Oral Hygiene, Dietary Habits, and Saliva Properties in Relation to the Decayed, Missing, and Filled Teeth Index of Dental Students: A Pilot Study

• Published in: Medicina (Kaunas, Lithuania) Lithuania), 2024-12, Vol.60 (12), p.2023
• Main Authors: Mandinić, Zoran, Stojanović, Jelena, Prokić, Aleksandra, Beloica, Miloš, Jovanović, Svetlana, Kuzmanović Pfićer, Jovana, Mladenovic, Rasa, Kosanović, Dušan, Milanović, Milena, Todorović, Miloš, Milošević Marković, Maja, Dožić, Ivan
• Format: Article
• Language: English
• Subjects: Beverages; Biofilms; Carbohydrates; Dental caries; dental students; Dentistry; Dentists; diet; DMF index; Food; food and nutrition; Gender; Health aspects; Meals; Milk; Nutrition research; oral health; Oral hygiene; Questionnaires; Soft drinks; Students; Surveys; Teeth; Toothbrushing
• ISSN: 1648-9144; 1010-660X; 1648-9144
• DOI: 10.3390/medicina60122023

Background and Objectives: Caries development is associated with poor oral hygiene, inadequate dietary habits, quantitative and qualitative food content, and a high level of bacterial plaque. Physical and chemical changes in saliva composition and particularly changes in its buffering capability play a significant role in caries development. This study aimed to determine the predictors of poor oral health among a sample of second-year dental students. Materials and Methods: The oral health of students was estimated with clinical examination and the DMFT index. The interview included questions about demographics status (gender, age), a dietary habits questionnaire, questions about oral hygiene, and a demonstration of tooth brushing technique. Unstimulated saliva samples were collected to measure buffering capacity and pH. Results: Almost half of the students have a low level of caries experience (46.7%), followed by a slightly smaller number having a medium level (41.3%), while one in eight students (12.0%) demonstrates a high level of caries experience. Male students have a statistically higher DMFT index 5.7 ± 1.2 than female participants 4.5 ± 0.5 (p = 0.036). Significant predictors for the DMFT index score in students were milk [β-coefficient = −0.338, p = 0.011] and yoghurt [β-coefficient = 0.284, p = 0.040] consumption. All students brushed their teeth two or more times during the day, usually after waking up before breakfast and before bedtime. Most students (85.3%) apply the proper tooth brushing technique, with female students applying it more frequently (p = 0.038). The mean salivary pH was 6.9, while the mean buffer capacity was 5.8. Female respondents have a statistically lower buffer capacity (5.8 ± 0.5) than male respondents (6.1 ± 0.4) (p = 0.047). Conclusions: Dentistry students are introduced to good oral hygiene habits, especially female students, while dietary habits should be improved. However, one in eight dental students is at high caries risk. By assessing the level of caries experience, targeted strategies can be developed to promote, maintain, and enhance oral health among dental students.