INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com
www.indiandentalacademy.com
NUTRITION AND ORAL
HEALTH
Presenters
Dr. Prathima Sreenivasan
Dr. Giridhar Naidu S
Under the able guidance of
Prof Dr. Gop...
Om Bramhmarpanam bramha havi
Bramhagna bramhanahutam
Bramhaiva tena gantavyam
Bramha karma samadhinaa
www.indiandentalacad...
www.indiandentalacademy.com
YOU ARE
WHAT YOU
EAT !
www.indiandentalacademy.com
Food:
Food is what is taken to supply the necessary
nutritive elements.
Diet:
Diet is a prescribed course of eating and dr...
Nutrition:
It is the science of foods, the nutrients and other
substances therein; their action,interaction and
balance in...
NUTRIENTS
MACRONUTRIENTS MICRONUTRIENTS
Carbohydrates
Fats
Proteins
Water
Dietary Fibers
Minerals
(Micro &Macro)
Vitamins
...
PROTEINS
Structure
Catalysts
Regulation
Transportation
Clotting of blood
Antibodies
Contractile proteins
Osmotic balance
C...
CARBOHYDRATES
Energy source
Regulate protein metabolism
Derivatives like glucoronic acid
glycerol & glycogen
Pentose s...
LIPIDS
Energy source
Cell membrane constituent
Biologic metabolites
Glycolipids and lipoproteins
Precursors of cholesterol...
Protein Calorie Malnutrition
Growth phase (Rat experiments)
Shaw & Griffith - smaller molars, delayed eruption
Di Orio – I...
VITAMINS (Vital Amine)
Vitamin A Cellular differentiation,
integrity,growth,
antikeratinizing, vision
Xerostomia, Enamel
H...
VITAMINS
Vitamin C Collagen synthesis,
adrenal cortical hormones
Scurvy,
Enamel & dentin
defects
Vitamin B
complex
Coenzym...
MINERALS
Calcium Bone, tooth formation
, blood clotting,
muscle, nerve.
Bone density,
hypoplasia
Phosphorous Bone tooth fo...
MINERALS
Copper Antioxidant, iron
absorption
anemia
Selenium antioxidant Predisposition Cardiac
disease
www.indiandentalac...
DIETARY FIBERS
They are complex polysaccharides
Components cellulose, lignin & non cellulosic
polysaccharides
Physical Pro...
Physiologic effects
Increase fecal bulk
Decreases nutrient digestion and absorption
Reduce glycemic response
Hypocholestro...
WATER
Constitutes 50-60% of body weight
Universal solvent/ medium for all metabolic reaction
Temperature regulation
Dissoc...
NUTRITIONAL VALUE
Energy requirement:
The level of energy intake in relation to expenditure
which is most likely to prolon...
SDA:
Specific dynamic action is the expenditure
of calories during the digestion and absorption
of food.
Calories:
Quantit...
Recommended Daily Allowance
Carbohydrate 50-70%
Protein 1gm/kg/day
Fat 20%
Vitamin A
Beta carotene
750mcg
3000mcg
Vitamin ...
Recommended Daily Allowance
Riboflavin 0.6mg/1000 kcal
Naicin 6.6mg/1000 kcal
Pyridoxine 2mg
Pantothenic acid 10mg
Folate ...
BALANCED DIET
A balanced diet is one which includes all the
essential food groups and allows the body to
function at an op...
A balanced diet constitutes the following
-
Protein 15 %
Carbohydrates 60%
Fats 25-30%
Dietary Fiber
www.indiandentalacade...
FOOD PYRAMID
www.indiandentalacademy.com
NORMAL INDIAN DIET
Cereals: Rice, wheat
Millets Jowar, bajra, ragi
Animal Foods Eggs, milk , fish , meat
Vegetables and
pu...
ASSESSMENT OF NUTRITIONAL STATUS
History
Anthropometry
Clinical examination
Biochemical evaluation
Assessment of dietary i...
Excess nutrition
Normal nutrition
Primary DEFICIENCY Secondary
Tissue Depletion
Biochemical Lesion
Clinical Signs
www.indi...
