Ch.10 Nutrition And Perio Disease Flashcards

1
Q

Over all nutritional status of an individual can secondarily effect the host ___________ and influence _________ ________ progression.

A

Susceptibility; Periodontal Disease

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2
Q

Diets play a ___________ role in progression of periodontal disease.

A

Modifying

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3
Q

Does poor nutrition cause periodontal disease?

A

No but it can make an existing condition worse

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4
Q

A diet deficient in vitamins ___,___,___, __________, ________, and _______ __________ can weaken the immune system and complicate or worsen the disease process.

A

A,C,D, Calcium, protein, and complex carbohydrate.

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5
Q

Define periodontal disease

A

An infection of the periodontium initiated by bacteria within plaque biofilm

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6
Q

If the infection is only limited to the gingival tissue then it is __________

A

Gingivitis

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7
Q

If the infection is extended into the connective tissue it is _____________

A

Periodontitis

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8
Q

What happens once the bone has been affected?

A

There is no turning back!!! ☠️👻

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9
Q

3 ways nutrition prevents periodontal disease:

A
  1. By keeping the immune system healthy
  2. Building healthy soft and hard periodontal tissues
  3. Assisting with wound healing
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10
Q

A healthy immune system sends an __________ ____ ________ _________ to limit bacterial attack.

A

Arsenal of defense organisms

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11
Q

________ and _________ proteins invade the site of attack or injury, causing swelling and edema.

A

Leukocytes and plasma

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12
Q

If the immune system is healthy, the immune response will take care of the injury and the area will ________ ________

A

Heal itself

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13
Q

If the host is not well nourished, the immune system will be ___________.

A

Compromised

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14
Q

An unhealthy immune system can cause an __________ _________ to eliminate the ________.

A

Overzealous attempt; Bacteria

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15
Q

With an unhealthy immune system, the body sends an over abundance of _______ ________ to the area.

A

Immune cells

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16
Q

With an unhealthy immune system, the immune cells produce __________ and ________ __________.

A

Cytokines and other enzymes.

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17
Q

________ and __________ destroy periodontal fibers and stimulate osteoclastic activity.

A

Cytokines and enzymes

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18
Q

Building healthy oral tissue and keeping it healthy is the body’s first lien of defense against _________ ________.

A

Periodontal disease

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19
Q

_______ _______ is less susceptible to infection and a _______ ________ __________ can fight off initial bacterial invasion.

A

Healthy tissue; strong immune system

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20
Q

Plaque Biofilm develops at _________ _____ and as colonies mature it spreads _______ and ________.

A

Gingival 1/3; Coronally and Apically

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21
Q

Healthy ______ lining of the ________ is necessary to prevent periodontal disease.
(One of the fastest ______ ______ in the body)

A

Epithelial; Sulcus

Turn over rates

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22
Q

Nutrients that keep tissues Healthy(14)

A
  • Omega 3 Fatty Acids
  • Fiber
  • protein
  • vitamin A
  • B complex vitamins
  • vitamin D
  • Vitamin C
  • Calcium
  • Iron
  • Zinc
  • Copper
  • Selenium
  • Magnesium
  • CoQ10
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23
Q

________ are needed for the body to absorb fat Soluble vitamins __,__,__,__

A

Lipids; A, D, E, K

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24
Q

Lipids have ________ properties as well as _______ ____

A

Inflammatory properties; Omega 3’s

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25
Q

Excess fat in the body causes ______.

A

Obesity

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26
Q

Obesity is a risk factor for ______ ________.

A

Periodontal disease

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27
Q

Adipose tissue releases _______ ________.

A

Inflammatory agents

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28
Q

_________ fiber improves periodontal disease risk.

A

Non digestible

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29
Q

______ fiber helps control weight and inflammatory agents secreted by adipose tissue.

A

Dietary

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30
Q

_____ supports growth and maintenance of healthy cells.

A

Protein

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31
Q

Proteins play a role in resisting ________.

A

Infection

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32
Q

Proteins form __________ that destroy foreign invaders.

A

Antibodies

33
Q

Vitamin C cures _______.

A

Scurvy

34
Q

Vitamin C aids in the formation of ________.

A

Collagen

35
Q

______ helps heal wounds

A

Vitamin C

36
Q

Vitamin C Promotes ________ _________.

A

Capillary Integrity

37
Q

Vitamin C ________ the body’s immune response.

