Role of nutritional supplements on oral health in adults – A systematic review (original) (raw)
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Journal of the Academy of Nutrition and Dietetics, 2013
CIENTIFIC AND EPIDEMIOLOGICAL data demonstrate a lifelong synergy between nutrition and the integrity of the oral cavity in health and disease. 1 Changes in the health care system toward patient/client-and population-centered health and an interprofessional team-based approach require collaboration among health professionals and emphasize the importance of evidence-based practice grounded in economic, sociological, and scientific evidence. 1,2 Partnerships among dietetics practitioners, oral health care professionals, and other health professionals need to be established, strengthened, and expanded to encourage effective, integrated, and comprehensive education, training, and practice across disciplines. 3 The relationships among oral, systemic, and nutritional health and diseases require the attention and consideration of all health professionals. EMERGING SCIENCE AND EVIDENCE-BASED PRACTICE Oral Infectious Diseases: Dental Caries and Periodontal Disease Dental caries and periodontal disease are the most prevalent chronic, common, and transmissible infectious oral conditions in humans. Dental caries result from the interaction of specific bacterial and salivary constituents with dietary fermentable carbohydrates in biofilm adherent on the tooth surface. 8 An equilibrium between multifactorial pathological contributing factors (eg, bacteria and fermentable carbohydrates) and protective factors (eg, fluoride, oral hygiene, diet, and saliva) influence the dynamic demineraliza-ABSTRACT It is the position of the Academy of Nutrition and Dietetics that nutrition is an integral component of oral health. The Academy supports integration of oral health with nutrition services, education, and research. Collaboration between dietetics practitioners and oral health care professionals is recommended for oral health promotion and disease prevention and intervention. Scientific and epidemiological data suggest a lifelong synergy between diet, nutrition, and integrity of the oral cavity in health and disease. Oral health and nutrition have a multifaceted relationship. 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. Likewise, nutrition and diet can affect the development and integrity of the oral cavity and progression of oral diseases. As knowledge of the link between oral and nutrition health increases, dietetics practitioners and oral health care professionals must learn to provide screening, education, and referrals as part of comprehensive client/patient care. The provision of medical nutrition therapy, including oral and overall health, is incorporated into the Standards of Practice for registered dietitians and dietetic technicians, registered. Inclusion of didactic and clinical practice concepts that illustrate the role of nutrition in oral health is essential in education programs for both professional groups. Collaborative endeavors between dietetics, dentistry, medicine, and allied health professionals in research, education, and delineation of practice roles are needed to ensure comprehensive health care. The multifaceted interactions between diet, nutrition, and oral health in practice, education, and research in both dietetics and dentistry merit continued, detailed delineation.
Molecules
Periodontal disease, a relevant public health problem worldwide, is generally considered a common pathology of elderly people. In this respect, there is agreement about that nutritional status may be a modifying factor in the progression and healing of the periodontal tissues. Vitamins have been recommended as nutraceuticals for prevention and treatment of some pathological conditions, such as cardiovascular diseases, obesity or cancer. Thus, a systematic approach to determining how the different vitamin type could ameliorate periodontal risks or improve periodontal health is necessary to further the understanding of the potential benefits and risks of vitamins supplementation use. For this, a systematic review of English-written literature in PubMed until February 2018, which included both human and animal research on the relationship of each vitamin with periodontal disease, was conducted. Among all the analyzed vitamins those with antioxidant capacity and effects on immune system seem to be useful for prevention or improvement of periodontal disease, as well as those implicated in bone metabolism. In the first case, there are quite information in favor of various vitamins, mainly vitamin C, that is the most studied. In the second case, vitamin D seems to have the most relevant role.
Supplement Consumption and Periodontal Health: An Exploratory Survey Using the BigMouth Repository
Medicina
Background: Dietary supplements have been investigated for their impact on the periodontal apparatus (alveolar bone, mucosa, periodontal ligament, and cementum) and their hypothetical protective role against periodontitis. There remains a gap in the field in this area. Thus, the present study aims to examine the correlation between populations who report taking different dietary supplements and their relative periodontal health. Methods: The BigMouth dental data repository derived from the dental Electronic Health Records (EHRs) of the University of Michigan school of dentistry was used to extract data relating to all patients who fulfilled the eligibility criteria. The prevalence of periodontitis compared to periodontal health as related to supplement consumption was assessed. Results: A total of 118,426 individuals (55,459 males and 62,967 females) with self-reported consumption of the dietary supplements of interest were identified in the University of Michigan database via the B...