HISTORY
Weight change
Immunologic disorders
TMJ pain
Xerostomia
Steroid therapy
Head and neck cancer
Osteoporosis
Herbal m...
ANTHROPOMETRIC
Weight
Height and length
Skin fold measurements
Other body measurements
BMI and Dentate status
Body Mass In...
DIETARY SUPPLEMENTS
Dietary supplement Act,1994
• Products intended to supplement the diet
• contains a vitamin,mineral,am...
FOOD FORTIFICATION
Fortification is a public health measure aimed at
reinforcing dietary intake of nutrients with addition...
Supplement Oral use Forms
Caffeine Ergogenic aid Beverage
Capsaicin Pain relief for
tooth ache and
trigeminal
neuralgia
Ch...
Supplement Oral use Forms
Green tea Decreases risk
of dental caries,
cancer
prevention
Beverage
Lysine Prevents
recurrence...
ANTOXIDANTS IN VEGETABLES & FRUITS
Indoles
Carotene
Lycopene
www.indiandentalacademy.com
Reactive species Antioxidant
Singlet oxygen Vit A, E , beta carotene
Superoxide free radical Vit E, Beta carotene
Peroxyl ...
Free radical Chain reaction
PUFA-OO PUFA-OOH
TOCOH TOCO
PUFA-H
Vit Cox Vit cred PUFA-OOH
GS-SG GSH H2O2 GSH
Superoxide cat...
DISEASE AND NUTRITION
Anemia
Diabetes Mellitus
Cardiac Disease
Cancer
Liver disease
Renal Disease
AIDS
Acid Peptic Disease...
NUTRITION IN ANEMIA
Supplements
Iron
Vitamin B complex
Protein, red meat
Vitamin C
Avoid:
High fat
Spicy food
www.indiande...
OBESITY
Overweight:
10- 20 % above desired weight
Obese :
Excessive amount of adipose
Hypercellular
Hypertrophied
Risk for...
NUTRITION IN DIABETES MELLITUS
Risk factors
High cholesterol
Sedentary life style
Supplements
Regular meal pattern
Protein...
NUTRITION IN CARDIAC DISEASE
Risk factors:
High salt intake
Low potassium, calcium,
High cholesterol
Alcohol
Supplement
Om...
DIETARY MODIFICATIONS
DASH – Dietary Approaches to Stop Hypertension
Control diet- reduced fruits and vegetables
Fruit and...
NUTRITION IN CANCER
Risk Factors:
Alcohol
Fat
Pickled & smoked food
Arsenical, lead, cadmium
Additives like saccharin, fla...
NUTRITION IN RENAL DISEASE
Risk factors
High protein
High sodium
Excess fluid intake
High cholesterol
Supplements
Kilocalo...
NUTRITION IN LIVER DISEASE
Risk factors
High protein
High fat
Alcohol
Supplements
Adequate protein
Reduced fat
Higher carb...
NUTRITION IN AIDS
Cachexia
Hormonal imbalance
Immunologic changes
Supplements
High calorie diet
Frequent meals
Vitamins an...
NUTRITION IN ACID PEPTIC DISEASE
Risk factors
High food quantity
Milk
Seasonings
Coffee
Citric acid fruits
Alcohol
www.ind...
www.indiandentalacademy.com
Thank you all !
For more details please visit
www.indiandentalacademy.com
www.indiandentalacademy.com
Upcoming SlideShare
Loading in …5
×

Nutrition symposium/ orthodontic seminars

329 views

Published on



Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.

