Nutrition, Oral Health, and Chronic Diseases Inextricably Linked

Abstract The 2020-25 Dietary Guidelines identified dental caries as a diet-related chronic disease of major importance. Preventing dental caries and other oral infectious diseases is critical to maintaining an individual’s capacity to chew food, consume nutrient-rich diets, and sustain optimal nutrition status. Pain and infection from dental caries complicates consumption of adequate amounts of fruits, vegetables, dairy, and lean protein recommended in the Dietary Guidelines. Nutrition and dietary intake can affect the development and integrity of oral cavity and progression of oral diseases. Increased snacking throughout the day in place of three-meals daily raises the risk of obesity and dental caries throughout the life cycle. Older adults who make routine oral health preventive practices, such as brushing, cleaning between teeth, drinking fluoridated water, and chewing sugarfree gum to increase saliva flow can reduce dental caries and oral infectious diseases. Professionals must also consider the impact of sugar-sweetened beverages and sugar intake.

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Oral Health’s Transformative Impact on Diet and Systemic Health Outcomes

Innovation in Aging ◽

10.1093/geroni/igab046.965 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 251-251

Author(s):

Michèle Saunders

Keyword(s):

Oral Health ◽

Dental Caries ◽

Chronic Diseases ◽

Dental Health ◽

Dietary Guidelines ◽

Health Concern ◽

Health Practices ◽

Nutrition Practices ◽

Saliva Flow ◽

Oral Health Practices

Abstract The 2020-25 Dietary Guidelines for Americans identified dental caries as a major diet-related chronic disease of public health concern and suggested in the section for adults over 60, “Good dental health is critical to overall health, as well as the ability to chew foods properly." Poor oral health can lead to chronic diseases and impede one’s ability to chew fruits, vegetables, whole grains, and other nutrient-rich foods across the life span. Almost 90 percent of adults ages 20 to 64 years and 96 percent of those over 65 years of age have dental caries. The overall prevalence of complete tooth loss is 2.2 percent among adults ages 20 to 64 years and jumps to 17.3 percent for those over age 65. As a result of COVID-19, some seniors are not seeking regular oral health services, which increases the need for preventive oral health practices and consuming a healthy dietary pattern recommended in the new Dietary Guidelines. Recent research will underscore the importance of saliva and oral health in cancer patients on radiation and in other chronic diseases. Saliva has also been shown to reduce specific infections that are related to influenza and HIV. Participants in this session will gain understanding of factors linking poor oral health and nutrition practices to chronic diseases and guidance on critical preventive oral health practices to increase saliva flow and decrease dental caries through all stages of the life cycle. Promoting oral health is the responsibility of the interdisciplinary team overseeing older adults.

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ORAL HEALTH;

The Professional Medical Journal ◽

10.29309/tpmj/2014.21.02.2189 ◽

2011 ◽

Vol 21 (02) ◽

pp. 343-346

Author(s):

Sarah Ali ◽

Samra Ijaz

Keyword(s):

Oral Health ◽

Dental Treatment ◽

National Level ◽

Motor Dysfunction ◽

World Health ◽

Oral Diseases ◽

Cross Sectional ◽

Preventive Practices ◽

Hygiene Measures ◽

The Impact

Introduction: It has been now established beyond doubt that dental diseases arethe most common cause of human suffering. It is due to the impact of these diseases and humansuffering that World Health Organization has included Oral Health as one of the indicators forhealth of individual. The National Oral Health survey clearly indicates that oral diseases burdenthe people of Pakistan and there is lack of perception of needs or absence of tooth ache thatcauses a delay in seeking dental treatment. The survey also shows that preventive services arerare and there is lack of oral health education , preventive practices and lack of dental healthpromotional programs in Pakistan. There is no study at national level to reflect the extent ofawareness regarding oral health in population. The present study was conducted with theobjective of evaluating the extent of knowledge regarding oral health among patients visitingIslamic International Dental Hospital (IIDH). Materials and Methods: 200 patients visiting IIDHwere randomly selected in this cross sectional study that was conducted from May to July 2013.Out of these 80 were male and 120 were female. The age range of patients was from 15 to 60years. None of the patient had any psychological or motor dysfunction which could inhibit theperception and performance of oral hygiene measures. All the patients were educated andensured of anonymity. A multiple choice questionnaire was designed and distributed amongparticipants. The questionnaire included 13 questions with different responses andpredetermined answers. The data thus collected was compiled, analyzed using SPSS version 17and interpreted. In order to summarize the awareness level, responses were scored from 0-13based on the number of correct responses. The extent of awareness was graded on a three scaleparameter which was poor, fair and good. Results were expressed in terms of percentage.Results: The results showed that only 4% of the patients scored good while 43%% and 53%scored fair and poor awareness respectively. Conclusions: The study concluded that the level ofawareness regarding oral health is limited among patients visiting IIDH.

