Consideratii nutritionale in tratamentul ortodontic
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Necesitatile nutritionale ale pacientului cu tratamente dentare: chirurgicale, ortodontice, protetice,
cu disfagie si disfunctii temporo-mandibulare
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Consideratii nutritionale in tratamentul ortodontic
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Rolul nutritiei sistemice
• Deficitul de acid scorbic-distructia/sinteza colagenului in timpul miscarii dentare este incetinita (ex. Animale de experienta deficit acid scorbic- alterari histologice ale ligamentului parodontal, os alveolar)
• Deficitul de Ca, vit.D - submineaza mineralizarea / remodelarea osoasa
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Actiunea topica a alimentatiei in tratamentul ortodontic
• Inelele dentare, brackets-uri- - Retentia alimentelor, iritatia gingiei- Nise pt. dezvoltarea placii bacteriene- creste
riscul carios- f.imp. frecventa expunerilor la alimente dulci, lipicioase
- Preferintele dietare grupa de varta 6-18 ani- racoritoare dulci, produse de patiserie, bauturi carbogazoase, dulciuri
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Alimente care trebuie evitate in timpul tratamentului cu aparate ortodontice
fixe
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Necesitatile nutritionale ale pacientului tratat chirurgical
• Extractii• Chirurgie ortognatica• Implante osteo-integrate• Reconsolidarea fracturilor maxilare • Chirurgie parodontala
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Consideratii nutritionale pre/post interventie chirurgicala
• Inainte de interventie-reabilitarea pacientului terapie nutritionala
- malnutritie severa - pierdere in G cu 10%, - alcool sau abuzul de droguri, - steroizi, imunosupresoare, agenti antitumorali
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Consideratii nutritionale pre/post interventie chirurgicala
• Ghid 12-24 ore post-operator• Dieta lichida hipercalorica• Aport crescut de carbohiodrati, proteinele
utilizate in procesul de reparatie tisulara• Lapte pudra degresat- sursa de proteine• Alimente reci - inghetata, milkshakes• 8 pahare –apa, sucuri naturale, lapte/24 ore
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Consideratii nutritionale post interventie chirurgicala
• Ziua 2-3 post-operator• Dieta moale• Alimente cu densitate nutritionala crescutaEx. Lapte integral, omleta, piure de legume,
cereale gatite, carne moale tocata marunt
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Fixatia intermaxilara
• Dieta lichida• 6-8 mese/zi• Lactate• Supe, piureuri cu carne moale, • Fructe, legume ce pot trece cu usurinta printr-
un pai de alimentare• Supliment nutritional lichid- 6 saptamani post-
operator
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Statusul dentat si nutritia• Functia masticatorie la o persoana cu proteza
totala este 1/5 din cea pe care o dezvolta un pacient cu dentatie integra
• Evita fructele ,legumele cu seminte• Factori care influenteaza functia masticatorie:
-Mobilitatea dentara, resorbtia osoasa, reducerea perceptiilor senzoriale, dificultati motorii
-Simptome: gura uscata, gingii dureroase sangerande
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Implicatii nutritionale la purtatorii de proteze
• Calitatea dietei scade pe masura ce numarul de dinti absenti creste
• Protezele- nu imbunatatesc in mod obligatoriu
calitatea dietei - pot fi asociate cu factori de risc - colesterol crescut,
cresterea G, DZ non-insulino dependent, consum crescut de carbohidrati
• Proteza sup. –tulburari funct. gustative, deglutitie• Creste resorbtia osului alveolar-6 luni post-
extractional• Scaderea aportului de calciu -425mg/kg
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Disfagia
• 2400/24ore• Dificultatea de a inghiti : • AVC• Radierea cap, gat sau alta terapie
anticanceroasa• Trauma tes. orale• Scleroza multipla, distrofie musculara• Pacienti varstnici –tulburari neurologice
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