INTRODUCTION

AT TIMES THE CLINICIAN MUST TEACH THE PATIENT ABOUT DIETHEALTH CAUSE AND PREVENTION OF DISEASE SINCE DIET COUNSELING IS THE MOST NEGLECTED OF ALL THE PREVENTIVE MEASURES AND SUCCESSFUL DIET COUNSELING DEPENDS ON ABILITY OF THE CLINICIAN TO MAKE THE PATIENT SEE THE PROBLEM CLEARLY AND THEREBY WORK UP ON ITS SOLUTION

DIET DIET REFERS TO THE CUSTOMARY

ALLOWANCE OF FOOD AND DRINK TAKEN BY ANY PERSON FROM DAY TO DAY

BALANCED DIET

IT IS ONE WHICH

CONTAINS VARIETIES OF FOOD IN SUCH QUANTITIES AND PROPORTION THAT THE NEED FOR ENERGY AMINOACIDS VITAMINS FATS CARBOHYDRATES AND OTHER NUTRIENTS IS ADEQUATELY MET FOR MAINTAINING HEALTH VITALITY AND GENERAL WELL- BEING AND ALSO MAKES PROVISION FOR A SHORT DURATION OF LEANESS

Oral Health EducationDIET - Instruct PatientParent to write down what heshe

eats or drinks for 3 consecutive days-Analyze with the patientparent and make

recommendations Reduce sucrose consumption Sweets are not to be eaten between meals or at

bedtime Emphasize foods that require chewing stay away from softsticky foods Brush teeth after meals and ALWAYS at Bedtime Discuss the danger of ldquohiddenrdquo sugars such as starchy foods (bread)

ROLE OF DIET IN DENTAL DEVELOPMENT PINDBORG IN 1982 PROPOSED A CLASSIFICATION WHICH DIVIDED THE NUTRITIONAL CAUSES OF DENTAL DEVELOPMENT IN TO

SYSTEMIC

LOCAL

HYPOCALCEMIA CAUSES 1 HARMONAL

2NUTRITIONAL 3 DIARRHOEAL DISESES IN

INFANCY AND EARLY CHILDHOOD 4VIT D DEFICIENCY 5 CHILDHOOD OR

EXANTHEMATOUS FEVER 6 INCREASING TREND ON

SEVERITY OF ASTHMA AND LOW BIRTH

WEIGHT

Patient with Hypoplastic Left HeartSyndrome

EXCESSIVE FLUORIDE INGESTION Chronic Toxicity

Only a pea-sized amount of toothpaste should be used Not recommended to use fluoridated dentifrice in children younger than 3

yrs Use the ldquocup testrdquo to check if the child could rinse and spit without

swallowing Repeated ingestion of lesser amounts of fluoride may result in chronic

fluoride toxicity the most common of which is dental fluorosis To prevent chronic fluoride toxicity parents should Make sure their

child thoroughly expectorates toothpaste after brushing Acute Toxicity

Results from the accidental ingestion of excessive amounts of fluoride Common symptoms include nausea and vomiting Lethal dose for a 3 yr old child approx 500 mg of fluoride ingested at one

time In the event of accidental ingestion of excessive amounts vomiting should

be induced (2 teaspoons of Ipecac Syrup) Administer milk to slow absorption and form complexes with the fluoride Consider transporting the child to a poison control centre

ROLE OF DIET IN DENTAL CARIES

Dental caries presents a major dental health problem in children

Etiology of caries tooth susceptibility bacterial plaque

carbohydrates time oral sugar clearancesaliva flow amp pH

CARIOGENICITY OF A FOOD

Refined carbohydrate content Frequency of ingestion

Physical properties of food

Lower Sugar Options

Xylitol Cheese Foods low in carbohydrates

Protective foodsrdquo

EFFECT OF DIET BEFORE AND AFTER ERUPTION

TWO THEORIES WERE PROPOSED

1ST THEORY PROPOSED BY

MELLANBY STATES THAT MALNUTIRTION CAUSES DEFECTIVELY FORMED TEETH

2ND THEORY PROPOSED BY

ALVAREZ AND NAVIA IN 1989 THAT ERUPTION OF TEETH IS DELAYED IN MALNOURISED CHILDREN

ROLE OF DIETARY SUGARS

1Change in nutritionalexposure for children 2Increase in consumptionof sugary beverages 3Increase in theconsumption of foodsrich in refinedcarbohydrates

Possible Mediators in the Increaseof Dental Caries

1Increase in acidic beverages and candy2Feeding practices

Baby bottle Nursing

Change in nutritionalexposure for children Increase in consumptionof sugary beverages Increase in theconsumption of foodsrich in refinedcarbohydrates

Factors That Influence Dental CariesGenetics

Saliva Bacteria Fluoride Dietary habits Oral hygiene practices Feeding practices

Genetics

Fluoride

Saliva

Streptococcus Mutans Sanguis Sabrinus Lactobacillus acidophilus

Bacteria

Formation of enamel Amelogenesis Imperfecta Formation of dentin Dentinal dysplasia Dentinogenesis Imperfecta Syndromes Tuberous Sclerosis Tricho-Dento-Osseous Ectodermal Dysplasia

Buffering capacity pH Flow rate Sjogrenrsquos Radiation

ROLE OF FRESH FRUITS AND FRUIT PRODUCTS

SUGARED FRUIT FLAVOURED DRINKS SHOULD NOT BE USED AS A COMFORTER IN YOUNG CHILDREN TO INDUCE SLEEP OR DURING SLEEP

FRESH FRUITS APPEAR TO BE LOW CARIOGENICITY CITRUS FRUITS HAVE NOT BEEN ASSOCIATED WHILE LARGE CONSUMPTION OF APPLES AND GRAPES CAN RESULT IN DENTAL CARIES

HIGH CONSUMPTION OF FRUIT JUICE CAN CAUSE DENTAL EROSION

ROLE OF MILK CHEESE AND OTHER PRODUCTS HUMAN MILK AND COWrsquoS MILK CONTAIN LACTOSE ABOUT

7gm 100gm AND 4-8 gm100 gm RESPECTIVELY THE PRESENCE OF CALCIUM AND PHOSPHATE IN MILK CAN

PREVENTDISSOLUTION OF ENAMEL AND MILK HAVE OTHER PROTECTIVE FACTORS AS WELL

CASEIN IS A PHOSPHOPROTEIN PRESENT IN MILK IS RESPONSIBLE FOR CARIES PROTECTIVE EFFECT

CHEESE IS NOT ONLY CARIOGENIC BUT ALSO HAVE ANTICARIES PROPERTIES IT IS SAID TO HAVE

1 INCREASE THE STIMULATION OF SALIVARY FLOW

WITH ITS FAVOURABLE PROPERTIES 2RAISING THE CALCIUM CONC IN PLAQUE 3 INCREASING THE AMOUNT OF BASIC SUBS IN PLAQUE 4 ADSORPTION OF PROTEIN SUCH AS CASEIN

TO THE ENAMEL SURFACE THERE BY SLOWING THE

CARIES PROCESS

Dentistry Nowadays1048633 Oral Health promotion1048633 Treatment based on educational and preventiveprocedures1048633 Equilibrium between de- and remineralization

Stop the progression of the diseaseDiagnosis of the caries activityPrevent new lesionsArrest present lesionsAvoid recurrence

Children (lt2 yo)

Cariogenic microorganism

106 surfaces with caries4 years oldChildren (lt2 yo)03 surfaces with caries4 years oldAlaluusua S amp Renfonen O V 1983Caries Transmissibility

ROLE OF TRACE ELEMENTS THE TRACE ELEMENTS WHICH HAS RELATIONSHIP WITH CARIES

ARE

1 MOLYBDENUM

2SELENIUM

3 STRONTIUM

4 LITHIUM

FOOD GUIDE PYRAMID IT WAS GIVEN BY THE

NATIONAL ACADEMY OF SCIENCES AND THE US DEPARTMENT OF AGRICULTURE

AS PER NATIONAL ACADEMY

OF SCIENCES 2800 CALORIES IS RIGHT

FOR TEENAGE BOYSMANY ACTIVE MEN

AND VERY ACTIVE WOMEN

SERVINGS REQUIRED

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

DIET DIET REFERS TO THE CUSTOMARY

ALLOWANCE OF FOOD AND DRINK TAKEN BY ANY PERSON FROM DAY TO DAY

BALANCED DIET

IT IS ONE WHICH

CONTAINS VARIETIES OF FOOD IN SUCH QUANTITIES AND PROPORTION THAT THE NEED FOR ENERGY AMINOACIDS VITAMINS FATS CARBOHYDRATES AND OTHER NUTRIENTS IS ADEQUATELY MET FOR MAINTAINING HEALTH VITALITY AND GENERAL WELL- BEING AND ALSO MAKES PROVISION FOR A SHORT DURATION OF LEANESS

Oral Health EducationDIET - Instruct PatientParent to write down what heshe

eats or drinks for 3 consecutive days-Analyze with the patientparent and make

recommendations Reduce sucrose consumption Sweets are not to be eaten between meals or at

bedtime Emphasize foods that require chewing stay away from softsticky foods Brush teeth after meals and ALWAYS at Bedtime Discuss the danger of ldquohiddenrdquo sugars such as starchy foods (bread)

ROLE OF DIET IN DENTAL DEVELOPMENT PINDBORG IN 1982 PROPOSED A CLASSIFICATION WHICH DIVIDED THE NUTRITIONAL CAUSES OF DENTAL DEVELOPMENT IN TO

