Dietary Advice Flashcards
what are the three important factors in caries control
plaque control
use of fluoride
dietary modification
what are the factors that place a patient at high risk for caries development
high sugar intake
inadequate brushing habits
no fluoride exposure
irregular dental attendence
medically compromised
xerostomia
what are investigations required for patients with caries
their diet
investigation of fluoride intake
medical history
oral hygiene practices
bitewing radiographs
what the dietary factors associated with caries incidence
amonut of fermentable carbohydrate eaten
sugar concentration of food
physical form of carbohydrate
oral retentiveness
frequency of mealtimes and snacks
length of interval between eating
sequence of food consumption
what did the vipeholm study conclude
the consumption of sugary foods is associated with higher caries incidence
increasing the frequency of sugar intake also increases caries incidence
lowering sugar intake reduces caries incidence
consumption of sticky sugar containing products between meals can be associated with a higher caries risk
what is the turku study
a longitudinal study to evaluate the caries incidence as affected by partial substitution of dietary sucrose with xylitol
the results showed a profound difference in caries rate between the two groups
what did the findings of the turku study find
there is a therapeutic, caries inhibitory effect of xylitol
what is the stephan curve
a graph that shows what happens after the consumption of sugar in relation to dental caries
what did the stephan curve find
when sugar enters the mouth, within 1-2 minutes the plaque pH falls to levels which favour demineralisation and acid production
after the sugar intake, demineralisation of the tooth surface takes place due to the drop in pH as the bacteria in the mouth convert the sugar to acid
what are the four carbohydrates that cause caries
sucrose
frucrose
glucose
maltose
why is it bad to consume sugary drinks immediately before bed
salivary flow is reduced during sleep and therefore the clearance time is greater
what should be included in a diet record
all the foods and drinks consumed, the amount and the time of eating or drinking
describe the steps to diet analysis
number of sugar exposures should be counted and discussed with the patient
consistency of the food becuase dry and sticky foods have a longer clearance time
sugary drinks taken immediately before bed
ring the main meals and underline all sugar intakes as well as acidic drinks in red
identify in between meal snacks and note any associations
what are the three features that dietary advice must follow
be acceptable
be practical
be affordable
what is dental erosion
the loss of tooth surface by a chemical process that does not involve bacterial action
