Nutrition and Oral Health: What Dietitians Should Know · Early childhood caries related to feeding...
Transcript of Nutrition and Oral Health: What Dietitians Should Know · Early childhood caries related to feeding...
Nutrition and Oral Health What Dietitians Should Know
January 16 2014
PresenterWahida Karmally DrPH RD CDE CLS FNLA Associate Research Scientist Lecturer in Dentistry
Director of Nutrition Irving Institute for Clinical and Translational Research Columbia University
ModeratorJames M Rippe MD ndash Leading cardiologist Founder and Director
Rippe Lifestyle Institute
Approved for 1 CPE (Level 2) by the Commission on Dietetic Registration credentialing agency for the Academy of Nutrition and Dietetics
NUTRI-BITESreg
Webinar Series
Webinar logistics CEUs ndash a link to obtain your personalized Continuing
Education Credit certificate will be emailed within 2 days
A recording of todayrsquos webinar slides and summary PowerPoint will be available to download as a PDF within 2 days at wwwConAgraFoodsScienceInstitutecom
The presenter will answer questions at the end of this webinar Please submit questions by using the lsquoChatrsquo dialogue box on your computer screen
ConAgra Foods Science Institute With a mission of
Promoting dietary and related choices affecting wellness
by linking evidence-based understanding
with practice
Todayrsquos Faculty
Wahida Karmally DrPH RD CDE CLS FNLA Associate Research Scientist Lecturer in DentistryDirector of Nutrition Irving Institute for Clinical and
Translational Research Columbia University
ModeratorJames M Rippe MD ndash Leading cardiologist Founder and Director Rippe Lifestyle Institute
Learning Objectives
Discuss the lifelong synergy between nutrition and oral health status in health and disease
Outline the role of nutrition in the development and integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar Series
6
Nutrition and Oral HealthWhat Dietitians should know
Wahida Karmally DrPH RDCDECLSFNLAAssociate Research Scientist
Lecturer in DentistryColumbia University
We are going to find ourselves at the leading edge of preventive
medicine
Reeves Juliette Br Dent J 2013 Dec 6215(11)589-91 doi 101038sjbdj20131184
bull Nutrition is an integral component of oral health
bull Oral infectious diseases as well as acute chronic and systemic diseases with oral manifestations impact an individuals functional ability to eat and their nutrition status
bull Nutrition and diet can affect the development and integrity of the oral cavity and progression of oral diseases
Academy of Nutrition and Dieteticss Position Paper Oral Health and Nutrition - 2013rdquo
Journal of the Academy of Nutrition and Dietetics (2013) 113693-701
Diet and Nutrition are major multifactorial environmental factors in the etiology and pathogenesis of craniofacial diseases and disorders
Surgeon Generalrsquos Report on ldquoOral Health in Americardquo2000
A National Call to Action to Promote Oral Health
The goals of the Call to Action are to
bull Promote oral healthbull Improve quality of life andbull Eliminate oral health disparities
CDC Report httpwwwcdcgovOralHealthpublicationsfactsheetsdental_carieshtm
Diet and nutrition play a key role in
mdash Tooth developmentmdash Gingival and oral tissue integritymdash Bone strengthmdash Prevention and management of diseases of the
oral cavity
Nutritional Deficiencies and Oral Problems
bull Stomatitis Niacin folic acid ampvitamin B12bull Glossitis Niacin folic acid B6 and B12bull Xerostomia Vitamins A and B12bull Cheilosis Iron B vitaminsbull Gingival bleeding Vitamins C and Kbull Glossodynia B vitamins Zinc IronExcessive intakes of vitamin A intake can impact soft
and hard tissuesVitamin A toxicity can impair oral mucosal
epithelium development
Childrens Oral Health
Although dental caries (tooth decay) is largely preventable it remains the most common chronic disease of children aged 6 to 11 years (25) and
adolescents aged 12 to 19 years (59)
Tooth decay is four times more common than asthma among adolescents aged 14 to 17 years (15)
DENTAL CARIES
Infectious disease of teeth in which organic acid metabolites lead to gradual demineralization of
enamel proteolytic destruction of tooth structure
Any tooth surface can be affected
Decay Process
bull Plaque formation sticky mix of microorganisms protein polysaccharides
bull Bacteria metabolizing fermentable carbohydrate produce acid
bull Acid production oral pHlt55 allows tooth demineralization
bull Saliva function rinses away food neutralizes acid promotes remineralization
Dental caries----
Streptococcus mutansmdashmost common bacteria involved
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Webinar logistics CEUs ndash a link to obtain your personalized Continuing
Education Credit certificate will be emailed within 2 days
A recording of todayrsquos webinar slides and summary PowerPoint will be available to download as a PDF within 2 days at wwwConAgraFoodsScienceInstitutecom
The presenter will answer questions at the end of this webinar Please submit questions by using the lsquoChatrsquo dialogue box on your computer screen
ConAgra Foods Science Institute With a mission of
Promoting dietary and related choices affecting wellness
by linking evidence-based understanding
with practice
Todayrsquos Faculty
Wahida Karmally DrPH RD CDE CLS FNLA Associate Research Scientist Lecturer in DentistryDirector of Nutrition Irving Institute for Clinical and
Translational Research Columbia University
ModeratorJames M Rippe MD ndash Leading cardiologist Founder and Director Rippe Lifestyle Institute
Learning Objectives
Discuss the lifelong synergy between nutrition and oral health status in health and disease
Outline the role of nutrition in the development and integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar Series
6
Nutrition and Oral HealthWhat Dietitians should know
Wahida Karmally DrPH RDCDECLSFNLAAssociate Research Scientist
Lecturer in DentistryColumbia University
We are going to find ourselves at the leading edge of preventive
medicine
Reeves Juliette Br Dent J 2013 Dec 6215(11)589-91 doi 101038sjbdj20131184
bull Nutrition is an integral component of oral health
bull Oral infectious diseases as well as acute chronic and systemic diseases with oral manifestations impact an individuals functional ability to eat and their nutrition status
