Dietary Advice at Donnybrook Dental practice, Dentist in Dublin 4 - Dentist Dublin Donnybrook Dental Practice

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Dietary Advice at Donnybrook Dental practice, Dentist in Dublin 4

Breast milk provides the best source of nourishment for the early months of life. Mothers are encouraged and supported in breast-feeding and may choose to continue to breast-feed as the weaning diet becomes increasingly varied.

Children have high energy needs for growth and development. It is important that children are given energy rich foods that are nutritious such as cereals, breads, dairy foods, and meats, chicken and eggs. Foods from the first four shelves of the food pyramid should be used to replace foods from the very top shelf that are high in added sugars/fats such as chocolate, cakes and sweets.

Practical tips:

Foods

  • Do not add sugar to home prepared weaning foods

  • Limit baby foods sweetened with added sugars


Drinks

  • Suitable fluids include water (boiled and cooled for infants under 1 year). Natural mineral waters are not suitable for infants.

  • Fruit juices should be unsweetened, well diluted (1 measure to 4 or 5 measures of water) and given at mealtimes from a cup. Baby juices and herbal drinks are not needed, but if given should be used sparingly, and only at mealtimes from a feeding cup.

  • Colas, squashes, fizzy drinks and diet drinks are unsuitable for infants.

  • Foods should never be added to the baby bottle.


                       
Baby Bottle/Nursing Decay

Parents/carers of infants should be warned particularly about the dangers of putting fruit juices or sugar-sweetened drinks into feeding bottles or reservoir feeders and giving these to the baby/toddler to hold, especially in bed. Such practices result in almost continuous bathing of the enamel with sugars and leads to severe and rapid tooth destruction, a condition described as baby bottle/nursing decay.

"Children should be fed and put to bed - NOT, put to bed and fed"

  • Do make sure that your child does not sleep with a bottle in his or her mouth

  • Do avoid all sugar-containing liquids in nap or bedtime bottle

  • Do encourage drinking from a cup

  • Do discontinue bottle feeding by your child's first birthday

  • Do avoid dipping a soother in sugar, honey or anything sweet before giving to your child.


School children/adolescents

Changes in eating habits due to relative independence from family influences and the influence of peers can result in changes in health behaviours and diet, specifically in relation to sugar.

Overall, there has been a slight improvement in the dietary habits of school-aged children in recent years: the 2006 Irish Health Behaviour of School-Aged Children (HBSC) Study reports a slightly higher percentage of children consuming fruits and vegetables more than once daily and a slightly lower percentage consuming sweets and soft drinks daily or more often, compared with 2002. The HBSC study also reported evidence of a social class gradient, with children from the highest social classes (SC 1-2) more likely to have frequent fruit and vegetables consumption and less likely to have frequent soft drink consumption.

The slight improvements in children's dietary habits are likely linked to similar changes in adult dietary habits revealed by the 2007 SLÁN. It can be conjectured that these slight changes in dietary habits stem from a greater population awareness of the health impacts of lifestyle behaviour, in light of the concern for rising obesity in Ireland. However, eating habits, specifically in relation to sugar, can be changed by peer influence as children gain relative independence from family influences. Overall, 39% of the children surveyed in the 2006 HBSC survey reported eating sweets and 26% drinking soft drinks daily or more frequently, with higher rates in the older age groups. The graphs below show the breakdown of daily sweets and soft drinks consumption by age group, gender and social class.

Practical tips:

Foods

  • Suggestions for between meal snacks are fruit, crisp raw vegetables, sandwiches, variety of breads, yoghurts, low fat cheese, plain popcorn and scones

  • Cereals are excellent energy providers, but avoid the sugar-coated types


Drinks

  • Milk, water, and sugar free squashes are suitable

  • Diet drinks in moderation can be an alternative


Health implications of soft drinks

Rising consumption of soft drinks is causing concern according to recent research in the United States. Particular concern is highlighted about the long term effects of soft drinks displacing milk in the diet of teenage girls. If teenagers do not get enough dietary calcium in these vulnerable years they increase their risk of developing osteoporosis in later life.

Dental Health Implications

The frequent consumption of sugar containing fizzy drinks not only put teeth at risk to decay but can also cause erosion of the enamel. This is due to their acidic content (see Tooth Wear for more details).

Fruit juices are an important source of vitamins in the diet. However, they should be taken with meals for two reasons. The frequent consumption of these can lead to enamel erosion and although pure juices may not contain sucrose they are rich in fructose and can also be cariogenic.

Adults and Older people

Loss of natural teeth is associated with poor nutritional status in the elderly. Consumption of sugars seems to be higher in older adults than in younger adults.

A tendency towards reduced salivary flow together with a higher sugar intake and increased gum recession, places the older person with natural teeth at greater risk of dental caries (root caries) than younger adults.

This population group tend to be frequent users of over the counter medicines, e.g. cough drops, laxatives, antacids and various tonics, which are generally high in sugar. The most important cause of dental erosion in adults is regurgitation and acidic drinks. Dietary advice for dental health for adults with natural teeth should be consistent with general health dietary guidelines.

Practical tips:

Foods

  • Elderly people should be encouraged to eat a variety of healthy foods as snacks from the food pyramid.


Drinks

  • The consumption of 8-10 cups of fluid a day is important for this age group.


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