Non Fluoride prevention methods Flashcards
what is top of evidence based practice tools
cochrane systematic review
what age groups have 50% of all the caries nationally
9% of 5yo
6% of 14yo
what % of 5yo have obvious decay, dmft 3
31%
stats for
a. 12yo
b. 15yo
a. 12yo: 1/3 have dmft 2.5
b. 15yo: 46% had caries
6 non fluoride prevention methods
- diet modification
- OH, dental health education
- fissure sealants
- sugar free medicines
- chewing gum
- chlorhexidine mouthwash
classification of dietary sugars flowchart
intrinsic: inside cell ie whole fruit
extrinsic: milk and
non-milk: recipe sugar, fruit juice, honey (WORST ONE FOR CARIES)
what does COMA stand for
committee on medical aspects of food policy
what did the 1989 COMA report conclude/ recommend
conclude: caries is positively related to frequency and amount of non-milk extrinsic (NME) sugar consumption
recommend: consumption of NME sugars should be decreased and replaced by fruit, veg and starchy foods
dietary advice to decrease caries 4
- consumption of sugary food restricted to mealtimes
- limit consumption of foods/drinks with added sugar to 4 times a day
- sugars excluding those naturally present in whole fruit) should provide less than 10% of total energy in the diet or less than 60g per person per day. 33g per small child per day
- most sugars in the diet are contained in processed and manufactured food and drinks
5 key messages from Vipeholm & Bowral house study
- restrict sugar in food/ drinks to max 4 times/day
- drink only water & milk
- snack on sugar free snacks eg fresh fruit, cheese
- avoid fruit juice, pop or sweetened milk in feeding bottles
- nothing to eat/ drink after brushing at night
6 reasons selection of non-cariogenic food is difficult
- sugar content on labelling not always clear
- access to healthy food difficult in socially deprived areas
- wealthy sugar industry advertising/ marketing more than government has to spend on dental health of children
- grazing more common than 3 square meals/day
- school tuck shops (away from parental control)
- not everyone can cook –> rely on processed foo2ds
2 dental diseases/ issues that a diet diary is useful for
- caries
- erosion
4 things to analyse from diet diary
- amount of sugar intake
- freq of sugar intake
- freq of snack intakes
- how food/ drink are consumed
4 things to think about when reviewing diet diary
- may not always be accurate
- ask parent/ pt to identify problem areas
- offer alternative non cariogenic foods
- recommend alternatives that fit with family style
name bulk sweeteners 7
- sorbitol
- mannitol
- xylitol
- maltitol
- lactitol
- isomalt
- hydrogenated glucose syrup