bull Nutrition and diet can affect the development and integrity of the oral cavity and progression of oral diseases
Academy of Nutrition and Dieteticss Position Paper Oral Health and Nutrition - 2013rdquo
Journal of the Academy of Nutrition and Dietetics (2013) 113693-701
Diet and Nutrition are major multifactorial environmental factors in the etiology and pathogenesis of craniofacial diseases and disorders
Surgeon Generalrsquos Report on ldquoOral Health in Americardquo2000
A National Call to Action to Promote Oral Health
The goals of the Call to Action are to
bull Promote oral healthbull Improve quality of life andbull Eliminate oral health disparities
CDC Report httpwwwcdcgovOralHealthpublicationsfactsheetsdental_carieshtm
Diet and nutrition play a key role in
mdash Tooth developmentmdash Gingival and oral tissue integritymdash Bone strengthmdash Prevention and management of diseases of the
oral cavity
Nutritional Deficiencies and Oral Problems
bull Stomatitis Niacin folic acid ampvitamin B12bull Glossitis Niacin folic acid B6 and B12bull Xerostomia Vitamins A and B12bull Cheilosis Iron B vitaminsbull Gingival bleeding Vitamins C and Kbull Glossodynia B vitamins Zinc IronExcessive intakes of vitamin A intake can impact soft
and hard tissuesVitamin A toxicity can impair oral mucosal
epithelium development
Childrens Oral Health
Although dental caries (tooth decay) is largely preventable it remains the most common chronic disease of children aged 6 to 11 years (25) and
adolescents aged 12 to 19 years (59)
Tooth decay is four times more common than asthma among adolescents aged 14 to 17 years (15)
DENTAL CARIES
Infectious disease of teeth in which organic acid metabolites lead to gradual demineralization of
enamel proteolytic destruction of tooth structure
Any tooth surface can be affected
Decay Process
bull Plaque formation sticky mix of microorganisms protein polysaccharides
bull Bacteria metabolizing fermentable carbohydrate produce acid
bull Acid production oral pHlt55 allows tooth demineralization
bull Saliva function rinses away food neutralizes acid promotes remineralization
Dental caries----
Streptococcus mutansmdashmost common bacteria involved
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
ConAgra Foods Science Institute With a mission of
Promoting dietary and related choices affecting wellness
by linking evidence-based understanding
with practice
Todayrsquos Faculty
Wahida Karmally DrPH RD CDE CLS FNLA Associate Research Scientist Lecturer in DentistryDirector of Nutrition Irving Institute for Clinical and
Translational Research Columbia University
ModeratorJames M Rippe MD ndash Leading cardiologist Founder and Director Rippe Lifestyle Institute
Learning Objectives
Discuss the lifelong synergy between nutrition and oral health status in health and disease
Outline the role of nutrition in the development and integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar Series
6
Nutrition and Oral HealthWhat Dietitians should know
Wahida Karmally DrPH RDCDECLSFNLAAssociate Research Scientist
Lecturer in DentistryColumbia University
We are going to find ourselves at the leading edge of preventive
medicine
Reeves Juliette Br Dent J 2013 Dec 6215(11)589-91 doi 101038sjbdj20131184
bull Nutrition is an integral component of oral health
bull Oral infectious diseases as well as acute chronic and systemic diseases with oral manifestations impact an individuals functional ability to eat and their nutrition status
bull Nutrition and diet can affect the development and integrity of the oral cavity and progression of oral diseases
Academy of Nutrition and Dieteticss Position Paper Oral Health and Nutrition - 2013rdquo
Journal of the Academy of Nutrition and Dietetics (2013) 113693-701
Diet and Nutrition are major multifactorial environmental factors in the etiology and pathogenesis of craniofacial diseases and disorders
Surgeon Generalrsquos Report on ldquoOral Health in Americardquo2000
A National Call to Action to Promote Oral Health
The goals of the Call to Action are to
bull Promote oral healthbull Improve quality of life andbull Eliminate oral health disparities
CDC Report httpwwwcdcgovOralHealthpublicationsfactsheetsdental_carieshtm
Diet and nutrition play a key role in
mdash Tooth developmentmdash Gingival and oral tissue integritymdash Bone strengthmdash Prevention and management of diseases of the
oral cavity
Nutritional Deficiencies and Oral Problems
bull Stomatitis Niacin folic acid ampvitamin B12bull Glossitis Niacin folic acid B6 and B12bull Xerostomia Vitamins A and B12bull Cheilosis Iron B vitaminsbull Gingival bleeding Vitamins C and Kbull Glossodynia B vitamins Zinc IronExcessive intakes of vitamin A intake can impact soft
and hard tissuesVitamin A toxicity can impair oral mucosal
epithelium development
Childrens Oral Health
Although dental caries (tooth decay) is largely preventable it remains the most common chronic disease of children aged 6 to 11 years (25) and
adolescents aged 12 to 19 years (59)
Tooth decay is four times more common than asthma among adolescents aged 14 to 17 years (15)
DENTAL CARIES
Infectious disease of teeth in which organic acid metabolites lead to gradual demineralization of
enamel proteolytic destruction of tooth structure
Any tooth surface can be affected
Decay Process
bull Plaque formation sticky mix of microorganisms protein polysaccharides
bull Bacteria metabolizing fermentable carbohydrate produce acid
bull Acid production oral pHlt55 allows tooth demineralization
bull Saliva function rinses away food neutralizes acid promotes remineralization
Dental caries----
Streptococcus mutansmdashmost common bacteria involved
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Todayrsquos Faculty
Wahida Karmally DrPH RD CDE CLS FNLA Associate Research Scientist Lecturer in DentistryDirector of Nutrition Irving Institute for Clinical and
Translational Research Columbia University
ModeratorJames M Rippe MD ndash Leading cardiologist Founder and Director Rippe Lifestyle Institute
Learning Objectives
Discuss the lifelong synergy between nutrition and oral health status in health and disease
Outline the role of nutrition in the development and integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar Series
6
Nutrition and Oral HealthWhat Dietitians should know
