König K G, Navia J M
University Medical Faculty, Nijmegen, Netherlands.
Am J Clin Nutr. 1995 Jul;62(1 Suppl):275S-282S; discussion 282S-283S. doi: 10.1093/ajcn/62.1.275S.
The dental risk of dietary sugars is dependent mainly on the frequency of intake, but the prevalence of caries in a population is strongly modified by other dietary, social, and behavioral factors independent from intake of sugars. Regarding dietary factors, it must be remembered that hidden sugars in fruit as well as polysaccharides are cariogenic. The most important of the other factors is regular tooth brushing, which results in the removal of the bacterial plaque that causes caries and periodontal diseases and makes fluoride (which is contained in every advanced toothpaste) available for maintenance of the hard dental tissues and for remineralization wherever demineralization has occurred. This explains why in most highly developed countries caries prevalence has decreased markedly during the past 20 y although consumption of sugars remained high.
膳食糖的牙科风险主要取决于摄入频率，但人群中龋齿的患病率会受到与糖摄入无关的其他饮食、社会和行为因素的强烈影响。关于饮食因素，必须记住水果中的隐藏糖以及多糖都是致龋的。其他因素中最重要的是定期刷牙，这可以去除导致龋齿和牙周疾病的牙菌斑，并使（每支高级牙膏中都含有的）氟化物能够用于维持坚硬的牙齿组织，并在发生脱矿的任何地方进行再矿化。这就解释了为什么在大多数高度发达国家，尽管糖的消费量仍然很高，但在过去20年里龋齿患病率已显著下降。
