Research Article
Effect of Beverage Consumption Frequency on DMFT
Index among Iranian Adult Population: An AZAR Cohort Study
Mahdi Hadilou ,
1
Mohammad Hossein Somi ,
2
Elnaz Faramarzi ,
2
and Leila Nikniaz
3
1
Student Research Committee, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
2
Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
3
Tabriz Health Services Management Research Center, Faculty of Management and Medical Informatics,
Tabriz University of Medical Sciences, Tabriz, Iran
Correspondence should be addressed to Elnaz Faramarzi; elnazfaramarzi849@gmail.com and Leila Nikniaz;
nikniazleila@gmail.com
Received 31 October 2021; Revised 28 March 2022; Accepted 16 May 2022; Published 27 May 2022
Academic Editor: Sreekanth Kumar Mallineni
Copyright © 2022 Mahdi Hadilou et al. is is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Background. Given the effect of oral and dental condition on emotional and physical health and the different effects of beverage
consumption on decayed, missing, and filled teeth (DMFT) as one of the indicators of oral health in different populations, this
study aimed to investigate the effect of beverage consumption and its frequency on DMFT among Iranian adult population.
Materials and Methods. e data of this cross-sectional study were obtained from AZAR (Azerbaijan) cohort, conducted on
15,006 adults aged 35 to 70 years old in Shabestar County, Iran. Demographic and nutritional data were collected by nutritionists
through the “Food Frequency Questionnaire,” and DMFT index by general practitioners trained by a dentist according to the
World Health Organization (WHO) guidelines. Beverages including milk, doogh, natural fruit juice, black tea, nonalcoholic beer,
coffee, sugar-sweetened beverages, and artificial fruit juice were studied. Results. A total of 14,966 adults with the mean age of
49.64 ± 9.28 were enrolled. e participants’ mean DMFT value was 21.27 ± 8.95. Weekly consumption of tea and coffee
beverages resulted in 13% (95% confidence interval: 3% to 22%) lower DMFT compared to daily consumption (p 0.01).
However, there was no association between DMFT and other beverages. Conclusion. e higher DMFT values with the daily
consumption of tea and coffee beverages showed that a part of adults’ oral health is affected by beverages; therefore, this
should be considered by healthcare authorities in order to manage carries development in the communities.
1. Introduction
Oral diseases impose extensive negative effects on patients,
their families, and the health care system. e financial
burden of neglected oral health on societies is vastly
underestimated around the world [1]. It has been shown that
oral diseases such as dental caries, tooth loss (edentulism),
periapical and periodontal complications have a bidirec-
tional relationship with diet alterations, systemic diseases,
emotional discomfort, and aesthetic problems, which
highlights the importance of achieving and maintaining
appropriate oral hygiene [2–5].
Despite a decreasing trend in dental caries, they are still
among the most prevalent diseases worldwide, and have
involved most adult communities, including both low and
high income [6]. To quantify dental health status, the
Decayed, Missing, and Filled Teeth (DMFT) index has been
introduced as a representative of oral health by Klein and
Palmer in 1938. DMFT index is composed of the sum of
decayed, missing, and filled teeth. Regardless of its limita-
tions, it still is an acceptable epidemiological index in
dentistry that represents the oral and dental health condition
of any given society or individual. It also is identified as the
“Caries Index” [7].
Hindawi
International Journal of Dentistry
Volume 2022, Article ID 9142651, 7 pages
https://doi.org/10.1155/2022/9142651