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Oral Health Status in Relation to Nutritional Status among 9 years old school Children in Dewanyiah City/Iraq

Mustansiria Dental Journal ◽

10.32828/mdj.v14i1.763 ◽

2019 ◽

Vol 14 (1) ◽

pp. 80

Author(s):

Dr. Zahraa Ali Al-Awadi ◽

Dr. Baydaa Hussien Hussien

Keyword(s):

Oral Health ◽

Dental Caries ◽

Nutritional Status ◽

Oral Health Status ◽

Health Condition ◽

Primary Dentition ◽

Anthropometric Measurement ◽

Oral Diseases ◽

Gingival Health ◽

Significant Difference

Background: Although they are not life threatening, dental caries and periodontaldisease are the most predominant and widely spread oral diseases throughout theworld. The aims of the study included the investigation of the prevalence andseverity of dental caries, gingivitis and dental plaque in relation to gender,furthermore, nutritional status was assessed in relation to oral health condition(dental caries).Materials and Methods: This oral health survey was conducted among primaryschool children aged 9 years old in Dewanyiah city in Iraq. The total samplecomposed of 600 child (320 males and 280 females) selected randomly fromdifferent school in Dewanyiah city. Diagnosis of dental caries was according tothe criteria described by WHO (1987). Plaque index of Silness and Loe (1964)was used for plaque assessment, gingival index of Loe and Silness (1963) wasfollowed for recording gingival health condition. Nutritional status was assessedaccording to body mass index (BMI) indicator using anthropometric measurement(height and weight).Results: Results showed that the prevalence of dental caries was 85% for 9 year-oldschool children. Regarding primary and permanent dentition, dental caries washigher among females compared to males with statistically significant difference(P<0.05) for primary dentition, on the other hand, males showed higher values offilled surfaces compared to females with statistically significant difference(P<0.05) for primary dentition and highly significant difference (P<0.01) forpermanent dentition. Finding of this study revealed that 100% of the children hadgingival inflammation. Furthermore, the values of plaque and gingival indiceswere higher among males compared to females with statistically highly significantdifferences (P<0.01). In current study, the prevalence of malnutrition described bythe BMI indicator was 5.3%. For total samples no significant difference wasrecorded in dmfs /DMFS values among wasting and well nourished children(P>0.05).Conclusion: A high prevalence of dental caries and gingivitis were recorded.Improvement in the prevention educational programs is needed among schoolchildren.

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Oral health problems in high-performance athletes at 2019 Pan American Games in Lima: a descriptive study

BDJ Open ◽

10.1038/s41405-021-00078-1 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Catalina Opazo-García ◽

Jeel Moya-Salazar ◽

Karina Chicoma-Flores ◽

Hans Contreras-Pulache

Keyword(s):