Published in: Education
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
329
On SlideShare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
0
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Nutrition symposium/ orthodontic seminars

  1. 1. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 2. NUTRITION AND ORAL HEALTH Presenters Dr. Prathima Sreenivasan Dr. Giridhar Naidu S Under the able guidance of Prof Dr. Gopakumar R Dept. Oral Medicine & Maxillofacial Radiology A.B.Shetty Memorial Institute Of Dental Sciences Deralakatte, Mangalorewww.indiandentalacademy.com
  3. 3. Om Bramhmarpanam bramha havi Bramhagna bramhanahutam Bramhaiva tena gantavyam Bramha karma samadhinaa www.indiandentalacademy.com
  4. 4. www.indiandentalacademy.com
  5. 5. YOU ARE WHAT YOU EAT ! www.indiandentalacademy.com
  6. 6. Food: Food is what is taken to supply the necessary nutritive elements. Diet: Diet is a prescribed course of eating and drinking in which the amount of food as well as the times at which it has to be taken are regulated by the physician for therapeutic uses. Nutrient: It is a constituent of food or a diet that must be supplied in suitable amounts. www.indiandentalacademy.com
  7. 7. Nutrition: It is the science of foods, the nutrients and other substances therein; their action,interaction and balance in relationship to health and disease.,the process by which the organism ingests, digests, absorbs, transports and utilizes. Malnutrition: Impairment of health resulting from a deficiency excess or imbalance of nutrients. www.indiandentalacademy.com
  8. 8. NUTRIENTS MACRONUTRIENTS MICRONUTRIENTS Carbohydrates Fats Proteins Water Dietary Fibers Minerals (Micro &Macro) Vitamins www.indiandentalacademy.com
  9. 9. PROTEINS Structure Catalysts Regulation Transportation Clotting of blood Antibodies Contractile proteins Osmotic balance Chemical messengers www.indiandentalacademy.com
  10. 10. CARBOHYDRATES Energy source Regulate protein metabolism Derivatives like glucoronic acid glycerol & glycogen Pentose sugars form nucleic acids www.indiandentalacademy.com
  11. 11. LIPIDS Energy source Cell membrane constituent Biologic metabolites Glycolipids and lipoproteins Precursors of cholesterol,steroids, hormones, Flavor and satiety www.indiandentalacademy.com
  12. 12. Protein Calorie Malnutrition Growth phase (Rat experiments) Shaw & Griffith - smaller molars, delayed eruption Di Orio – Increased caries susceptibility Menaker & Navia – Atrophy of salivary glands Nakamoto & Muller – Retarded mandibular development Post growth phase (Primate experiments) Decreased amylase, sIgA Atrophy of human parotid Necrotizing Ulcerative Gingivitis Delayed wound healing Cytologic defects www.indiandentalacademy.com
  13. 13. VITAMINS (Vital Amine) Vitamin A Cellular differentiation, integrity,growth, antikeratinizing, vision Xerostomia, Enamel Hypoplasia, Tooth eruption,cancer Vitamin D Calcium & Phosphorous metabolism Cementum & dentin Vitamin E Antioxidant Vitamin K Clotting factors Bleeding in surgery www.indiandentalacademy.com
  14. 14. VITAMINS Vitamin C Collagen synthesis, adrenal cortical hormones Scurvy, Enamel & dentin defects Vitamin B complex Coenzyme in many biological reactions, DNA synthesis Glossitis, angular cheilitis, RAS, Ulceration, Infection, keratinocyte maturation www.indiandentalacademy.com
  15. 15. MINERALS Calcium Bone, tooth formation , blood clotting, muscle, nerve. Bone density, hypoplasia Phosphorous Bone tooth formation rare Iron Hemoglobin Anemia glossitis, chelitis Zinc Wound healing, Taste, smell,wound healing, Fluorine Bone, tooth formation Susceptibility to dental caries www.indiandentalacademy.com
  16. 16. MINERALS Copper Antioxidant, iron absorption anemia Selenium antioxidant Predisposition Cardiac disease www.indiandentalacademy.com
