ReviewCaries research2019
Sugar Restriction for Caries Prevention: Amount and Frequency. Which Is More Important?
Review in Caries research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05310162 (Effect of the Intervention "Food, Fun and Family" on Sleep Bruxism in Children), which is not on this map. Cited by 73 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effect of the Intervention "Food, Fun and Family" on Sleep Bruxism in Children
Who cites it
73 citing papers in PubMed, 155 citations in OpenAlex.
- Dietary intake and meal patterns among young adults with high caries activity: a cross-sectional study.BMC oral health · 2022Trial
- Recommendations for Integrating Caries Risk Assessment into Primary Care for Indigenous Children.JDR clinical and translational research · 2026Article
- Fluoride Content and pH in Yerba Mate Infusions: A Study of South American Varieties.Biological trace element research · 2026Article
- Association between 6-n-propylthiouracil taste phenotypes and the development of initial caries lesions during fixed orthodontic treatment : A prospective cohort study.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2026Article
- Canadian Professional Association Resources on Diet and Tooth Decay: Website Content Analysis.JMIR formative research · 2026Article
- Early childhood caries in Romania: non-linear and spatial analysis of geographic sugar intake using LOESS, GAMs, and choropleth mapping.Frontiers in oral health · 2026Article
- Structural equation modeling to identify social and physical risk indicators of early childhood caries in suburban Nigerian population.Frontiers in oral health · 2026Article
- Mechanisms of caries induced by sugars: a narratives review from microbial metabolism to oral ecological imbalance and public health strategies for caries prevention.Frontiers in cellular and infection microbiology · 2026Review
- Barriers and facilitators of diet counselling in prevention of early childhood caries: A qualitative study of primary caregivers.Journal of family medicine and primary care · 2025Article
- Silver diamine fluoride effectiveness in arresting initial approximal caries lesions in adults: A triple-blinded, randomized controlled clinical trial.Journal of conservative dentistry and endodontics · 2025Article
- Factors Associated With Dental Caries in Primary Teeth of 5- and 6-Year-Old Polish Children.International journal of paediatric dentistry · 2025Article
- Oral health of individuals with intellectual disabilities: a global cross-sectional study from the special olympics world games 2023.Clinical oral investigations · 2025Article
- Dental Caries and Associated Factors in Tibetan School-Age Children in Gannan, China.International dental journal · 2025Article
- Dental Caries, Periodontal Status, and Lifestyle Connections: Examining the Moderating Effects of Sleep, Smoking, Diet, and Mealtime Routines.Nutrients · 2025Article
- "Evaluation of the effect of nutrition and oral hygiene on Dmft index of patients applying to restorative dentistry clinic".BMC public health · 2025Article
- Effectiveness of dental sealant under insurance coverage in South Korea.Clinical oral investigations · 2025Article
- The effect of the modified basic package of oral care on adolescent dental caries status in Zambia; a cluster randomized trial.Frontiers in oral health · 2025Article
- Article
- Impact of opioid abuse on oral health: a retrospective cohort study.Frontiers in oral health · 2025Article
- Therapeutic Patient Education and Eating Habits: A Challenge in Caries Disease.Dentistry journal · 2024Article
13 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The World Health Organization guideline to use less sugar may be an opportunity and support for dentistry in its goal to get the message of using less sugar across to the public. Two ways (with all the combinations of these) to achieve a reduction of sugar consumption are the reduction of the amount of sugar in products or the reduction of the frequency of consumption of sugar-containing products. Which sugar-reducing strategy is best for caries prevention? To answer this question, this manuscript discusses the shape of the dose-response association between sugar intake and caries, the influence of fluoridated toothpaste on the association of sugar intake and caries and the relative contribution of frequency and amount of sugar intake to caries levels. The results suggest that when fluoride is appropriately used, the relation between sugar consumption and caries is very low or absent. The high correlation between amount and frequency hampers the decision related to which of both is of more importance, but frequency (and stickiness) fits better in our understanding of the caries process. Reducing the amount without reducing the frequency does not seem to be an effective caries preventive approach in contrast to the reciprocity. Goals set in terms of frequency may also be more tangible for patients to follow than goals set in amount. Yet, in sessions of dietary counselling to prevent dental caries, the counsellor should not forget the importance of quality tooth brushing with fluoride toothpaste.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.