SYSTEMIC

LOCAL

HYPOCALCEMIA CAUSES 1 HARMONAL

2NUTRITIONAL 3 DIARRHOEAL DISESES IN

INFANCY AND EARLY CHILDHOOD 4VIT D DEFICIENCY 5 CHILDHOOD OR

EXANTHEMATOUS FEVER 6 INCREASING TREND ON

SEVERITY OF ASTHMA AND LOW BIRTH

WEIGHT

Patient with Hypoplastic Left HeartSyndrome

EXCESSIVE FLUORIDE INGESTION Chronic Toxicity

Only a pea-sized amount of toothpaste should be used Not recommended to use fluoridated dentifrice in children younger than 3

yrs Use the ldquocup testrdquo to check if the child could rinse and spit without

swallowing Repeated ingestion of lesser amounts of fluoride may result in chronic

fluoride toxicity the most common of which is dental fluorosis To prevent chronic fluoride toxicity parents should Make sure their

child thoroughly expectorates toothpaste after brushing Acute Toxicity

Results from the accidental ingestion of excessive amounts of fluoride Common symptoms include nausea and vomiting Lethal dose for a 3 yr old child approx 500 mg of fluoride ingested at one

time In the event of accidental ingestion of excessive amounts vomiting should

be induced (2 teaspoons of Ipecac Syrup) Administer milk to slow absorption and form complexes with the fluoride Consider transporting the child to a poison control centre

ROLE OF DIET IN DENTAL CARIES

Dental caries presents a major dental health problem in children

Etiology of caries tooth susceptibility bacterial plaque

carbohydrates time oral sugar clearancesaliva flow amp pH

CARIOGENICITY OF A FOOD

Refined carbohydrate content Frequency of ingestion

Physical properties of food

Lower Sugar Options

Xylitol Cheese Foods low in carbohydrates

Protective foodsrdquo

EFFECT OF DIET BEFORE AND AFTER ERUPTION

TWO THEORIES WERE PROPOSED

1ST THEORY PROPOSED BY

MELLANBY STATES THAT MALNUTIRTION CAUSES DEFECTIVELY FORMED TEETH

2ND THEORY PROPOSED BY

ALVAREZ AND NAVIA IN 1989 THAT ERUPTION OF TEETH IS DELAYED IN MALNOURISED CHILDREN

ROLE OF DIETARY SUGARS

1Change in nutritionalexposure for children 2Increase in consumptionof sugary beverages 3Increase in theconsumption of foodsrich in refinedcarbohydrates

Possible Mediators in the Increaseof Dental Caries

1Increase in acidic beverages and candy2Feeding practices

Baby bottle Nursing

Change in nutritionalexposure for children Increase in consumptionof sugary beverages Increase in theconsumption of foodsrich in refinedcarbohydrates

Factors That Influence Dental CariesGenetics

Saliva Bacteria Fluoride Dietary habits Oral hygiene practices Feeding practices

Genetics

Fluoride

Saliva

Streptococcus Mutans Sanguis Sabrinus Lactobacillus acidophilus

Bacteria

Formation of enamel Amelogenesis Imperfecta Formation of dentin Dentinal dysplasia Dentinogenesis Imperfecta Syndromes Tuberous Sclerosis Tricho-Dento-Osseous Ectodermal Dysplasia

Buffering capacity pH Flow rate Sjogrenrsquos Radiation

ROLE OF FRESH FRUITS AND FRUIT PRODUCTS

SUGARED FRUIT FLAVOURED DRINKS SHOULD NOT BE USED AS A COMFORTER IN YOUNG CHILDREN TO INDUCE SLEEP OR DURING SLEEP

FRESH FRUITS APPEAR TO BE LOW CARIOGENICITY CITRUS FRUITS HAVE NOT BEEN ASSOCIATED WHILE LARGE CONSUMPTION OF APPLES AND GRAPES CAN RESULT IN DENTAL CARIES

HIGH CONSUMPTION OF FRUIT JUICE CAN CAUSE DENTAL EROSION

ROLE OF MILK CHEESE AND OTHER PRODUCTS HUMAN MILK AND COWrsquoS MILK CONTAIN LACTOSE ABOUT

7gm 100gm AND 4-8 gm100 gm RESPECTIVELY THE PRESENCE OF CALCIUM AND PHOSPHATE IN MILK CAN

PREVENTDISSOLUTION OF ENAMEL AND MILK HAVE OTHER PROTECTIVE FACTORS AS WELL

CASEIN IS A PHOSPHOPROTEIN PRESENT IN MILK IS RESPONSIBLE FOR CARIES PROTECTIVE EFFECT

CHEESE IS NOT ONLY CARIOGENIC BUT ALSO HAVE ANTICARIES PROPERTIES IT IS SAID TO HAVE

1 INCREASE THE STIMULATION OF SALIVARY FLOW

WITH ITS FAVOURABLE PROPERTIES 2RAISING THE CALCIUM CONC IN PLAQUE 3 INCREASING THE AMOUNT OF BASIC SUBS IN PLAQUE 4 ADSORPTION OF PROTEIN SUCH AS CASEIN

TO THE ENAMEL SURFACE THERE BY SLOWING THE

CARIES PROCESS

Dentistry Nowadays1048633 Oral Health promotion1048633 Treatment based on educational and preventiveprocedures1048633 Equilibrium between de- and remineralization

Stop the progression of the diseaseDiagnosis of the caries activityPrevent new lesionsArrest present lesionsAvoid recurrence

Children (lt2 yo)

Cariogenic microorganism

106 surfaces with caries4 years oldChildren (lt2 yo)03 surfaces with caries4 years oldAlaluusua S amp Renfonen O V 1983Caries Transmissibility

ROLE OF TRACE ELEMENTS THE TRACE ELEMENTS WHICH HAS RELATIONSHIP WITH CARIES

ARE

1 MOLYBDENUM

2SELENIUM

3 STRONTIUM

4 LITHIUM

FOOD GUIDE PYRAMID IT WAS GIVEN BY THE

NATIONAL ACADEMY OF SCIENCES AND THE US DEPARTMENT OF AGRICULTURE

AS PER NATIONAL ACADEMY

OF SCIENCES 2800 CALORIES IS RIGHT

FOR TEENAGE BOYSMANY ACTIVE MEN

AND VERY ACTIVE WOMEN

SERVINGS REQUIRED

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

Oral Health EducationDIET - Instruct PatientParent to write down what heshe

eats or drinks for 3 consecutive days-Analyze with the patientparent and make

recommendations Reduce sucrose consumption Sweets are not to be eaten between meals or at

bedtime Emphasize foods that require chewing stay away from softsticky foods Brush teeth after meals and ALWAYS at Bedtime Discuss the danger of ldquohiddenrdquo sugars such as starchy foods (bread)

ROLE OF DIET IN DENTAL DEVELOPMENT PINDBORG IN 1982 PROPOSED A CLASSIFICATION WHICH DIVIDED THE NUTRITIONAL CAUSES OF DENTAL DEVELOPMENT IN TO

SYSTEMIC

LOCAL

HYPOCALCEMIA CAUSES 1 HARMONAL

2NUTRITIONAL 3 DIARRHOEAL DISESES IN

INFANCY AND EARLY CHILDHOOD 4VIT D DEFICIENCY 5 CHILDHOOD OR

EXANTHEMATOUS FEVER 6 INCREASING TREND ON

SEVERITY OF ASTHMA AND LOW BIRTH

WEIGHT

Patient with Hypoplastic Left HeartSyndrome

EXCESSIVE FLUORIDE INGESTION Chronic Toxicity

Only a pea-sized amount of toothpaste should be used Not recommended to use fluoridated dentifrice in children younger than 3

yrs Use the ldquocup testrdquo to check if the child could rinse and spit without

swallowing Repeated ingestion of lesser amounts of fluoride may result in chronic

fluoride toxicity the most common of which is dental fluorosis To prevent chronic fluoride toxicity parents should Make sure their

child thoroughly expectorates toothpaste after brushing Acute Toxicity

Results from the accidental ingestion of excessive amounts of fluoride Common symptoms include nausea and vomiting Lethal dose for a 3 yr old child approx 500 mg of fluoride ingested at one

time In the event of accidental ingestion of excessive amounts vomiting should

be induced (2 teaspoons of Ipecac Syrup) Administer milk to slow absorption and form complexes with the fluoride Consider transporting the child to a poison control centre

ROLE OF DIET IN DENTAL CARIES

Dental caries presents a major dental health problem in children

Etiology of caries tooth susceptibility bacterial plaque

carbohydrates time oral sugar clearancesaliva flow amp pH

CARIOGENICITY OF A FOOD

Refined carbohydrate content Frequency of ingestion

Physical properties of food

Lower Sugar Options

Xylitol Cheese Foods low in carbohydrates

Protective foodsrdquo

EFFECT OF DIET BEFORE AND AFTER ERUPTION

TWO THEORIES WERE PROPOSED

1ST THEORY PROPOSED BY

MELLANBY STATES THAT MALNUTIRTION CAUSES DEFECTIVELY FORMED TEETH

2ND THEORY PROPOSED BY

ALVAREZ AND NAVIA IN 1989 THAT ERUPTION OF TEETH IS DELAYED IN MALNOURISED CHILDREN

ROLE OF DIETARY SUGARS

1Change in nutritionalexposure for children 2Increase in consumptionof sugary beverages 3Increase in theconsumption of foodsrich in refinedcarbohydrates

