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U
T
R
I NUTRITION-It deals with the process by which the
T
I components of ingested food are made available to the
O
N individual for purposes of energy,building of tissues & in
-
general,maintaining the individual in a proper functional
state.
Other---
Economical Status
Social isolation
Degenerative diseases
Medication
Dietary supplementation practice.
DIABETES
LOW CALORIC INTAKE ALCOHOL ABUSE
SOFT DIET
NUTRITIONAL REQUIREMENTS
&
DEFICIENCIES
CARBOHYDRATE -
FAT-
33% of total calories in diet.
PROTEIN
10-35% of total calories.
Deficiency-
Vitamin C 40 mg
Vitamin Daily requirement
Lips-- Cheilosis
Angular stomatitis
Angular Scars
Tongue—Edema
Magenta tongue
Atrophy of filliform papillae
Burning sensation
Soreness
Pale, Bald
Vitamin-C
Edematous oral mucosa
Tender gingiva
Spontaneous
bleeding of gingiva
Haemorrage in interdental
papillae.
Delayed wound healing
Vitamin B1 deficiency
Beri-beri
Sources- Yeast,Outer coating of seed,Cereals,Legumes,
Wheat,Pork,Eggs.
Oral manifestations-
Hypersensitivity of oral mucosa
Pain in tongue,teeth,jaws & face.
Sources-Yeast,milk meat,liver,kidney,
Green leafy vegeatables.
Oral manifestations-Glossits
Cheilitis
Atrophy of papillae
Redness of lip
Management-
Riboflavin 25,000 – 50,000 mcg is given daily.
Vitamin-B3
Sources- yeast,meat,liver,eggs,fish,legumes
Deficiency- PELLAGRA
Oral manifestation-
Red & painful oral mucosa
Bald tongue
Angular stomatitis
Management-
Niacin 10 mg per day,
VITAMIN SOURCES ORAL MANIFESTATION MANAGAMENT
Xerostomia
Negative calcium balance
Nitrogen-Protein balance
DEHYDRATION
Water is most important & essential nutrient
E
F
F
E
C
T
S
SALIVA ------ Decreased salivary flow
Xerostomia
Skin ------ Wrinkles
Muscle ---- Sagging of muscle
Muscle mass shrinks
Secretions ----- Sweat & sebaceous
gland secreation decreases
Digestive enzymes decrease
Eyes ----- Xeropthalmia
Bitot spot
Dry & wrinkled cornea
Dry mouth ----- Xerostomia
Dry & fragile mucosa
Tongue ----- Coated
Degeneration of taste buds
Smooth ( bald ) & atrophic
PRODROMAL SIGNS
Nocturia
Tissue edema ---- Palatal edema
More retentive upper denture in morning
Phicial discomfort ----- Fatigue & Pain
Arthalgia & Myalgia
Emotional factors
CALCIUM & BONE HEALTH
l
Bone loss is normal
l part of aging that affect maxilla &
mandible,as well
l as spine & long bones.
l
o
Once a day vitamin tablet ---- It include Vit. D, Vit. B12 & Folic
acid needed for patient receiving dentures.
.
RISK FACTORS FOR MALNUTRITION
IN PATIENTS WITH DENTURES
Well nourished people ---Rapid tissue healing & lower risk of infection
after surgery.