Oral Health ◽

Dental Caries ◽

Dental Care ◽

Disease Surveillance ◽

High Performance ◽

Elite Athletes ◽

Periodontal Diseases ◽

Health Problems ◽

Oral Diseases ◽

Pan American

Abstract Introduction Dental care is provided for high-performance athletes at national and international sports events. Elite athletes may seek care for sports-related injuries and pre-existing oral diseases. Previous studies indicate an association between oral health problems and negative performance impacts in elite athletes. Objectives To determine the prevalence of the most common oral pathologies in high-performance athletes during the emergency dental care performed at the Lima 2019 Pan American Games (JPL-19). Methodology All reports of athletes (≥18 years old, of both sexes, from 41 countries) who received emergency dental care at Pan American Villas during the JPL-19 were included. Injuries and types of oral diseases were classified according to the Injury and Disease Surveillance System proposed by the International Olympic Committee. Results Of the 6680 participating athletes, 76 (1.14%) presented as dental emergencies, 90.8% (69/76) of the athletes seen presented pre-existing oral pathological conditions, the most frequent were periodontal diseases (34%, 26/76) and dental caries (29%, 22/76). Among the sports with the most cases, there were 22 (29%) in athletics, 6 (8%) in soccer, and 6 (8%) in taekwondo. The most frequent dental emergencies came from Peru, Puerto Rico, Bahamas, Grenada, and Venezuela. Conclusions Pre-existing oral diseases were more frequent than sports-related accidents. The most prevalent diseases were periodontal disease and dental caries disease. It is necessary to implement new care strategies for athletes, based on prevention, before and during sports competitions.

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Impact of dental caries on oral health related quality of life among preschool children: perceptions of parents

BMC Oral Health ◽

10.1186/s12903-021-01396-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mina Pakkhesal ◽

Elham Riyahi ◽

AliAkbar Naghavi Alhosseini ◽

Parisa Amdjadi ◽

Nasser Behnampour

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Dental Caries ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Dmft Index ◽

The Mean ◽

The Impact

Abstract Background Childhood dental caries can affect the children’s and their parents’ oral health-related quality of life. The aim of the present study was to evaluate the impact of oral and dental health conditions on the oral health-related quality of life in preschool children and their parents. Methods In this descriptive-analytical cross-sectional study, samples were selected from children 3 to 6 years old enrolled in licensed kindergartens using "proportional allocation" sampling. Then, the parents of the children were asked to complete the Early Childhood Oral Health Impact Scale (ECOHIS). Results In this study, 350 children aged 3 to 6 years were evaluated with a mean age of 4.73 years. The mean dmft index (decayed, missed, and filled teeth) was 3.94 ± 4.17. The mean score of oral health-related quality of life was 11.88 ± 6.9, which 9.36 ± 5.02 belongs to the impact on children and 2.52 ± 3.20 to parents' impact. Conclusions The mean score of ECOHIS increased with the dmft index increase in children, indicating a significant relationship between the dmft and ECOHIS score. These outcomes can be used as proper resources to develop preventive policies and promote oral health in young children.

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Modulatory Effect of Glycated Collagen on Oral Streptococcal Nanoadhesion

Journal of Dental Research ◽

10.1177/0022034520946320 ◽

2020 ◽

Vol 100 (1) ◽

pp. 82-89

Author(s):

C.M.A.P. Schuh ◽

B. Benso ◽

P.A. Naulin ◽

N.P. Barrera ◽

L. Bozec ◽

...

Keyword(s):

Dental Caries ◽

Biofilm Formation ◽

Type I Collagen ◽

Type I ◽

Oral Streptococci ◽

Oral Diseases ◽

Collagen Crosslinking ◽

Initial Adhesion ◽

Collagen Glycation ◽

The Impact

Biofilm-mediated oral diseases such as dental caries and periodontal disease remain highly prevalent in populations worldwide. Biofilm formation initiates with the attachment of primary colonizers onto surfaces, and in the context of caries, the adhesion of oral streptococci to dentinal collagen is crucial for biofilm progression. It is known that dentinal collagen suffers from glucose-associated crosslinking as a function of aging or disease; however, the effect of collagen crosslinking on the early adhesion and subsequent biofilm formation of relevant oral streptococci remains unknown. Therefore, the aim of this work was to determine the impact of collagen glycation on the initial adhesion of primary colonizers such as Streptococcus mutans UA159 and Streptococcus sanguinis SK 36, as well as its effect on the early stages of streptococcal biofilm formation in vitro. Type I collagen matrices were crosslinked with either glucose or methylglyoxal. Atomic force microscopy nanocharacterization revealed morphologic and mechanical changes within the collagen matrix as a function of crosslinking, such as a significantly increased elastic modulus in crosslinked fibrils. Increased nanoadhesion forces were observed for S. mutans on crosslinked collagen surfaces as compared with the control, and retraction curves obtained for both streptococcal strains demonstrated nanoscale unbinding behavior consistent with bacterial adhesin-substrate coupling. Overall, glucose-crosslinked substrates specifically promoted the initial adhesion, biofilm formation, and insoluble extracellular polysaccharide production of S. mutans, while methylglyoxal treatment reduced biofilm formation for both strains. Changes in the adhesion behavior and biofilm formation of oral streptococci as a function of collagen glycation could help explain the biofilm dysbiosis seen in older people and patients with diabetes. Further studies are necessary to determine the influence of collagen crosslinking on the balance between acidogenic and nonacidogenic streptococci to aid in the development of novel preventive and therapeutic treatment against dental caries in these patients.