Possible Mediators in the Increaseof Dental Caries

1Increase in acidic beverages and candy2Feeding practices

Baby bottle Nursing

Change in nutritionalexposure for children Increase in consumptionof sugary beverages Increase in theconsumption of foodsrich in refinedcarbohydrates

Factors That Influence Dental CariesGenetics

Saliva Bacteria Fluoride Dietary habits Oral hygiene practices Feeding practices

Genetics

Fluoride

Saliva

Streptococcus Mutans Sanguis Sabrinus Lactobacillus acidophilus

Bacteria

Formation of enamel Amelogenesis Imperfecta Formation of dentin Dentinal dysplasia Dentinogenesis Imperfecta Syndromes Tuberous Sclerosis Tricho-Dento-Osseous Ectodermal Dysplasia

Buffering capacity pH Flow rate Sjogrenrsquos Radiation

ROLE OF FRESH FRUITS AND FRUIT PRODUCTS

SUGARED FRUIT FLAVOURED DRINKS SHOULD NOT BE USED AS A COMFORTER IN YOUNG CHILDREN TO INDUCE SLEEP OR DURING SLEEP

FRESH FRUITS APPEAR TO BE LOW CARIOGENICITY CITRUS FRUITS HAVE NOT BEEN ASSOCIATED WHILE LARGE CONSUMPTION OF APPLES AND GRAPES CAN RESULT IN DENTAL CARIES

HIGH CONSUMPTION OF FRUIT JUICE CAN CAUSE DENTAL EROSION

ROLE OF MILK CHEESE AND OTHER PRODUCTS HUMAN MILK AND COWrsquoS MILK CONTAIN LACTOSE ABOUT

7gm 100gm AND 4-8 gm100 gm RESPECTIVELY THE PRESENCE OF CALCIUM AND PHOSPHATE IN MILK CAN

PREVENTDISSOLUTION OF ENAMEL AND MILK HAVE OTHER PROTECTIVE FACTORS AS WELL

CASEIN IS A PHOSPHOPROTEIN PRESENT IN MILK IS RESPONSIBLE FOR CARIES PROTECTIVE EFFECT

CHEESE IS NOT ONLY CARIOGENIC BUT ALSO HAVE ANTICARIES PROPERTIES IT IS SAID TO HAVE

1 INCREASE THE STIMULATION OF SALIVARY FLOW

WITH ITS FAVOURABLE PROPERTIES 2RAISING THE CALCIUM CONC IN PLAQUE 3 INCREASING THE AMOUNT OF BASIC SUBS IN PLAQUE 4 ADSORPTION OF PROTEIN SUCH AS CASEIN

TO THE ENAMEL SURFACE THERE BY SLOWING THE

CARIES PROCESS

Dentistry Nowadays1048633 Oral Health promotion1048633 Treatment based on educational and preventiveprocedures1048633 Equilibrium between de- and remineralization

Stop the progression of the diseaseDiagnosis of the caries activityPrevent new lesionsArrest present lesionsAvoid recurrence

Children (lt2 yo)

Cariogenic microorganism

106 surfaces with caries4 years oldChildren (lt2 yo)03 surfaces with caries4 years oldAlaluusua S amp Renfonen O V 1983Caries Transmissibility

ROLE OF TRACE ELEMENTS THE TRACE ELEMENTS WHICH HAS RELATIONSHIP WITH CARIES

ARE

1 MOLYBDENUM

2SELENIUM

3 STRONTIUM

4 LITHIUM

FOOD GUIDE PYRAMID IT WAS GIVEN BY THE

NATIONAL ACADEMY OF SCIENCES AND THE US DEPARTMENT OF AGRICULTURE

AS PER NATIONAL ACADEMY

OF SCIENCES 2800 CALORIES IS RIGHT

FOR TEENAGE BOYSMANY ACTIVE MEN

AND VERY ACTIVE WOMEN

SERVINGS REQUIRED

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

ROLE OF DIET IN DENTAL DEVELOPMENT PINDBORG IN 1982 PROPOSED A CLASSIFICATION WHICH DIVIDED THE NUTRITIONAL CAUSES OF DENTAL DEVELOPMENT IN TO

SYSTEMIC

LOCAL

HYPOCALCEMIA CAUSES 1 HARMONAL

2NUTRITIONAL 3 DIARRHOEAL DISESES IN

INFANCY AND EARLY CHILDHOOD 4VIT D DEFICIENCY 5 CHILDHOOD OR

EXANTHEMATOUS FEVER 6 INCREASING TREND ON

SEVERITY OF ASTHMA AND LOW BIRTH

WEIGHT

Patient with Hypoplastic Left HeartSyndrome

EXCESSIVE FLUORIDE INGESTION Chronic Toxicity

Only a pea-sized amount of toothpaste should be used Not recommended to use fluoridated dentifrice in children younger than 3

yrs Use the ldquocup testrdquo to check if the child could rinse and spit without

swallowing Repeated ingestion of lesser amounts of fluoride may result in chronic

fluoride toxicity the most common of which is dental fluorosis To prevent chronic fluoride toxicity parents should Make sure their

child thoroughly expectorates toothpaste after brushing Acute Toxicity

Results from the accidental ingestion of excessive amounts of fluoride Common symptoms include nausea and vomiting Lethal dose for a 3 yr old child approx 500 mg of fluoride ingested at one

time In the event of accidental ingestion of excessive amounts vomiting should

be induced (2 teaspoons of Ipecac Syrup) Administer milk to slow absorption and form complexes with the fluoride Consider transporting the child to a poison control centre

ROLE OF DIET IN DENTAL CARIES

Dental caries presents a major dental health problem in children

Etiology of caries tooth susceptibility bacterial plaque

carbohydrates time oral sugar clearancesaliva flow amp pH

CARIOGENICITY OF A FOOD

Refined carbohydrate content Frequency of ingestion

Physical properties of food

Lower Sugar Options

Xylitol Cheese Foods low in carbohydrates

Protective foodsrdquo

EFFECT OF DIET BEFORE AND AFTER ERUPTION

TWO THEORIES WERE PROPOSED

1ST THEORY PROPOSED BY

MELLANBY STATES THAT MALNUTIRTION CAUSES DEFECTIVELY FORMED TEETH

2ND THEORY PROPOSED BY

ALVAREZ AND NAVIA IN 1989 THAT ERUPTION OF TEETH IS DELAYED IN MALNOURISED CHILDREN

ROLE OF DIETARY SUGARS

1Change in nutritionalexposure for children 2Increase in consumptionof sugary beverages 3Increase in theconsumption of foodsrich in refinedcarbohydrates

Possible Mediators in the Increaseof Dental Caries

1Increase in acidic beverages and candy2Feeding practices

Baby bottle Nursing

Change in nutritionalexposure for children Increase in consumptionof sugary beverages Increase in theconsumption of foodsrich in refinedcarbohydrates

Factors That Influence Dental CariesGenetics

Saliva Bacteria Fluoride Dietary habits Oral hygiene practices Feeding practices

Genetics

Fluoride

Saliva

Streptococcus Mutans Sanguis Sabrinus Lactobacillus acidophilus

Bacteria

Formation of enamel Amelogenesis Imperfecta Formation of dentin Dentinal dysplasia Dentinogenesis Imperfecta Syndromes Tuberous Sclerosis Tricho-Dento-Osseous Ectodermal Dysplasia

Buffering capacity pH Flow rate Sjogrenrsquos Radiation

ROLE OF FRESH FRUITS AND FRUIT PRODUCTS

SUGARED FRUIT FLAVOURED DRINKS SHOULD NOT BE USED AS A COMFORTER IN YOUNG CHILDREN TO INDUCE SLEEP OR DURING SLEEP

FRESH FRUITS APPEAR TO BE LOW CARIOGENICITY CITRUS FRUITS HAVE NOT BEEN ASSOCIATED WHILE LARGE CONSUMPTION OF APPLES AND GRAPES CAN RESULT IN DENTAL CARIES

HIGH CONSUMPTION OF FRUIT JUICE CAN CAUSE DENTAL EROSION

ROLE OF MILK CHEESE AND OTHER PRODUCTS HUMAN MILK AND COWrsquoS MILK CONTAIN LACTOSE ABOUT

7gm 100gm AND 4-8 gm100 gm RESPECTIVELY THE PRESENCE OF CALCIUM AND PHOSPHATE IN MILK CAN

PREVENTDISSOLUTION OF ENAMEL AND MILK HAVE OTHER PROTECTIVE FACTORS AS WELL

CASEIN IS A PHOSPHOPROTEIN PRESENT IN MILK IS RESPONSIBLE FOR CARIES PROTECTIVE EFFECT

CHEESE IS NOT ONLY CARIOGENIC BUT ALSO HAVE ANTICARIES PROPERTIES IT IS SAID TO HAVE

1 INCREASE THE STIMULATION OF SALIVARY FLOW

WITH ITS FAVOURABLE PROPERTIES 2RAISING THE CALCIUM CONC IN PLAQUE 3 INCREASING THE AMOUNT OF BASIC SUBS IN PLAQUE 4 ADSORPTION OF PROTEIN SUCH AS CASEIN

TO THE ENAMEL SURFACE THERE BY SLOWING THE

CARIES PROCESS

Dentistry Nowadays1048633 Oral Health promotion1048633 Treatment based on educational and preventiveprocedures1048633 Equilibrium between de- and remineralization