Wahida Karmally DrPH RDCDECLSFNLAAssociate Research Scientist
Lecturer in DentistryColumbia University
We are going to find ourselves at the leading edge of preventive
medicine
Reeves Juliette Br Dent J 2013 Dec 6215(11)589-91 doi 101038sjbdj20131184
bull Nutrition is an integral component of oral health
bull Oral infectious diseases as well as acute chronic and systemic diseases with oral manifestations impact an individuals functional ability to eat and their nutrition status
bull Nutrition and diet can affect the development and integrity of the oral cavity and progression of oral diseases
Academy of Nutrition and Dieteticss Position Paper Oral Health and Nutrition - 2013rdquo
Journal of the Academy of Nutrition and Dietetics (2013) 113693-701
Diet and Nutrition are major multifactorial environmental factors in the etiology and pathogenesis of craniofacial diseases and disorders
Surgeon Generalrsquos Report on ldquoOral Health in Americardquo2000
A National Call to Action to Promote Oral Health
The goals of the Call to Action are to
bull Promote oral healthbull Improve quality of life andbull Eliminate oral health disparities
CDC Report httpwwwcdcgovOralHealthpublicationsfactsheetsdental_carieshtm
Diet and nutrition play a key role in
mdash Tooth developmentmdash Gingival and oral tissue integritymdash Bone strengthmdash Prevention and management of diseases of the
oral cavity
Nutritional Deficiencies and Oral Problems
bull Stomatitis Niacin folic acid ampvitamin B12bull Glossitis Niacin folic acid B6 and B12bull Xerostomia Vitamins A and B12bull Cheilosis Iron B vitaminsbull Gingival bleeding Vitamins C and Kbull Glossodynia B vitamins Zinc IronExcessive intakes of vitamin A intake can impact soft
and hard tissuesVitamin A toxicity can impair oral mucosal
epithelium development
Childrens Oral Health
Although dental caries (tooth decay) is largely preventable it remains the most common chronic disease of children aged 6 to 11 years (25) and
adolescents aged 12 to 19 years (59)
Tooth decay is four times more common than asthma among adolescents aged 14 to 17 years (15)
DENTAL CARIES
Infectious disease of teeth in which organic acid metabolites lead to gradual demineralization of
enamel proteolytic destruction of tooth structure
Any tooth surface can be affected
Decay Process
bull Plaque formation sticky mix of microorganisms protein polysaccharides
bull Bacteria metabolizing fermentable carbohydrate produce acid
bull Acid production oral pHlt55 allows tooth demineralization
bull Saliva function rinses away food neutralizes acid promotes remineralization
Dental caries----
Streptococcus mutansmdashmost common bacteria involved
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Learning Objectives
Discuss the lifelong synergy between nutrition and oral health status in health and disease
Outline the role of nutrition in the development and integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar Series
6
Nutrition and Oral HealthWhat Dietitians should know
Wahida Karmally DrPH RDCDECLSFNLAAssociate Research Scientist
Lecturer in DentistryColumbia University
We are going to find ourselves at the leading edge of preventive
medicine
Reeves Juliette Br Dent J 2013 Dec 6215(11)589-91 doi 101038sjbdj20131184
bull Nutrition is an integral component of oral health
bull Oral infectious diseases as well as acute chronic and systemic diseases with oral manifestations impact an individuals functional ability to eat and their nutrition status
bull Nutrition and diet can affect the development and integrity of the oral cavity and progression of oral diseases
Academy of Nutrition and Dieteticss Position Paper Oral Health and Nutrition - 2013rdquo
Journal of the Academy of Nutrition and Dietetics (2013) 113693-701
Diet and Nutrition are major multifactorial environmental factors in the etiology and pathogenesis of craniofacial diseases and disorders
Surgeon Generalrsquos Report on ldquoOral Health in Americardquo2000
A National Call to Action to Promote Oral Health
The goals of the Call to Action are to
bull Promote oral healthbull Improve quality of life andbull Eliminate oral health disparities
CDC Report httpwwwcdcgovOralHealthpublicationsfactsheetsdental_carieshtm
Diet and nutrition play a key role in
mdash Tooth developmentmdash Gingival and oral tissue integritymdash Bone strengthmdash Prevention and management of diseases of the
oral cavity
Nutritional Deficiencies and Oral Problems
bull Stomatitis Niacin folic acid ampvitamin B12bull Glossitis Niacin folic acid B6 and B12bull Xerostomia Vitamins A and B12bull Cheilosis Iron B vitaminsbull Gingival bleeding Vitamins C and Kbull Glossodynia B vitamins Zinc IronExcessive intakes of vitamin A intake can impact soft
and hard tissuesVitamin A toxicity can impair oral mucosal
epithelium development
Childrens Oral Health
Although dental caries (tooth decay) is largely preventable it remains the most common chronic disease of children aged 6 to 11 years (25) and
adolescents aged 12 to 19 years (59)
Tooth decay is four times more common than asthma among adolescents aged 14 to 17 years (15)
DENTAL CARIES
Infectious disease of teeth in which organic acid metabolites lead to gradual demineralization of
enamel proteolytic destruction of tooth structure
Any tooth surface can be affected
Decay Process
bull Plaque formation sticky mix of microorganisms protein polysaccharides
bull Bacteria metabolizing fermentable carbohydrate produce acid
bull Acid production oral pHlt55 allows tooth demineralization
bull Saliva function rinses away food neutralizes acid promotes remineralization
Dental caries----
Streptococcus mutansmdashmost common bacteria involved
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Nutrition and Oral HealthWhat Dietitians should know
Wahida Karmally DrPH RDCDECLSFNLAAssociate Research Scientist
Lecturer in DentistryColumbia University
We are going to find ourselves at the leading edge of preventive
medicine
Reeves Juliette Br Dent J 2013 Dec 6215(11)589-91 doi 101038sjbdj20131184
bull Nutrition is an integral component of oral health
bull Oral infectious diseases as well as acute chronic and systemic diseases with oral manifestations impact an individuals functional ability to eat and their nutrition status
bull Nutrition and diet can affect the development and integrity of the oral cavity and progression of oral diseases
