effective prevention of dental caries.

How to cite this article

Goyal V, Damle S, Puranik MP, et al. Arginine: A New Paradigm in Preventive Oral Care. Int J Clin Pediatr Dent 2023;16(5):698-706.

Prevalence of Oral Health Status among the General Population in Kallakurichi District, Tamil Nadu, India- A Cross-Sectional Study

Aim

The aim of this study is to analyze the prevalence of oral health status among the general population in Kallakurichi district, Tamil Nadu, India.

Materials and Methods

A descriptive cross-sectional study was conducted among the general public in the Kallakurichi district. A total number of 176 samples were selected and equally divided among urban (88 samples) and rural areas (88 samples). The samples were obtained from various parts of urban and rural areas in the Kallakurichi district based on the multistage random sampling method. The data regarding oral health status was recorded using the World Health Organization (WHO) Proformas 2013 and 1997. The collected data were tabulated and analyzed using the Chi-square test.

Results

The prevalence of dental caries (74.1%) was found to be the highest in the Kallakurichi district, followed by malocclusion (71.7%) and periodontal diseases (66.7%). A significant result was found in dental caries, dental fluorosis, dental trauma, and dental erosion between the index age groups.

Conclusion

The government of Tamil Nadu should take proper preventive measures and also provide oral health knowledge and awareness among the public to overcome these dental problems.

Prevalence and correlates of dental caries among 2-5 years children with special reference to breastfeeding in Kamrup District, Assam

Background

Dental caries among children is one of the most common health-related issues worldwide.

Aim

To find out the prevalence of dental caries among 2-5 years old children in Kamrup district of Assam with reference to breastfeeding and associated variables.

Materials and Methods

In this community-based cross-sectional study, 1439 children were examined from 15 wards of Kamrup Metro and four randomly chosen blocks of Kamrup Rural. Children were examined to assess the mean decayed/filled primary teeth (dmft) index, and a self-administered validated questionnaire was given to the mothers to collect data on the practice of breastfeeding initiation, its duration, and dental hygiene habits.

Results

Dental caries prevalence was found to be higher in urban areas (54.6%) than rural areas (45.4%). The frequency of using toothpaste was highest among the tooth-cleaning materials. A significant difference in caries prevalence was observed among the children, those who brushed twice a day, and those who did not brush (P = 0.039). The difference was significant in the mean dmft of children from the upper socioeconomic class (P = 0.023) compared with the other classes. A significant difference was also observed between breastfeeding duration (P = 0.010), exclusive and nonexclusive breastfeeding, time of initiation of breastfeeding within 12 h (P < 0.001), and alternative feeding with caries prevalence (P < 0.001).

Conclusions

Dental caries were higher in urban localities and upper socioeconomic classes. Breastfeeding initiation and duration may play an important role in the causation of dental caries. No significant association was found between colostrum, prelacteal feeding, and caries prevalence.

An Analysis of Gender Differences and Assessment of Oral Health Status among the General Population Residing in Kanyakumari District: A Pathfinding Scientific Study

Aim

The aim of this study is to assess the prevalence oral health status among the general population residing in Kanyakumari district, Tamil Nadu, India.

Materials and Method

A descriptive cross-sectional study was conducted among the general public of index age groups to analyze the oral health status in the Kanyakumari district. A total number of 400 samples were selected and were equally divided among urban (200 samples) and rural areas (200 samples). The samples were further divided randomly based on the index age groups 5, 12, 15, 35-44, and 65-74 years using the multistage random sampling method. The data regarding oral health status was recorded using the World Health Organization's (WHO's) Oral Health Assessment Form 2013 and 1997. Collected data were tabulated and analyzed using descriptive statistics and the Chi-squared test.

Results

The prevalence of periodontal diseases (88.75%) was found to be highest in Kanyakumari district, followed by dental caries (63.7%) and malocclusion (63.1%). There was a statistically significant difference found between oral health status and index age groups.

Conclusion

Oral disorders such as dental caries, periodontitis, and dental fluorosis are more prevalent among the Kanyakumari district population. Oral health policies should be targeted to the populations in the Tamil Nadu region.

