Diet and Periodontal Diseases

8/12/2019 Diet and Periodontal Diseases

1/26


2/26

DIET AND PERIODONTAL DISEASES


3/26

CONTENTS

INTRODUCTION

CLASSIFICATION OF PERIODONTAL DISEASES &

CONDITIONS

DIET DEFICIENCIES WHICH WILL CAUSE

PERIODONTAL DISEASES

OTHER CAUSES OF PERIODONTAL DISEASES

DIET ADVICE FOR PERIODONTAL DISEASES

FOODS AVOID IN PERIODONTAL DISEASES

OTHER TIPS TO PREVENT PERIODONTAL

DISEASES CONCLUSION


4/26

INTRODUCTION

Periodontal disease is a serious and prevalentcondition, affecting roughly 80 percent of adults.

Periodontitis :- it is an inflammatory disease ofthe teeth caused by specific microorganism,

resulting in progressive destruction of the PDL

and alveolar bone with pocket formation,

recession, or both.


5/26


6/26

CLASSIFICATION OF

PERIODONTAL DISEASES & CONDITION

Periodontal disease can range from a mild form of gingivitis to

aggressive periodontitis. Classiffication of periodontal diseases & condition:-

1.GINGIVAL DISEASES:

Plaque-induced gingival diseases

Non-plaque-induced gingival diseases

2. CHRONIC PERIODONTITIS

localized

generalized


7/26

3. AGGRESSIVE PERIODONTITIS

localized

generalized

PERIODONTITIS AS A MANIFES

TATION OF SYSTEMIC DISEASES:-

1.NECROTIZING PERIODONTAL DISEASES:-

Necrotizing ulcerative gingivitis(NUG)

Necrotizing ulcerative periodontitis(NUP)

2.ABSCESSES OF THE PERIODONTIUM:-

gingival abscess

periodontal abscess

pericoronal abscess


8/26

3.PERIODONTITIS ASSOCIATED WITH ENDODONTIC

LESIONS:-

endodontic-periodontal lesion

periodontal-endodontic lesion

combined lesion

4.DEVELOPMENTAL OR ACQUIRED DEFORMITIES &

CONDITIONS:-

localized tooth-related factors that predispose to

plaque-induced gingival diseases or periodontitis

mucogingival deformities & condition around teeth

mucogingival deformities & condition on edentulous

ridges

occlusal trauma


9/26

1. GINGIVITIS:- It is a mild form of periodontaldisease. Signs of gingivitis are inflammation of the

gums which makes them become swollen or red. Thegums become tender, bleeding easily when brushing

or flossing teeth. Gingivitis is usually not painful.

2. PERIODONTITIS:-.This occurs when plaque

builds up below the gum line. Tissue of the gum and

teeth are broken down and destroyed. Than pockets are

formed and become infected, If left untreated, causeteeth to become loose and eventually to have to be

pulled.


10/26

3. AGGRESSIVE PERIODONTITIS:-

- Seen in otherwise clinically healthy patient.

- Rapid attachment loss & bone destruction.

- Familial aggregation of diseased individuals.

LOCALIZED FORM:- Circumpubertal onset of disease

- Localized 1stmolar or incisor disease with proximal

attachment loss on at least 2 permanent teeth, one ofwhich is a 1stmolar.

GENERALIZED FORM:-Affecting the persons under 30

years of age.

- Generalized proximal attachment loss affecting at least

3 teeth other than 1stmolars & incisor.


11/26

4. CHRONIC PERIODONTITIS:- begin in adolescents

and slowly progresses Problems may not arise until a

person reaches their early 30's. Problems with red,

inflamed gums begin as well as bone loss and

destruction consistent with local factors.

subgingival calculus frequently found.

slow to moderate rate of progression with possible

periods of rapid progression.

LOCALIZED FORM:- < 30% sites involved.

GENERALIZED FORM:- >30% sites involved.

slight1-2 mm of attachment loss

moderate - 3-4 mm of attachment loss

severe > 5 mm of attachment loss


12/26

5. PERIODONTITIS AS A MANIFESTATION OF

SYSTEMIC DISEASES:-

1. Haematologic disorder:-a)acquired neutropeniab)Leukemia

c) others

2. Genetic disorder:-a) Down syndrome

b)familial & cyclic neutropenia

c)Chediak-higashi syndromed)Glycogen storage disease etc.

3. Not otherwise specified


13/26

DIET DEFICIENCIES WHICH WILL CAUSE

PERIODONTAL DISEASES

1. CALCIUM:- Low levels of dietary calcium causes

periodontal disease to progress more rapidly and

severely because calcium strengthen bone mass

beneath the gum line & minimizing bone decay from

bacteria.

2. DAIRY:- Deficiencies of dairy products---particularly

yogurt and kefir---on a regular basis will predisposes

periodotal diseases. Because the lactic acid in these

foods kills harmful bacteria in the mouth, leading toless microbial activity in the "periodontal pockets" that

form between teeth and gum tissue.


