ArticleClinical, cosmetic and investigational dentistry2026
Sugary Snack and Drink Consumption and Tooth Retention Among Residents with Disabilities in Thai Foster Homes: A Cross-Sectional Study.
Article in Clinical, cosmetic and investigational dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: To examine the association between sugary snack and drink consumption frequency and tooth retention among residents with disabilities living in Thai foster homes. Patients and Methods: We employed a cross-sectional design using secondary data from a World Health Organization (WHO)-based oral health survey conducted in October 2025 across two government-run foster homes in Thailand (parent survey n = 301). The analytic sample included 247 residents aged 13-59 years with permanent dentition and complete tooth-level records. Remaining teeth were calculated using a 28-tooth definition (excluding third molars) and classified into three ordinal groups. High-frequency sugary snack/drink intake (>1 time/day vs. ≤1 time/day) was measured via interviewer-administered questionnaire, and tooth-retention category was modeled using ordinal logistic regression. Results: High-frequency sugary snack/drink consumption was reported by 88.7% of residents. After adjustment, this exposure was not associated with tooth-retention category (adjusted odds ratio [aOR] 0.83; 95% confidence interval [CI] 0.26-2.62). However, age was strongly associated with lower retention (aOR 0.90 per year; 95% CI 0.87-0.92), and partial caregiver assistance was independently associated with reduced retention (aOR 0.47; 95% CI 0.24-0.92). Conclusion: In this cross-sectional study of residents with disabilities in Thai foster homes, high-frequency sugary snack/drink consumption was not independently associated with tooth-retention category after adjustment. Age and partial caregiver assistance were associated with lower tooth retention, indicating a need to strengthen routine preventive support for residents with greater functional dependency alongside facility-level strategies to limit free-sugar exposure.
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