Diet and periodontal disease

6 important questions on Diet and periodontal disease

- What is Co-enzyme Q10 (Co Q10) and which role does it play in the health of the periodontium?

- Can we recommend it as a supplement or any vitamin or mineral to our patient? Why do we or why don't we?

= Anti-oxidant --> that brings oxygen to cells

Healthy gingival tissue has higher levels of CoQ 10 than diseased tissue

Current research does not support it for purely treatment of periodontal disease


there is no collaborative consistency to support supplementation with anti-oxidants or to prevent or cure periodontal disease

What are probiotics and what do they do to contribute to the health of the periodontium?

Probiotics are live bacterial cultures:

- These bacteria strengthen the body's immune system

- Significantly changes plaque index of patients with moderate to severe plaque

- How does necrotizing periodontal disease emerge?

- What is NUG + NUP and what are the symptoms?

Nutrition deficiencies (protein, vit C or B-complex)
-> contributing factors to NUG due to --> lowered host immune respons

NUG (Necrotizing Ulcerative Gingivitis)
- red, shiny: marginal, labial + lingual gingiva
- bleeds when probing
- cratered papilla
- grayish sloughing of marginal gingiva
- foul breath
- metallic taste
- occasional fever
- pain in mouth

NUP (Necrotizing Ulcerative Periodontitis)
- untreated NUG progresses to NUP
- bone loss is now involved
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Which role do iron zinc and copper play in the health of the periodontium?

- Plays role in collagen formation

- Regulates inflammatory response

- Zinc + copper assist with wound healing

How does vitamin D, Calcium and Magnesium play a role in the health of our periodontium?

Calcium + magnesium
- give strength to alveolar bone
- needed for alveolar bone metabolism
- low calcium --> results more severe periodontal disease
- magnesium supplementation results in less attachment loss for patient 40+

Vitamin D
- enhances absorption of calcium + magnesium
- low levels --> linked with increased gingival inflammation and loss of periodontal attachment

Why is food texture important for the health of the periodontium?

- Crunchy, fibrous foods increase salivary flow --> which has antibacterial properties

- Increases bone density --> surrounding roots of teeth

- = Exercise for periodontal ligaments

- The more exercise to ligaments --> the denser the alveolar bone

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