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Casein reduces demineralization and helps buffers acids. What food is it found in?
cheese
which is NOT considered a primary factor in the caries process?
a. increased age
b. fermentable carbs
c. cariogenic bacteria
d. susceptible host
increased age
A deficiency in what vitamin is most likely linked to the development of gingivitis?
vitamin C
which is not recommended for a patient post-surgery?
a. cottage cheese
b. plain pasta
c. milkshake
d. scrambled eggs
plain pasta
what is a major cause of dentin hypersensitivity?
erosion
which food is considered to be noncariogenic?
a. cooked veggies
b. raw veggies
c. pretzels
d. fruit juice
raw veggies
what is the normal pH of resting saliva?
6.5-7.0
what is NOT considered a significant predisposing factor for NECROTIZING ulcerative gingivitis or periodontitis?
poor nutrition
what population has increased caries prevelance?
low socioeconomic background
which food is MOST retentive?
a. crackers
b. raisins
c. caramels
d. jelly beans
crackers
chemical digestion of carbs begins with amylase. Where is amylase found?
the mouth
what is the term for the amount of energy needed to sustain the body at rest for 24 hours?
BMR (basal metabolic rate)
what is true about BMI?
it only takes into account height and weight
what eating disorder is characterized as binge eating followed by purging?
bulimia
how much energy to carbs yield?
4 kcal
what monosaccharide is considered a component of milk sugar?
galactose
what is the plant storage form of glucose called?
starch
what sweetener is classified as a substance that is reasonably suspected of being a human carcinogen?
saccharin
which monosaccharide is the main fuel for the brain and is needed for WBCs and RBCs?
glucose
The disaccharide sucrose is made up of glucose and?
fructose
what is the term for the process by which living things use food to obtain nutrients for energy, growth, and maintenance?
nutrition
what is the term for biochemical substances that can be supplied only in adequate amounts from an outside source - usually food?
nutrients
what nutrients are obtained from foods?
water
proteins
carbs
fats
minerals
vitamins
what are the goals of Healthy People 2030?
increase the quality and years of life
eliminate health disparities
create social and physical environments that promote good health
promote quality life and healthful development
how many topic areas are in Healthy People 2030?
5
how many measurable objectives are in Healthy People 2030?
359
what are DRIs?
dietary reference intakes - guidelines for healthy people
what is RDAs (recommended dietary allowances)?
the sufficient amount of nutrients to meet requirements of nearly all healthy individuals
what is EAR (estimated average requirement)?
the amount of nutrients estimated to meet the needs of HALF of healthy people in a specific age and gender group
what is the term for the average amount of nutrient to maintain a defined nutritional state?
Adequate Intake (AI)
what is the term for the maximum daily level of nutrient intake that probably will not cause adverse health/toxic effects?
Tolerable Upper Intake Level (UL)
what is the term for the energy intake that is predicted to maintain energy balance?
Estimated Energy Requirement (EER)
how many cups equivalent of veggies is included in a 2,000 calorie diet?
2.5 cups equivalent
how many ounces equivalent of whole grains is for a 2,000 calorie diet per day?
6 oz
what is the recommended cups equivalent for dairy in adolescents and adults?
3 cups
what is the recommended ounces equivalent for protein foods in a 2,000 calorie diet?
5-6.5 ounces
what % of calories should added sugars be limited to per day?
10%
what food groups are included in the MyPlate System?
protein
grains
fruits
veggies
dairy
what is biochemistry?
the study of life at a molecular level
biochemistry structure
3-D arrangement of atoms in a molecule
biochemistry metabolism
production and use of energy
biotransformation
transfer of biological info from DNA to RNA
what are the 4 major classes of biomolecules?
carbs
proteins
nucleic acids
lipids
what is the structure of carbohydrates?
organic compounds
carbon, hydrogen, oxygen
what are carbohydrates classified as?
monosaccharides
disaccharides
polysaccarides
what are carbohydrates broken down into?
simple sugars
function of carbohydrates
energy metabolism
storage
protein structure
composed of amino acids
protein function
build and repair tissues
lipid function
energy metabolism
storage
provide insulin and protection
metabolism
how cells acquire, transform, store, and use energy
how much energy do carbs yield?
4 kcal
how much energy is yielded from protein?
