ascorbic-acid and Tooth-Loss

To examine the relationship between the number and type of teeth and nutrient intakes in adults, aged 60 years and above, in the National Health and Nutrition Examination Survey 1999-2004 using linear regression.. Four discrete dental status groups were created: complete natural dentition (reference group), incomplete natural dentition, complete mixed (natural and restored) dentition and incomplete mixed dentition. We ran both unadjusted and adjusted models, controlling for age, race/ethnicity, education and smoking status to examine the effect of these covariates on the association between dentition status and nutrient intakes. Separate models were run for men and women.. There were significant associations between dental status and all the examined nutrients for men and for the carotenes and folate for women in the unadjusted model. Only caloric and vitamin C intakes were significant for men, and β-carotene was significant for women in the adjusted model. For men for kilocalories and women for β-carotene, those with a complete dentition had higher mean intakes than those with an incomplete dentition, regardless of the tooth type. Among men with an incomplete dentition, those with a mixed dentition had a significantly lower vitamin C intake than those with a natural dentition; there were no significant differences between the natural and mixed complete dentition groups.. Demographic and behavioural variables explained many of the differences seen in nutrient intakes. After controlling for these variables, we found that a numeric threshold of teeth (i.e. a functional dentition) influenced some nutrient intakes while the number and type of teeth present affected other nutrient intakes.

Topics: Age Factors; Aged; Aged, 80 and over; Ascorbic Acid; beta Carotene; Black or African American; Carotenoids; Dental Prosthesis; Dental Restoration, Permanent; Dentition; Dietary Fiber; Eating; Educational Status; Energy Intake; Feeding Behavior; Female; Folic Acid; Humans; Male; Mexican Americans; Middle Aged; Nutrition Surveys; Sex Factors; Smoking; Tooth Loss; United States; Vitamins; White People

To clarify the association of tooth loss with dietary intakes among dentists, for whom sufficient dental care is available.. We analyzed the data from 20 366 Japanese dentists (mean age +/- SD, 52.2 +/- 12.1 years; women 8.0%) who participated in a nationwide cohort study from 2001 to 2006. The baseline questionnaire included a validated food-frequency questionnaire to estimate intakes of foods and nutrients. We computed the geometric means of daily intakes by the number of teeth, adjusting for age, sex, smoking, physical activity, and history of diabetes.. The mean intakes of some key nutrients and food groups, such as carotene, vitamins A and C, milk and dairy products, and vegetables including green-yellow vegetables, decreased with the increasing number of teeth lost (P for trend <0.05). On the contrary, mean intakes of carbohydrate, rice, and confectioneries were increased among those with fewer teeth (P for trend <0.05). The difference in the geometric mean (%) between totally edentulous subjects and those with > or =25 teeth, that is [(Geometric mean for > or =25 teeth) - (Geometric mean for 0 teeth)]/(Geometric mean for > or =25 teeth) x 100, was 14.3%, 8.6%, 6.1%, and -6.1% for carotene, vitamin C, vitamin A, and carbohydrate, respectively. For food groups, it was 26.3%, 11.9%, 5.6%, -9.5%, and -29.6% for milk and dairy products, green-yellow vegetables, total vegetables, rice, and confectioneries, respectively.. Tooth loss was linked with poorer nutrition even among dentists.

Topics: Adult; Age Factors; Aged; Aged, 80 and over; Ascorbic Acid; Candy; Carotenoids; Cohort Studies; Dairy Products; Dentists; Diabetes Mellitus; Diet; Dietary Carbohydrates; Feeding Behavior; Female; Humans; Japan; Jaw, Edentulous, Partially; Male; Middle Aged; Motor Activity; Mouth, Edentulous; Nutritional Status; Oryza; Sex Factors; Smoking; Tooth Loss; Vegetables; Vitamin A

Smoking is associated with the number of teeth. The purpose of this study was to determine the relationship of number of teeth with smoking and smoking cessation.. Subjects included 547 males aged between 55 and 75 years. Oral examinations were conducted in 2005. Smoking status information was collected from questionnaire surveys conducted in 1990, 1995, 2000, and 2005. The relationship between having more than eight missing teeth and smoking status was estimated with adjusted odds ratio.. Comparing with never smokers, odds ratios of having more than eight missing teeth among current and former smokers were 1.96 and 1.86, respectively. The odds ratios in those who had stopped smoking for

Topics: Age Factors; Age of Onset; Aged; Alcohol Drinking; Ascorbic Acid; Body Mass Index; Cohort Studies; Dentition; Educational Status; Humans; Male; Middle Aged; Prospective Studies; Smoking; Smoking Cessation; Time Factors; Tooth Loss; Vitamins