14/26

3. WHOLE GRAINS:-Deficiency of whole grains

Increase the risk of periodontitis & inflammationthroughout the body, including in the mouth and gums

b/c have anti-inflammatory properties.

4. VITAMIN C:- Deficiency Of Vitamin C causes

periodontal pockets that harbour harmful bacteria.

- protects against periodontal diseases by aiding in the

repair of the body's connective tissues, have anti-inflammatory properties alleviate symptoms in people

with periodontal disease.


15/26

OTHER CAUSES:-

SYSTEMIC DISEASE :- caused by systemic disease

is usually found in children & who have other health

conditions, such as diabetes, heart diseases, blood

diseases or autoimmune diseases.

TOBACCO:- Smokers and people who chew tobacco

are four times as likely to develop serious cases of

periodontal disease than non-smokers.

GENETICS:- Up to 30% of the population may be

genetically susceptible to gum disease despiteaggressive oral health care habits.


16/26

PUBERTY:- During puberty, there is an increase of blood

circulation in the gums. This causes a heightened sensitivity

to any type of gum irritation. Such irritations may lead toinfections, and thus result in periodontal disease .

PREGNANCY:- gingivitis that may occur in some women

between their second and third months of pregnancy, andincrease in severity until around the eighth month, unusual

redness and swelling in their gums occur.

STRESS:-During stress Cortisol hormone is released itleads to break down the overall good health of the gums,

which can lead to periodontal disease. It also suppress the

immune system, which promotes bacterial growth.


17/26

MEDICATIONSNearly 20 drugs have been shownto cause gingival overgrowth. Most commonly these are

Phenytion, cyclosporine and a short-acting form of the

calcium channel blocker nifedipine.

VIRAL INFECTIONSCertain herpes viruses are

known causes of gingivitis, such as herpes simplex and

varicella-zoster virus. Others, such as cytomegalovirusand Epstein-Barr, may also be contributing factors in the

onset or progression of periodontal disease.


18/26

DIETARYADVICEFOR

PERIODONTALDISEASES

High-fibre diet, such as whole grains,

vegetables, beans and pulses,

fruit, Eat whole foods

(as opposed to soft, refined foods).

Nutrients particularly vitamin C, like grapefruit, oranges,.

bioflavonoid, vitamin A, vitamin E, and a range of Bvitamins, Co-enzyme Q10, natural sodium fromvegetables such as celery (not table salt), potassium,calcium, selenium, zinc, phosphorus, iron and

magnesium.
http://www.beautifulonraw.com/Book_Compromised_Teeth.html


19/26

Increase your omega-3 essential fatty acids by selecting

high-quality wild-caught salmon, minimal-mercuryalbacore tuna, fish oil, avocados, and Sproutd-walnuts.

Eat raw, organic vegetables, & dairy products it can

eliminate bad breath.

Drink purified water

throughout the day.



20/26

All simple or refined carbohydrates (white rice, white

bread, pasta, cookies, cakes, crackers, processed snack

foods, etc.)

All foods containing refined sugar or artificial

sugar-substitutes such as

aspartame.

Sweetened fruit juices,

candySugary foods &

Carbonated soft drinks.

Bottom crawlers, such as oysters,

clams, and lobster that may contain

toxic levels of mercury.



21/26

Deep-sea fish such as tuna, mackerel, and swordfish

that may contain toxic levels of mercury.

Choose minimal-mercury albacore-tuna instead.

Hydrogenated or partially hydrogenated oils found in

many processed foods, deep-fried foods, fast foods, andjunk food.

Excessive caffeine intake, Alcoholic beverages, &

tobacco products.

OTHER TIPS TO PREVENT


22/26

OTHERTIPSTOPREVENT

PERIODONTALDISEASES

Brush your teeth twice a day.

Dont over-brush and use a soft-bristletoothbrush to avoid injuring gums.

Floss everyday.


23/26

Visit the dentist routinely for a check-up and professional

cleaning.

Eat a well-balanced diet.

Exercise. Regular exercise improves general health,

promotes healthy immune, cardiovascular, and digestive

functioning, and is a potent tool for reducing

inflammation.


24/26

CONCLUSION

Higher intake of high-fibre diet, especially fruits, on

slowing periodontal disease progression are most

evident in men aged 65 and older.

smoking, alcohol beverages, and caffeine products

should stop because they predispose the disease.

Routine dental check-up will be beneficial for reducing

the disease to progression.


25/26

REFERENCES

Carranzas. Textbook of clinical periodontology

(10thedition).

Website of ehow.com>family health.

Website of naturopathconnect periodontal-disease-

dietary.

Website of gum-disease-prevention.


26/26

Diet and Periodontal Diseases

Documents

Transcript of Diet and Periodontal Diseases