A

Enhances

38
Q

Vitamin A Assists in the formation of healthy ________. Excess of this vitamin may cause _________ _________.

A

Epithelium; periodontal inflammation

39
Q

B-Complex Vitamins help the body form _____ ______ and keep the immune system healthy.

A

New cells

40
Q

_________ vitamins have cofactors that work together.

A

B-Complex

41
Q

A deficiency of a B-complex Vitamin will involve more than one ___________.

A

B vitamin

42
Q

________ vitamins are important for wound healing.

A

B-Complex

43
Q

Biotin forms _________.

A

Collagen

44
Q

B-Complex Vitamins: Low ______ levels in adults increases disease risk.

A

Folate

45
Q

Vitamin ___ enhances the absorption of calcium and magnesium.

A

D

46
Q

________ and _______ give strength to alveolar bone

A

Calcium and magnesium

47
Q

Vitamin D has low levels linked with increased ________ and loss of ________ ________.

A

Inflammation: periodontal attachment

48
Q

________ and _______ are needed for alveolar bone metabolism.

A

Calcium and Magnesium

49
Q

Low ______ intake results in more severe periodontal disease.

A

Calcium

50
Q

________ supplementation results in less attachment loss.

A

Magnesium

51
Q

Periodontal disease is a “_______” that must be repaired.

A

Wound

52
Q

________ deficiencies cause an increase in the permeability of the _________ attachment.

A

Nutrient; epithelial

53
Q

Nutrients that heal: (6)

A
  • Protein
  • Vitamin C
  • Iron
  • Zinc
  • Copper
  • Selenium
54
Q

______, _______, and _______ play a role in collagen formation.

A

Iron, zinc, and copper

55
Q

Iron, Zinc, and Copper regulate ________ response.

A

Inflammatory

56
Q

______ and ______ Assist with wound healing.

A

Zinc and copper

57
Q

Probiotics are live _______ cultures.

A

Bacterial

58
Q

What bacteria strengthens the body’s immune system?

A

Probiotic supplements

59
Q

Probiotic supplementation significantly changes ______ ________.

A

Plaque Index

60
Q

Before recording information on perio. Therapy, more research is needed on ________ _________.

A

Probiotic supplementation

61
Q

CoQ10 brings _______ to cells.

A

Oxygen

62
Q

Healthy gingival tissue has higher levels of ____ ___ than diseases tissues.

A

CoQ10

63
Q

Current research for ______ and _______ supplementation does not support recommending vitamin and mineral supplements purely for treatment of periodontal disease

A

Nutritional and Antioxidant

64
Q

There is no collaborative consistency to support supplementation with ___________ to prevent or cure periodontal disease.

A

Antioxidants

65
Q

What kind of foods increase salivary flow?

A

Crunchy and Fibrous

66
Q

Saliva has ________ properties.

A

Antibacterial

67
Q

The more exercise to ligaments, the more _____ the alveolar bone.

A

Dense

68
Q

If your _____ ______ is crunchy it can increase bone density surrounding roots of teeth and exercise the periodontal ligaments.

A

Food Texture

69
Q

Nutritional Recommendations:

A
  • Follow the plan on myfoodplate.gov
  • Follow Dietary Guidelines for Healthy Americans
  • Take daily vitamin/mineral supplements
  • Include crunchy, chewy foods in diet
70
Q

You should suggest the intake of ______, _______, _____ and _________

A
  • Fish oil
  • Fiber
  • Fruits and Vegetables
71
Q

You should decrease the consumption of ______

A

Sugar

72
Q

In your diet, you should include foods rich in ______, ___ ________, ________, _______, and ________ __________.

A

Calcium, B complex, vitamins, protein, complex carbohydrates

73
Q

Everyone should stay _______.

A

Hydrated

74
Q

The healthier and stronger the periodontal structures, the less ________ the diet, making the body better nourished and more healthy overall

A

Restricted

75
Q

There are no “________” foods

A

Detergent

76
Q

The act of chewing ______ foods will not increase gingival keratinization.

A

Fibrous

77
Q

_______, ______ _________, and _________ __________ choices can increase a persons risk for periodontal disease.

A

Disease, oral medications, and unhealthy lifestyle choices

78
Q

Patients can’t change the fact that they have a ______ or are taking ________.

A

Disease; Medication

79
Q

The one thing a patient can change is their ______ _______.

A

Eating choices