Prevention of dental diseases. Food

In modern times people use high levels of refined (treated) products. However, yet to be fully understood the question about the influence of these substances on the organism. In the refining, lost many useful components (vitamins, minerals, salt, and other), providing a particularly important influence on the human body.
Studies in recent years have convincingly shown that high levels of carbohydrates in the diet dangerous to health, because a high intake of sucrose leads to overweight, obesity, tooth decay, diabetes, diseases of the cardiovascular system.
According to the literature, on average, in different countries of the person uses 100 g of carbohydrates per day. While in developed countries sucrose accounts for 35%, starch - 50%, while in underdeveloped countries the number used in food starch more.
According to most scientists, confirmed experimental and clinical studies, the main role in the development of dental caries play carbohydrates, namely frequent consumption of sugar and charcodebase products in large quantities. Special importance is given not so much the total consumption of sugar as it cariogenic action in the intervals between meals.
However, the mechanism of action of carbohydrates on the teeth remain poorly understood. Some authors consider sucrose as necessary exogenous chemical (proteolytic) factor contributing susceptibility proteins enamel to microbial aggression, but direct chemical interaction between calcium enamel and sucrose hardly serves a primary cause of tooth decay, and karinagentle sucrose cannot be attributed to this interaction.
There are reports that sucrose contributes to the activation of certain enzymes in the extracellular part of the dental plaque and in oral fluid. Meanwhile, the activity of these enzymes in diets with other sugars (xylitol, sorbitol, fructose) is significantly reduced. In connection with the proposed products, replacing sucrose (in particular with brown sugar is a product side of sugar production).
A study of its impact on teeth showed that a diet that contains brown sugar also significantly reduces the experimental dental caries, eases caries process.
Also important are the other components of food, in particular the amount of proteins, fats, salts, vitamins, influencing the formation and development of the dento-maxillary system. Therefore the complex of preventive actions properly designed diet is very important.
With these requirements in Central research Institute of stomatology were developed three anticariogenic diets that should be applied depending on the fluoride content in drinking water and products of varying climatic and geographical zones. So, A. I. Rybakov, A. C. Granin recommend that these diets:
1. Anticariogenic diet for persons living in areas with lack of fluoride in drinking water. It must contain not less than 3500 calories, protein 120 g, 100 g fat, carbohydrates 400 g To food you need to add salt of calcium, phosphorus, iron, and manganese, which normalizes carbohydrate-fosfornyi exchange, or use products containing these mineral components.
Important components of the diet, the authors consider the fluoride concentration of 1 mg/l of drinking water and vitamin B1 in the amount of 3 mg If their content in food following concentrations, the daily diet is supplemented tablets containing fluorine and vitamin B1. In addition, the food should be vitamins C and D2 in the maximum permissible doses. The menu should be varied, including fruit and raw vegetables (cabbage, carrots, beets, and other).
2. Anticariogenic diet is intended for children with common caries living in areas where the amount of fluoride in drinking water is optimal, different from the above: the number of calories in the diet should be equal to 3000, including proteins 90 g, 50 g fat, carbohydrate 300g In the diet should include foods that contain phosphorus, calcium, copper, zinc , and vitamins B1, B6, C and D2. The table can be varied, products shall not be subjected to cooking. Excluded sweets and preserves.
3. Anticariogenic diet that is assigned to children with fluorosis teeth must have a different composition. In this case, the products must be natural, it is undesirable to enter their substitutes, concentrates. In the composition of the diet must include milk, cheese, eggs, fruits, vegetables. Given the scale of the district fluorine, it is best to use imported products, which are produced in areas with lower levels of fluoride in drinking water and soil. The water is recommended to use filtered through the layer of granulated aluminum oxide. Vitamins B1, B6, are assigned in a double dose. The diet should be given the extent of damage to the teeth with dental fluorosis.
Leading recipe anticariogenic diets, the authors emphasize that the first and most essential factor in the prevention of dental caries in children nutrition of pregnant women, and then children. S. L. Molchanova (1968) recommends that during pregnancy four meals a day, with breaks between meals in 4 to 4.5 hours for adequate nutrition of pregnant women there are fewer complications. Food should be varied and contain mineral salts, vitamins, microelements, which are necessary for proper development and growth of the fetus. Including the need to eat more fresh vegetables and fruit, in the right quantities of vegetable fats and animal proteins. It is very important the use of such products as milk, meat, eggs.
N. That Is, Pomegranate, A. N. Shibaeva (1971) give the following approximate daily set of products for pregnant woman (in a year):

Bread rye

200

Wheat flour

25

Wheat bread

250

Potato flour

5

Croup and pasta

75

Fish

50

Potatoes

250

Milk

500

Vegetables different

500

Curd

50

Fruit fresh

150

Cheese

20

Dried fruits

15

Sour cream

60

 

 

Butter

60

Sugar and confectionery

60

Vegetable oil

10

Meat

100

Egg

1 piece



After birth, the woman should receive a full meal 5 to 6 times a day, with fluid (in the form of milk, tea, juices, compotes, broth) not more than 2 litres per day.
For a child it is very important natural feeding that has a huge impact on correct development, including the formation of dental apparatus. Different nutrient mixture cannot replace natural breast milk. Nutrition of children in later life should consist of complete products and contain the required quantities of protein, fat, vitamins, salts, microelements. Very important is the regular consumption of milk and dairy products. Children aged 3-11 years should daily receive at least 500 - 600 ml milk, part of which may be in the form of dairy products (kefir, sour milk, and others). Milk contains essential amino acids, mineral salts, proteins, fats, carbohydrates, vitamins. Milk and dairy products are well assimilated by the body.
Very interesting data were obtained E. P. Gravit (1967), who studied the power factor and its influence on dental caries in children, who are in residential care and regular bands. Thus, it was found that children from groups residential care dental health is much better: the prevalence of dental caries was only 44,2%, while the rate for the CPU on 2,87 less than in children of the control group. Children living in boarding schools, rarely sick. Differed from them and nutrition. In particular, menu, children in boarding schools was made more rationally contained more vegetables, fresh fruit, milk and dairy products. In the diet of almost optimal amounts included amino acids, proteins, vitamins.
At the organization of preventive work is very important to establish a balanced diet in large groups of children, in connection with which doctors and nurses need to know basic physiological norms of nutrition.
At a later period, when erupting permanent teeth bite, of great importance ergogenic factor power, i.e. the consumption of products that require chewing: raw vegetables, fruits, etc. that contribute to natural cleaning of the oral cavity.
Given the importance of individual nutrients, such as vitamins, salts, trace elements, have been developed and used in the experiment, and in some cases and in the clinic of different methods of dental caries prevention.