Dietary Advice Flashcards
What are three important factors in caries control?
Plaque control
* Use of fluoride
* Dietary modification
What factors put patients at high risk for caries?
High sugar intake
- Inadequate brushing habits
- No fluoride exposure
- Irregular dental attendee
- Medically compromised
- Xerostomia
Briefly describe the Vipeholm study?
Investigated the association between sugar consumption and dental caries.
Conclusion
* The consumption of sugary foods is associated with a higher caries incidence.
* Increasing the frequency of sugar intake also increases caries incidence.
What is the Stephan curve?
The Stephan Curve is a graph that shows what happens after the
consumption of sugar in relation to dental caries
What carbohydrates can cause caries?
Sucrose, Fructose, Glucose, Maltose, Other names of sugar such as hydrolysed
starch, invert sugars, corn syrup, honey,
raw cane sugar
What is needed when recording a dietary sheet?
Time, the Content and the Amount of food and drink consumed The diet record should include all the foods
and drinks consumed, the amount (in readily estimated units) and the time of
eating or drinking
What is an ideal timeframe of recording diet?
4 days 2 working 2 leisure
What are examples of food that have hidden sugar contents?
Baked beans, plain biscuits, tomato sauce, breakfast cereals
In a diet analysis what should be underlined in red?
all sugar intakes as well as acidic drinks- main meals should be ringed
Dietary analysis advice must be…
Acceptable, Practical
and Affordable
Examples of some dietary advice
Reduce snacks containing sugar; replace it with healthy snacks
* Avoid adding sugar (consider using sugar substitutes); look for ‘hidden
sugars’ on food labels
* Best time to do have fruit drinks when saliva flow is highest at meal-times
* Save sweets to as special time of the week, eg Saturday morning
* Eat sweet all in one rather than spreading them out
* Only drink plain milk or plain water between meals
* Don’t eat or drink after brushing at night
* Increase the amount of fresh fruit and vegetable
* Avoid food within 20 minutes of bedtime
What is extrinsic erosion?
is caused by acid
originating outside the body (for example
in drinks). Generally the acid strength
will be pH 2.5 or weaker.
What is intrinsic erosion caused by?
Intrinsic erosion is due to stomach acid
reaching the teeth, with a pH of 1. This
acid is typically 100 times stronger than
in extrinsic erosion, and so much more
destructive.
What is titratable acidity and why is it more erosive than PH?
Titratable Acidity reflects the
number of hydrogen ions available
for erosive attack, rather than pH.
* This allows a more accurate
assessment of the erosion potential
What acid is extremely erosive?
citric acid
