Preprint Communication Version 1 Preserved in Portico This version is not peer-reviewed

Nipping at the Bud Stage: Controlling Future Diabetes Burden by Preventive Oral Health Care Approach for Early Childhood Dental Caries

Version 1 : Received: 21 May 2023 / Approved: 22 May 2023 / Online: 22 May 2023 (10:42:40 CEST)

How to cite: Gallaba, S.; Perera, I.; Gunasekara, U.; Gamlathge, P. Nipping at the Bud Stage: Controlling Future Diabetes Burden by Preventive Oral Health Care Approach for Early Childhood Dental Caries. Preprints 2023, 2023051504. https://doi.org/10.20944/preprints202305.1504.v1 Gallaba, S.; Perera, I.; Gunasekara, U.; Gamlathge, P. Nipping at the Bud Stage: Controlling Future Diabetes Burden by Preventive Oral Health Care Approach for Early Childhood Dental Caries. Preprints 2023, 2023051504. https://doi.org/10.20944/preprints202305.1504.v1

Abstract

Diabetes mellitus and dental caries (tooth decay) are not only common Non Communicable Diseases (NCDs) contributing to high burden of diseases but costly diseases to manage. Diabetes mellitus is a leading cause of mortality and reduced life expectancy across the globe. Early child hood dental caries (ECC) denotes a common chronic childhood disease and cariogenic dietary patterns dominated by refined sugar is one of the main causative factors. Thus, high burden of ECC could be a proxy indicator of excessive refined sugar consumption of a child. If such unhealthy dietary patterns are continued through to adolescent to adulthood, there is a high probability of an individual becoming a diabetic. Therefore, it is rational to argue high ECC burden in a country could be an indicator of future burden of diabetes. Moreover, ECC provides a critical period and a window of opportunity across life-course perspective, to intervene with cariogenic dietary patterns underpinned by common risk factor approach. This could be achieved by tailored dietary counseling for parental care givers of children with ECC. A healthy dietary pattern fostered in the childhood, most probably would continue to adulthood which may become beneficial in reducing the incidence of diabetes. Against this backdrop, we provide a perspective from Sri Lanka: a lower-middle-income country (LMIC) which records the highest prevalence of diabetes and pre-diabetes in south Asia. Our perspective will provide novel insights and innovative ideas into prevention and control of diabetes burden in LMICs, harnessing the potential of preventive dentistry.

Keywords

Diabetes; pre-diabetes; early childhood dental caries; refined sugar; dietary counseling; Sri Lanka

Subject

Public Health and Healthcare, Public Health and Health Services

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