Stop the progression of the diseaseDiagnosis of the caries activityPrevent new lesionsArrest present lesionsAvoid recurrence

Children (lt2 yo)

Cariogenic microorganism

106 surfaces with caries4 years oldChildren (lt2 yo)03 surfaces with caries4 years oldAlaluusua S amp Renfonen O V 1983Caries Transmissibility

ROLE OF TRACE ELEMENTS THE TRACE ELEMENTS WHICH HAS RELATIONSHIP WITH CARIES

ARE

1 MOLYBDENUM

2SELENIUM

3 STRONTIUM

4 LITHIUM

FOOD GUIDE PYRAMID IT WAS GIVEN BY THE

NATIONAL ACADEMY OF SCIENCES AND THE US DEPARTMENT OF AGRICULTURE

AS PER NATIONAL ACADEMY

OF SCIENCES 2800 CALORIES IS RIGHT

FOR TEENAGE BOYSMANY ACTIVE MEN

AND VERY ACTIVE WOMEN

SERVINGS REQUIRED

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

Patient with Hypoplastic Left HeartSyndrome

EXCESSIVE FLUORIDE INGESTION Chronic Toxicity

Only a pea-sized amount of toothpaste should be used Not recommended to use fluoridated dentifrice in children younger than 3

yrs Use the ldquocup testrdquo to check if the child could rinse and spit without

swallowing Repeated ingestion of lesser amounts of fluoride may result in chronic

fluoride toxicity the most common of which is dental fluorosis To prevent chronic fluoride toxicity parents should Make sure their

child thoroughly expectorates toothpaste after brushing Acute Toxicity

Results from the accidental ingestion of excessive amounts of fluoride Common symptoms include nausea and vomiting Lethal dose for a 3 yr old child approx 500 mg of fluoride ingested at one

time In the event of accidental ingestion of excessive amounts vomiting should

be induced (2 teaspoons of Ipecac Syrup) Administer milk to slow absorption and form complexes with the fluoride Consider transporting the child to a poison control centre

ROLE OF DIET IN DENTAL CARIES

Dental caries presents a major dental health problem in children

Etiology of caries tooth susceptibility bacterial plaque

carbohydrates time oral sugar clearancesaliva flow amp pH

CARIOGENICITY OF A FOOD

Refined carbohydrate content Frequency of ingestion

Physical properties of food

Lower Sugar Options

Xylitol Cheese Foods low in carbohydrates

Protective foodsrdquo

EFFECT OF DIET BEFORE AND AFTER ERUPTION

TWO THEORIES WERE PROPOSED

1ST THEORY PROPOSED BY

MELLANBY STATES THAT MALNUTIRTION CAUSES DEFECTIVELY FORMED TEETH

2ND THEORY PROPOSED BY

ALVAREZ AND NAVIA IN 1989 THAT ERUPTION OF TEETH IS DELAYED IN MALNOURISED CHILDREN

ROLE OF DIETARY SUGARS

1Change in nutritionalexposure for children 2Increase in consumptionof sugary beverages 3Increase in theconsumption of foodsrich in refinedcarbohydrates

Possible Mediators in the Increaseof Dental Caries

1Increase in acidic beverages and candy2Feeding practices

Baby bottle Nursing

Change in nutritionalexposure for children Increase in consumptionof sugary beverages Increase in theconsumption of foodsrich in refinedcarbohydrates

Factors That Influence Dental CariesGenetics

Saliva Bacteria Fluoride Dietary habits Oral hygiene practices Feeding practices

Genetics

Fluoride

Saliva

Streptococcus Mutans Sanguis Sabrinus Lactobacillus acidophilus

Bacteria

Formation of enamel Amelogenesis Imperfecta Formation of dentin Dentinal dysplasia Dentinogenesis Imperfecta Syndromes Tuberous Sclerosis Tricho-Dento-Osseous Ectodermal Dysplasia

Buffering capacity pH Flow rate Sjogrenrsquos Radiation

ROLE OF FRESH FRUITS AND FRUIT PRODUCTS

SUGARED FRUIT FLAVOURED DRINKS SHOULD NOT BE USED AS A COMFORTER IN YOUNG CHILDREN TO INDUCE SLEEP OR DURING SLEEP

FRESH FRUITS APPEAR TO BE LOW CARIOGENICITY CITRUS FRUITS HAVE NOT BEEN ASSOCIATED WHILE LARGE CONSUMPTION OF APPLES AND GRAPES CAN RESULT IN DENTAL CARIES

HIGH CONSUMPTION OF FRUIT JUICE CAN CAUSE DENTAL EROSION

ROLE OF MILK CHEESE AND OTHER PRODUCTS HUMAN MILK AND COWrsquoS MILK CONTAIN LACTOSE ABOUT

7gm 100gm AND 4-8 gm100 gm RESPECTIVELY THE PRESENCE OF CALCIUM AND PHOSPHATE IN MILK CAN

PREVENTDISSOLUTION OF ENAMEL AND MILK HAVE OTHER PROTECTIVE FACTORS AS WELL

CASEIN IS A PHOSPHOPROTEIN PRESENT IN MILK IS RESPONSIBLE FOR CARIES PROTECTIVE EFFECT

CHEESE IS NOT ONLY CARIOGENIC BUT ALSO HAVE ANTICARIES PROPERTIES IT IS SAID TO HAVE

1 INCREASE THE STIMULATION OF SALIVARY FLOW

WITH ITS FAVOURABLE PROPERTIES 2RAISING THE CALCIUM CONC IN PLAQUE 3 INCREASING THE AMOUNT OF BASIC SUBS IN PLAQUE 4 ADSORPTION OF PROTEIN SUCH AS CASEIN

TO THE ENAMEL SURFACE THERE BY SLOWING THE

CARIES PROCESS

Dentistry Nowadays1048633 Oral Health promotion1048633 Treatment based on educational and preventiveprocedures1048633 Equilibrium between de- and remineralization

Stop the progression of the diseaseDiagnosis of the caries activityPrevent new lesionsArrest present lesionsAvoid recurrence

Children (lt2 yo)

Cariogenic microorganism

106 surfaces with caries4 years oldChildren (lt2 yo)03 surfaces with caries4 years oldAlaluusua S amp Renfonen O V 1983Caries Transmissibility

ROLE OF TRACE ELEMENTS THE TRACE ELEMENTS WHICH HAS RELATIONSHIP WITH CARIES

ARE

1 MOLYBDENUM

2SELENIUM

3 STRONTIUM

4 LITHIUM

FOOD GUIDE PYRAMID IT WAS GIVEN BY THE

NATIONAL ACADEMY OF SCIENCES AND THE US DEPARTMENT OF AGRICULTURE

AS PER NATIONAL ACADEMY

OF SCIENCES 2800 CALORIES IS RIGHT

FOR TEENAGE BOYSMANY ACTIVE MEN

AND VERY ACTIVE WOMEN

SERVINGS REQUIRED

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

EXCESSIVE FLUORIDE INGESTION Chronic Toxicity

Only a pea-sized amount of toothpaste should be used Not recommended to use fluoridated dentifrice in children younger than 3

yrs Use the ldquocup testrdquo to check if the child could rinse and spit without

swallowing Repeated ingestion of lesser amounts of fluoride may result in chronic

fluoride toxicity the most common of which is dental fluorosis To prevent chronic fluoride toxicity parents should Make sure their

child thoroughly expectorates toothpaste after brushing Acute Toxicity

Results from the accidental ingestion of excessive amounts of fluoride Common symptoms include nausea and vomiting Lethal dose for a 3 yr old child approx 500 mg of fluoride ingested at one

time In the event of accidental ingestion of excessive amounts vomiting should

be induced (2 teaspoons of Ipecac Syrup) Administer milk to slow absorption and form complexes with the fluoride Consider transporting the child to a poison control centre

ROLE OF DIET IN DENTAL CARIES

Dental caries presents a major dental health problem in children

Etiology of caries tooth susceptibility bacterial plaque

carbohydrates time oral sugar clearancesaliva flow amp pH

CARIOGENICITY OF A FOOD

Refined carbohydrate content Frequency of ingestion

Physical properties of food

Lower Sugar Options

Xylitol Cheese Foods low in carbohydrates

Protective foodsrdquo

EFFECT OF DIET BEFORE AND AFTER ERUPTION

TWO THEORIES WERE PROPOSED

1ST THEORY PROPOSED BY

MELLANBY STATES THAT MALNUTIRTION CAUSES DEFECTIVELY FORMED TEETH

2ND THEORY PROPOSED BY

ALVAREZ AND NAVIA IN 1989 THAT ERUPTION OF TEETH IS DELAYED IN MALNOURISED CHILDREN

ROLE OF DIETARY SUGARS

1Change in nutritionalexposure for children 2Increase in consumptionof sugary beverages 3Increase in theconsumption of foodsrich in refinedcarbohydrates

Possible Mediators in the Increaseof Dental Caries

1Increase in acidic beverages and candy2Feeding practices

Baby bottle Nursing

Change in nutritionalexposure for children Increase in consumptionof sugary beverages Increase in theconsumption of foodsrich in refinedcarbohydrates

Factors That Influence Dental CariesGenetics

Saliva Bacteria Fluoride Dietary habits Oral hygiene practices Feeding practices

Genetics

Fluoride

Saliva

Streptococcus Mutans Sanguis Sabrinus Lactobacillus acidophilus

Bacteria

Formation of enamel Amelogenesis Imperfecta Formation of dentin Dentinal dysplasia Dentinogenesis Imperfecta Syndromes Tuberous Sclerosis Tricho-Dento-Osseous Ectodermal Dysplasia

