1.) Fibrous foods are NOT very retentive (IS a good alternative to more cariogenic foods) 2.) Chew firm, coarse, & fibrous foods to STIMULATE salivary flow for better food clearance & to decrease debris (DOES increase food clearance by increasing salivary flow)
3.) STIMULATES & STRENGTHENS PDL & density of alveolar bone (MAY help maintain supporting tissues of teeth)4.) does NOT remove plaque from areas adjacent to the gingiva
3 Causes of Periodontal Disease:
1.) Stress
2.) Tissue Catabolism
3.) Infection
5 Symptoms of Prescription (Rx) Vitamin C:
1.) Gingivitis
2.) Hemorrhage
3.) Blue-red gingiva
4.) Widened PDL spaces
5.) Tooth mobility
* 5 Goals of Dietary Counseling for Periodontal Patients:
1.) FACILITATE tissue repair & wound healing
2.) IMPROVE resistance to infection
3.) REDUCE complications
4.) SHORTER recovery
5.) FASTER return to health
4 Types of Periodontal Disease:
1.) Gingivitis
2.) Chronic Gingivitis
3.) Chronic Periodontitis
4.) NUG/NUP
Gingivitis & Vitamin C:
Vitamin C therapy may HELP in the EARLY stages of Gingivitis by REDUCING crevicular bleeding
this is an influence of Vitamin C in maintaining the integrity of the micro-vasculature of the sulcus
Chronic Gingivitis:
begins at the inter-dental papillae & then advances to the attached gingiva
caused by LARGE QUANTITIES of plaque
3 things Chronic Gingivitis can be an INDICATOR of:
1.) Metabolic disease: Diabetics, AIDS
2.) Hormonal changes: Pregnancy, Puberty
3.) Vitamin C deficiency: Scurvy
Nutritional intervention for Chronic Gingivitis:
promote adequate intake of ALL food groups
REDUCE fermentable CHO's
Chronic Periodontitis
involves clinical attachment loss (CAL)
is from length of time of plaque & disease resistance
generalized or localized
* T/F: nutrient imbalance or deficiencies are SECONDARY causative factors.
TRUE!
host resistance to infection is effected by nutrient stores = poor nutrition> decreased immunity> perio disease
Nutritional intervention for Chronic Periodontitis:
promote adequate intake of ALL food groups
REDUCE fermentable Carbohydrates (CHO's)
6 Predisposing Factors of NUG/NUP:
1.) poor oral hygiene
2.) preexisting Gingivitis
3.) mental stress
4.) smoking
5.) physical stress
6.) Caucasian race
T/F: Poor nutrition has NOT been well documented as a PREDISPOSING FACTOR to NUG/NUP.
TRUE.
Nutritional Factors & Lowered Host Resistance:
Protein, Vitamin C, Vitamin B Complex deficiencies
Poor eating habits: LOW nutrient intake
Obtain health, dental, & social histories = IMPORTANT for nutritional management
No alcohol, smoking, caffeine
Liquid nutritional supplements
Pre/Post-Surgical Nutrition:
Pt should be provided with list of nutrient-dense foods & beverages BEFORE treatment
A multivitamin supplement with 100% RDA levels may be recommended