Dietary advice for caries prevention Flashcards
identify the key factors in dietary that intake that causes caries to use the toolkit messages in the prevention of caries
what are the factors that cause caries
bacterial plaque
susceptible tooth surface
refined carbohydrates- non milk extrinsic sugars
time
what happens if there is repeated pH dropping
can lead to demineralisation of the tooth surface
how does plaque biofilm form
by the formation of the salivary pellicle
what is found in the plaque biofilm
large amounts of microorganisms
eg strep mutans
strep oralis
strep sanguins
what happens after 1-14 days of plaque formation
we have the dominated strep plaque which is then converted to dominated actinomycetes plaque
where can cariogenic bacteria be sitting
pits and fissures interproximal around margin restorations buccal surface orthodontic brackets partial denture clasps
what does the characteristic demineralised surface of a tooth look like
chalky white appearance when dried with the 3-in-1
how do we seal teeth to protect them from caries
fissure sealants
what days do we take a diet diary
Why?
2 weekdays and one weekend
indetifies sugar intake and hidden sugars
what studies were taken which link carbohydrates to dental caries
tristan de cuna vipeholm hope wood house turku 2nd world war
what dow e have to consider which might alter caries formation
fluoride intake and saliva flow
what can frequency of sugar intake relate to
intrinsic and extrinsic sugars medication that has sugar food and drinks which can be cariogenic reducing snacks and reducing frequency of acid attacks
what do we need to consider in regards to the elderly and caries
medications
xerostomia
which patients are at greater risk of caries
infants and toddlers- nursing caries etc
patients with reduced salivary flow or on medication, radiation or conditions such as Sjrogrens syndrome
increased carbohydrates due to medical issue
recreational drug users
who is involved in the high risk caries group
nursing bottle caries age
language barriers
socially deprived- low economic groups
medically physically impaired
what preventative measures do we use for high risk groups
plaque control and regular brushing
fluoride application or tissue sealants
regular oral checks with radiographs
what diet advice do we give
keep sugar to meal time only
only milk and water should be given in a feeder cup
reduce soft drinks and use a straw
only water at bedtime
eg sweden saturday sweets-sugar only once a week
what does GULP stand for
give up loving pop
how many sugar intakes should we have per day
around 4 times
only at meal times
extrinsic sugars that aren’t milk
honey dried fruits smoothies cakes biscuits etc all found in the toolkit
what do we use to prevent plaque control
minimise sugars toothbrushing x2 a day interdental cleaning manual and power toothbrushes fluoride toothpaste 1350ppm chemical plaque control using chlorhexidine
what are the key messages of the toolkit
tooth brushing fluoride dietary advice sugar free medicines improving perio health smoking cessation alcohol misuse prevention of erosion behaviour change
steps to dietary counselling
- identify higher risk patients
- take detailed history
- set goals
- develop action plan
- monitor and review
