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Nutrition Chapter 16 Nutritional Counseling
Terms in this set (22)
Prevent or minimize dental disease
Dental nutritional counseling was developed to?
Most patients fail to recognize the relationship between overall nutritional status and eating habits and their dental health
They don't understand the connection between what, when, and how they eat and their health
They do have a vague understanding that sugar causes cavities, but how diet relates to the health of the soft tissues and periodontium is not common knowledge
What do patients know?
Certain groups are more at risk:
Single and independents
Infants, toddlers, and school-ages children
Adults who diet or take multiple medications
Patients who have had a change in dental status
Who can benefit from counseling?
Need is evaluated during data collection phase
Determining need for counseling
New or recurrent caries
Atrophied lingual papilla
Pale or gray mucosa
Greasy, scaly skin around nose
Inadequately functioning salivary glands
Difficulty chewing or swallowing
Sores under appliance
Loss of lamina dura
Clues to look for
If any of the clues are found during assessment, explain the need for counseling
Explain relationship between finding and diet
Patient has to be ready to make a change
3-day food record
7-day food diary
Computerized diet assessment
Collecting Dietary Information
Best for quick inquiry
Ask the patient to list all foods consumed in a 24-hour period
Ask the patient if this is typical
Easy to accomplish while waiting for a doctor check
24-Hour Food Recall
More in-depth studies
Should include at least one day of the weekend
Patient keeps track of foods eaten on a daily basis
After analysis, counsel one-on-one
3- and 7-day diet diaries
More general than dental related
Analyzes nutrient content of food
Computerized Diet Assessment
Jobs dictate odd hours of eating
Understanding Barriers to Eating well
This counseling technique is where clinician is dictator and patient is passive
In this counseling technique patient is in control and clinician is facilitator
AKA patient-centered technique
Use eye contact and nod head
Provide feedback as to your understanding
Use open body language
Sandwich criticism between two positive statements
Tips for effective counseling
Seat patients at eye level
Have a good working space
Enhance learning space with visual aids
Counsel in a place that does not invoke anxious feelings
Use reference card or other visual aids
Counseling in the Dental Office
Did the patient meet serving suggestions according to food pyramid?
Did they follow all points of Dietary Guidelines?
Did they minimize potential acid production?
Did they include one crunchy food per meal?
Did they include foods rich in nutrients?
Keep it simple
Make small changes
No more than two suggestions at a time
Let the patient decide on diet changes to be made
When diet change is indicated
Be consistent with cultural influences and regional preferences
Consider foods in season
Consider cost of food and patient's ability to purchase
Encourage healthy choices of restuarants
Suggest changes to reduce potential acid production
Stimulate salivary production
Chicken, pork, beef, and fish
Gum with xylitol
Foods that raise pH
Diet soft drinks have a pH around 2.5 and demineralize enamel independent of bacteria.
Regular sodas have acidic additives that also demineralize enamel.
Root beer, tea, and black coffee are the least detrimental.
Light-colored sodas are the most detrimental.
When the patient's nutritional counseling needs are beyond the scope of your practice
Never counsel for medical reasons
-Improving heart health
When to refer?
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