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Nutrition and Oral Health: What Dietitians Should Know January 16, 2014


Title: Nutrition and Oral Health: Making the Connection Wahida Karmally, Dr.PH, RD,CDE Author: Default Last modified by: H L Waite Created Date – PowerPoint PPT presentation

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Title: Nutrition and Oral Health: What Dietitians Should Know January 16, 2014

Nutrition and Oral Health What Dietitians
Should KnowJanuary 16, 2014
NUTRI-BITES Webinar Series
  • Presenter
  • Wahida Karmally, DrPH, RD, CDE, CLS, FNLA
  • Associate Research Scientist, Lecturer in
  • Director of Nutrition Irving Institute for
    Clinical and Translational Research
  • Columbia University
  • Moderator
  • James M. Rippe, MD 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.
Original recording of the January 16, 2014
webinar and PDF download of presentation
available at
NUTRI-BITES Webinar Series
Nutrition and Oral Health
  • Based on this webinar, learners should be able
  • 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
    lifestyle/nutrition counseling

Academy of Nutrition and Dietetics's Position
Paper "Oral Health and Nutrition - 2013
  • Nutrition is an integral component of oral health
  • Oral infectious diseases, as well as acute,
    chronic, and systemic diseases with oral
    manifestations, impact an individual's functional
    ability to eat and their nutrition status
  • Nutrition and diet can affect the development and
    integrity of the oral cavity and progression of
    oral diseases.

Journal of the Academy of Nutrition and
Dietetics. (2013) 113693-701.
(No Transcript)
Nutritional Deficiencies and Oral Problems
  • Stomatitis Niacin, folic acid vitamin B12
  • Glossitis Niacin, folic acid, B6 and B12
  • Xerostomia Vitamins A and B12
  • Cheilosis Iron, B vitamins
  • Gingival bleeding Vitamins C and K
  • Glossodynia B vitamins, Zinc, Iron
  • Excessive intakes of vitamin A intake can impact
    soft and hard tissues
  • Vitamin A toxicity can impair oral mucosal
    epithelium development.

Children's 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).
  • Factors Affecting Food Cariogenicity
  • Frequency of consumption of fermentable
  • Food form liquid, solid, slowly dissolving
  • Sequence of eating foods
  • Combination of foods
  • Nutrient composition of foods and beverages

Oral Health and Children
  • Teeth decay is the 1 chronic disease in
  • 3 Tips To Prevent Tooth Decay
  • 1. Provide bottles and sippy cups at mealtimes
  • - Avoid bottles at bedtime - bacteria feed on the
    sugars in milk
  • 2. 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!

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

The mouth is the telltale of diseases such
asNutritional anemiasUncontrolled diabetes
mellitus Eating disordersHIV infectionOral
  • Periodontal Disease
  • Diabetes - types 1 and 2
  • Heart disease
  • Stroke
  • Pulmonary disease
  • Obesity
  • Osteoporosis Calcium and vitamin D

  • Dietitians can use Oral Health information
  • to integrate
  • with lifestyle/nutrition counseling
  • The International and Dietetic Nutritional
    Terminology includes diagnostic terms related to
    oral health.
  • Proficiency and competency in examining the
    mouth to identify nutrient-deficiencies highly
  • 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

References Position of the Academy of Nutrition
and Dietetics The impact of fluoride on
health. Palmer CA, Gilbert JA Academy of
Nutrition and Dietetics. J Acad Nutr Diet. 2012
Sep112(9)1443-53 Position of the Academy of
Nutrition and Dietetics Oral health and
nutrition. Touger-Decker R, Mobley C Academy of
Nutrition and Dietetics. J Acad Nutr Diet. 2013
May113(5)693-701 Diet, cardiovascular disease
and oral health promoting health and reducing
risk. Touger-Decker R. J Am Dent Assoc. 2010
Feb141(2)167-70. Review.
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