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Nutritional Consequences of Oral Conditions and Diseases

  • Chapter
Nutrition and Oral Medicine

Part of the book series: Nutrition and Health ((NH))

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Abstract

Oral health status is influenced by numerous oral diseases and conditions, including loss of teeth and supporting dental alveolar bone, xerostomia, loss of taste and smell, orofacial pain, oral movement disorders, and others. Other major factors include general health, socioeconomic status (SES), nutritional well-being, and dietary habits (1). Diseases of the oral cavity, both local and systemic, can have a significant impact on ability to consume an adequate diet and consequently maintain optimal nutrition status. The impact of tooth loss, edentulism, and removable prostheses on dietary habits, diet adequacy, masticatory function, olfaction, and gastrointestinal (GI) disorders has been documented (2–11). Inadequate intake of fruits, vegetables, and whole grains is common in edentulous individuals or those individuals with maxillary and mandibular complete dentures, resulting in an inadequate intake of dietary fiber and vitamins A and C (5,9,10). Disorders of taste and smell can affect appetite and salivary flow and compromise dietary intake. Orofacial pain, salivary disorders, and oral movement disorders can also have a negative impact on appetite and impair normal oral function and eating ability. The relationship between oral disease and nutrition is synergistic. Oral diseases, along with acute, chronic, and terminal systemic diseases with oral manifestations, impact functional ability to eat as well as nutritional well-being (11).

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References

  1. Budtz-Jorgensen E, Chung JP, Mojon P. Successful aging: the case for prosthetic therapy. J Public Health Dent 2000; 60(4):308–312.

    Article  CAS  Google Scholar 

  2. Wayler AH, Chauncey HH. Impact of complete dentures and impaired natural dentition on masticatory performance and food choice in healthy aging men. J Prosthet Dent 1983; 49(3):427–433.

    Article  CAS  Google Scholar 

  3. Chauncey HH, Muench ME, Kapur KK, Wayler AH. The effect of the loss of teeth on diet and nutrition. Intl Dent J 1984; 34(2):98–104.

    CAS  Google Scholar 

  4. Joshipura KJ, Willett WC, Douglass CW. The impact of edentulousness on food and nutrient intake. J Am Dent Assoc 1996; 127(4):459–467.

    CAS  Google Scholar 

  5. Brodeur JM, Laurin D, Vallee R, Lachapelle D. Nutrient intake and gastrointestinal disorders related to masticatory performance in the edentulous elderly. J Prosthet Dent 1993; 70(5):468–473.

    Article  CAS  Google Scholar 

  6. Greska LP, Parraga IM, Clark CA. The dietary adequacy of edentulous older adults. J Prosthetic Dent 1993; 70:468–473.

    Article  Google Scholar 

  7. Kapur KK, Soman SD. Masticatory performance and efficiency in denture wearers. J Prosthet Dent 1994; 14:687–694.

    Google Scholar 

  8. Moynihan P, Bradbury J. Compromised dental function and nutrition. Nutrition 2001; 17:177–178.

    Article  CAS  Google Scholar 

  9. Gunne HS. Masticatory efficiency and dental state: a comparison between two methods. Acta Odontolog Scand 1985; 43(3):139–146.

    CAS  Google Scholar 

  10. Joshipura KJ, Kent RL, DePaola PF. Gingival recession: intra-oral distribution and associated factors. J Periodontol 1994; 65(9):864–871.

    CAS  Google Scholar 

  11. American Dietetic Association. Position of the American Dietetic Association: Oral Health and Nutrition. J Am Diet Assoc 2003; 103:615–625.

    Article  Google Scholar 

  12. Marcus SE, Drury TF, Brown LJ, Zion GR. Tooth retention and tooth loss in the permanent dentition of adults: United States, 1988–1991. J Dent Res 1996; 75(Spec No):684–695.

    Google Scholar 

  13. Thompson GW, Kreisel PS. The impact of the demographics of aging and the edentulous condition on dental care services. J Prosthet Dent 1998; 79(1):56–59.

    Article  CAS  Google Scholar 

  14. Brodeur JM, Laurin D, Vallee R, Lachapelle D. Nutrient intake and gastrointestinal disorders related to masticatory performance in the edentulous elderly. J Prosthet Dent 1993; 70:468–473.

    Article  CAS  Google Scholar 

  15. Manley RS, Shiere FR. The effect of dental deficiency on mastication and food preference. Oral Surg Oral Med Oral Pathol 1950; 3:674–685.

