Ch.10 Nutrition And Perio Disease

Question 1

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

Answer 1

Susceptibility; Periodontal Disease

Question 2

Diets play a ___________ role in progression of periodontal disease.

Answer 2

Modifying

Question 3

Does poor nutrition cause periodontal disease?

Answer 3

No but it can make an existing condition worse

Question 4

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

Answer 4

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

Question 5

Define periodontal disease

Answer 5

An infection of the periodontium initiated by bacteria within plaque biofilm

Question 6

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

Answer 6

Gingivitis

Question 7

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

Answer 7

Periodontitis

Question 8

What happens once the bone has been affected?

Answer 8

There is no turning back!!! ☠️👻

Question 9

3 ways nutrition prevents periodontal disease:

Answer 9

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

Question 10

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

Answer 10

Arsenal of defense organisms

Question 11

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

Answer 11

Leukocytes and plasma

Question 12

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

Answer 12

Heal itself

Question 13

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

Answer 13

Compromised

Question 14

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

Answer 14

Overzealous attempt; Bacteria

Question 15

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

Answer 15

Immune cells

Question 16

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

Answer 16

Cytokines and other enzymes.

Question 17

________ and __________ destroy periodontal fibers and stimulate osteoclastic activity.

Answer 17

Cytokines and enzymes

Question 18

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

Answer 18

Periodontal disease

Question 19

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

Answer 19

Healthy tissue; strong immune system

Question 20

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

Answer 20

Gingival 1/3; Coronally and Apically

Question 21

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

Answer 21

Epithelial; Sulcus

Turn over rates

Question 22

Nutrients that keep tissues Healthy(14)

Answer 22

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

Question 23

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

Answer 23

Lipids; A, D, E, K

Question 24

Lipids have ________ properties as well as _______ ____

Answer 24

Inflammatory properties; Omega 3’s

Question 25

Excess fat in the body causes ______.

Answer 25

Obesity

Question 26

Obesity is a risk factor for ______ ________.

Answer 26

Periodontal disease

Question 27

Adipose tissue releases _______ ________.

Answer 27

Inflammatory agents

Question 28

_________ fiber improves periodontal disease risk.

Answer 28

Non digestible

Question 29

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

Answer 29

Dietary

Question 30

_____ supports growth and maintenance of healthy cells.

Answer 30

Protein

Question 31

Proteins play a role in resisting ________.

Answer 31

Infection

Question 32

Proteins form __________ that destroy foreign invaders.

Answer 32

Antibodies

Question 33

Vitamin C cures _______.

Answer 33

Scurvy

Question 34

Vitamin C aids in the formation of ________.

Answer 34

Collagen

Question 35

______ helps heal wounds

Answer 35

Vitamin C

Question 36

Vitamin C Promotes ________ _________.

Answer 36

Capillary Integrity

Question 37

Vitamin C ________ the body’s immune response.

Answer 37

Enhances

Question 38

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

Answer 38

Epithelium; periodontal inflammation

Question 39

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

Answer 39

New cells

Question 40

_________ vitamins have cofactors that work together.

Answer 40

B-Complex

Question 41

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

Answer 41

B vitamin

Question 42

________ vitamins are important for wound healing.

Answer 42

B-Complex

Question 43

Biotin forms _________.

Answer 43

Collagen

Question 44

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

Answer 44

Folate

Question 45

Vitamin ___ enhances the absorption of calcium and magnesium.

Answer 45

D

Question 46

________ and _______ give strength to alveolar bone

Answer 46

Calcium and magnesium

Question 47

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

Answer 47

Inflammation: periodontal attachment

Question 48

________ and _______ are needed for alveolar bone metabolism.

Answer 48

Calcium and Magnesium

Question 49

Low ______ intake results in more severe periodontal disease.

Answer 49

Calcium

Question 50

________ supplementation results in less attachment loss.

Answer 50

Magnesium

Question 51

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

Answer 51

Wound

Question 52

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

Answer 52

Nutrient; epithelial

Question 53

Nutrients that heal: (6)

Answer 53

- Protein - Vitamin C - Iron - Zinc - Copper - Selenium

Question 54

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

Answer 54

Iron, zinc, and copper

Question 55

Iron, Zinc, and Copper regulate ________ response.

Answer 55

Inflammatory

Question 56

______ and ______ Assist with wound healing.

Answer 56

Zinc and copper

Question 57

Probiotics are live _______ cultures.

Answer 57

Bacterial

Question 58

What bacteria strengthens the body’s immune system?

Answer 58

Probiotic supplements

Question 59

Probiotic supplementation significantly changes ______ ________.

Answer 59

Plaque Index

Question 60

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

Answer 60

Probiotic supplementation

Question 61

CoQ10 brings _______ to cells.

Answer 61

Oxygen

Question 62

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

Answer 62

CoQ10

Question 63

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

Answer 63

Nutritional and Antioxidant

Question 64

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

Answer 64

Antioxidants

Question 65

What kind of foods increase salivary flow?

Answer 65

Crunchy and Fibrous

Question 66

Saliva has ________ properties.

Answer 66

Antibacterial

Question 67

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

Answer 67

Dense

Question 68

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

Answer 68

Food Texture

Question 69

Nutritional Recommendations:

Answer 69

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

Question 70

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

Answer 70

- Fish oil - Fiber - Fruits and Vegetables

Question 71

You should decrease the consumption of ______

Answer 71

Sugar

Question 72

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

Answer 72

Calcium, B complex, vitamins, protein, complex carbohydrates

Question 73

Everyone should stay _______.

Answer 73

Hydrated

Question 74

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

Answer 74

Restricted

Question 75

There are no “________” foods

Answer 75

Detergent

Question 76

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

Answer 76

Fibrous

Question 77

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

Answer 77

Disease, oral medications, and unhealthy lifestyle choices

Question 78

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

Answer 78

Disease; Medication

Question 79

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

Answer 79

Eating choices