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Peres MA, Sheiham A et al. J Dent Res 2016; 95: 388–394

WHO (2015) concluded that the evidence for an association between sugar intake and dental caries is of only moderate quality. Remarkably there has been 'no prospective cohort study from early childhood to young adulthood' exploring this issue. This prospective population-based birth cohort study carried out in Brazil, showed a relationship between sugar consumption and dental caries; after adjusting for confounders, dental caries increment ratio was 20% higher when the subjects were 6 years old and 66% higher when 18 years old in those who consumed high levels of sugar compared with those who consumed low levels of sucrose. As shown in the seminal Dunedin cohort study, caries occurred at a relatively constant rate over the period of the study.