Salim Ayshe, Angelova Sirma, Roussev Bogdan, Sokrateva Todorka, Galunska Bistra, Olczyk Pawel, Komosinska-Vassev Katarzyna, Peev Stefan, Kiselova-Kaneva Yoana, Ivanova Diana
Department of Biochemistry, Molecular Medicine and Nutrigenomics,Medical University of Varna Faculty of Pharmacy, Varna, Bulgaria.
Department of Pediatric Dentistry, Medical University of Varna Faculty of Dental Medicine, Varna, Bulgaria.
Turk Arch Pediatr. 2025 May 2;60(3):319-325. doi: 10.5152/TurkArchPediatr.2025.24166.
Objective: The aim of this study is to evaluate how the frequent sugar and protein intake is associated with the severity of plaque-induced gingivitis in children. Materials and Methods: A cross-sectional study was conducted, involving 38 subjects (4-14 years) at a mean age of 8.5 ± 2.32 years with diagnosed plaque-induced gingivitis based on the Löe-Silness Gingival Index (GI) (0 < GI ≤ 3). The gingival status was assessed by the Silness-Lőe Plaque Index (PLI), GI, and Papillary Bleeding Index by Saxer and Muhlemann. The nutritional status was established through an in-depth questionnaire on protein and sugar intake. Results: The increased frequency of sugar consumption in children with plaque-induced gingivitis is related to enhanced gingival inflammation. Higher values of PLI among the rep- resentatives were established with frequent sugar intake (P = .04). Frequent dairy protein con- sumption was associated with lower levels of PLI (P = .04). This index is indicative of the amount of accumulated dental plaque, which is the main etiological factor involved in plaque-induced gingivitis. Conclusion: It can be concluded that uncontrolled sugar consumption in children was asso- ciated with enhancement of the severity of plaque-induced gingivitis. Frequent dairy protein intake has the potential to serve as an essential prevention strategy regarding the onset and aggravation of plaque-induced gingival inflammation in childhood. A well-balanced diet, rich in proteins and with restricted sugar intake, is considered a possible tool in the prevention and control of plaque-induced gingivitis in childhood.
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