Dietary advice - Dr Al-Ani Flashcards
What are the important factors in caries control
- Plaque control
- Use of fluoride
- Dietary modification
What factors may place a patient at high risk for caries
- High sugar intake
- Inadequate brushing habits
- No fluoride exposure
- Irregular dental attendee
- Medically compromised
- Xerostomia
What investigations should be caried out for a patient with xerostomia
- Diet analysis
- Investigation on fluoride intake
- Medical history
- Oral hygiene practices
- Bitewing radiographs
What dietary factors are associated with caries
- Amount of fermentable carbohydrate eaten
- Sugar concentration of food
- Physical form of carbohydrate
- Oral retentiveness
- Frequency of eating meals and snacks
- Length of interval between eating
- Sequence of food consumption
What is the Vipeholm study
- The consumption of sugary foods is
associated with a higher caries incidence - Increasing the frequency of sugar intake
also increases caries incidence - Lowering sugar intake reduces caries
incidence - Consumption of sticky sugar-containing
between meal products can be associated
with high caries risk
What sugars are investigated in the Turku study
Sucrose
Xylitol
What did the Turku study show
The results show a profound
difference in caries rate
between the two groups
The findings clearly indicate a
therapeutic, caries inhibitory
effect of xylitol
What is the Stephan Curve
The Stephan Curve is a graph that shows what happens after the
consumption of sugar in relation to dental caries
How much pf our total energy consuption should consist of free sugars according to WHO
No more than 10%
50g per day
What are some carbohydrates can cause caries
- Sucrose
- Fructose
- Glucose
- Maltose
What are some foods with a very high hidden sigar content
baked beans
breakfast cereals
tomato ketchup
plain biscuits
What should dietary advice be
Acceptable, Practical
and Affordable
What advice could you give to someone to reduce the risk of caries
- Reduce snacks containing sugar; replace it with healthy snacks
- Avoid adding sugar (consider using sugar substitutes); look for ‘hidden
sugars’ on food labels - Best time to do have fruit drinks when saliva flow is highest at meal-times
- Save sweets to as special time of the week, eg Saturday morning
- Eat sweet all in one rather than spreading them out
- Only drink plain milk or plain water between meals
- Don’t eat or drink after brushing at night
- Increase the amount of fresh fruit and vegetable
- Avoid food within 20 minutes of bedtime
How long does damage to teeth occur after eating sugary food
Up to one hour after intake
What does the prevention and management of dental caries on children programme state
- Give dietary advice at least
once a year - Advise or remind the
child/parent/carer about how a
healthy diet can help prevent
caries - Limit consumption of sugar
containing food and drink - Snack on healthier foods which
are low in sugar, such as fresh
fruit, carrots, peppers,
breadsticks, oatcakes and
occasionally a small amount of
lower fat cheese - Do not place sugary
drinks, fruit juices,
sweetened milk or soy
formula milk in feeding
bottles or pacifiers - Do not eat or drink, apart
from tap water, after
brushing at night - Be aware of hidden sugars
in food and of the acid
content of drinks