7. Nutrition and Oral Health

Question 1

Food group recommendations

• grains: ____ oz recommended. one ounce is:
• • 1 slice ____, 1/2 cup pasta or cereal. Use palm or size of a baseball to guide 1 oz service
• protein: ____ oz recommended. one ounce is:
• • 1 ____. can tuna is 4 oz, hamburger or chicekn breast in 4 oz. Use palm of computer mouse to guide 4 oz
• fruits: ____ cups recommeded. 1 cup = 8 oz
• vegetables: ____ cups recommended
• dairy products: ____ cups reommended

Answer 1

6
bread

5.5
egg

2
2.5
3

Question 2

Consume less than ____% of calories per day from added sugars

Consume less than ____% of calories per day from saturated fats

Consume less than ____ mg per day of sodium

Answer 2

10
10
2300

Question 3

How to analyze nutritional status?

Patient Report of Diet Essential and Requires Instruction and Honesty

____ day Diet Recall may not be representative and should be balanced by asking “____ diet”

____ day Diet Recall standard screening at SDM

____ day diet diary used when screening reveals nutritional concerns, but beware ____ and expectation errors

PDM health promotion treatment plan

Answer 3

one
typical
305
measurement

Question 4

Nutrition screening tools

Offer standardized, quick measures to evaluate nutrition status, dietary adequacy and social factors related to nutrition

Best for at risk patients
____
Adults and Children with ____ medical conditions, including Diabetes, Cardiovascular diseases and HIV/AIDS

Answer 4

elderly

chronic

Question 5

Determine your nutritional health

D: \_\_\_\_
E: \_\_\_\_
T: \_\_\_\_
E: \_\_\_\_
R: \_\_\_\_
M: \_\_\_\_
I: \_\_\_\_
N: \_\_\_\_
E: \_\_\_\_

Answer 5

disease
eating poorly
tooth loss/mouth pain
economic hardship
reduced social contact
multiple medicines
involuntary weight loss/gain
needs assistance in self care
elder (years >80)

Question 6

Vitamin Deficiences in Oral Health

• Fat soluble vitamins: ____, ____, ____ and ____
• Fewer deficiences due to storage in fat
• ____ necessary for tissue integrity/growth
• ____ necessary for calcium uptake, bone maintenance and growth
• ____ essential for nervous system function, used with MS patients and similar disorders
• Consider vitamin supplementation with patients undergoing surgery, implants, or orthodontic care

Answer 6

A
D
E
K
vitamin A
vitamin D
vitamin D

Question 7

Vitamin Deficiences in Oral Health

• water soluble vitamins: ____ complex and ____ deficiences common due to lack of storage and urinary excretion
• ____ necessary for tissue integrity, healing and maintenance and growth of nails, hair, skin
• inflammatory tongue lesions (____), atrophy and burning tongue; also lip and mouth lesions (____) due to B vitamin deficiency: riboflavin (____), niacin (____), pyridoxine (____), cobalamin (____)

Answer 7

B
C
vitamin B/C

glossitis
stomatitis

B2
B3
B6
B12

Question 8

B12 Cobalamin
• Found in ____, fish, eggs and milk, also via ____ and grains
• Those limiting meats and dairy require supplements through ____ or cereals or tablets

Answer 8

meat
enriched bread
enriched bread

Question 9

Vitamin Deficiencies in Oral Health
Vitamin C deficiency is ____, which has been associated with periodontal disease and mouth ____. Weak evidence for an association found between Vitamin C dietary intake and periodontitis, no evidence for Vitamin C ____ in periodontal care (Van der Putten et al, 2009)

Answer 9

scurvy
ulcers
supplements

Question 10

What causes dental decay?

Agent: complex interaction of plaque biofilm ____, including strep mutans (brush, floss, rinse)

Host: the ____, saliva quantity, ____ quality, immune responses (use fluoride replace saliva)

Environment: dietary ____ (limit snacking reduce sugar)

Bacteria + sugar = ____
Acid on tooth = ____

Answer 10

bacteria
tooth
saliva
free sugars

acid
decay

Question 11

____ Added to Many Beverages

Strong acids: ____, alc, soda, sugar

Mild acid: meat/fish, ____, nuts, dairy

Mild alkaline: fruits, vegetables, ____, almonds

Strong alkaline: aspargus, ____, melons, ____

Answer 11

phosphoric acids

white bread
legumes
avocados
cayenne pepper
kelp

Question 12

relative cariogenicity - it depends…

how much ____ is in product

how much ____(inherent or added phosphirc acid?)

when is food ____: snack or meal?

what is food ____: crunchy or sticky?

how is food ____: stays in mouth or beverage quickly, swallowed?

____ in fruits as cariogenic as sucrose

____ & ____ more concentrated & retentive

____ (cooked starch/sugar)

cereal, pancakes, donuts, potato chips more ____

Answer 12

sugar
acid
eaten
form
eaten
fructose
bananas
raisins
maltose
retentive

Question 13

Relative cariogenicity

• how ____ saliva is present?
• what is the ____ of saliva?
• any ____ reduce saliva?
• any ____ conditions reduce saliva?

Answer 13

much
quality
medications
chronic