Impact of dental caries and nutritional status on oral health related quality of life in young Indian adolescents

Background

A combination of poor oral health status and malnourishment ultimately affect the quality of life of the person. Hence, these tools may help in identifying individuals at risk of poor quality of life and malnutrition caused by oral problems especially in adolescents.

Objective

To test the association between dental caries, nutritional status and Oral Health Related Quality of Life (OHRQoL) in 12-15 year-old school going adolescents.

Study design

A cross sectional study was conducted on 12-15-year-old school going adolescents. A total of 1214 adolescents participated in the study. Data on quality of life was collected using OHIP-14 and clinical examination was done to assess the DMFT status and Body Mass Index (BMI) as measure of nutritional status of the subjects.

Results

DMFT was found to be positively correlated with total OHIP score, however BMI was negatively correlated with OHIP. Controlling for BMI, partial correlation analysis revealed that there is a weak association between OHIP and DMFT scores which was found to be statistically significant.

Conclusion

Both caries experience and nutrition status had significant impact on Quality of Life. All the three parameters were found to be correlated to each other.

Evaluation of Age, Chief Complaint, Diagnosis, and Treatment Done during the First Dental Visit among Children in an Academic Dental Institution in Southern Kerala, India

Context

A regular and timely first dental visit plays a cardinal role in the future oral health of the child. It is used to begin preventive and corrective interventions in dental care.

Aim

To evaluate the age, chief complaint, diagnosis, and treatment done during the first dental visit among children in an academic dental institution in southern Kerala, India.

Materials and Methods

A descriptive cross sectional retrospective survey was conducted between January and June 2022 among children in an academic dental institution in southern Kerala, India. The hospital records at the Pushpagiri College of Dental Sciences were examined to obtain the child's age, chief complaint, diagnosis, and treatment done during the first dental visit among children. Statistical Analysis: The data were expressed in frequencies and percentages.

Results

The records of 1000 children (680 male and 320 female) were examined. Most children (40%) who came for their first dental visit were aged between 4 and 6 years. Only 16% of children aged 0-3 years came for their first dental visit. Pain and sensitivity (50%) and tooth decay (17%) were the most common chief complaints among children. Dental caries (45%) and pulpal pathology (38%) were the most common diagnoses among children. The most common treatments done were glass ionomer cement restorations (32%), followed by prescribing medications (29%). No treatment was required for 16% of the children. Only a minority (3%) of the children received preventive treatments.

Conclusions

The first dental visit was delayed, and most children sought treatment only during apparent acute symptoms. There is a high prevalence of oral disease burden and underutilization of preventive dental care among children. Education of parents on the value of first dental visits and the usage of preventative dental care in children is crucial.

Antimicrobial activity of Curcuma amada extract on Streptococcus mutans-An in vitro study

Context

Dental caries is prevalent in spite of widespread use of mechanical and chemical plaque control methods. Streptococcus mutans is said to have a strong background in initiation of dental caries. Hence, exceptional methods are required which would be effective against dental caries. Current era is taking people back to traditional or herbal medicine, which is said to have comparatively better healing effects than synthetic drugs in the market.

Aim

Determine and analyse the minimum zone of inhibition of Curcuma amada against Streptococcus mutans.

Settings and Design

An In vitro Study.

Methods Statistical Analysis Used

The well diffusion method using blood agar plates was used to evaluate the antibacterial activity of 5%, 10% and 25% concentration of C. Amada extract against Streptococcus mutans in comparison with 0.2% chlorhexidine. Results were statistically analysed using independent sample t-test or Mann-Whitney U test to compare mean or median zone of inhibition between two groups. Thus, the zone of inhibition (in mm) was analysed using the mean of all the readings obtained and the level of significance at <0.05 was considered statistically significant at 5% of level of significance.

Results

Maximum zone of inhibition was found to be with C. amada compared to corresponding concentration of 0.2% chlorhexidine. Thus, inhibitory effect of C. amada is significantly better than 5%, 10% and 25% chlorhexidine mouthwash. The inhibitory effect increases as the concentration increases.

Conclusions

The antibacterial activity of C. amada against Streptococcus mutans raises the possibility of incorporating it in various dental therapeutic agents.