Academy of Nutrition and Dieteticss Position Paper Oral Health and Nutrition - 2013rdquo
Journal of the Academy of Nutrition and Dietetics (2013) 113693-701
Diet and Nutrition are major multifactorial environmental factors in the etiology and pathogenesis of craniofacial diseases and disorders
Surgeon Generalrsquos Report on ldquoOral Health in Americardquo2000
A National Call to Action to Promote Oral Health
The goals of the Call to Action are to
bull Promote oral healthbull Improve quality of life andbull Eliminate oral health disparities
CDC Report httpwwwcdcgovOralHealthpublicationsfactsheetsdental_carieshtm
Diet and nutrition play a key role in
mdash Tooth developmentmdash Gingival and oral tissue integritymdash Bone strengthmdash Prevention and management of diseases of the
oral cavity
Nutritional Deficiencies and Oral Problems
bull Stomatitis Niacin folic acid ampvitamin B12bull Glossitis Niacin folic acid B6 and B12bull Xerostomia Vitamins A and B12bull Cheilosis Iron B vitaminsbull Gingival bleeding Vitamins C and Kbull Glossodynia B vitamins Zinc IronExcessive intakes of vitamin A intake can impact soft
and hard tissuesVitamin A toxicity can impair oral mucosal
epithelium development
Childrens Oral Health
Although dental caries (tooth decay) is largely preventable it remains the most common chronic disease of children aged 6 to 11 years (25) and
adolescents aged 12 to 19 years (59)
Tooth decay is four times more common than asthma among adolescents aged 14 to 17 years (15)
DENTAL CARIES
Infectious disease of teeth in which organic acid metabolites lead to gradual demineralization of
enamel proteolytic destruction of tooth structure
Any tooth surface can be affected
Decay Process
bull Plaque formation sticky mix of microorganisms protein polysaccharides
bull Bacteria metabolizing fermentable carbohydrate produce acid
bull Acid production oral pHlt55 allows tooth demineralization
bull Saliva function rinses away food neutralizes acid promotes remineralization
Dental caries----
Streptococcus mutansmdashmost common bacteria involved
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
We are going to find ourselves at the leading edge of preventive
medicine
Reeves Juliette Br Dent J 2013 Dec 6215(11)589-91 doi 101038sjbdj20131184
bull Nutrition is an integral component of oral health
bull Oral infectious diseases as well as acute chronic and systemic diseases with oral manifestations impact an individuals functional ability to eat and their nutrition status
bull Nutrition and diet can affect the development and integrity of the oral cavity and progression of oral diseases
Academy of Nutrition and Dieteticss Position Paper Oral Health and Nutrition - 2013rdquo
Journal of the Academy of Nutrition and Dietetics (2013) 113693-701
Diet and Nutrition are major multifactorial environmental factors in the etiology and pathogenesis of craniofacial diseases and disorders
Surgeon Generalrsquos Report on ldquoOral Health in Americardquo2000
A National Call to Action to Promote Oral Health
The goals of the Call to Action are to
bull Promote oral healthbull Improve quality of life andbull Eliminate oral health disparities
CDC Report httpwwwcdcgovOralHealthpublicationsfactsheetsdental_carieshtm
Diet and nutrition play a key role in
mdash Tooth developmentmdash Gingival and oral tissue integritymdash Bone strengthmdash Prevention and management of diseases of the
oral cavity
Nutritional Deficiencies and Oral Problems
bull Stomatitis Niacin folic acid ampvitamin B12bull Glossitis Niacin folic acid B6 and B12bull Xerostomia Vitamins A and B12bull Cheilosis Iron B vitaminsbull Gingival bleeding Vitamins C and Kbull Glossodynia B vitamins Zinc IronExcessive intakes of vitamin A intake can impact soft
and hard tissuesVitamin A toxicity can impair oral mucosal
epithelium development
Childrens Oral Health
Although dental caries (tooth decay) is largely preventable it remains the most common chronic disease of children aged 6 to 11 years (25) and
adolescents aged 12 to 19 years (59)
Tooth decay is four times more common than asthma among adolescents aged 14 to 17 years (15)
DENTAL CARIES
Infectious disease of teeth in which organic acid metabolites lead to gradual demineralization of
enamel proteolytic destruction of tooth structure
Any tooth surface can be affected
Decay Process
bull Plaque formation sticky mix of microorganisms protein polysaccharides
bull Bacteria metabolizing fermentable carbohydrate produce acid
bull Acid production oral pHlt55 allows tooth demineralization
bull Saliva function rinses away food neutralizes acid promotes remineralization
Dental caries----
Streptococcus mutansmdashmost common bacteria involved
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
bull Nutrition is an integral component of oral health
bull Oral infectious diseases as well as acute chronic and systemic diseases with oral manifestations impact an individuals functional ability to eat and their nutrition status
bull Nutrition and diet can affect the development and integrity of the oral cavity and progression of oral diseases
Academy of Nutrition and Dieteticss Position Paper Oral Health and Nutrition - 2013rdquo
Journal of the Academy of Nutrition and Dietetics (2013) 113693-701
Diet and Nutrition are major multifactorial environmental factors in the etiology and pathogenesis of craniofacial diseases and disorders
Surgeon Generalrsquos Report on ldquoOral Health in Americardquo2000
A National Call to Action to Promote Oral Health
The goals of the Call to Action are to
bull Promote oral healthbull Improve quality of life andbull Eliminate oral health disparities
CDC Report httpwwwcdcgovOralHealthpublicationsfactsheetsdental_carieshtm
Diet and nutrition play a key role in
mdash Tooth developmentmdash Gingival and oral tissue integritymdash Bone strengthmdash Prevention and management of diseases of the
oral cavity
Nutritional Deficiencies and Oral Problems
bull Stomatitis Niacin folic acid ampvitamin B12bull Glossitis Niacin folic acid B6 and B12bull Xerostomia Vitamins A and B12bull Cheilosis Iron B vitaminsbull Gingival bleeding Vitamins C and Kbull Glossodynia B vitamins Zinc IronExcessive intakes of vitamin A intake can impact soft
and hard tissuesVitamin A toxicity can impair oral mucosal
epithelium development
Childrens Oral Health