Buffering capacity pH Flow rate Sjogrenrsquos Radiation

ROLE OF FRESH FRUITS AND FRUIT PRODUCTS

SUGARED FRUIT FLAVOURED DRINKS SHOULD NOT BE USED AS A COMFORTER IN YOUNG CHILDREN TO INDUCE SLEEP OR DURING SLEEP

FRESH FRUITS APPEAR TO BE LOW CARIOGENICITY CITRUS FRUITS HAVE NOT BEEN ASSOCIATED WHILE LARGE CONSUMPTION OF APPLES AND GRAPES CAN RESULT IN DENTAL CARIES

HIGH CONSUMPTION OF FRUIT JUICE CAN CAUSE DENTAL EROSION

ROLE OF MILK CHEESE AND OTHER PRODUCTS HUMAN MILK AND COWrsquoS MILK CONTAIN LACTOSE ABOUT

7gm 100gm AND 4-8 gm100 gm RESPECTIVELY THE PRESENCE OF CALCIUM AND PHOSPHATE IN MILK CAN

PREVENTDISSOLUTION OF ENAMEL AND MILK HAVE OTHER PROTECTIVE FACTORS AS WELL

CASEIN IS A PHOSPHOPROTEIN PRESENT IN MILK IS RESPONSIBLE FOR CARIES PROTECTIVE EFFECT

CHEESE IS NOT ONLY CARIOGENIC BUT ALSO HAVE ANTICARIES PROPERTIES IT IS SAID TO HAVE

1 INCREASE THE STIMULATION OF SALIVARY FLOW

WITH ITS FAVOURABLE PROPERTIES 2RAISING THE CALCIUM CONC IN PLAQUE 3 INCREASING THE AMOUNT OF BASIC SUBS IN PLAQUE 4 ADSORPTION OF PROTEIN SUCH AS CASEIN

TO THE ENAMEL SURFACE THERE BY SLOWING THE

CARIES PROCESS

Dentistry Nowadays1048633 Oral Health promotion1048633 Treatment based on educational and preventiveprocedures1048633 Equilibrium between de- and remineralization

Stop the progression of the diseaseDiagnosis of the caries activityPrevent new lesionsArrest present lesionsAvoid recurrence

Children (lt2 yo)

Cariogenic microorganism

106 surfaces with caries4 years oldChildren (lt2 yo)03 surfaces with caries4 years oldAlaluusua S amp Renfonen O V 1983Caries Transmissibility

ROLE OF TRACE ELEMENTS THE TRACE ELEMENTS WHICH HAS RELATIONSHIP WITH CARIES

ARE

1 MOLYBDENUM

2SELENIUM

3 STRONTIUM

4 LITHIUM

FOOD GUIDE PYRAMID IT WAS GIVEN BY THE

NATIONAL ACADEMY OF SCIENCES AND THE US DEPARTMENT OF AGRICULTURE

AS PER NATIONAL ACADEMY

OF SCIENCES 2800 CALORIES IS RIGHT

FOR TEENAGE BOYSMANY ACTIVE MEN

AND VERY ACTIVE WOMEN

SERVINGS REQUIRED

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

ROLE OF DIET IN DENTAL CARIES

Dental caries presents a major dental health problem in children

Etiology of caries tooth susceptibility bacterial plaque

carbohydrates time oral sugar clearancesaliva flow amp pH

CARIOGENICITY OF A FOOD

Refined carbohydrate content Frequency of ingestion

Physical properties of food

Lower Sugar Options

Xylitol Cheese Foods low in carbohydrates

Protective foodsrdquo

EFFECT OF DIET BEFORE AND AFTER ERUPTION

TWO THEORIES WERE PROPOSED

1ST THEORY PROPOSED BY

MELLANBY STATES THAT MALNUTIRTION CAUSES DEFECTIVELY FORMED TEETH

2ND THEORY PROPOSED BY

ALVAREZ AND NAVIA IN 1989 THAT ERUPTION OF TEETH IS DELAYED IN MALNOURISED CHILDREN

ROLE OF DIETARY SUGARS

1Change in nutritionalexposure for children 2Increase in consumptionof sugary beverages 3Increase in theconsumption of foodsrich in refinedcarbohydrates

Possible Mediators in the Increaseof Dental Caries

1Increase in acidic beverages and candy2Feeding practices

Baby bottle Nursing

Change in nutritionalexposure for children Increase in consumptionof sugary beverages Increase in theconsumption of foodsrich in refinedcarbohydrates

Factors That Influence Dental CariesGenetics

Saliva Bacteria Fluoride Dietary habits Oral hygiene practices Feeding practices

Genetics

Fluoride

Saliva

Streptococcus Mutans Sanguis Sabrinus Lactobacillus acidophilus

Bacteria

Formation of enamel Amelogenesis Imperfecta Formation of dentin Dentinal dysplasia Dentinogenesis Imperfecta Syndromes Tuberous Sclerosis Tricho-Dento-Osseous Ectodermal Dysplasia

Buffering capacity pH Flow rate Sjogrenrsquos Radiation

ROLE OF FRESH FRUITS AND FRUIT PRODUCTS

SUGARED FRUIT FLAVOURED DRINKS SHOULD NOT BE USED AS A COMFORTER IN YOUNG CHILDREN TO INDUCE SLEEP OR DURING SLEEP

FRESH FRUITS APPEAR TO BE LOW CARIOGENICITY CITRUS FRUITS HAVE NOT BEEN ASSOCIATED WHILE LARGE CONSUMPTION OF APPLES AND GRAPES CAN RESULT IN DENTAL CARIES

HIGH CONSUMPTION OF FRUIT JUICE CAN CAUSE DENTAL EROSION

ROLE OF MILK CHEESE AND OTHER PRODUCTS HUMAN MILK AND COWrsquoS MILK CONTAIN LACTOSE ABOUT

7gm 100gm AND 4-8 gm100 gm RESPECTIVELY THE PRESENCE OF CALCIUM AND PHOSPHATE IN MILK CAN

PREVENTDISSOLUTION OF ENAMEL AND MILK HAVE OTHER PROTECTIVE FACTORS AS WELL

CASEIN IS A PHOSPHOPROTEIN PRESENT IN MILK IS RESPONSIBLE FOR CARIES PROTECTIVE EFFECT

CHEESE IS NOT ONLY CARIOGENIC BUT ALSO HAVE ANTICARIES PROPERTIES IT IS SAID TO HAVE

1 INCREASE THE STIMULATION OF SALIVARY FLOW

WITH ITS FAVOURABLE PROPERTIES 2RAISING THE CALCIUM CONC IN PLAQUE 3 INCREASING THE AMOUNT OF BASIC SUBS IN PLAQUE 4 ADSORPTION OF PROTEIN SUCH AS CASEIN

TO THE ENAMEL SURFACE THERE BY SLOWING THE

CARIES PROCESS

Dentistry Nowadays1048633 Oral Health promotion1048633 Treatment based on educational and preventiveprocedures1048633 Equilibrium between de- and remineralization

Stop the progression of the diseaseDiagnosis of the caries activityPrevent new lesionsArrest present lesionsAvoid recurrence

Children (lt2 yo)

Cariogenic microorganism

106 surfaces with caries4 years oldChildren (lt2 yo)03 surfaces with caries4 years oldAlaluusua S amp Renfonen O V 1983Caries Transmissibility

ROLE OF TRACE ELEMENTS THE TRACE ELEMENTS WHICH HAS RELATIONSHIP WITH CARIES

ARE

1 MOLYBDENUM

2SELENIUM

3 STRONTIUM

4 LITHIUM

FOOD GUIDE PYRAMID IT WAS GIVEN BY THE

NATIONAL ACADEMY OF SCIENCES AND THE US DEPARTMENT OF AGRICULTURE

AS PER NATIONAL ACADEMY

OF SCIENCES 2800 CALORIES IS RIGHT

FOR TEENAGE BOYSMANY ACTIVE MEN

AND VERY ACTIVE WOMEN

SERVINGS REQUIRED

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

CARIOGENICITY OF A FOOD

Refined carbohydrate content Frequency of ingestion

Physical properties of food

Lower Sugar Options

Xylitol Cheese Foods low in carbohydrates

Protective foodsrdquo

EFFECT OF DIET BEFORE AND AFTER ERUPTION

TWO THEORIES WERE PROPOSED

1ST THEORY PROPOSED BY

MELLANBY STATES THAT MALNUTIRTION CAUSES DEFECTIVELY FORMED TEETH

2ND THEORY PROPOSED BY

ALVAREZ AND NAVIA IN 1989 THAT ERUPTION OF TEETH IS DELAYED IN MALNOURISED CHILDREN

ROLE OF DIETARY SUGARS

1Change in nutritionalexposure for children 2Increase in consumptionof sugary beverages 3Increase in theconsumption of foodsrich in refinedcarbohydrates

Possible Mediators in the Increaseof Dental Caries

1Increase in acidic beverages and candy2Feeding practices

Baby bottle Nursing

Change in nutritionalexposure for children Increase in consumptionof sugary beverages Increase in theconsumption of foodsrich in refinedcarbohydrates