Epilepsy is a symptom of cerebral dysfunction, where there is a sudden and disorganised discharge of electrical activity from a group of neurones, producing symptoms that range from sensory absences to convulsive movements and unconsciousness. Fasting is recognised as reducing the frequency of epileptic seizures in difficult to control patients. The ketogenic diet is a high fat, low carbohydrate and adequate protein diet that mimics the biochemical effects of fasting. It is deficient in some essential elements that require supplementation.. A 9-year old girl with learning difficulties, developmental delay and refractory epilepsy was placed on the ketogenic diet in 2003. Prior to starting the diet she had had as many as 12 tonic seizures/day, with prolonged periods of non-convulsive status epilepticus. Subsequent to being placed on the diet, the frequency of her seizures reduced markedly; there were long periods during which she had none. In late 2006, the patient inhaled a primary molar. This was retrieved by emergency bronchoscopy and at the same time the remaining primary teeth were extracted. Three weeks later she was admitted to hospital with low-grade fever, persistently bleeding sockets, oedema of her hands and feet, a petechial rash and bruising. A differential diagnosis included: liver disease, bleeding dyscrasia, oncological pathology or scurvy. The most striking finding amongst a number of investigations was a vitamin C level of 0.7 micromol/l (Deficiency: < 11 micromol/l). Accordingly a diagnosis of scurvy was made.. The patient was prescribed ascorbic acid 500 mg twice/day. Three weeks later the patient's vitamin C level was 141.5 micromol/l; the dose was therefore reduced to 250 mg once/day.. At two-month review, the signs and symptoms of scurvy had resolved.. Inhaling a tooth and scurvy are both rare occurrences. Paediatric dentists should be aware of the possible implications of a ketogenic diet.

Topics: Ascorbic Acid; Child; Diet, Ketogenic; Epilepsy; Female; Gingival Hemorrhage; Humans; Scurvy; Tooth Loss; Treatment Outcome

Various factors may be associated with edentulism in elderly people. Association of total tooth loss with smoking, alcohol intake and nutrition in non-institutionalised elderly Japanese was assessed utilising national database.. Records of independent surveys, the Survey of Dental Diseases (SDD) and the National Nutrition Survey (NNS) in 1999 were electronically linked using the household identification number.. Among the records of 6903 subjects in the SDD and 12 763 subjects in the NNS, 6805 records were successfully linked. Overall, prevalence of total tooth loss in adults was very similar in males and females at approximately 7.0%, and the smoking rate was 47.6% and 9.9% respectively. Total tooth loss was a rare phenomenon (<2%) in age groups of <60 years. According to the multiple logistic regression analysis involving 2200 subjects aged 60 years or older, significant variables were age, current smokers and vitamin C intake in males, and age and current smokers in females. The variable for current drinkers was significant in females but the odds ratio was <1.0. No significant relationship was detected with respect to former smokers and drinkers, body mass index, vitamin E intake and blood glucose level.. Current smoking was associated with total tooth loss, although smoking rate was low in females. Gender difference in the association was suggestive with respect to drinking alcohol and vitamin C intake.

Topics: Adult; Age Distribution; Aged; Aged, 80 and over; Alcohol Drinking; Ascorbic Acid; Blood Glucose; Comorbidity; Cross-Sectional Studies; Databases, Factual; Dental Health Surveys; Female; Humans; Japan; Male; Middle Aged; Mouth, Edentulous; Nutrition Surveys; Nutritional Status; Odds Ratio; Sex Distribution; Smoking; Tooth Loss; Vitamin E

A causal association between cigarette smoking and periodontal disease has been established. The present study examined the association between smoking and tooth loss using national databases in Japan.. Records of the Survey of Dental Diseases and the National Nutrition Survey in 1999 were linked electronically using common identification. Records of 3,999 subjects aged older than 40 years were analyzed using logistic regression models, controlling for confounding factors, such as age, frequency of tooth brushing, body mass index, alcohol consumption, and intakes of vitamin C and E.. Prevalence of tooth loss in terms of having less than 19 existing teeth was 37.3% overall. Smoking rates differed in males (45.6%) and females (7.8%). The prevalence of tooth loss in nonsmokers, former, and current smokers was 28.5%, 38.6%, and 36.9% in males, and 38.6%, 34.3% and 38.9% in females, respectively. Adjusted means of existing teeth controlling for confounders by smoking status were 21.5, 19.7 and 18.2 in males and 19.0, 19.2 and 16.4 in females, respectively. The association of tooth loss was non-significant in former smokers but significant in current smokers: adjusted odds ratios (95% confidence intervals) relative to nonsmokers in males and females were 1.29 (0.92-1.80) and 0.86 (0.46, 1.60) for former smokers and 2.22 (1.61-3.06) and 2.14 (1.45-3.15) for current smokers, respectively. A dose-response relationship between lifetime exposure and tooth loss was seen (P for trend <0.0001).. The findings of this cross-sectional study of a nationwide population of Japanese indicated an association between smoking and tooth loss.

