Caries
Jasmin Koleini, DDS
Pediatric Dental Resident
Boston University, Boston, MA
Boston University Henry M. Goldman School of Dental Medicine
Boston, Massachusetts, United States
Christine Chiao, DMD
Clinical Assistant Professor
Boston University
Boston University Goldman School of Dental Medicine
Boston, Massachusetts, United States
Keri Discepolo, DDS, MPH
Post Graduate Program Director of Pediatric Dentistry
Boston University Henry M. Goldman School of Dental Medicine
Boston, Massachusetts, United States
Purpose: Dental caries is the most common chronic disease of childhood in the U.S., and significant research has shown childhood caries to be associated with sugar consumption. The American Academy of Pediatrics recommends nutritional drink supplements for children who are unable to receive adequate nutrition from their diets, with Pediasure being a common brand that is used. This study aims to determine if there is an association between pediatric nutritional supplement drink consumption with dental decay in children under age 6.
Methods: A retrospective chart review was conducted of subjects of pediatric medical and dental patients from one hospital during the time period of June 1st 2015 to June 1st 2023. Selection criteria for subjects were under the age of 6 and who consume Pediasure, and had a completed medical and dental visit at BMC. Data was obtained through the Boston Medical Center Clinical Data Warehouse (CDW) and through manual chart review via two reviewers. 173 qualifying subjects were included.
Results: The prevalence of ECC among pediasure users was 44.5%; while the prevalence of S-ECC was 32.9%.A trend was shown for both ECC and S-ECC to occur after patients began pediasure usage, with a peak incidence between 1 to 2 years following initial pediasure use.
Conclusions: It is important to consider the potential cariogenic effect of added sugars in nutritional supplement drinks to prevent the progression of caries in children and to educate physicians and patients on the potential cariogenic effects of these products.
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