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Oral health status and treatment needs of school going children in a tribal area in Southern India

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.455 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

S Thomas ◽

R Chacko ◽

G D Khanapur ◽

D Kattula ◽

A Rose

Keyword(s):

Health Status ◽

Oral Health ◽

Dental Caries ◽

Dental Fluorosis ◽

Oral Health Status ◽

World Health ◽

Oral Diseases ◽

Treatment Needs ◽

Local Authorities ◽

Local Hospital

Abstract Background Children suffer a significant burden of oral diseases which impacts their quality of life, and general health. Many epidemiological studies have looked at oral health status and treatment needs among children in urban and rural areas across different age groups. There was limited literature assessing the oral health status among children in tribal areas, which presents unique challenges in terms of: topography, availability of health services, and complex socio-cultural health practices. Methods Cross-sectional study was conducted among 655 children across six schools between 12-15 years in Jawadhi Hills, Tamil Nadu, India. World Health Organization's, Oral Health Surveys were used for clinical and risk factor assessments. Clinical examination was conducted, and self-assessed questionnaire was administered to the children to assess the risk factors to poor oral health. Since dental fluorosis was common, drinking water samples were collected to assess fluoride levels in the community. Results Prevalence of dental caries and gingivitis (gum disease) was found to be 22.3% and 87.3% respectively. Dental Pain was reported by 57% of children as the most common reason to visit the dentist. Prevalence of dental fluorosis was found to be 53.6%. Multiple logistic regression showed: gender, dental fluorosis, diet, and maternal education significantly associated (p < 0.005) with dental caries. Fluoride levels in water was found to be higher than permissible limits (>1.5 ppm). Conclusions Children requiring treatment (∼ 200) were referred to the local hospital, and treatment was done free-of-cost. School authorities were informed about the current oral health status of children and advised to conduct regular health education & dental camps; the importance of girls' education was emphasized. Local authorities were alerted about the fluoride-rich water situation in the community and educated about defluoridation methods that the community can employ at household level. Key messages Evidence-based burden of oral diseases was presented to the local authorities for the first time, with a call for action. A referral system was established between the schools and the local hospital, to ensure continuity of oral health care for the children.

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Evaluation of Salivary Interleukin-1ß Levels and Oral Health in Pakistani Male Smokers

10.53350/pjmhs211561158 ◽

2021 ◽

Vol 15 (6) ◽

pp. 1158-1163

Author(s):

S. A. Hamza ◽

S. Asif ◽

S. A. H. Bokhari

Keyword(s):

Oral Health ◽

Dental Caries ◽

Low Income ◽

Smoking Status ◽

Saliva Sample ◽

Oral Disease ◽

Oral Diseases ◽

Missing Teeth ◽

Significance Level ◽

Inflammatory Biomarker

Aim: Smoking induces changes in salivary inflammatory biomarker levels associated with oral diseases. This study status and explored association among salivary Interleukin-1β, oral diseases and smoking. Methods: Data of male smokers of a private institute recruited for a randomized clinical trial is analyzed for this paper. Demographic and systemic information were collected. Oral disease status was examined and saliva sample collected for IL-1β levels. IL-1β levels and other study variables were analyzed with respect to smoking status categorized into smoking years and cigarettes per day. The student's t-test and one-way ANOVA were used for statistical analysis using SPSS version 22) with significance level of p≤0.050. Results: Analysis of baseline data of seventy-eight smokers showed elevated levels of IL-1β with increasing smoking, higher BMI. Smoking was higher among aged, married and low-income individuals. Pearson partial correlation analysis, after controlling age, marital status, education, income, and BMI, demonstrated a positive significant relationship of smoking per day with smoking years; dental caries with missing teeth and calculus; gingivitis with missing teeth and calculus; periodontitis with dental caries, calculus and gingivitis. Conclusion: This analysis demonstrates that levels of IL-1β were raised in smokers, however; there was no association with oral disease parameters. Large studies may be conducted to observe status and association of smoking, oral disease and salivary biomarkers. Keywords: Smoking, Oral Health, IL-1β, Males