Topics: Adult; Age Factors; Aged; Alcohol Drinking; Ascorbic Acid; Body Mass Index; Confounding Factors, Epidemiologic; Cross-Sectional Studies; Databases, Factual; Female; Humans; Japan; Logistic Models; Male; Middle Aged; Prevalence; Risk Factors; Smoking; Surveys and Questionnaires; Tooth Loss; Toothbrushing; Vitamin E

Evidence that dental status affects diet is equivocal. The hypothesis of this study was that diet was affected by dental status. The objective was to assess the relationship between numbers of teeth and diet and nutritional status in US adult civilians without prostheses. We examined 6985 NHANES (1988-1994) participants. Data included socio-economics, demographics, dental status, and diet and nutritional status. Dietary data were obtained from food frequency questionnaires and 24-hour dietary recall. Serum levels of beta carotene, folate, and vitamin C were measured with isocratic high-performance liquid chromatography. The population was classified by numbers of teeth. Covariance and Satterthwaite F-adjusted statistical comparisons were made between tooth groupings and the fully dentate population. Multilinear regression models adjusted for covariates. People with fewer than 28 teeth had significantly lower intakes of carrots, tossed salads, and dietary fiber than did fully dentate people, and lower serum levels for beta carotene, folate, and vitamin C. Dental status significantly affects diet and nutrition.

Topics: Adult; Aged; Ascorbic Acid; beta Carotene; Choice Behavior; Dentition, Permanent; Diet; DMF Index; Eating; Female; Food Preferences; Humans; Jaw, Edentulous, Partially; Male; Middle Aged; Nutrition Disorders; Nutrition Surveys; Nutritional Status; Retrospective Studies; Statistics, Nonparametric; Tooth Loss; United States; Vegetables

A 53-year-old woman was referred because of progressive haematomas of the lower extremities and fatigue. Her medical history included hyperplastic gums and tooth loss. Scurvy was diagnosed; this was the result of an insufficient diet due to a paranoid psychosis. There was a dramatic improvement within a few days after addition of vitamin C and starting highly nutritious food. Scurvy is easily treated, but is not a disease of the past.

Topics: Ascorbic Acid; Ascorbic Acid Deficiency; Contusions; Diet; Fatigue; Female; Humans; Middle Aged; Schizophrenia; Schizophrenic Psychology; Tooth Loss; Treatment Outcome

Topics: Ascorbic Acid; Ascorbic Acid Deficiency; Contusions; Fatigue; Humans; Schizophrenia; Tooth Loss

Topics: Ascorbic Acid; Ascorbic Acid Deficiency; Humans; Schizophrenia; Tooth Loss; Vitamins

Dental status and its relationship to diet and nutritional status have been little explored. In this study of a representative sample of the US civilian, non-institutionalized population (NHANES III), we predicted that the intake of nutritious foods, dietary fiber, and levels of biochemical analytes would be lower, even after adjusting for potential social and behavioral factors, among those who were edentulous and wore complete dentures than for those who had all their natural teeth. Multivariate analyses indicated that intake of carrots and tossed salads among denture-wearers was, respectively, 2.1 and 1.5 times less than for the fully dentate (p < 0.0001), and dietary fiber intake was 1.2 times less (p < 0.05). Serum levels of beta carotene (9.8 microg/dL), folate (4.7 ng/dL), and vitamin C (0.87 mg/dL) were also lower among denture-wearers (p < 0.05). Intakes of some nutrient-rich foods and beta carotene, folate, and vitamin C serum levels were significantly lower in denture-wearers.

Topics: Adult; Aged; Ascorbic Acid; beta Carotene; Deficiency Diseases; Denture, Complete; Diet; Dietary Fiber; Female; Folic Acid; Humans; Linear Models; Male; Mouth, Edentulous; Multivariate Analysis; Nutritional Status; Tooth Loss; United States; Vegetables

Tooth loss has been associated with cardiovascular disease (CVD), but the mechanisms are unclear. We evaluated the association of total tooth loss with prevalent CVD in men and women; as well as with citrus fruit consumption, plasma vitamin C, and inflammatory and thrombotic variables.. We used an age-and sex-stratified population survey, of men and women aged 25-74 years, in North Glasgow.. Thirty-eight percent of women and 29% of men were edentulous. Total tooth loss was associated with prevalent CVD in both sexes. After adjustment for major potential confounders (age, sex, smoking, and social class), the odds ratio (95% CI) for prevalent CVD was 1.55 (1.13, 2.13) in the edentulous. Total tooth loss was also associated with low citrus fruit consumption and low plasma vitamin C levels, increased plasma C-reactive protein in men, and with increased plasma interleukin-6, fibrinogen, and factor VIII levels in women.. Prevalent CVD is associated with total tooth loss. Possible mechanisms include low intake of citrus fruit, and hence, low plasma vitamin C levels, and a predisposition to low-grade inflammation and thrombosis. It may be prudent to ensure adequate vitamin C intake in people with no teeth.

Topics: Adult; Age Distribution; Aged; Ascorbic Acid; Cardiovascular Diseases; Citrus; Diet; Female; Health Surveys; Humans; Male; Middle Aged; Mouth, Edentulous; Prevalence; Risk Factors; Scotland; Sex Distribution; Tooth Loss