Importance of Nutrition for Optimum Health of the Periodontium
Linda D. Boyd, Kirsten J. Lampi
Citation Information :
Boyd LD, Lampi KJ. Importance of Nutrition for Optimum Health of the Periodontium. J Contemp Dent Pract 2001; 2 (2):22-35.
CC BY-NC 3.0
Copyright © 2001; The Author(s).
As dental professionals become increasingly aware of the association between systemic and oral health, the importance of addressing systemic nutrition issues takes on a new urgency. Nutrition is one of the modifiable factors that impact the host's immune response and the integrity of the hard and soft tissues of the oral cavity. While nutrient deficiencies are rare in the general population of the United States, there are patient populations at high risk for nutritional inadequacies. Many of these medically compromised people are seen in dental practices on a daily basis. This article will also offer some basic recommendations for nutrition counseling.
The pathobiology of periodontal diseases may affect systemic diseases: inversion of a paradigm. Ann Periodontol. 1998 Jul;3(1):108-20. Review.
Vitamins. In: Palmer, CA (Ed.) Nutrition and the Oral Condition. Prentice-Hall. In Press.
Relationship between biochemical and clinical indices of B-vitamin deficiency. A study in rural school boys. Br J Nutr. 1979 May;41(3):431-41.
Dietary reference intakes: Thiamin, riboflavin, niacin, vitamin B6, folate, vitamin B12, pantothenic acid, biotin, and choline. National Academy Press: Washington, D.C. 1998:8-1-8-68.
The effect of controlled ascorbic acid depletion and supplementation on periodontal health. J Periodontol. 1986 Aug;57(8):480-5.
Effects of ascorbic acid depletion and supplementation on periodontal health and subgingival microflora in humans. J Dent Res. 1991 Dec;70(12):1531-6.
Role of selected nutrients in synthesis, accumulation, and chemical modification of connective tissue proteins. Physiol Rev. 1985 Jul;65(3):607-57. Review. No abstract available.
Collagen production in fasted and foodrestricted rats: response to duration and severity of food deprivation. J Nutr. 1991 Apr;121(4):518-24.
Ascorbic acid preferentially enhances type I and III collagen gene transcription in human skin fibroblasts. J Dermatol Sci. 1996 Mar;11(3):250-3.
The role of ascorbic acid deficiency in human gingivitis-a new hypothesis. J Theor Biol. 1984 May 21;108(2):163-71.
Vitamins. In: Mahan LK and Escott-Stump, S Editors. Krause's Food, Nutrition and Diet Therapy., W.B. Saunders: Philadelphia, PA. 1997:77-122.
Dietary vitamin C and the risk for periodontal disease. J Periodontol. 2000 Aug;71(8):1215-23.
Permeability of gingival sulcular epithelium in the development of scorbutic gingivitis. J Oral Pathol. 1981 Feb;10(1):40-8.
Analysis of cartilage differentiation from skeletal muscle grown on bone matrix. III. Environmental regulation of glycosaminoglycan and proteoglycan synthesis. Dev Biol. 1983 Mar;96(1):46-62.
Vitamin A and retinoic acid: induced fibroblast differentiation in vitro. Surgery. 1985 Nov;98(5):931-4.
Copper, lysyl oxidase, and extracellular matrix protein cross-linking. Am J Clin Nutr. 1998 May;67(5 Suppl):996S-1002S. Review.
Zinc in the healing wound. Lancet. 1996 Mar 16;347(9003):706-7. No abstract available.
Nutrition in Bone Health., in Krause's Food, Nutrition, and Diet Therapy., Mahan LK and Escott-Stump, S Editors. W.B. Saunders: Philadelphia, PA. 1997:567-579.
Effect of diet on bone matrix constituents. J Am Coll Nutr. 1991 Jun;10(3):242-6. Review.
Vitamin K nutrition and osteoporosis. J Nutr. 1995 Jul;125(7):1812-21. Review.
Calcium and the risk for periodontal disease. J Periodontol. 2000 Jul;71(7):1057-66.
Tooth loss and skeletal bone density in healthy postmenopausal women. Osteoporos Int. 1994 Mar;4(2):104-9.
Increased risk of tooth loss is related to bone loss at the whole body, hip, and spine. Calcif Tissue Int. 1996 Dec;59(6):433-7.
Osteoporosis: a possible modifying factor in oral bone loss. Ann Periodontol. 1998 Jul;3(1):312-21. Review.
The role of osteopenia in oral bone loss and periodontal disease. J Periodontol. 1996 Oct;67(10 Suppl):1076-84. Review.
Nutrition and the immune system: an introduction. Am J Clin Nutr. 1997 Aug;66(2):460S-463S. Review.
Zinc, copper, and iron nutriture and immunity. J Nutr. 1992 Mar;122(3 Suppl):604-9.
The dynamic link between the integrity of the immune system and zinc status. J Nutr. 2000 May;130(5S Suppl):1399S-406S. Review.
T-lymphocyte subsets and interleukin-2 production in zinc-deficient rats. Br J Nutr. 1986 Jan;55(1):59-69.
Possible roles for glucocorticoids and apoptosis in the suppression of lymphopoiesis during zinc deficiency: a review. J Am Coll Nutr. 1995 Feb;14(1):11-7. Review.
Alteration of the immune and nutritional status of mice by synergy between zinc deficiency and infection with Trypanosoma cruzi. J Nutr. 1982 Jun;112(6):1224-9.
The importance of selenium to human health. Lancet. 2000 Jul 15;356(9225):233-41. Review.
Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids. 2000, National Academy Press: Washington, D.C.
Vitamin E supplementation and in vivo immune response in healthy elderly subjects. A randomized controlled trial. JAMA. 1997 May 7;277(17):1380-6.
Effect of 50- and 100-mg vitamin E supplements on cellular immune function in noninstitutionalized elderly persons. Am J Clin Nutr. 1999 Jun;69(6):1273-81.
The Merck Manual. 16th Ed. ed. 1992, Rathway, NJ: Merck Research Laboratories.
Synergism of nutrition, infection, and immunity: an overview. Am J Clin Nutr. 1997 Aug;66(2):464S-477S. Review.
13-98/15-94/30-75, 16-64, and 14-94/26-74.
Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. 2001, Washington, DS; National Academy Press: p. 65-126, 177-204, 311-332, 351-398 & 399-440.
Incorporating Nutrition Screening and Interventions into Medical Practice: A Monograph for Physicians. Washington, DC, 1994:pp.22.