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Oral Health and Nutrition

10.2310/im.9038 ◽

2020 ◽

Author(s):

Carole. A. Palmer ◽

Zhangmuge Cheng

Keyword(s):

Oral Health ◽

Dental Caries ◽

Periodontal Diseases ◽

Oral Disease ◽

Oral Diseases ◽

Oral Infections ◽

Surgeon General ◽

Optimal Health ◽

Health And Disease ◽

Oral Conditions

Oral diseases are among the most prevalent diseases affecting global health. In his report on the crisis in oral disease in America, the Surgeon General warned that one cannot be truly healthy without oral health. Oral health means freedom from all oral health problems; tooth decay (dental caries), periodontal diseases, tooth loss, oral-facial pain, oral cancer and the effects of its treatment, oral infections, craniofacial birth defects and more. The relationships between oral conditions and systemic health and disease are many and synergistic, and most involve dietary and/or systemic nutritional factors. Diet and nutrition can play important roles in the etiology, prevention, and/or management of oral conditions, as they do in overall health and disease. Today, all health professionals and educators need to be aware of and consider oral issues and their possible diet/nutritional implications as a component of optimal health care and education. This review article provides a brief overview of how diet and nutrition impact and are impacted by oral conditions, and offers general guidelines and resources for providing meaningful interventions throughout the life cycle. This review contains 3 figures, 3 tables, and 57 references Key Words: biofilm, cariogenic, dental caries, dental plaque, ECC-early childhood caries, lactobacillus, mucositis, non-cariogenic, periodontal disease, Streptococcus mutans

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The Impact of Adding Sugars to Milk and Fruit on Adiposity and Diet Quality in Children: A Cross-Sectional and Longitudinal Analysis of the Identification and Prevention of Dietary- and Lifestyle-Induced Health Effects in Children and Infants (IDEFICS) Study

Nutrients ◽

10.3390/nu10101350 ◽

2018 ◽

Vol 10 (10) ◽

pp. 1350 ◽

Cited By ~ 4

Author(s):

Marika Dello Russo ◽

Wolfgang Ahrens ◽

Stefaan De Henauw ◽

Gabriele Eiben ◽

Antje Hebestreit ◽

...

Keyword(s):

Diet Quality ◽

Dietary Guidelines ◽

Dietary Quality ◽

Inverse Association ◽

Cross Sectional ◽

Sweetened Beverages ◽

Idefics Study ◽

The Impact ◽

Age And Sex

Sugar, particularly as free sugars or sugar-sweetened beverages, significantly contributes to total energy intake, and, possibly, to increased body weight. Excessive consumption may be considered as a proxy of poor diet quality. However, no previous studies evaluated the association between the habit of adding sugars to “healthy” foods, such as plain milk and fresh fruit, and indicators of adiposity and/or dietary quality in children. To answer to these research questions, we Panalysed the European cohort of children participating in the IDEFICS study. Anthropometric variables, frequency of consumption of sugars added to milk and fruit (SAMF), and scores of adherence to healthy dietary pattern (HDAS) were assessed at baseline in 9829 children stratified according to age and sex. From this cohort, 6929 children were investigated again after two years follow-up. At baseline, a direct association between SAMF categories and adiposity indexes was observed only in children aged 6–<10 years, while the lower frequency of SAMF consumption was significantly associated with a higher HDAS. At the two year follow-up, children with higher baseline SAMF consumption showed significantly higher increases in all the anthropometric variables measured, with the exception of girls 6–<10 years old. The inverse association between SAMF categories and HDAS was still present at the two years follow-up in all age and sex groups. Our results suggest that the habit to adding sugars to foods that are commonly perceived as healthy may impact the adherence to healthy dietary guidelines and increase in adiposity risk as well.

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