  17. 17. DIETARY FIBERS They are complex polysaccharides Components cellulose, lignin & non cellulosic polysaccharides Physical Properties Water binding Bile acid binding Cation binding Sources Cereals & millets, Gums, fenugreek, pulses, fruits vegetables www.indiandentalacademy.com
  18. 18. Physiologic effects Increase fecal bulk Decreases nutrient digestion and absorption Reduce glycemic response Hypocholestrolemic effect www.indiandentalacademy.com
  19. 19. WATER Constitutes 50-60% of body weight Universal solvent/ medium for all metabolic reaction Temperature regulation Dissociates into H & OH Lubrication between cells www.indiandentalacademy.com
  20. 20. NUTRITIONAL VALUE Energy requirement: The level of energy intake in relation to expenditure which is most likely to prolong active life. Energy for basal metabolism Energy for physical activity Energy expended during digestion and absorption of nutrients Basal Metabolism: Minimum amount of energy needed to regulate and maintain the involuntary essential processes. BMR: Number of kilocalories expended by the organism per hourwww.indiandentalacademy.com
  21. 21. SDA: Specific dynamic action is the expenditure of calories during the digestion and absorption of food. Calories: Quantity of energy required to raise the temperature of 1kg of water by 1 C www.indiandentalacademy.com
  22. 22. Recommended Daily Allowance Carbohydrate 50-70% Protein 1gm/kg/day Fat 20% Vitamin A Beta carotene 750mcg 3000mcg Vitamin D 2.5mcg 5 mcg Vitamin E 10mg Vitamin K 45mcg Vitamin C 40mcg Thiamine 0.5mg/1000 Cwww.indiandentalacademy.com
  23. 23. Recommended Daily Allowance Riboflavin 0.6mg/1000 kcal Naicin 6.6mg/1000 kcal Pyridoxine 2mg Pantothenic acid 10mg Folate 100mcg Cyanacobolamine 1mcg Iron 0.9mg 2.8mg Iodine 150mcg Calcium 400-500mg Fluorine 0.5 – 0.8mg/lt Zinc 15mgwww.indiandentalacademy.com
  24. 24. BALANCED DIET A balanced diet is one which includes all the essential food groups and allows the body to function at an optimal level free from disease and malaise. www.indiandentalacademy.com
  25. 25. A balanced diet constitutes the following - Protein 15 % Carbohydrates 60% Fats 25-30% Dietary Fiber www.indiandentalacademy.com
  26. 26. FOOD PYRAMID www.indiandentalacademy.com
  27. 27. NORMAL INDIAN DIET Cereals: Rice, wheat Millets Jowar, bajra, ragi Animal Foods Eggs, milk , fish , meat Vegetables and pulses Roots and tubers, green leaves Fruits Banana, mango, musambi, grapes, apples, oranges, dates Beverages Coffee,tea,cocoa,alcohol Fats and oils Butter, ghee, dalda Condiments Cardamom, garlic, chilies, turmeric pepperwww.indiandentalacademy.com
  28. 28. ASSESSMENT OF NUTRITIONAL STATUS History Anthropometry Clinical examination Biochemical evaluation Assessment of dietary intake Vital and health statistics Ecological studies www.indiandentalacademy.com
  29. 29. Excess nutrition Normal nutrition Primary DEFICIENCY Secondary Tissue Depletion Biochemical Lesion Clinical Signs www.indiandentalacademy.com
  30. 30. HISTORY Weight change Immunologic disorders TMJ pain Xerostomia Steroid therapy Head and neck cancer Osteoporosis Herbal medication – eichinacea, ephedra www.indiandentalacademy.com
  31. 31. ANTHROPOMETRIC Weight Height and length Skin fold measurements Other body measurements BMI and Dentate status Body Mass Index : body weight in kg height in mts < 21 natural teeth - obese < 11 natural teeth – underweight www.indiandentalacademy.com
  32. 32. DIETARY SUPPLEMENTS Dietary supplement Act,1994 • Products intended to supplement the diet • contains a vitamin,mineral,amino acid or other botanicals. • Does not represent conventional food. • Ingested in the form of capsule, powder,softgel etc www.indiandentalacademy.com
