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    Role of Diet in Dental Caries

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    Role of Diet in Dental Caries

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    5 views30 pages

    Role of Diet in Dental Caries

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    ar80089

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 30

    ROLE OF DIET IN DENTAL

    CARIES
    -DR.MARYAM HABIB
    HOPEWOOD HOUSE STUDY
    • Study was done by Sullivan and harris
    • 80 children aged 3-14 years
    • Diet was basic vegetarian
    • Absence of sugar in diet
    • Fluoride content was insignificant
    • Result –
    • At end of 10 year period, 13 year old children mean DMFT was 1.6 compared to the
    general child population that was 10.6

    • Study indicated that dental caries can be reduced by a Spartan diet without
    influence of fluoride and presence of unfavourable hygiene
    VIPEHOLM STUDY
    • Study was done by Gustaffson
    • Purpose of study –
    • To determine effects of carbohydrates on increase of caries
    • To determine effects of frequency and quantity of sugar intake on
    caries formation

    • 436 patients
    • Study period 5 years
    • 1 control group and 6 experimental groups
    VIPEHOLM STUDY
    • SUCROSE GROUP, BREAD GROUP ,CARAMEL GROUP, 24 TOFFE, 8
    TOFFE, CHOCHOLATE GROUP
    • CONCLUSION –
    • Increased carbohydrate intake increases caries formation
    • Consumption of sugar between meals increased caries
    TURKU SUGAR STUDY
    • It was done by Scheinin and makenin
    • Purpose of study – comparision of cariogenicity of sucrose, fructose
    and xylitol
    • 125 subjects
    • Conclusion –
    • After 1 year – sucrose and fructose had same level of cariogenecity
    • After 2 years – increased cariogenecity in sucrose group and
    cariogenecity remained unchanged in fructose group
    • Study showed that sucrose was more cariogenic that fructose
    Role of Carbohydrates in DC
    ROLE OF CARBOHYDRATES IN DC
    • Daily requirement 300-500mg/day
    • Functions –
    • Primary function to provide source of energy from breakdown of
    carbohydrates
    • Heart muscles derive energy through glycogen stores
    • Brain and nervous tissues utilize glucose for the various bodily
    mechanisms
    SUGAR SUBSTITUES
    • SWEETENERS

    • 1 LOW CALORIC SWEETENER – aspartame,saccharin

    • 2 CALORIC SWEETENER – xylitol, sorbitol,mannitol

    • 3 PLANT DERIVED SWEETENERS – licorice


    Role of Proteins
    • Complex nitrogenous compounds containing carbon,hydrogen and oxygen
    • RDA – 40-65gm/day
    • Animal Sources – fish, eggs ,meat,cheese
    • Plant sources – lentil, pulses beans , nuts

    • Functions –
    • Required for formation of digestive enzymes, hormones
    • Tissues formation
    • Body building nutrient
    Protein and DC
    • Kwashiorkor patients showed delayed eruption and dental hypoplasia
    • Addition of casein to diet showed reduced caries
    • Lysine-glucine prevent dental caries
    • Precursor protein was found high in saliva collected from caries free
    indivisuals
    FATS
    • Fats yield fatty acids and glycerol on hydrolysis
    • Sources – ghee, butter, milk, cheese, egg

    • William et al showed that certain fatty acids showed antimicrobial


    action
    • Oleic fatty acid showed bactericidal activity
    Minerals
    Sodium ,Calcium ,Magnesium,Potassium,Phosphorous

    RDA OF CALCIUM – 500-100mg/day


    RDA OF PHOSPHOROUS 500-1000mg/day
    RDA OF SODIUM – 10-15g/day
    Dental health diet score
    • Step 1 – to ascertain daily average intake
    • Step 2 – circle food which has been sweetened with sugar
    • Step 3 – food list which contains nutrients essential for oral health
    • Step 4 – list sweets and sugar sweetened foods
    • Step 5 – put all lists together
    FOOD GROUP SCORE
    Calculation of score
    • Food group score
    • 72- 96 excellent
    • 64 – 72 adequate
    • 56 -64 barely adequate
    • 56 or less not adequate
    VITAMINS
    • Vitamins are organic compounds required in small amounts for
    maintain good health
    • Fat soluble vitamins
    • Water soluble vitamins
    VITAMIN A
    • It consists of organic compounds such as retinol, retinal and retinoic
    acid
    • Functions –
    • Vision
    • Bone metabolism
    • Skin and cellular health
    • Antioxidant activity
    RDA
    • VITAMIN A – 600 mcg
    • VITAMIN D -
    • VITAMIN E
    • VITAMIN K

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