Although dental caries (tooth decay) is largely preventable it remains the most common chronic disease of children aged 6 to 11 years (25) and
adolescents aged 12 to 19 years (59)
Tooth decay is four times more common than asthma among adolescents aged 14 to 17 years (15)
DENTAL CARIES
Infectious disease of teeth in which organic acid metabolites lead to gradual demineralization of
enamel proteolytic destruction of tooth structure
Any tooth surface can be affected
Decay Process
bull Plaque formation sticky mix of microorganisms protein polysaccharides
bull Bacteria metabolizing fermentable carbohydrate produce acid
bull Acid production oral pHlt55 allows tooth demineralization
bull Saliva function rinses away food neutralizes acid promotes remineralization
Dental caries----
Streptococcus mutansmdashmost common bacteria involved
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Diet and Nutrition are major multifactorial environmental factors in the etiology and pathogenesis of craniofacial diseases and disorders
Surgeon Generalrsquos Report on ldquoOral Health in Americardquo2000
A National Call to Action to Promote Oral Health
The goals of the Call to Action are to
bull Promote oral healthbull Improve quality of life andbull Eliminate oral health disparities
CDC Report httpwwwcdcgovOralHealthpublicationsfactsheetsdental_carieshtm
Diet and nutrition play a key role in
mdash Tooth developmentmdash Gingival and oral tissue integritymdash Bone strengthmdash Prevention and management of diseases of the
oral cavity
Nutritional Deficiencies and Oral Problems
bull Stomatitis Niacin folic acid ampvitamin B12bull Glossitis Niacin folic acid B6 and B12bull Xerostomia Vitamins A and B12bull Cheilosis Iron B vitaminsbull Gingival bleeding Vitamins C and Kbull Glossodynia B vitamins Zinc IronExcessive intakes of vitamin A intake can impact soft
and hard tissuesVitamin A toxicity can impair oral mucosal
epithelium development
Childrens Oral Health
Although dental caries (tooth decay) is largely preventable it remains the most common chronic disease of children aged 6 to 11 years (25) and
adolescents aged 12 to 19 years (59)
Tooth decay is four times more common than asthma among adolescents aged 14 to 17 years (15)
DENTAL CARIES
Infectious disease of teeth in which organic acid metabolites lead to gradual demineralization of
enamel proteolytic destruction of tooth structure
Any tooth surface can be affected
Decay Process
bull Plaque formation sticky mix of microorganisms protein polysaccharides
bull Bacteria metabolizing fermentable carbohydrate produce acid
bull Acid production oral pHlt55 allows tooth demineralization
bull Saliva function rinses away food neutralizes acid promotes remineralization
Dental caries----
Streptococcus mutansmdashmost common bacteria involved
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
A National Call to Action to Promote Oral Health
The goals of the Call to Action are to
bull Promote oral healthbull Improve quality of life andbull Eliminate oral health disparities
CDC Report httpwwwcdcgovOralHealthpublicationsfactsheetsdental_carieshtm
Diet and nutrition play a key role in
mdash Tooth developmentmdash Gingival and oral tissue integritymdash Bone strengthmdash Prevention and management of diseases of the
oral cavity
Nutritional Deficiencies and Oral Problems
bull Stomatitis Niacin folic acid ampvitamin B12bull Glossitis Niacin folic acid B6 and B12bull Xerostomia Vitamins A and B12bull Cheilosis Iron B vitaminsbull Gingival bleeding Vitamins C and Kbull Glossodynia B vitamins Zinc IronExcessive intakes of vitamin A intake can impact soft
and hard tissuesVitamin A toxicity can impair oral mucosal
epithelium development
Childrens Oral Health
Although dental caries (tooth decay) is largely preventable it remains the most common chronic disease of children aged 6 to 11 years (25) and
adolescents aged 12 to 19 years (59)
Tooth decay is four times more common than asthma among adolescents aged 14 to 17 years (15)
DENTAL CARIES
Infectious disease of teeth in which organic acid metabolites lead to gradual demineralization of
enamel proteolytic destruction of tooth structure
Any tooth surface can be affected
Decay Process
bull Plaque formation sticky mix of microorganisms protein polysaccharides
bull Bacteria metabolizing fermentable carbohydrate produce acid
bull Acid production oral pHlt55 allows tooth demineralization
bull Saliva function rinses away food neutralizes acid promotes remineralization
Dental caries----
Streptococcus mutansmdashmost common bacteria involved
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Diet and nutrition play a key role in
mdash Tooth developmentmdash Gingival and oral tissue integritymdash Bone strengthmdash Prevention and management of diseases of the
oral cavity
Nutritional Deficiencies and Oral Problems
bull Stomatitis Niacin folic acid ampvitamin B12bull Glossitis Niacin folic acid B6 and B12bull Xerostomia Vitamins A and B12bull Cheilosis Iron B vitaminsbull Gingival bleeding Vitamins C and Kbull Glossodynia B vitamins Zinc IronExcessive intakes of vitamin A intake can impact soft
and hard tissuesVitamin A toxicity can impair oral mucosal
epithelium development
Childrens Oral Health
Although dental caries (tooth decay) is largely preventable it remains the most common chronic disease of children aged 6 to 11 years (25) and
adolescents aged 12 to 19 years (59)
Tooth decay is four times more common than asthma among adolescents aged 14 to 17 years (15)
DENTAL CARIES
Infectious disease of teeth in which organic acid metabolites lead to gradual demineralization of
enamel proteolytic destruction of tooth structure
Any tooth surface can be affected
Decay Process
bull Plaque formation sticky mix of microorganisms protein polysaccharides
bull Bacteria metabolizing fermentable carbohydrate produce acid
bull Acid production oral pHlt55 allows tooth demineralization
bull Saliva function rinses away food neutralizes acid promotes remineralization
Dental caries----
Streptococcus mutansmdashmost common bacteria involved
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Nutritional Deficiencies and Oral Problems
bull Stomatitis Niacin folic acid ampvitamin B12bull Glossitis Niacin folic acid B6 and B12bull Xerostomia Vitamins A and B12bull Cheilosis Iron B vitaminsbull Gingival bleeding Vitamins C and Kbull Glossodynia B vitamins Zinc IronExcessive intakes of vitamin A intake can impact soft
