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43 Cards in this Set
- Front
- Back
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Nutrional status affects what
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Development
Growth Maintenance of periodontal tissues |
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Nutrition is important in?
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Immunity and resistance to infection
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Decreased immunity increases
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risk and extent of infections diseases which lead to periodontal disease
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Protein malnutrition does what
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Reduces host ability to mount an effective inflammatory response
Reduces white blood cell function |
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Reduction of white blood cell function due to protein malnutrition can cause what
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higher risk for poorly controlled diabetics, cancer patients and AIDS patients
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Vitamin C does what? (4)
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Enhances migration of neutrophils to site of infection
Preserves integrity of neutrophil cell structure Facilitates oxidative destruction of microorganisms Aids host; by neutralizing toxic bacterial products produced by neutrophils during phagocytosis |
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Food serves as the
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source of nutrient for bacterial plaque
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What type of foods do not remove plaque, but do increase salivary flow
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Fibrous foods
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Fibrous foods may also help maintain what
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Supporting tissue- bone and PDL
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Does poor nutrition initiate periodontal disease
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No, but may be an important factor in the progression of the disease and healing of periodontal tissues
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Which vitamin may influence early stages of gingivitis (crevicular bleeding) but limited effects on perio probing depths have been shown
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Vitamin C
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For NUG/NUP how is nutrition associated
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poor nutrition has not been well documented as a risk factor
More studies are needed to determine the significance of overall nutritional status of NUG/ NUP |
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What are significant risk factors for NUG/ NUP (6)
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poor homecare, pre-existing gingivitis, mental stress, smoking, physical stress, and caucasian race
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What is osteoporosis
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results in reduction in bone loss as a result of imbalances in bone metabolism that favor bone resorption
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What is a risk factor for osteoporosis
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Low lifetime calcium intake
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What are other risk factors for osteoporosis, oral bone and tooth loss (5)
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Smoking
Genetics Medications Physical activity Low estrogen status |
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TRUE OR FALSE
Nutrition recommendations for maintaining periodontal health are the same as those promoting overall health |
TRUE
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For perio therapy what things are important to ensure an optimal outcome? (3)
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Previous nutritional status
Nature and duration of the infection Dietary intake during recovery |
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Post-op nutrition requirements increase after perio therapy because of (4)
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Blood Loss
Increased catabolism Tissue regeneration Host defense activities |
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What may be recommended after some perio therapy
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Multivitamin
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Patient should be counseled and provided a list of what after perio therapy
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Nutrient-dense foods and beverages - may require liquid diet post-therapy
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How can NUG/NUP affect nutrition
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May make eating difficult due to discomfort
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What do a hygienist recommended to a patient with NUG/ NUP (2)
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Provided patients with instructions for high-calorie, high-protein soft or liquid diet
Encourage fluids to reduce risk of dehydration |
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READING
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.........
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What can improve immune function
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Selenium supplementation to the recommended levels
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What are other nutrients that play an important role in immune function (6)
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B-complex vitamins
Vitamin A Vitamin E Copper Zinc Iron |
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What is needed for the synthesis of glucan
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Sucrose
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Excess intake of what in the early stages of biofilm formation results in an increased rate of bacterial growth
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Glucose
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In humans eating fibrous foods does what
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does not remove plaque adjacent to the gingiva
DOES increase food clearance via increasing salivary flow May help maintain supporting tissues of teeth Is a good alternative to more cariogenic foods |
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The epidemiological data from NHANES suggest that odds of having periodontal disease were greater by what percent with low intake of Vitamin C
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20%
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Who requires a higher daily intake of vitamin C and why
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Smokers they have a higher metabolic turnover of vitamin C
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Results of people with low intakes of vitamin C have what percent higher risk periodontal disease
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20%
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Who has the the greatest risk for periodontal disease
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Current or former smokers with the lowest vitamin C intake
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What is another deficiency that may cause periodontal disease
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Vitamin D
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Reduction in total skeletal mass is directly related to reduction in
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mandibular bone density in women with osteoporosis
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Nuts and legumes can help increase the intake of
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Copper
Boron |
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The average american eats approximately how much fruit an vegetables daily
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Three and half servings
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Fruits and vegetables are excellent sources of what (3)
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Vitamin A, C and K,
Beta carotene magnesium |
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Low fat dairy products are excellent sources of what
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Protein
Calcium Vitamin A, D |
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What different screening tools would be good to use
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Nutrition screening initiative designed to assess nutritional risk in elderly people
General diet screening scorecard |
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A liquid diet may be required when after posttherapy
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first 1-3 days
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What is a good source of calories and protein needed in wound healing
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Milk-based foods
Pudding, Milk shakes, custards, ice cream, commercial complete liquid supplements |
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Summary: Dental professionals should? (5)
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Screen patients for dietary risk before periodontal therapy
Offer soft and liquid diet suggestions for the few days after surgery Offer palliative diet suggestions if there are oral lesions Inform patients that firm foods cannot substitute for tooth brushing and flossing to remove plaque Enlist the assistance of a registered dietitian when indicated |