Factors That Influence Dental CariesGenetics

Saliva Bacteria Fluoride Dietary habits Oral hygiene practices Feeding practices

Genetics

Fluoride

Saliva

Streptococcus Mutans Sanguis Sabrinus Lactobacillus acidophilus

Bacteria

Formation of enamel Amelogenesis Imperfecta Formation of dentin Dentinal dysplasia Dentinogenesis Imperfecta Syndromes Tuberous Sclerosis Tricho-Dento-Osseous Ectodermal Dysplasia

Buffering capacity pH Flow rate Sjogrenrsquos Radiation

ROLE OF FRESH FRUITS AND FRUIT PRODUCTS

SUGARED FRUIT FLAVOURED DRINKS SHOULD NOT BE USED AS A COMFORTER IN YOUNG CHILDREN TO INDUCE SLEEP OR DURING SLEEP

FRESH FRUITS APPEAR TO BE LOW CARIOGENICITY CITRUS FRUITS HAVE NOT BEEN ASSOCIATED WHILE LARGE CONSUMPTION OF APPLES AND GRAPES CAN RESULT IN DENTAL CARIES

HIGH CONSUMPTION OF FRUIT JUICE CAN CAUSE DENTAL EROSION

ROLE OF MILK CHEESE AND OTHER PRODUCTS HUMAN MILK AND COWrsquoS MILK CONTAIN LACTOSE ABOUT

7gm 100gm AND 4-8 gm100 gm RESPECTIVELY THE PRESENCE OF CALCIUM AND PHOSPHATE IN MILK CAN

PREVENTDISSOLUTION OF ENAMEL AND MILK HAVE OTHER PROTECTIVE FACTORS AS WELL

CASEIN IS A PHOSPHOPROTEIN PRESENT IN MILK IS RESPONSIBLE FOR CARIES PROTECTIVE EFFECT

CHEESE IS NOT ONLY CARIOGENIC BUT ALSO HAVE ANTICARIES PROPERTIES IT IS SAID TO HAVE

1 INCREASE THE STIMULATION OF SALIVARY FLOW

WITH ITS FAVOURABLE PROPERTIES 2RAISING THE CALCIUM CONC IN PLAQUE 3 INCREASING THE AMOUNT OF BASIC SUBS IN PLAQUE 4 ADSORPTION OF PROTEIN SUCH AS CASEIN

TO THE ENAMEL SURFACE THERE BY SLOWING THE

CARIES PROCESS

Dentistry Nowadays1048633 Oral Health promotion1048633 Treatment based on educational and preventiveprocedures1048633 Equilibrium between de- and remineralization

Stop the progression of the diseaseDiagnosis of the caries activityPrevent new lesionsArrest present lesionsAvoid recurrence

Children (lt2 yo)

Cariogenic microorganism

106 surfaces with caries4 years oldChildren (lt2 yo)03 surfaces with caries4 years oldAlaluusua S amp Renfonen O V 1983Caries Transmissibility

ROLE OF TRACE ELEMENTS THE TRACE ELEMENTS WHICH HAS RELATIONSHIP WITH CARIES

ARE

1 MOLYBDENUM

2SELENIUM

3 STRONTIUM

4 LITHIUM

FOOD GUIDE PYRAMID IT WAS GIVEN BY THE

NATIONAL ACADEMY OF SCIENCES AND THE US DEPARTMENT OF AGRICULTURE

AS PER NATIONAL ACADEMY

OF SCIENCES 2800 CALORIES IS RIGHT

FOR TEENAGE BOYSMANY ACTIVE MEN

AND VERY ACTIVE WOMEN

SERVINGS REQUIRED

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

EFFECT OF DIET BEFORE AND AFTER ERUPTION

TWO THEORIES WERE PROPOSED

1ST THEORY PROPOSED BY

MELLANBY STATES THAT MALNUTIRTION CAUSES DEFECTIVELY FORMED TEETH

2ND THEORY PROPOSED BY

ALVAREZ AND NAVIA IN 1989 THAT ERUPTION OF TEETH IS DELAYED IN MALNOURISED CHILDREN

ROLE OF DIETARY SUGARS

1Change in nutritionalexposure for children 2Increase in consumptionof sugary beverages 3Increase in theconsumption of foodsrich in refinedcarbohydrates

Possible Mediators in the Increaseof Dental Caries

1Increase in acidic beverages and candy2Feeding practices

Baby bottle Nursing

Change in nutritionalexposure for children Increase in consumptionof sugary beverages Increase in theconsumption of foodsrich in refinedcarbohydrates

Factors That Influence Dental CariesGenetics

Saliva Bacteria Fluoride Dietary habits Oral hygiene practices Feeding practices

Genetics

Fluoride

Saliva

Streptococcus Mutans Sanguis Sabrinus Lactobacillus acidophilus

Bacteria

Formation of enamel Amelogenesis Imperfecta Formation of dentin Dentinal dysplasia Dentinogenesis Imperfecta Syndromes Tuberous Sclerosis Tricho-Dento-Osseous Ectodermal Dysplasia

Buffering capacity pH Flow rate Sjogrenrsquos Radiation

ROLE OF FRESH FRUITS AND FRUIT PRODUCTS

SUGARED FRUIT FLAVOURED DRINKS SHOULD NOT BE USED AS A COMFORTER IN YOUNG CHILDREN TO INDUCE SLEEP OR DURING SLEEP

FRESH FRUITS APPEAR TO BE LOW CARIOGENICITY CITRUS FRUITS HAVE NOT BEEN ASSOCIATED WHILE LARGE CONSUMPTION OF APPLES AND GRAPES CAN RESULT IN DENTAL CARIES

HIGH CONSUMPTION OF FRUIT JUICE CAN CAUSE DENTAL EROSION

ROLE OF MILK CHEESE AND OTHER PRODUCTS HUMAN MILK AND COWrsquoS MILK CONTAIN LACTOSE ABOUT

7gm 100gm AND 4-8 gm100 gm RESPECTIVELY THE PRESENCE OF CALCIUM AND PHOSPHATE IN MILK CAN

PREVENTDISSOLUTION OF ENAMEL AND MILK HAVE OTHER PROTECTIVE FACTORS AS WELL

CASEIN IS A PHOSPHOPROTEIN PRESENT IN MILK IS RESPONSIBLE FOR CARIES PROTECTIVE EFFECT

CHEESE IS NOT ONLY CARIOGENIC BUT ALSO HAVE ANTICARIES PROPERTIES IT IS SAID TO HAVE

1 INCREASE THE STIMULATION OF SALIVARY FLOW

WITH ITS FAVOURABLE PROPERTIES 2RAISING THE CALCIUM CONC IN PLAQUE 3 INCREASING THE AMOUNT OF BASIC SUBS IN PLAQUE 4 ADSORPTION OF PROTEIN SUCH AS CASEIN

TO THE ENAMEL SURFACE THERE BY SLOWING THE

CARIES PROCESS

Dentistry Nowadays1048633 Oral Health promotion1048633 Treatment based on educational and preventiveprocedures1048633 Equilibrium between de- and remineralization

Stop the progression of the diseaseDiagnosis of the caries activityPrevent new lesionsArrest present lesionsAvoid recurrence

Children (lt2 yo)

Cariogenic microorganism

106 surfaces with caries4 years oldChildren (lt2 yo)03 surfaces with caries4 years oldAlaluusua S amp Renfonen O V 1983Caries Transmissibility

ROLE OF TRACE ELEMENTS THE TRACE ELEMENTS WHICH HAS RELATIONSHIP WITH CARIES

ARE

1 MOLYBDENUM

2SELENIUM

3 STRONTIUM

4 LITHIUM

FOOD GUIDE PYRAMID IT WAS GIVEN BY THE

NATIONAL ACADEMY OF SCIENCES AND THE US DEPARTMENT OF AGRICULTURE

AS PER NATIONAL ACADEMY

OF SCIENCES 2800 CALORIES IS RIGHT

FOR TEENAGE BOYSMANY ACTIVE MEN

AND VERY ACTIVE WOMEN

SERVINGS REQUIRED

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

ROLE OF DIETARY SUGARS

1Change in nutritionalexposure for children 2Increase in consumptionof sugary beverages 3Increase in theconsumption of foodsrich in refinedcarbohydrates

Possible Mediators in the Increaseof Dental Caries

1Increase in acidic beverages and candy2Feeding practices

Baby bottle Nursing

Change in nutritionalexposure for children Increase in consumptionof sugary beverages Increase in theconsumption of foodsrich in refinedcarbohydrates

Factors That Influence Dental CariesGenetics

Saliva Bacteria Fluoride Dietary habits Oral hygiene practices Feeding practices

Genetics

Fluoride

Saliva

Streptococcus Mutans Sanguis Sabrinus Lactobacillus acidophilus

Bacteria

Formation of enamel Amelogenesis Imperfecta Formation of dentin Dentinal dysplasia Dentinogenesis Imperfecta Syndromes Tuberous Sclerosis Tricho-Dento-Osseous Ectodermal Dysplasia

Buffering capacity pH Flow rate Sjogrenrsquos Radiation

ROLE OF FRESH FRUITS AND FRUIT PRODUCTS

SUGARED FRUIT FLAVOURED DRINKS SHOULD NOT BE USED AS A COMFORTER IN YOUNG CHILDREN TO INDUCE SLEEP OR DURING SLEEP

FRESH FRUITS APPEAR TO BE LOW CARIOGENICITY CITRUS FRUITS HAVE NOT BEEN ASSOCIATED WHILE LARGE CONSUMPTION OF APPLES AND GRAPES CAN RESULT IN DENTAL CARIES

