Gagné G
J Can Dent Assoc. 1993 Aug;59(8):686-92.
There is no longer any question that the consumption of refined sugar is a factor in the development of dental caries. In fact, researchers now believe that the production of refined sugar and, particularly, its great availability and use in post-industrial populations has led to a virtual revolution in both the food industry and buccopathology. Clinical and epidemiological studies on the relationship between caries and sugar consumption have been conducted for more than 40 years, and the harmful effects of sugar consumption on the development of dental caries are now well known. Some authors have also demonstrated a historical relationship between caries and sugar over the last three centuries. Another food revolution that had an equally great impact on oral health occurred with the introduction of agriculture. This innovation is discussed from both a technical and food perspective. Agriculture modified the diet of ancient populations by providing new foods that were rich in carbohydrates and by introducing new cooking methods (food was now often boiled instead of being roasted). These two factors alone contributed to an increased rate of dental caries, but at the same time reduced the abrasion of occlusal surfaces and dental crowns. This paper documents the relationship between dental caries, occlusal abrasion, fractures and periodontal disorders, as well as the agriculture practises of an Amerindian population that lived between 1000 and 1500 A.D. in parts of what are now New York State, Quebec and Ontario. The author's findings confirm those of many other researchers who have investigated agricultural populations.(ABSTRACT TRUNCATED AT 250 WORDS)
精制糖的摄入是龋齿发展的一个因素,这一点已不再有任何疑问。事实上,研究人员现在认为,精制糖的生产,尤其是其在工业化后人群中的大量可得性和使用,已在食品工业和口腔病理学领域引发了一场实实在在的革命。关于龋齿与糖摄入之间关系的临床和流行病学研究已经进行了40多年,糖摄入对龋齿发展的有害影响现在已广为人知。一些作者还证明了过去三个世纪中龋齿与糖之间的历史关系。农业的引入引发了另一场对口腔健康同样有重大影响的食物革命。本文从技术和食品角度对这一创新进行了探讨。农业通过提供富含碳水化合物的新食物和引入新的烹饪方法(食物现在常被煮而不是烤)改变了古代人群的饮食。仅这两个因素就导致了龋齿发病率的上升,但同时减少了咬合面和牙冠的磨损。本文记录了龋齿、咬合面磨损、骨折和牙周疾病之间的关系,以及公元1000年至1500年生活在现在纽约州、魁北克和安大略部分地区的美洲印第安人群的农业实践。作者的发现证实了许多其他研究农业人群的研究人员的发现。(摘要截选至250字)