    Article  Google Scholar 

  16. Touger-Decker R. Clinical and laboratory assessment of nutrition status. Dent Clin North Am 2003; 47(2):259–278.

    Article  Google Scholar 

  17. Ettinger RL. Changing dietary patterns with changing dentition: how do people cope? Special Care Dent 1998; 18(1):33–39.

    CAS  Google Scholar 

  18. Allen F, McMillan A. Food selection and perceptions of chewing ability following provision of implant and conventional prostheses in complete denture wearers. Clin Oral Impl Res 2002; 13:320–326.

    Article  Google Scholar 

  19. Shinkai RSA, Hatch JP, Sakai S, Mobley CC, Saunders MJ, Rugh JD. Oral function and diet quality in a community-based sample. J Dent Res 2001; 80(7):1625–1630.

    CAS  Google Scholar 

  20. Touger-Decker R, Schaeffer M, Flinton R, Steinberg L. Impact of diet counseling on diet and nutrition status post-denture. J Dent Res 1997; 76(AADR Abstract):172.

    Google Scholar 

  21. Nutrition Screening Initiative. DETERMINE Checklist. Washington DC: Nutrition Screening Initiative, 1992.

    Google Scholar 

  22. Shinkai RS, Hatch JP, Sakai S, Mobley CC, Saunders MJ, Rugh JD. Oral function and diet quality in a community-based sample. J Dent Res 2001; 80(7):1625–1630.

    CAS  Google Scholar 

  23. Burt BA, Eklund SA, Landis R, Larkin FA, Guire KE, Thompson FE. Diet and dental health, a study of relationships: United States, 1971–74. Vital & Health Statistics, Series 11: Data From the National Health Survey 1982; 11(225):1–85.

    Google Scholar 

  24. Baxter JC. The nutritional intake of geriatric patients with varied dentitions. J Prosthet Dent 1984; 51(2):164–168.

    Article  CAS  Google Scholar 

  25. Joshipura KJ, Willett WC, Douglass CW. The impact of edentulousness on food and nutrient intake. J Am Dent Assoc 1996; 127(4):459–467.

    CAS  Google Scholar 

  26. Papas AS, Palmer CA, Rounds MC, Russell RM. The effects of denture status on nutrition. Special Care in Dentistry 1998; 18:17–25.

    CAS  Google Scholar 

  27. Sheiham A, Steele JG, Marcenes W, et al. The relationship among dental status, nutrient intake, and nutritional status in older people. J Dent Res 2001; 80(2):408–413.

    Article  CAS  Google Scholar 

  28. Appollonio I, Carabellese C, Frattola A, Trabucchi M. Influence of dental status on dietary intake and survival in community-dwelling elderly subjects. Age Ageing 1997; 26(6):445–456.

    Article  CAS  Google Scholar 

  29. Turner L, Jacobsen C, Humenczuk M, Singhal VK, Moore D, Bell H. The effects of lactation education and a prosthetic obturator appliance on feeding efficiency in infants with cleft lip and palate. Cleft Palate Craniofac J 2001; 38(5):519–524.

    Article  CAS  Google Scholar 

  30. Pashayan HM, McNab M. Simplified method of feeding infants born with cleft palate with or without cleft lip. Am J Dis Children 1979; 133(2):145–147.

    CAS  Google Scholar 

  31. Brine EA, Rickard KA, Brady MS, et al. Effectiveness of two feeding methods in improving energy intake and growth of infants with cleft palate: a randomized study. J Am Diet Assoc 1994; 94(7):732–738.

    Article  CAS  Google Scholar 

  32. Cancer Facts and Figures 2002. Atlanta: American Cancer Society, 2002.

    Google Scholar 

  33. van Bokhorst-de van der S, van Leeuwen PA, Kuik DJ, et al. The impact of nutritional status on the prognoses of patients with advanced head and neck cancer. Cancer 1999; 86(3):519–527.

    Article  Google Scholar 

  34. Svensson P, Arendt-Nielsen L, Houe L. Muscle pain modulates mastication: an experimental study in humans. J Orofac Pain 1998: 12:7–16.

    CAS  Google Scholar 

  35. Raphael K, Marbach J, Touger-Decker R. Dietary fiber intake in patients with MFP. J Orofac Pain 2002; 16:39–47.

    Google Scholar 

  36. Baum BJ, Bodner L. Aging and oral motor function: evidence for altered performance among older persons. J Dent Res 1983; 62(1):2–6.

