Diet and dental caries Flashcards

1
Q

diet can affect the teeth during development of post development

A

during development

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2
Q

how strong is the correlation between diet and caries development

A

not strongly correlated

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3
Q

where are caries found on the tooth in relation to poor diet and where in the world are caries rates higher

A

smooth surface caries

industrialized societies

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4
Q

what is the relationship between refined foods and caries

A

increase refined foods increase in caries

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5
Q

what variable is the most significant in consuming sugars and their effect on caries

A

frequency

not total consumption

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6
Q

what increase the risk of caries in hospital patients in the vipeholm study?

A

increase in sugar between meals cause increased caries rates

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7
Q

what form of sugar at snack time caused the most caries increase in the vipeholm study

A

toffee group, sticky form

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8
Q

what did the hopewood study prove about diet

orphanage vs community

A

until the age of 12 while living at the orphanage very low caries rate

when released into the community where there is access to refined food; caries risk escalated

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9
Q

not all people senstive to sweetness. what is the molecule that represents sweetness sensitivity and what does this mean for caries risk

A

6-n-propylthiouracil (PROP)

if sensitive to this molecule, sensitive to sweets—> want more sugar

if not sensitive to sweets don’t have desire for more sugar –>lower caries risk

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10
Q

what is the most cariogenic sugar and the sweetest tasting

A

sucrose

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11
Q

what is the second most cariogenic sugar

A

fructose

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12
Q

what is the cariogenicity of cooked starches

A

they stick to your teeth and a-amylase breaks it down and sugars stay on teeth

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13
Q

why is s. mutans more important for smooth surface caries than pit and fissure caries

A

s mutans has glucotransferases that transports sucrose into the cell for energy; this sucrose helps bacteria secrete ECM that helps attach to smooth surfaces

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14
Q

why is fructose becoming more commonly consumed than sucrose?

A

cheaper

carbonated soft drinks

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15
Q

T/F: soft drinks are currently the leading source of added sugars in the daily diet of young Americans

A

TRUE

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16
Q

what are the effects that have been studied of carbonated sodas

A

obesity
caries rate increase

unrelated to each other

17
Q

studies show that in reduction of caries…

xylitol vs sorbitol

A

xylitol is better at reducing caries rates

18
Q

in general what does chewing gum do for caries rates if no sugar is added

A

stimulate saliva which protects teeth from caries

19
Q

what is side effect of too much alcohol sugar (xylitol, sorbitol, mannitol)

A

diarrhea

20
Q

aspartame compared to regular sugar

sweetness
problems

A

non caloric
200x sweeter

can cause behavioral problems

21
Q

saccharin

sweetness
problems

A

bitter after taste

least safe
not metabolized in the body but excreted in the urine
in animals shows correlation to urinary tract cancers

22
Q

acesulfame K

sweetness
problems

A

safe
excreted in urine unchanged
200x sweeter than sucrose

23
Q

sucralose

sweetness
problems

A

600x sweeter than sucrose (taste the best to most people)