and hard tissuesVitamin A toxicity can impair oral mucosal
epithelium development
Childrens Oral Health
Although dental caries (tooth decay) is largely preventable it remains the most common chronic disease of children aged 6 to 11 years (25) and
adolescents aged 12 to 19 years (59)
Tooth decay is four times more common than asthma among adolescents aged 14 to 17 years (15)
DENTAL CARIES
Infectious disease of teeth in which organic acid metabolites lead to gradual demineralization of
enamel proteolytic destruction of tooth structure
Any tooth surface can be affected
Decay Process
bull Plaque formation sticky mix of microorganisms protein polysaccharides
bull Bacteria metabolizing fermentable carbohydrate produce acid
bull Acid production oral pHlt55 allows tooth demineralization
bull Saliva function rinses away food neutralizes acid promotes remineralization
Dental caries----
Streptococcus mutansmdashmost common bacteria involved
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Childrens Oral Health
Although dental caries (tooth decay) is largely preventable it remains the most common chronic disease of children aged 6 to 11 years (25) and
adolescents aged 12 to 19 years (59)
Tooth decay is four times more common than asthma among adolescents aged 14 to 17 years (15)
DENTAL CARIES
Infectious disease of teeth in which organic acid metabolites lead to gradual demineralization of
enamel proteolytic destruction of tooth structure
Any tooth surface can be affected
Decay Process
bull Plaque formation sticky mix of microorganisms protein polysaccharides
bull Bacteria metabolizing fermentable carbohydrate produce acid
bull Acid production oral pHlt55 allows tooth demineralization
bull Saliva function rinses away food neutralizes acid promotes remineralization
Dental caries----
Streptococcus mutansmdashmost common bacteria involved
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
DENTAL CARIES
Infectious disease of teeth in which organic acid metabolites lead to gradual demineralization of
enamel proteolytic destruction of tooth structure
Any tooth surface can be affected
Decay Process
bull Plaque formation sticky mix of microorganisms protein polysaccharides
bull Bacteria metabolizing fermentable carbohydrate produce acid
bull Acid production oral pHlt55 allows tooth demineralization
bull Saliva function rinses away food neutralizes acid promotes remineralization
Dental caries----
Streptococcus mutansmdashmost common bacteria involved
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Decay Process
bull Plaque formation sticky mix of microorganisms protein polysaccharides
bull Bacteria metabolizing fermentable carbohydrate produce acid
bull Acid production oral pHlt55 allows tooth demineralization
bull Saliva function rinses away food neutralizes acid promotes remineralization
Dental caries----
Streptococcus mutansmdashmost common bacteria involved
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Dental caries----
Streptococcus mutansmdashmost common bacteria involved
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Factors Affecting Food Cariogenicity
bull Frequency of consumption of fermentable carbohydrates
bull Food form liquid solid slowly dissolving
bull Sequence of eating foods
bull Combination of foods
bull Nutrient composition of foods and beverages
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Cariostatic Foods
Foods that do not contribute to decay-they are not metabolized by microorganisms in plaque and do not subsequently cause a drop in salivary pH tolt55 within 30 minutes
Includes protein foods eggs fish meat and poultry most vegetables fats sugarless gums
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Anticariogenic Foods
Prevent plaque from recognizing an acidogenic food when it is eaten first
May increase salivation or have antimicrobial activity
Includes xylitol (sweetener in sugarless gum) and cheeses
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Gummy vitamins rotten teeth
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Control Your Sweet Tooth
Avoid sugars and carbohydrates that break down quickly to sugars
ndash Candyndash Cookiesndash Cakendash Juicesndash Sodandash Sweetened coffee beveragesndash Chipsndash Pretzels
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Early childhood caries related to feeding and eating behaviors
Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a
bottle of sweetened liquid
Front teeth rapidly develop caries
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Oral Health and ChildrenTeeth decay is the 1 chronic disease in childhood
3 Tips To Prevent Tooth Decay1 Provide bottles and sippy cups at mealtimes only - Avoid bottles at bedtime - bacteria feed on the sugars in milk2 Encourage children to drink from a regular cup by 12-15 months of age - prevents liquid from sitting around teeth 3 Brush teeth after breakfast and before bed
Schedule regular dental visits
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub 2013 Dec 9
A systematic review of studies in humans was conducted to update evidence on the association between the amount of sugars intake and dental caries and on the effect of restricting sugars intake to lt 10 and lt 5 energy (E) on caries to inform the updating of World Health Organization guidelines on sugars consumption
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
There is evidence of moderate quality showing that caries is lower when free-sugars intake is lt 10 E
With the lt 5 E cut-off a significant relationship was observed but the evidence was judged to be of very low quality
The findings are relevant to minimizing caries risk throughout the life course
Effect on Caries of Restricting Sugars Intake Systematic Review to Inform WHO Guidelines
Moynihan PJ Kelly SA J Dent Res 2014 Jan93(1)8-18 doi 1011770022034513508954 Epub2013 Dec 9
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Adult Oral Health
Chronic disabling diseases such as jaw joint diseases (TMD) diabetes and osteoporosis affect millions of Americans and compromise oral health and functioning
Temporomandibular disorders TMD
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Tooth Loss and Dentures