  33. 33. FOOD FORTIFICATION Fortification is a public health measure aimed at reinforcing dietary intake of nutrients with additional supplies to prevent or control nutritional disorders in a given area. Example • fortification of salt with iodine. • fortification of wheat with vitamins. www.indiandentalacademy.com
  34. 34. Supplement Oral use Forms Caffeine Ergogenic aid Beverage Capsaicin Pain relief for tooth ache and trigeminal neuralgia Chillies, topical ointments Garlic Treatment and prevention of oral candidiasis www.indiandentalacademy.com
  35. 35. Supplement Oral use Forms Green tea Decreases risk of dental caries, cancer prevention Beverage Lysine Prevents recurrence of aphthous ulcers, herpes labialis Tablets, Topical applications Vitamin C Integrity of gingiva, improved healing Citrus fruits, tablets www.indiandentalacademy.com
  36. 36. ANTOXIDANTS IN VEGETABLES & FRUITS Indoles Carotene Lycopene www.indiandentalacademy.com
  37. 37. Reactive species Antioxidant Singlet oxygen Vit A, E , beta carotene Superoxide free radical Vit E, Beta carotene Peroxyl free radical Vit E, C. Hydrogen peroxide Catalase, Glutathione peroxidase Lipid peroxides Glutathione peroxidase www.indiandentalacademy.com
  38. 38. Free radical Chain reaction PUFA-OO PUFA-OOH TOCOH TOCO PUFA-H Vit Cox Vit cred PUFA-OOH GS-SG GSH H2O2 GSH Superoxide catalase Dismutase H2O GS-SG Superoxide PUFA-OHwww.indiandentalacademy.com
  39. 39. DISEASE AND NUTRITION Anemia Diabetes Mellitus Cardiac Disease Cancer Liver disease Renal Disease AIDS Acid Peptic Disease www.indiandentalacademy.com
  40. 40. NUTRITION IN ANEMIA Supplements Iron Vitamin B complex Protein, red meat Vitamin C Avoid: High fat Spicy food www.indiandentalacademy.com
  41. 41. OBESITY Overweight: 10- 20 % above desired weight Obese : Excessive amount of adipose Hypercellular Hypertrophied Risk for Cardiac Diseases Diabetes Melitus www.indiandentalacademy.com
  42. 42. NUTRITION IN DIABETES MELLITUS Risk factors High cholesterol Sedentary life style Supplements Regular meal pattern Protein Adequate carbohydrate Fibers www.indiandentalacademy.com
  43. 43. NUTRITION IN CARDIAC DISEASE Risk factors: High salt intake Low potassium, calcium, High cholesterol Alcohol Supplement Omega 3 FA Soybeans Fruits and Vegetables Dietary fiber www.indiandentalacademy.com
  44. 44. DIETARY MODIFICATIONS DASH – Dietary Approaches to Stop Hypertension Control diet- reduced fruits and vegetables Fruit and vegetable diet Combination diet BP- 11.4/5.5mm of Hg Cholesterol lowering Hydrogenated oils, sugar- reduce Fish, soluble fiber - increase Sodium Controlled – 2gms/day www.indiandentalacademy.com
  45. 45. NUTRITION IN CANCER Risk Factors: Alcohol Fat Pickled & smoked food Arsenical, lead, cadmium Additives like saccharin, flavonoids Supplement Fruits and vegetable Dietary Fiber Water Vit E and selenium Phytoestrogen www.indiandentalacademy.com
  46. 46. NUTRITION IN RENAL DISEASE Risk factors High protein High sodium Excess fluid intake High cholesterol Supplements Kilocalories – carbohydrates Potassium, calcium, phosphorous Vitamins www.indiandentalacademy.com
  47. 47. NUTRITION IN LIVER DISEASE Risk factors High protein High fat Alcohol Supplements Adequate protein Reduced fat Higher carbohydrate Micronutrients www.indiandentalacademy.com
  48. 48. NUTRITION IN AIDS Cachexia Hormonal imbalance Immunologic changes Supplements High calorie diet Frequent meals Vitamins and minerals www.indiandentalacademy.com
  49. 49. NUTRITION IN ACID PEPTIC DISEASE Risk factors High food quantity Milk Seasonings Coffee Citric acid fruits Alcohol www.indiandentalacademy.com
  50. 50. www.indiandentalacademy.com
  51. 51. Thank you all ! For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com

×