HIGH CONSUMPTION OF FRUIT JUICE CAN CAUSE DENTAL EROSION

ROLE OF MILK CHEESE AND OTHER PRODUCTS HUMAN MILK AND COWrsquoS MILK CONTAIN LACTOSE ABOUT

7gm 100gm AND 4-8 gm100 gm RESPECTIVELY THE PRESENCE OF CALCIUM AND PHOSPHATE IN MILK CAN

PREVENTDISSOLUTION OF ENAMEL AND MILK HAVE OTHER PROTECTIVE FACTORS AS WELL

CASEIN IS A PHOSPHOPROTEIN PRESENT IN MILK IS RESPONSIBLE FOR CARIES PROTECTIVE EFFECT

CHEESE IS NOT ONLY CARIOGENIC BUT ALSO HAVE ANTICARIES PROPERTIES IT IS SAID TO HAVE

1 INCREASE THE STIMULATION OF SALIVARY FLOW

WITH ITS FAVOURABLE PROPERTIES 2RAISING THE CALCIUM CONC IN PLAQUE 3 INCREASING THE AMOUNT OF BASIC SUBS IN PLAQUE 4 ADSORPTION OF PROTEIN SUCH AS CASEIN

TO THE ENAMEL SURFACE THERE BY SLOWING THE

CARIES PROCESS

Dentistry Nowadays1048633 Oral Health promotion1048633 Treatment based on educational and preventiveprocedures1048633 Equilibrium between de- and remineralization

Stop the progression of the diseaseDiagnosis of the caries activityPrevent new lesionsArrest present lesionsAvoid recurrence

Children (lt2 yo)

Cariogenic microorganism

106 surfaces with caries4 years oldChildren (lt2 yo)03 surfaces with caries4 years oldAlaluusua S amp Renfonen O V 1983Caries Transmissibility

ROLE OF TRACE ELEMENTS THE TRACE ELEMENTS WHICH HAS RELATIONSHIP WITH CARIES

ARE

1 MOLYBDENUM

2SELENIUM

3 STRONTIUM

4 LITHIUM

FOOD GUIDE PYRAMID IT WAS GIVEN BY THE

NATIONAL ACADEMY OF SCIENCES AND THE US DEPARTMENT OF AGRICULTURE

AS PER NATIONAL ACADEMY

OF SCIENCES 2800 CALORIES IS RIGHT

FOR TEENAGE BOYSMANY ACTIVE MEN

AND VERY ACTIVE WOMEN

SERVINGS REQUIRED

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

Factors That Influence Dental CariesGenetics

Saliva Bacteria Fluoride Dietary habits Oral hygiene practices Feeding practices

Genetics

Fluoride

Saliva

Streptococcus Mutans Sanguis Sabrinus Lactobacillus acidophilus

Bacteria

Formation of enamel Amelogenesis Imperfecta Formation of dentin Dentinal dysplasia Dentinogenesis Imperfecta Syndromes Tuberous Sclerosis Tricho-Dento-Osseous Ectodermal Dysplasia

Buffering capacity pH Flow rate Sjogrenrsquos Radiation

ROLE OF FRESH FRUITS AND FRUIT PRODUCTS

SUGARED FRUIT FLAVOURED DRINKS SHOULD NOT BE USED AS A COMFORTER IN YOUNG CHILDREN TO INDUCE SLEEP OR DURING SLEEP

FRESH FRUITS APPEAR TO BE LOW CARIOGENICITY CITRUS FRUITS HAVE NOT BEEN ASSOCIATED WHILE LARGE CONSUMPTION OF APPLES AND GRAPES CAN RESULT IN DENTAL CARIES

HIGH CONSUMPTION OF FRUIT JUICE CAN CAUSE DENTAL EROSION

ROLE OF MILK CHEESE AND OTHER PRODUCTS HUMAN MILK AND COWrsquoS MILK CONTAIN LACTOSE ABOUT

7gm 100gm AND 4-8 gm100 gm RESPECTIVELY THE PRESENCE OF CALCIUM AND PHOSPHATE IN MILK CAN

PREVENTDISSOLUTION OF ENAMEL AND MILK HAVE OTHER PROTECTIVE FACTORS AS WELL

CASEIN IS A PHOSPHOPROTEIN PRESENT IN MILK IS RESPONSIBLE FOR CARIES PROTECTIVE EFFECT

CHEESE IS NOT ONLY CARIOGENIC BUT ALSO HAVE ANTICARIES PROPERTIES IT IS SAID TO HAVE

1 INCREASE THE STIMULATION OF SALIVARY FLOW

WITH ITS FAVOURABLE PROPERTIES 2RAISING THE CALCIUM CONC IN PLAQUE 3 INCREASING THE AMOUNT OF BASIC SUBS IN PLAQUE 4 ADSORPTION OF PROTEIN SUCH AS CASEIN

TO THE ENAMEL SURFACE THERE BY SLOWING THE

CARIES PROCESS

Dentistry Nowadays1048633 Oral Health promotion1048633 Treatment based on educational and preventiveprocedures1048633 Equilibrium between de- and remineralization

Stop the progression of the diseaseDiagnosis of the caries activityPrevent new lesionsArrest present lesionsAvoid recurrence

Children (lt2 yo)

Cariogenic microorganism

106 surfaces with caries4 years oldChildren (lt2 yo)03 surfaces with caries4 years oldAlaluusua S amp Renfonen O V 1983Caries Transmissibility

ROLE OF TRACE ELEMENTS THE TRACE ELEMENTS WHICH HAS RELATIONSHIP WITH CARIES

ARE

1 MOLYBDENUM

2SELENIUM

3 STRONTIUM

4 LITHIUM

FOOD GUIDE PYRAMID IT WAS GIVEN BY THE

NATIONAL ACADEMY OF SCIENCES AND THE US DEPARTMENT OF AGRICULTURE

AS PER NATIONAL ACADEMY

OF SCIENCES 2800 CALORIES IS RIGHT

FOR TEENAGE BOYSMANY ACTIVE MEN

AND VERY ACTIVE WOMEN

SERVINGS REQUIRED

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

ROLE OF FRESH FRUITS AND FRUIT PRODUCTS

SUGARED FRUIT FLAVOURED DRINKS SHOULD NOT BE USED AS A COMFORTER IN YOUNG CHILDREN TO INDUCE SLEEP OR DURING SLEEP

FRESH FRUITS APPEAR TO BE LOW CARIOGENICITY CITRUS FRUITS HAVE NOT BEEN ASSOCIATED WHILE LARGE CONSUMPTION OF APPLES AND GRAPES CAN RESULT IN DENTAL CARIES

HIGH CONSUMPTION OF FRUIT JUICE CAN CAUSE DENTAL EROSION

ROLE OF MILK CHEESE AND OTHER PRODUCTS HUMAN MILK AND COWrsquoS MILK CONTAIN LACTOSE ABOUT

7gm 100gm AND 4-8 gm100 gm RESPECTIVELY THE PRESENCE OF CALCIUM AND PHOSPHATE IN MILK CAN

PREVENTDISSOLUTION OF ENAMEL AND MILK HAVE OTHER PROTECTIVE FACTORS AS WELL

CASEIN IS A PHOSPHOPROTEIN PRESENT IN MILK IS RESPONSIBLE FOR CARIES PROTECTIVE EFFECT

CHEESE IS NOT ONLY CARIOGENIC BUT ALSO HAVE ANTICARIES PROPERTIES IT IS SAID TO HAVE

1 INCREASE THE STIMULATION OF SALIVARY FLOW

WITH ITS FAVOURABLE PROPERTIES 2RAISING THE CALCIUM CONC IN PLAQUE 3 INCREASING THE AMOUNT OF BASIC SUBS IN PLAQUE 4 ADSORPTION OF PROTEIN SUCH AS CASEIN

TO THE ENAMEL SURFACE THERE BY SLOWING THE

CARIES PROCESS

Dentistry Nowadays1048633 Oral Health promotion1048633 Treatment based on educational and preventiveprocedures1048633 Equilibrium between de- and remineralization

Stop the progression of the diseaseDiagnosis of the caries activityPrevent new lesionsArrest present lesionsAvoid recurrence

Children (lt2 yo)

Cariogenic microorganism

106 surfaces with caries4 years oldChildren (lt2 yo)03 surfaces with caries4 years oldAlaluusua S amp Renfonen O V 1983Caries Transmissibility

ROLE OF TRACE ELEMENTS THE TRACE ELEMENTS WHICH HAS RELATIONSHIP WITH CARIES

ARE

1 MOLYBDENUM

2SELENIUM

3 STRONTIUM

4 LITHIUM

FOOD GUIDE PYRAMID IT WAS GIVEN BY THE

NATIONAL ACADEMY OF SCIENCES AND THE US DEPARTMENT OF AGRICULTURE

AS PER NATIONAL ACADEMY

OF SCIENCES 2800 CALORIES IS RIGHT

FOR TEENAGE BOYSMANY ACTIVE MEN

AND VERY ACTIVE WOMEN

SERVINGS REQUIRED

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

ROLE OF MILK CHEESE AND OTHER PRODUCTS HUMAN MILK AND COWrsquoS MILK CONTAIN LACTOSE ABOUT

7gm 100gm AND 4-8 gm100 gm RESPECTIVELY THE PRESENCE OF CALCIUM AND PHOSPHATE IN MILK CAN

PREVENTDISSOLUTION OF ENAMEL AND MILK HAVE OTHER PROTECTIVE FACTORS AS WELL

CASEIN IS A PHOSPHOPROTEIN PRESENT IN MILK IS RESPONSIBLE FOR CARIES PROTECTIVE EFFECT

CHEESE IS NOT ONLY CARIOGENIC BUT ALSO HAVE ANTICARIES PROPERTIES IT IS SAID TO HAVE

1 INCREASE THE STIMULATION OF SALIVARY FLOW

WITH ITS FAVOURABLE PROPERTIES 2RAISING THE CALCIUM CONC IN PLAQUE 3 INCREASING THE AMOUNT OF BASIC SUBS IN PLAQUE 4 ADSORPTION OF PROTEIN SUCH AS CASEIN