bull Tooth lossmdashdenture placementbull Food selections changebull Saliva production decreasesbull Reduced chewing abilitybull Lower calorie and nutrient intake occurs for
manybull Simple nutrition counseling MyPlate etc
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Daily nutritional intakes of energy protein fat ash calcium phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P lt 005)
Choi Y Park D Kim Y Relationship between prosthodontic status and nutritional intake in the elderly in Korea National Health and Nutrition Examination Survey (NHANES IV) J Dent Hyg 2013 Dec 19 doi 101111idh12066 [Epub ahead of print]
Tooth Loss and Dentures
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Use least restrictive diet possible individualize mix consistencies if appropriate
Take into consideration oral integrity systemic disease medications prescribed self-selected botanicals and presence of physical disabilities
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Every year more than 400000 cancer patients undergoing chemotherapy suffer from oral problemssuch as painful mouth ulcers impaired taste
and dry mouth
Patients with weakened immune systems such as those infected with HIV and other medical conditions (organ transplants)and who use some medications (eg steroids)
are at higher risk for some oral problems
Adult Oral Health
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Most older Americans take both prescription and over-the-counter drugs
Over 400 commonly used medications can be the cause of a dry mouth
Reduction of the flow of saliva increases the risk for oral disease since saliva contains antimicrobial components as well as minerals that help rebuild tooth enamel attacked by decay-causing bacteria
About 5 percent of the elderlymdashtake an average of eight drugs each day
Poly Pharmacy and Oral Health
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
MNT for Mouth Pain Dry Mouth
Avoid acidic and spicy foods
Offer soft cold nutrient dense foods such as canned fruit low fat dairy products
For xerostomia try artificial salivas citrus unsweetened beverages sugar- free candies or gums to increase salivary flow
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
The mouth is the telltale of diseases such as
Nutritional anemiasUncontrolled diabetes mellitus
Eating disordersHIV infectionOral Cancer
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Eating disorders and Dental Health
bull Demineralization of tooth enamel
bull Teeth become painful and sensitive
bull Teeth may become severely decayed
bull Xerostomia
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Associations of Self-Reported Periodontal Disease With Metabolic
Syndrome and Number of Self-Reported Chronic Conditions
Lillian Bensley PhD Juliet VanEenwyk PhD Eric M Ossiander PhD Preventing Chronic Disease 8 (3) May 2011
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Periodontal Disease
bull Diabetes - types 1 and 2bull Heart diseasebull Strokebull Pulmonary diseasebull Obesitybull Osteoporosis
Calcium and vitamin D
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Randomized controlled trials (RCTs) consistently demonstrate that mechanical periodontal
therapy associates with approximately a 04 reduction in HbA1C at 3 months a clinical
impact equivalent to adding a second drug to a pharmacological regime for diabetes
Diabetes and periodontal diseases consensus report of the Joint EFPAAP Workshop on Periodontitis and Systemic DiseasesChapple IL Genco R Working group 2 of joint EFPAAP workshopJ Clin Periodontol 2013 Apr40 Suppl 14S106-12 doi 101111jcpe12077
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Periodontal disease modulation of the inflammatory cascade by dietary n-3
polyunsaturated fatty acids
Fish oil is a possible modulator of inflammation and may reduce the severity of periodontal diseases Tentative animal and human studies have provided an indication of this effect Further human investigation is needed to establish the protective effects of fish oil in relation to periodontal disease
J Periodontal Res 2013 Jul 24 doi 101111jre12116 [Epub ahead of print]
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Periodontitis is associated with low serumplasma micronutrient levels which may result from dietary andor life-style factors as
well as nutrigenetic characteristics
Micronutritional approaches to periodontal therapyVan der Velden U Kuzmanova D Chapple ILJ Clin Periodontol 2011 Mar38 Suppl 11142-58 Review
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Position of the Academy of Nutrition and Dietetics Oral Health and Nutrition JAND (2013) 113693-701
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Dang TS Walker M Ford D Valentine RAPeriodontol 2000 2014 Feb64(1)154-60 doi 101111prd12001
Nutrigenomics the role of nutrients in gene expression
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Type 2 diabetes and periodontaldisease a possible role for
nutrigenomics
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Diabetes Affects Oral Health
bull Gum disease which can be more severeand occur more often in people with diabetes
bull Fungal infections which can cause mouth sores and painful swallowing
bull Infection after dental surgery
bull Increased healing time after dental surgery
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Uncontrolled diabetes causes
1 Alveolar bone resorption2 Attachment loss3 Increased probing depths4 Increased tooth mobility5 Increased susceptibility to periodontal
abscess formation
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Good Bacteria in
Oral Health
Probiotics
Twetman S Are we ready for caries prevention through bacteriotherapyBraz Oral Res 201226 Suppl 164-70
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Complementary and Alternative Medicine
Dietary supplements in primary care
Botanicals can affect surgical outcomes and follow-up
Ciocon JO Ciocon DG Galindo DJ Geriatrics 2004 Sep59(9)20-4 Review
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
JAMA- Editorial Nov 11 1998Alternative Medicine Meets Science
ldquo There is no alternative medicine ndashThere is only scientifically proven evidence-based medicine supported by solid data or unproven medicine for which scientific evidence is lackingrdquo
Phil B Fontanarosa MD George D Lundberg MD JAMA 1998280(18)1618-1619
