Nutrition 1 Flashcards

(41 cards)

1
Q

What are the immediate causes of major dental diseases (caries and periodontal disease)?

A

diet, plaque, smoking

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2
Q

What approach is used to improve multiple health aspects simultaneously?

A

common risk factor approach e.g. smoking is a risk factor for heart disease, respiratory disease, cancer, periodontal disease

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3
Q

What aspects of oral health are influenced by diet and nutrition?

A

tooth development, gingival and oral tissue integrity, bone strength, oral diseases

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4
Q

Why are deficiencies spotted earlier in the mouth?

A

oral epithelia grow and are replaced rapidly, healthy epithelium acts as a barrier against toxic substances

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5
Q

Which nutrients are required for oral health?

A

calcium, phosphorous, fluoride, protein, vitamin A, C and D

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6
Q

Define cariogenic

A

contains fermentable carbohydrates that are metabolised by microorganisms in plaque to cause a decrease in pH <5.5 and demineralisation

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7
Q

Define cariostatic

A

not metabolised by microorganism so there is no decrease in salivary pH

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8
Q

Examples of cariogenic foods

A

CHO (bread, cereals), sweet and sticky foods, sugars, carbonated drinks, fruit juices, fruits

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9
Q

Examples of cariostatic foods

A

proteins, vegetables, fats, sugarless gum

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10
Q

Define anticariogenic foods

A

foods that prevent plaque recognising an acidogenic food, may increase salivation or antimicrobial activity

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11
Q

Examples of anticariogenic foods

A

xylitol and cheeses

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12
Q

What factors apart from the cariogenic nature of foods affect diet cariogenicity?

A

food consistency (e.g. stickiness), frequency, food form (e.g. slowly dissolving), sequency of eating (cheese or milk at the end of a meal)

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13
Q

Effect of protein/calorie malnutrition on oral structures

A

delayed tooth eruption, reduced tooth size, decreased enamel solubility, salivary gland dysfunction

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14
Q

Effect of vitamin A deficiency on oral structures

A

decreased epithelium development, impaired tooth formation, enamel hypoplasia

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15
Q

Effect of vitamin D / calcium / phosphorous malnutrition on oral structures

A

lowered plasma calcium, hypomineralisation, compromised tooth integrity, delayed eruption, absence of lamina dura (compact bone connecting PDL to alveolar bone), abnormal alveolar bone patterns

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16
Q

Effect of vitamin C malnutrition on oral structures

A

irregular dentin formation, dental pulpal alterations, bleeding gums, delayed wound healing, defective collagen formation

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17
Q

Effect of vitamin B1 (thiamine) deficiency on oral structures

A

cracked lips, angular cheilitis

18
Q

Effect of vitamin B2 (riboflavin) and vitamin B3 (niacin) deficiencies on oral structures

A

inflammation of tongue, angular cheilitis, ulcerative gingivitis

19
Q

Effect of vitamin B6 deficiency on oral structures

A

periodontal disease, anaemia, sore tongue, burning sensation

20
Q

Effect of vitamin B12 deficiency on oral structures

A

angular cheilitis, halitosis, bone loss, haemorrhagic gingivitis, detachment of periodontal fibres, painful ulcers

21
Q

Effect of iron deficiency on oral structures

A

salivary gland dysfunction, very red, painful tongue with burning sensation, dysphagia, angular cheilitis

22
Q

Effect of fluoride deficiency on oral strutures

A

less stable enamel more prone to demineralisation and therefore caries

23
Q

Define nutrition

A

organelles, cells, tissues, organs and the body obtaining and using necessary substances from foods to maintain structural and functional integrity

24
Q

How can nutrients be classed?

A

macronutrients (carbohydrates, fats, proteins) and micronutrients (vitamins, minerals) and water

25
What are dietary allowances (DRVs)?
Dietary Reference Values - quantitative estimates of energy and nutritional requirements of healthy population subgroups to prevent deficiencies
26
What are dietary goals?
quantitative national targets for selected macronutrients and micronutrients aimed at preventing long-term chronic disease
27
Examples of dietary goals
reduction in calorie intake by 120 kcal/day, 5 fruit/vegetable portions a day, one portion of oily fish per week
28
What are dietary guidelines?
broad quantitative or qualitative targets to promote overall nutrient wellbeing
29
Why were 1991 DRVs ground breaking?
1. covered a wide range of nutrients (40) 2. terminology of Dietary Reference rather than Recommended Daily Amounts 3. Range of values
30
Which committee provides nutritional advice / surveillance to government departments?
SACN (Scientific Advisory Committee on Nutrition)
31
What criteria are Dietary Reference Values (DRVs) established by?
the optimal nutrient intake (instead of just preventing deficiency)
32
What is should a nutritional requirement achieve?
prevent clinical signs of deficiency and allow degree of storage
33
How are Dietary Reference Values (DRVs) derived?
committee of experts review scientific evidence from research studies and decide on average amount required to meet adequacy and the variation in requirement between individuals
34
Which criteria are used to define adequacy?
level needed to maintain circulating level, enzyme saturation, tissue concentration, prevent deficiency signs, maintain balance, cure deficiency
35
Which deficiency disease results from a lack of vitamin C?
scurvy
36
What do Dietary Reference Values (DRVs) assume / limitations?
- energy and other nutrient requirements are being met - healthy individual - intake varies day to day - not individual recommendations - normal distribution of requirements
37
What is the Estimated Average Requirement (EAR)?
mean nutritional requirement that will meet the needs of half the population (middle of normal distribution)
38
What is the Reference Nutrient Intake (RNI)?
intake calculated as 2SD above EAR - meets the needs of 97.5% of the population. Intake above RNI almost certainly adequate.
39
What is Lower Reference Nutrient Intake (LRNI)?
intake calculated as 2SD below EAR. Only meets the needs of 2.5% of population. Intakes below LRNI are almost certainly inadequate.
40
What is safe intake?
a level that has no risk of deficiency that is below the level of risk of undesirable effects
41
Examples of inconsistencies of recommendations of different countries
different terminology, different values, different age bands, different units