TO THE ENAMEL SURFACE THERE BY SLOWING THE

CARIES PROCESS

Dentistry Nowadays1048633 Oral Health promotion1048633 Treatment based on educational and preventiveprocedures1048633 Equilibrium between de- and remineralization

Stop the progression of the diseaseDiagnosis of the caries activityPrevent new lesionsArrest present lesionsAvoid recurrence

Children (lt2 yo)

Cariogenic microorganism

106 surfaces with caries4 years oldChildren (lt2 yo)03 surfaces with caries4 years oldAlaluusua S amp Renfonen O V 1983Caries Transmissibility

ROLE OF TRACE ELEMENTS THE TRACE ELEMENTS WHICH HAS RELATIONSHIP WITH CARIES

ARE

1 MOLYBDENUM

2SELENIUM

3 STRONTIUM

4 LITHIUM

FOOD GUIDE PYRAMID IT WAS GIVEN BY THE

NATIONAL ACADEMY OF SCIENCES AND THE US DEPARTMENT OF AGRICULTURE

AS PER NATIONAL ACADEMY

OF SCIENCES 2800 CALORIES IS RIGHT

FOR TEENAGE BOYSMANY ACTIVE MEN

AND VERY ACTIVE WOMEN

SERVINGS REQUIRED

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

Dentistry Nowadays1048633 Oral Health promotion1048633 Treatment based on educational and preventiveprocedures1048633 Equilibrium between de- and remineralization

Stop the progression of the diseaseDiagnosis of the caries activityPrevent new lesionsArrest present lesionsAvoid recurrence

Children (lt2 yo)

Cariogenic microorganism

106 surfaces with caries4 years oldChildren (lt2 yo)03 surfaces with caries4 years oldAlaluusua S amp Renfonen O V 1983Caries Transmissibility

ROLE OF TRACE ELEMENTS THE TRACE ELEMENTS WHICH HAS RELATIONSHIP WITH CARIES

ARE

1 MOLYBDENUM

2SELENIUM

3 STRONTIUM

4 LITHIUM

FOOD GUIDE PYRAMID IT WAS GIVEN BY THE

NATIONAL ACADEMY OF SCIENCES AND THE US DEPARTMENT OF AGRICULTURE

AS PER NATIONAL ACADEMY

OF SCIENCES 2800 CALORIES IS RIGHT

FOR TEENAGE BOYSMANY ACTIVE MEN

AND VERY ACTIVE WOMEN

SERVINGS REQUIRED

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

ROLE OF TRACE ELEMENTS THE TRACE ELEMENTS WHICH HAS RELATIONSHIP WITH CARIES

ARE

1 MOLYBDENUM

2SELENIUM

3 STRONTIUM

4 LITHIUM

FOOD GUIDE PYRAMID IT WAS GIVEN BY THE

NATIONAL ACADEMY OF SCIENCES AND THE US DEPARTMENT OF AGRICULTURE

AS PER NATIONAL ACADEMY

OF SCIENCES 2800 CALORIES IS RIGHT

FOR TEENAGE BOYSMANY ACTIVE MEN

AND VERY ACTIVE WOMEN

SERVINGS REQUIRED

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

SERVINGS REQUIRED

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

DIET COUNSELING

Eating for oral health

Diet1048633 Evaluation of 3 yo children in daycare centersand childrsquos garden1048633 High prevalence of caries is related with highfrequency of sugar consumption

Diet CounselingBasic principles for diet counseling1048633 Evaluation of the patientrsquos diet1048633 Suggestions to modify the main meals1048633 Give reliable options of alternative food for thepatients1048633 Exclude snacking and sugar intake between mainmealsKrasseB 1986Good light sourceOral Profilaxis ndash plaque removalClean and dry tooth surfaceCLINICAL EXAMInstrumental for clinical examCLINICAL

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

DIET DIARY THE INDIVIDUAL SHOULD BE ASKED TO RECORD

THREE DAYS OF HIS OR HER INTAKE IN THE DIARY ONE OF THE 3 DAYS SHOULD BE A WEEKEND DAYS

AS FOOD HABITS MAY BE DIFFERENT ON THAT DAY CHILDREN AS YOUNG AS 11 YEARS CAN KEEP THEIR

OWN RECORDS AND CHILDREN YOUNG AS 7 YEARS ARE LIKELY TO DO WITH PARENTAL HELP

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

Diagnosis 1048633 The presence or

absence of caries lesions can be

represented by 1048633 White spot lesion 1048633 Inactive white spot

lesion (smooth and shiny)

1048633 Active cavitated lesion (Soft moist and gray in

appearance harbor more bacteria)

1048633 Non-active cavitated lesion (Hard dry and dark in

appearance harbor fewer bacteria)

1048633 To consider color texture and location

ActiveCavitatedCaries

ArrestedCaries

White spot lesion

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

1048633 Deep and pigmented fissures

1048633 Poor oral hygiene

1048633 Incidence of 2 or more new lesions within 1 year

1048633 High activity of caries in smooth surfaceroot surface in the past

1048633 Visit the dentist only when heshe has a problem

1048633 Maladapted restorations (margins)

1048633 High frequency of carbohydrates

1048633 Low frequency or no use of fluoride

Low Risk High Risk

No new or incipient cariouslesions in the past year

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

ldquoA Good Parentrdquo A good parent is a person

who is patient kind considerate

understanding helpful a good listener and a

disciplinarian When a parent applies

these attributes to their children the

relationship is very different to relationships developed

with others

If we identify the role of parents inoral health disease we can work onprevention

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

DAILY CALORIE ENTRY

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

Why is good nutrition so important

bullLowers risk of many chronic diseases such as heart disease and diabetesbullHelps to maintain a healthy weightbullProvides people with more energy

The United States Department of Agriculture (USDA) Dietary Guidelines describe a healthy diet as one that

bullEmphasizes fruits vegetables whole grains and fat-free or low-fat milk and milk products bullIncludes lean meats poultry fish beans eggs and nuts and bullIs low in saturated fats trans fats cholesterol salt (sodium) and added sugars

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

Food tipsbull Vary your veggies

bull Focus on fruit

bull Go lean with protein

bull Get your calcium rich foods

bull Make half your grains whole

bull Find your balance between food and physical activity

Limit sugar intakeFoods high in sugar often have too many calories and not enough nutrients Sugar also promotes tooth decay

Limit salty foodsSalty foods can increase your risk of high blood pressure

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

These foods provide vitamins minerals fiber and complex carbohydrate

Choose a diet high in fruits vegetables and grain products

Eat foods that are low in fat saturated fat and cholesterolThis will reduce your risk of heart attack certain cancers and will help maintain a healthy weight

Try to stay away from high fat high sugar high salt foods and alcoholA healthy diet includes fruits vegetables and grains A healthy diet is very important because it lowers your risk of many chronic diseases It helps to maintain a healthy weight and provides more energyExercise is important too

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

Visit your dentist at least twice a year

What are the best ways to keep teeth and gums healthy

Proper nutrition Dental examsProper brushing Proper flossing

What happens if you donrsquot take care of your teeth

Cavities Root canals and loss of teeth Dentures Bridges Partial plates

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

Yes with good oral hygiene that includes Brushing teeth at least twice a day to remove plaque on the

surface of the teeth

Daily flossing to remove plaque between the teeth

Rinsing with mouthwash if you cannot use a toothbrush

Limit foods that are high in sugar For snacks choose healthy foods that are not stickyChew sugarless gumRaw fruits and vegetables are great for your teeth

Most important factors in caries prevention are Oral Hygiene Diet Fluoride therapy and Fissures

Plaque removal amp Diet are the most important factors in oral health education

ToothbrushingRoll methodHorizontal scrub- most successful for childrenModified Bass

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

ROLE OF DIET IN PERIODONTAL DISEASE FACTORS WHICH ARE CONCERNED WITH THE

PATHOGENESIS OF PERIODONTAL DISEASES WHICH MAY BE INFLUENCED BY DIET AND NUTRITION ARE

1 DENTAL PLAQUE

2EPITHELIAL INTEGRITY

3IMMUNE RESPONSE

4 COLLAGEN FORMATION AND REPAIR

5 BONE FORMATION AND REPAIR

6 FOOD CONSISTENCY

SEVERE VIT C DEFICIENCY AFFECT PERIODONTAL TISSUES

PDL TISSUES WILL BENEFIT WHEN NUTRITION IS ADEQUATE

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT

CONCLUSION

ldquoAPPROPRIATE NUTRITION PLAY A MAJOR ROLE IN GOOD DENTAL HEALTHrdquo

THANK YOU

• ROLE OF DIET IN DENTAL DEVELOPMENT