The Association between Asthma and Dental Caries in Children and Adolescents

A Population-Based Case-Control Study

Jay D. Shulman, S. E. Taylor, Martha E. Nunn

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

This study explored the potential association between childhood asthma and caries using oral examination and health interview data from the Third National Health and Nutrition Examination Survey 1988-1994 (NHANES III). We fitted GEE Poisson regression models with adjustment for parents' income, gender, race, exposure to potentially xerostomic drugs, and the presence of pit and fissure sealants. There was no association between the use of drugs commonly used by asthmatics (antihistamines, corticosteroids, and antiasthmatic inhalers) and df/DMF scores. Asthmatic children 4-10 years of age at all severity levels had similar dfs scores to the controls, however, severely asthmatic children 4-10 years of age had significantly lower DMFS (p = 0.010) and DMFT (0.049) scores than controls. Similarly, severely asthmatic children 11-16 years of age had significantly lower DMFT scores than controls (p = 0.024) and DMFS scores approaching statistical significance (p = 0.053). While our analysis adjusted for covariates, potential confounders such as fluoride intake from water, diet, use of topical fluorides, and dose of antiasthmatic medication could not be addressed. Our results indicate that any association between asthma and dental caries may occur primarily in younger children with no evidence of an association between asthma and dental caries as children mature.

Original languageEnglish
Pages (from-to)240-246
Number of pages7
JournalCaries Research
Volume35
Issue number4
DOIs
StatePublished - Jul 2001
Externally publishedYes

Fingerprint

Dental Caries
Case-Control Studies
Asthma
Anti-Asthmatic Agents
Nutrition Surveys
Population
Topical Fluorides
Pit and Fissure Sealants
Oral Diagnosis
Nebulizers and Vaporizers
Histamine Antagonists
Oral Health
Fluorides
Pharmaceutical Preparations
Drinking
Adrenal Cortex Hormones
Parents
Interviews
Diet

All Science Journal Classification (ASJC) codes

  • Dentistry(all)

Cite this

The Association between Asthma and Dental Caries in Children and Adolescents : A Population-Based Case-Control Study. / Shulman, Jay D.; Taylor, S. E.; Nunn, Martha E.

In: Caries Research, Vol. 35, No. 4, 07.2001, p. 240-246.

Research output: Contribution to journalArticle

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