{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:29:35Z","timestamp":1790710175176,"version":"4.1.0"},"reference-count":114,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2025,8,30]],"date-time":"2025-08-30T00:00:00Z","timestamp":1756512000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: The prevalence of dental caries has increased among children, largely due to nutritional habits or inadequate access to dental care. The present study aimed to investigate the prevalence of dental caries associated with various factors that lead to their appearance, such as food intake and body composition, among Romanian school-age children from two counties, Bistri\u0163a N\u0103s\u0103ud and Mure\u015f. Methods: This cross-sectional study included 1100 children aged 6\u201310 years from two Romanian counties. Dental caries experience was assessed using the DMFT and dmft indices based on WHO criteria. Dietary intake and oral health behaviors were evaluated through a food frequency questionnaire completed by parents. Associations between dietary variables and dental caries were assessed using independent sample t-tests and Mann\u2013Whitney U tests. A binary logistic regression model was used to estimate the likelihood of caries in the permanent dentition (DMFT &gt; 0), with covariates including county, parental education, daily sugar intake, consumption of dairy products, body mass index (BMI), and waist-to-height ratio. Results: It was found that the children who daily consume cheese recorded a DMFT value lower than the children who did not consume (p &lt; 0.05). Moreover, those who consume sugary foods recorded higher values of DMFT as compared with those who did not (p &lt; 0.05). The body weight, BMI, and waist circumference are positively correlated with DMFT, but negatively with dmft (p &lt; 0.05). The overall prevalence of caries was 79.8% in primary dentition and 63.6% in permanent dentition, with slightly higher rates observed in Bistri\u0163a-N\u0103s\u0103ud County compared to Mure\u015f. It seems that the predictors of the caries\u2019s presence among children include the mother\u2019s education level, sugar intake frequency, and body fat ratio. Conclusions: Based on significant associations found, one can affirm that the dental caries of the Romanian school-age children is due to sugary food intake and body composition. In addition, the direct relationship between dental caries and childhood obesity showed through the correlation of BMI and dental health indices denotes that school-age children should reduce sugary foods and increase dairy products.<\/jats:p>","DOI":"10.3390\/nu17172832","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T14:02:46Z","timestamp":1756735366000},"page":"2832","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Associations Between Diet, Oral Health, and General Development in Romanian School-Age Children"],"prefix":"10.3390","volume":"17","author":[{"given":"Ana-Gabriela","family":"Seni","sequence":"first","affiliation":[{"name":"Doctoral School of Faculty of Medicine, \u201cGeorge Emil Palade\u201d University of Medicine, Pharmacy, Science and Technology of T\u00e2rgu Mure\u0219, 540139 T\u00e2rgu Mure\u0219, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreea","family":"S\u0103lcudean","sequence":"additional","affiliation":[{"name":"Department of Ethics and Social Sciences, \u201cGeorge Emil Palade\u201d University of Medicine, Pharmacy, Science and Technology of T\u00e2rgu Mure\u0219, 540139 T\u00e2rgu Mure\u0219, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3852-9060","authenticated-orcid":false,"given":"Ramona-Amina","family":"Popovici","sequence":"additional","affiliation":[{"name":"Department of Management and Communication in Dental Medicine, Department I, Faculty of Dental Medicine, \u201cVictor Babes\u201d University of Medicine and Pharmacy of Timisoara, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0113-6748","authenticated-orcid":false,"given":"Dora-Mihaela","family":"C\u00eempian","sequence":"additional","affiliation":[{"name":"Department of Ethics and Social Sciences, \u201cGeorge Emil Palade\u201d University of Medicine, Pharmacy, Science and Technology of T\u00e2rgu Mure\u0219, 540139 T\u00e2rgu Mure\u0219, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teodora","family":"Olariu","sequence":"additional","affiliation":[{"name":"Department of Emergency, \u201cVasile Goldis\u201d Western University of Arad, 310025 Arad, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0757-5998","authenticated-orcid":false,"given":"Iustin","family":"Olariu","sequence":"additional","affiliation":[{"name":"Department of Dentistry, Faculty of Dental Medicine, \u201cVasile Goldis\u201d Western University of Arad, 310414 Arad, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana","family":"P\u0103curar","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dental Medicine, \u201cGeorge Emil Palade\u201d University of Medicine, Pharmacy, Science and Technology of T\u00e2rgu Mure\u0219, 540139 T\u00e2rgu Mure\u0219, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4581-8487","authenticated-orcid":false,"given":"Andreea Mihaela","family":"Ki\u0219","sequence":"additional","affiliation":[{"name":"Research Center for Pharmaco-Toxicological Evaluations, Faculty of Pharmacy, \u201cVictor Babes\u201d University of Medicine and Pharmacy, Eftimie Murgu Sq., No. 2, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6572-9244","authenticated-orcid":false,"given":"Silviu-Constantin","family":"B\u0103doiu","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Medicine and Pharmacy \u201cCarol Davila\u201d Bucharest, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7632-5328","authenticated-orcid":false,"given":"Viorel","family":"Jinga","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Medicine and Pharmacy \u201cCarol Davila\u201d Bucharest, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4320-9704","authenticated-orcid":false,"given":"Alexandru","family":"Blidaru","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Medicine and Pharmacy \u201cCarol Davila\u201d Bucharest, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silviu-Ionel","family":"Dumitrescu","sequence":"additional","affiliation":[{"name":"Department of Cardiology I, Dr. Carol Davila Central Military Emergency Hospital, 010825 Bucharest, Romania"},{"name":"Department of Cardiology, Faculty of Medicine, Titu Maiorescu University, 040051 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramona-Camelia","family":"Anculia","sequence":"additional","affiliation":[{"name":"Discipline of Occupational Medicine, Faculty of Medicine, \u201cVictor Babes\u201d University of Medicine and Pharmacy of Timisoara, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norina","family":"Forna","sequence":"additional","affiliation":[{"name":"Implantology and Prosthetic Implant Rehabilitation Department, Faculty of Dental Medicine, \u201cGrigore T. Popa\u201d University of Medicine and Pharmacy, 700115 Iasi, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1380-7674","authenticated-orcid":false,"given":"Liana","family":"Todor","sequence":"additional","affiliation":[{"name":"Department of Dental Medicine, Faculty of Medicine and Pharmacy, University of Oradea, 10 Decembrie Sq., 410068 Oradea, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7299-118X","authenticated-orcid":false,"given":"Monica","family":"Tarcea","sequence":"additional","affiliation":[{"name":"Department of Community Nutrition, Faculty of Medicine, \u201cGeorge Emil Palade\u201d University of Medicine, Pharmacy, Science and Technology of T\u00e2rgu Mure\u0219, 540139 T\u00e2rgu Mure\u0219, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Pujia, R., Ferro, Y., Maurotti, S., Khoory, J., Gazzaruso, C., Pujia, A., Montalcini, T., and Mazza, E. 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