The Emerging Field of Nutritional Dentistry

Woelber, Johan Peter; Vach, Kirstin

doi:10.3390/nu14102076

Cited by 4 publications

(4 citation statements)

References 33 publications

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“…There is evidence to support the importance of a healthy diet in maintaining good oral health in older adults [ 33 , 165 , 166 ]. However, due to the challenges outlined above, many older adults are at risk of compromised nutrition.…”

Section: Discussionmentioning

confidence: 99%

Protein Intake and Oral Health in Older Adults—A Narrative Review

et al. 2022

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Oral health is vital to general health and well-being for all ages, and as with other chronic conditions, oral health problems increase with age. There is a bi-directional link between nutrition and oral health, in that nutrition affects the health of oral tissues and saliva, and the health of the mouth may affect the foods consumed. Evidence suggests that a healthy diet generally has a positive impact on oral health in older adults. Although studies examining the direct link between oral health and protein intake in older adults are limited, some have explored the relationship via malnutrition, which is also prevalent among older adults. Protein–energy malnutrition (PEM) may be associated with poor oral health, dental caries, enamel hypoplasia, and salivary gland atrophy. This narrative review presents the theoretical evidence on the impact of dietary protein and amino acid composition on oral health, and their combined impact on overall health in older adults.

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Section: Discussionmentioning

confidence: 99%

Protein Intake and Oral Health in Older Adults—A Narrative Review

et al. 2022

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“…It is not yet possible to identify any real trends in the field of medical science, but new approaches to the prevention and treatment of these conditions are beginning to take hold. Nutrition seems to play a key role in this, and the sector of oral medicine is at the centre [214][215][216]. However, we have not quite reached the goal that Thomas A. Edison (1847-1931) is said to have foretold at the beginning of the 20th century: "The doctor of the future will give no medicine but will instruct his patient in the care of the human frame, in diet and in the cause and prevention of disease.…”

Section: Nutrition As a Social Phenomenonmentioning

confidence: 99%

Nutrition and Health in Human Evolution–Past to Present

2022

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Anyone who wants to understand the biological nature of humans and their special characteristics must look far back into evolutionary history. Today’s way of life is drastically different from that of our ancestors. For almost 99% of human history, gathering and hunting have been the basis of nutrition. It was not until about 12,000 years ago that humans began domesticating plants and animals. Bioarchaeologically and biochemically, this can be traced back to our earliest roots. Modern living conditions and the quality of human life are better today than ever before. However, neither physically nor psychosocially have we made this adjustment and we are paying a high health price for it. The studies presented allow us to reconstruct food supply, lifestyles, and dietary habits: from the earliest primates, through hunter-gatherers of the Paleolithic, farming communities since the beginning of the Anthropocene, to the Industrial Age and the present. The comprehensive data pool allows extraction of all findings of medical relevance. Our recent lifestyle and diet are essentially determined by our culture rather than by our millions of years of ancestry. Culture is permanently in a dominant position compared to natural evolution. Thereby culture does not form a contrast to nature but represents its result. There is no doubt that we are biologically adapted to culture, but it is questionable how much culture humans can cope with.

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“…19–21 Although fluoride use does reduce the incidence of caries, and fluoridation in combination with plaque reduction practices are partially effective at reducing some of the risks of dental disease, both fail to provide complete prevention due to other risk factors including sugar intake, other dietary practices, and smoking. 22 Oral health issues and disease are highly prevalent, and the 2015 Global Burden of Disease reported 2.5 billion people worldwide with untreated caries in permanent teeth and 538 million people worldwide with severe periodontitis. 23 Since poor oral hygiene, dietary practices, and smoking are modifiable factors that contribute to the development of dental infection and disease, it is important to discuss prevention and provide treatment recommendations to patients with an ESRD diagnosis due to their increased risk of death with DNSI.…”

Section: Discussionmentioning

confidence: 99%

Deep neck space infections in end-stage renal disease patients: Prevalence and mortality

Acree,

Day,

Groves

et al. 2024

Journal of Investigative Medicine

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Deep neck space infections (DNSI) are severe infections within the layers of neck fascia which are known to be associated with underlying immunocompromised states. Although uremia associated with kidney disease is known to cause immune system dysfunction, DNSI in patients with kidney disease has been poorly studied. This study investigated the prevalence of DNSI and the associated risk of mortality within the United States end-stage renal disease (ESRD) population, using a retrospective cohort study design and the United States Renal Data System database (USRDS) of patients (ages 18-100) who initiated dialysis therapy between 2005 and 2019. International Classification of Disease (ICD)-9 and -10 codes were used to identify the diagnosis of DNSI and comorbid conditions. Of the 705,891 included patients, 2.2% had a diagnosis of DNSI. Variables associated with increased risk of DNSI were female sex, black compared to white race, catheter or graft compared to arteriovenous fistula (AVF) access, autoimmune disease, chronic tonsillitis, diagnoses in the Charlson Comorbidity Index (CCI), tobacco use, and alcohol dependence. DNSI diagnosis was an independent risk factor for mortality, which was also associated with other comorbidities factors such as older age, catheter or graft compared to AVF access, comorbidities in the CCI, tobacco use, and alcohol dependence. Because of the increased mortality risk of DSNI in the ESRD population, health professionals should encourage good oral hygiene practices and closely monitor these patients to reduce poor outcomes.

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The Emerging Field of Nutritional Dentistry

Abstract: Nutrition is, like oxygen, one of the basic requirements for animals and, accordingly, Homo sapiens to live [...]

Cited by 4 publications

References 33 publications

Protein Intake and Oral Health in Older Adults—A Narrative Review

Protein Intake and Oral Health in Older Adults—A Narrative Review

Nutrition and Health in Human Evolution–Past to Present

Deep neck space infections in end-stage renal disease patients: Prevalence and mortality

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