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Chew on thishellipLimit snacking between meals to 1-2 snacksday and make
healthful choices
Fruits and Vegetables
Unsalted Nuts and low fat cheese
Yogurt with active cultures Water
Tip Chew sugarless gum after
consuming a mealsnack to stimulate saliva production
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Some nutritious foods are very acidic and can destroy tooth enamel
Tomatoes lemons and other citrus fruits should be eaten as part of a meal rather than by themselves
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Oral Health and Wellness Influences How youhellip
LookFeel
TasteSpeak
ChewSwallow
Smile
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Be Fit to BersquonersquoFitSM
NewYork-Presbyterian Hospital2006
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Dietitians can use Oral Health information to integrate
with lifestylenutrition counseling
bull The International and Dietetic Nutritional Terminology includes diagnostic terms related to oral health
bull Proficiency and competency in examining the mouth to identify nutrient-deficiencies highly recommended
bull Assess impact of chronic diseases and risk factors on oral health Oral health screening should be a component of nutrition assessment
Clinical Community and Research Settings
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Oral health is an integral part of overall health and therefore oral health care is an essential component of comprehensive health care
Oral health promotion and disease prevention are essential to any strategies aimed at improving access to care
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Partnerships among dietetic professionals and other healthcare professionals need to be establishedand strengthened in order to achieve excellence in patient care AND Position Statement 2013
IOMrsquos ldquoImproving Access to Oral Healthcare in Vulnerable Populationsrdquo report emphasizes the role of diet and nutrition in oral health
WHO addresses the role of dietitians in prevention of oral diseases
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
References
Position of the Academy of Nutrition and DieteticsThe impact of fluoride on healthPalmer CA Gilbert JA Academy of Nutrition and DieteticsJ Acad Nutr Diet 2012 Sep112(9)1443-53
Position of the Academy of Nutrition and DieteticsOral health and nutritionTouger-Decker R Mobley C Academy of Nutrition and Dietetics J Acad Nutr Diet 2013 May113(5)693-701
Diet cardiovascular disease and oral health promotinghealth and reducing riskTouger-Decker R J Am Dent Assoc 2010 Feb141(2)167-70 Review
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Questions
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Based on this webinar learners should be able to Discuss the lifelong synergy between nutrition and oral
health status in health and disease Outline the role of nutrition in the development and
integrity of the oral cavity and the progression of oral disease
Describe practical strategies dietitians can use to integrate oral health information with lifestylenutrition counseling
NUTRI-BITESreg
Webinar SeriesNutrition and Oral Health
61
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Nutri-Bitesreg Webinar details
A link to obtain your Continuing Education Credit certificate will be emailed within 2 days
Todayrsquos webinar will be available to download within 2 days at wwwConAgraFoodsScienceInstitutecom
For CPE information acontinellirippelifestylecom
Recorded CEU webinars archived at the ConAgra Foods Science Institute include Lifestyle Approaches to the Prevention and Treatment of Diabetes Food Safety at Home Work and Play Communicating Nutrition Information to Influence Consumer Behavior Exploring Myths and Trends of Frozen Foods Behavioral and Dietary Strategies for Weight Management
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
Culinary Competency to Enhance Dietetic Practice
Cathy Powers MS RD LD Culinary Nutrition Associates
Date March 13 20142-3 pm EDT1-2 pm CDT
wwwConAgraFoodsScienceInstitutecom
Next Nutri-BitesregWebinar
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
-
How are we doing
Stay on the line for a brief survey about this Nutri-Bitesreg webinar
Nutrition and Oral HealthWhat Dietitians Should Know
Thank you
- Nutrition and Oral Health What Dietitians Should Know will begin at the top of the hourAudio for todayrsquos presentation is being broadcast over your computer speakers so be sure they are turned on and the volume is upTodayrsquos presentation in handout form can be downloaded from httpbitlyhandout-1-16-14
- Nutrition and Oral Health What Dietitians Should KnowJanuary 16 2014
- Webinar logistics
- ConAgra Foods Science Institute
- Todayrsquos Faculty
- Learning Objectives
- Nutrition and Oral HealthWhat Dietitians should knowWahida Karmally DrPH RDCDECLSFNLAAssociate Research ScientistLecturer in DentistryColumbia University
- Slide Number 8
- Slide Number 9
- Slide Number 10
- Slide Number 11
- Slide Number 12
- Slide Number 13
- Slide Number 14
- Slide Number 15
- Slide Number 16
- Slide Number 17
- Slide Number 18
- Slide Number 19
- Slide Number 20
- Slide Number 21
- Slide Number 22
- Slide Number 23
- Slide Number 24
- Slide Number 25
- Control Your Sweet Tooth
- Early childhood caries related to feeding and eating behaviors Also called ldquobaby bottle tooth decayrdquoNursing bottle cariesmdashputting baby to bed with a bottle of sweetened liquid Front teeth rapidly develop caries
- Oral Health and Children
- Slide Number 29
- Slide Number 30
- Slide Number 31
- Slide Number 32
- Slide Number 33
- Slide Number 34
- Slide Number 35
- Slide Number 36
- Slide Number 37
- The mouth is the telltale of diseases such asNutritional anemiasUncontrolled diabetes mellitus Eating disordersHIV infectionOral Cancer
- Slide Number 39
- Slide Number 40
- Slide Number 41
- Slide Number 42
- Slide Number 43
- Slide Number 44
- Slide Number 45
- Slide Number 46
- Slide Number 47
- Slide Number 48
- Slide Number 49
- Slide Number 50
- Slide Number 51
- Slide Number 52
- Chew on thishellip
- Slide Number 56
- Slide Number 57
- Slide Number 58
- Slide Number 59
- Slide Number 60
- Slide Number 61
- Nutri-Bitesreg Webinar details
- Slide Number 63
- How are we doing
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