4 kcal
how much energy do lipids yield?
9 kcal
xerostomia
dry mouth
iatrogenic
adverse condition resulting from medical tx
hypogeusia
loss of taste
hypergeusia
increased taste acuity
dysgeusia
altered taste
anorexia
lack or loss of appetite resulting in the inability to eat
what organs are included in the digestive system?
oral cavity
pharynx
esophagus
stomach
small intestine
large intestine
accessory organs of the digestive system
salivary glands
liver
gallbladder
pancreas
what is the term for loss of smell that results in the limited capacity to taste?
anosmia
functions of slaiva
lubrication for chewing, swallowing, digestion
removes debris
provides antibacterial action
neutralizes, dilutes, and buffers bacterial acids
remineralization
prevents plaque accumulation
facilitates taste
promotes
what is produced when a bolus entering the stomach is mixed with gastric secretion?
chyme
what are 2 major enzymes found in gastric juices?
pepsin
lipase
what is the enzyme that is capable of hydrolyzing large protein molecules to smaller fragments?
pepsin
what enzyme is involved in digestion of short and medium-chain triglycerides?
gastric lipase
what organ do most the nutrients become hydrolyzed and absorbed?
small intestine
does the large intestine have digestive function?
no - little to no digestive function
does not contain villi like the small intestine
what is the function of the large intestine?
force feces into the rectum = peristalsis
dental caries
oral infectious disease that is multifactorial, transmissible, and of bacterial origin
factors that contribute to the dental caries process
susceptible host or tooth surface
cariogenic microorganisms
fermentable carbohydrates
flow/compositon of saliva
when does resistance against demineralization begin?
in the pre-eruptive phase
what increases the susceptibility of caries
deep pits and fissures
what vitamins are important for resistance against caries?
vitamin A, C, D, fluoride, protein, phosphorus
how does saliva help prevent caries?
acts as a buffer
neutralizes acids produced by plaque biofilm
contains bicarbonate, phosphate, protein
what do byproducts of sucrose and glucose produce that create an environment for the growth of bacteria causing caries?
produce acids that lowers the pH --> creates environment for Step. mutans to grow
what enzyme breaks down oral monosaccharides and disaccharides?
amylase
cariostatic foods
do NOT lower plaque pH
what foods are cariostatic?
proteins and fats (meat, seafood, eggs, nuts, seeds, oils, margarine)
noncariogenic foods
NOT metabolized by microorganisms - DO NOT promote caries
what are kind of sweeteners are noncariogenic?
non-nutritive sweeteners
examples of non-nutritive sweeteners
saccarine, aspartame, sucralose, neotame, acesulfame
what are cariogenic foods?
fermentable carbohydrates that are metabolized and reduce salivary pH to below 5.5
what is the least cariogenic - monosaccharides, disaccharides, polysaccharides?
polysaccharides
what is acidogenic?
reduce salivary pH to less than 5.5 (ex. citric fruits)
anicariogenic foods
do not cause a reduction in salivary pH below 5.5
can protect food from cariogenic activity
what are examples of anticariogenic foods?
sugar alcohols (mannitol, sorbitol, xylitol)
why is chocolate considered a protective food against caries?
"cocoa factor" - has anticariogenic properties
glycyrrhiza
active ingredient in licorice
can reduce strep mutans in saliva
anticariogenic
factors that influence cariogenicity
frequency of meals
oral retentiveness
sequence of food consumption
sugar concentration
physical form of the carbohydrate
proximity to eating to bedtime
retentive carbohydrates
crackers, potato chips, pretzels, bakery items
frequency of intake
relationship between caries rate and # of meals/snacks consumed
how long does the salivary pH drop below the critical level after eating food containing a carbohydrate?
40 min - demineralization occurs
examples of noncariogenic snacks
raw fruits and veggies
low-fat cheese
milk
yogurt
nuts
popcorn
needs
vitamins associated with growth and development of periodontal and oral mucosal tissues
vitamins A, C, B complex
what does calcification of alveolus and cementum require
amino acids
calcium
phosphorus
vitamine D
magnesium
what vitamins are associated with the maintenance of oral tissues?
vitamins A, C, D, E, proteins
what type of foods stimulate salivary flow?
firm, coarse, and fibrous foods