Dietary Factors that Affect The Oral Cavity

1. Dietary Factors that Affect The Oral Cavity Many foods and drinks that we think are beneficial to our health may actually be causing damage to our entire body, but more specifically to our oral cavity.

2. Statistics • According to the USDA-“Carbonated sodas provided more than a fifth (22 percent) of the refined and added sugars in the 2000 American food supply, compared with 16 percent in 1970.” • Tea and coffee are the two most drank beverages on the planet, after water. • It has been proven that-“Sugar-sweetened beverages are the largest source of added sugars in the diet of U.S. youth.”

3. Dental Caries Process Microorganisms No Caries No Caries caries Tooth resistance Cariogenic , diet No Caries No Caries Salivary factors Wilkins Fig 34-4

4. Diets Affects The Mouth How? • The Beverages Patients Drink • The snacks Patients Eat • The Meals Patients Eat

5. What are Patients Sipping On? • Soda • Milk • Juice • Water • Coffee • Energy drinks • Sports drinks • Formula • Alcohol • Liquid prescriptions

6. What Patients are REALLY Sipping On! • Acid • Sugars • Fluoride • Sucrose • Carbohydrates • Corn syrup

8. How Much Sugar Is In Patient’s Drink

9. Better Beverage Options • Duration matters! REMEMBER • Ifyou must sip, SIP WATER! • Best Options • Fluoridated water • Low-Fat Milk • Natural Juices • Water for bottles

10. What are Patients Snacking On? • Cookies • Chocolate Bars • Fruits • Vegetables • Rice Krispy Treat • Crackers • Ice Cream • Yogurt • Raisins • Beef jerky • Chips

11. What Patients are REALLY Snacking On!-The affects seen in the oral cavity • Acid Attacks-> Caries • Lack of Nutrients • Inadequate Saliva

12. Acid Attacks-> Drop in pH-> Caries • Sensodyne Chart of Acidic Foods • Fermentable carbohydrates • Sugars • “All simple Carbohydrates-glucose, fructose, maltose, and, to a lesser extent, lactose, and sucrose- can be metabolized by cariogenic bacteria.”

13. Lack of Nutrients • Vitamin C • Can cause the gingiva to be inflamed and bleed. It can also cause wound healing to be impaired. • Known as Scurvy • Vitamin A • Can cause changes in taste.

14. Saliva Insufficiency • Less saliva is produced when snacking rather than when eating a meal. • Functions of Saliva • Lubricating of oral tissues and structures • HELPS CLEAR ORAL CAVITY OF FOOD RESIDUE AND BACTERIA • Buffers acid

15. Better Snacking Options Two Questions • What Does this Snack Contain? • Is this Beneficial to my body, especially my mouth? Best Options Cheese Meats Nuts Vegetables Chewing Gum

16. What are Patients Meals Consisting Of? • Eating vs. Snacking • Good Nutrition = Better Overall Health • Well-Balanced Diet Necessary

17. Diet &…. • …Dental Caries • 94% of adults had coronal caries • 22.2% of adults had root caries • 25% 5-17 year olds had 80% of caries detected in permanent teeth. • …Enamel Demineralization • Acidic foods and beverages • Not just simple sugars • Eating Disorders • …Periodontal Disease • Whole grains

18. Meals Common Breakfast: Coffee/Juice/Tea Cereal Pastry Lunch: Sandwich (meat, cheese, lettuce, tomato) Potato Chips Pop/Tea Dinner: Meat, fish, poultry Cooked Veggies Starches (rice, pasta) Juice/Pop/Tea Ideal Breakfast: Eggs Whole Wheat Toast Fresh Fruit Juice (No Sipping!) Lunch: Sandwich (meat, cheese, lettuce, tomato) On Whole Grain Bread Fresh Fruit/Raw Veggies Water Dinner: Meat, fish, poultry Raw Veggies Potatoes

19. Caries Potential Index[in Animal Models] Primary Preventive Dentistry Textbook

20. Remember… • Just because it is fast, good, and cheap… doesn’t mean its good for you. • Choose healthier options to decrease caries. • Fluoridated Water • Real Juice • Don’t Sip • Raw Veggies • Cheeses • Nuts

21. Overall Better Drinking and Snacking Options! • Increase the amount of low-fat or fat free milk and water consumption in youth.

22. Works Cited • "Agriculture Factbook 2001-2002/chapter 2." Agriculture Factbook 2001-2002/chapter 2. N.p., n.d. Web. 08 Nov. 2012. <http://www.usda.gov/factbook/chapter2.htm>. • Fontana, Margherita, DDS, PhD, and Domenick T. Zero, DDS, MS. "Assessing Patients' Caries Risk." Cover Story137 (2006): n. pag. Http://jada.ada.org. Web. • Harris, Norman O., Franklin García-Godoy, and Christine Nielsen. Nathe. Primary Preventive Dentistry. 7th ed. Upper Saddle River, NJ: Pearson, 2009. Print. • Navarro, Scott, DDS. "Summertime Oral Hygiene: Tips to Return in the Fall with Healthy, Happy Smiles." Www.schoolnursenews.org. N.p., May 2009. Web. 8 Oct. 2012. • Palmer, Carole A., EdD, RD, LDN, Dustin J. Burnett, MS, RD, and Brian Dean, MS,RD. "It's More Than Just Candy." Nutrition Today45.4 (2010): 154-64. Print. • "Patient Education:." Mouth-Healthy Eating. N.p., n.d. Web. 10 Oct. 2012. <http://www.colgateprofessional.com/patienteducation/Mouth-Healthy-Eating/article>. • Wilkins, Esther M., BS, RDH, DMD. Clinical Practice of the Dental Hygienist. Charlotte J. Wyche, RDH, MS. 11th ed. N.p.: Lippincott Williams & Wilkins, 2013. Print.

23. Works Cited Continued • "The Nutrition Source-How Sweet Is It?" Harvard School of Public Health. N.p., n.d. Web. 09 Nov. 2012. <http://www.hsph.harvard.edu/nutritionsource/healthy-drinks/how- sweet-is-it/index.html>. • "The Nutrition Source- Healthy Beverage Guidelines." Harvard School of Public Health. N.p., n.d. Web. 09 Nov. 2012. <http://www.hsph.harvard.edu/nutritionsource/healthy- drinks/healthy-drinks-full-story/index.html>. • Adapted from United States Department of Health and Human Services, Public Health Service, National Institute of Dental Research: Broadening the scope. Long-range research plan for the 1990s. NIH Publication NO. 90-1188, Washington DC: United States Government Printing Office; 1990.(circle picture citing, need to fix)