Oral Health Needs and Barriers among Children in Saudi Arabia

(1) Background: Understanding oral health needs and barriers is important to overcome the oral disease burden, especially after the COVID-19 pandemic. The aim of this study was to assess oral health needs and barriers among Saudi children after the COVID-19 pandemic wave started. (2) Methods: Parents of healthy children aged 3-11 years from five regions of Saudi Arabia were surveyed using an electronically administered validated questionnaire from Febuary-2021 to July-2021. Oral lesions/manifestations during the last 12 months reported by parents included tooth discoloration, ulcers, abscess, swelling of the gingiva, halitosis, gingival bleeding, dry mouth, pain while eating, difficulty in speaking or eating, burning sensation, and white spots. Barriers were assessed according to the WHO Oral Health Questionnaire. (3) Results: Children experiencing toothaches were reported by 1098 (72.4%) respondents. When reported, oral manifestations and lesions were associated with a higher inability to visit a dentist (p < 0.001). Barriers to dental care were more frequent among parents with lower education (p < 0.001; adjusted-odds ratio (AOR), 1.815) and a greater number of children (p < 0.001; AOR, 1.197). (4) Conclusion: Parents reported a high frequency of unmet oral health needs. Education could play an important role in improving oral health care in children and as a predictor of public health concerns.

Dental Caries and Oral Health Status of Psychoactive Substance Abusers

Substance-abuse disorders are universally associated with comorbid illness. Tobacco is a widely abused substance across the globe and presents a critical public health problem. The precise correlation between tobacco use and dental caries remains unclear. Thus, the present study aimed to evaluate the correlation between tobacco use and dental caries.

METHODOLOGY

Based on selection criteria, a total of 270 (age 20-50 years) participants were included in the study, and were categorized as group A (n = 135), consisting of tobacco users, and group B (n = 135), comprising healthy controls (non-users). The Decayed, Missing, and Filled index (DMFT) was used to measure caries status. The Simplified Oral Hygiene index was used to evaluate oral health.

RESULTS

The tobacco group reported the use of cigarettes; smokeless tobacco in indigenous forms, such as gutka (areca nut, tobacco, and slaked lime), betel nut chewing; and a combination. Individuals with tobacco habits had a higher prevalence of dental caries (Mean DMFT 4.73 ± 4.32) compared to the non-habit group (Mean DMFT 3.17 ± 3.11 (p = 0.001). The Oral Hygiene index was significantly higher (indicating bad/poor oral hygiene) in tobacco abusers than those of non-users (p = 0.0001). Duration and frequency of tobacco use were correlated with the levels of moderate and severe caries (p = 0.001).

CONCLUSION

Psychoactive substance abuse, such as smoking/smokeless tobacco consumption, is associated with higher prevalence of dental caries.

Dependence of the dental status of young individuals with different body weights on their eating behavior

Introduction. Obesity is a global problem of modern society. According to the WHO, in 2016, more than 1.9 billion adults are overweight and about 650 million adults are obese. Numerous studies indicate the role of overweight, obesity and metabolic status on periodontal health, however, the mechanism of their development is not fully understood. Aim. The aim of the study was to explore the mechanism of periodontal disease development in patients with diverse body mass index and the mechanism of extra weight and obesity onset in these patients. Methods. The study involved 132 Ukrainian males and females, 18 - 22 years old. Body mass index was determined in all patients. Information on life history, illness and family history was collected. The assessment of dental status was conducted by indicating the oral and tongue hygiene indices and periodontal indices. Eating behaviour was assessed using the standardised Dutch eating behaviour questionnaire (DEBG) and the three-factor eating questionnaire (TFEQ R-18). Diet assessment was determined by standardized diet questionnaire. Results. More than 60% of young people with the 1st and 2nd degree obesity had eating disorders, the most prevalent were disturbance of cognitive restraint and emotional eating components of eating behavior. The prevalence of periodontal disease was significantly higher in obese individuals, up to 87% in patients with the 1st and 2nd degree obesity. Conclusion. Eating behavior disturbances play a crucial role in the development of obesity in young adults and onset of gingivitis. The cause of non-plaque-induced gingivitis in patients with the 1st and 2nd degree obesity is a impaired general host response to the pathogenic factors of the oral cavity, caused by excess adipose tissue, which led to the development of chronic systemic mild inflammation. That is why these patients need a specific, integrated periodontal treatment.