    CAS  Google Scholar 

  37. Miller CS, Epstein JB, Hall EH, Sirois D. Changing oral care needs in the United States: the continuing need for oral medicine. Oral Surg Oral Med Oral Path Oral Rad Endodont 2001; 91(1):34–44.

    Article  CAS  Google Scholar 

  38. Ship JA, Pillemer SR, Baum BJ. Xerostomia and the geriatric patient. J Am Geriatr Soc 2002; 50(3):535–543.

    Article  Google Scholar 

  39. Rhodus NL. Qualitative nutritional intake analysis of older adults with Sjogren’s syndrome. Gerodontology 1988; 7(2):61–69.

    Article  CAS  Google Scholar 

  40. Rhodus NL, Brown J. The association of xerostomia and inadequate intake in older adults. J Am Dietet Assoc 1990; 90(12):1688–1692.

    CAS  Google Scholar 

  41. Dormenval V, Budtz-Jorgensen E, Mojon P, Bruyere A, Rapin CH. Associations between malnutrition, poor general health and oral dryness in hospitalized elderly patients. Age Ageing 1998; 27:123–128.

    Article  CAS  Google Scholar 

  42. Winkler S, Garg AK, Mekayarajjananonth T, Bakaeen LG, Khan E. Depressed taste and smell in geriatric patients. J Am Dent Assoc 1999; 130(12):1759–1765.

    CAS  Google Scholar 

  43. Ettinger RL. Changing dietary patterns with changing dentition: how do people cope? Special Care Dent 1998; 18(1):33–39.

    Article  CAS  Google Scholar 

  44. Ship JA, Duffy V, Jones JA, Langmore S. Geriatric oral health and its impact on eating. J Am Geriatr Soc 1996; 44(4):456–464.

    CAS  Google Scholar 

  45. Cowart BJ. Relationships between taste and smell across the adult life span. Ann NY Acad Sci 1989; 561:39–55.

    Article  CAS  Google Scholar 

  46. Weiffenbach JM. Assessment of chemosensory functioning in aging: subjective and objective procedures. Ann NY Acad Sci 1989; 561:56.

    Article  CAS  Google Scholar 

  47. Ferris AM, Duffy VB. Effect of olfactory deficits on nutritional status: does age predict persons at risk? Ann NY Acad Sci 1989; 561:113–123.

    Article  CAS  Google Scholar 

  48. Mattes RD, Cowart BJ. Dietary assessment of patients with chemosensory disorders. J Am Diet Assoc 1994; 94(1):50–56.

    Article  CAS  Google Scholar 

  49. Duffy VB, Ferris AM. Nutritional management of patients with chemosensory disturbances. Ear Nose Throat J 1989; 68(5):395–397.

    CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Oral Medicine, New York University College of Dentistry, New York, NY

    A. Ross Kerr DDS, MSD

  2. Department of Primary Care, School of Health-Related Professions, University of Medicine and Dentistry of New Jersey, Newark, NJ

    Riva Touger-Decker PhD, RD, FADA

  3. Department of Diagnostic Sciences, New Jersey Dental School, University of Medicine and Dentistry of New Jersey, Newark, NJ

    Riva Touger-Decker PhD, RD, FADA

Authors
  1. A. Ross Kerr DDS, MSD
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  2. Riva Touger-Decker PhD, RD, FADA
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Editor information

Editors and Affiliations

  1. Department of Primary Care, School of Health-Related Professions, University of Medicine and Dentistry of New Jersey, Newark, NJ

    Riva Touger-Decker PhD, RD, FADA

  2. Department of Diagnostic Sciences, New Jersey Dental School, University of Medicine and Dentistry of New Jersey, Newark, NJ

    Riva Touger-Decker PhD, RD, FADA

  3. Department of Oral Medicine, New York University College of Dentistry, New York, NY

    David A. Sirois DMD, PhD

  4. Department of Professional Studies, University of Nevada Las Vegas School of Dental Medicine, Las Vegas, NV

    Connie C. Mobley PhD, RD

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© 2005 Humana Press Inc., Totowa, NJ

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Kerr, A.R., Touger-Decker, R. (2005). Nutritional Consequences of Oral Conditions and Diseases. In: Touger-Decker, R., Sirois, D.A., Mobley, C.C. (eds) Nutrition and Oral Medicine. Nutrition and Health. Humana Press. https://doi.org/10.1385/1-59259-831-5:129

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  • DOI: https://doi.org/10.1385/1-59259-831-5:129

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-192-9

  • Online ISBN: 978-1-59259-831-1

  • eBook Packages: MedicineMedicine (R0)

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