Nutrition and Oral Medicine (Nutrition and Health)

Chapter 16 / Wound Healing 281Guidelines for PracticeOral Health ProfessionalNutrition ProfessionalPrevention • Conduct thorough health history and • Conduct oral exam as part of nutritionmedication review.assessment.• Screen patients for nutrition risk as part • Provide guidelines for balancedof oral exam.nutrition and recommendations forsupplements as needed.• Encourage daily oral hygiene.Intervention • Determine impact of planned surgery • Provide medical nutrition therapyon oral function and provide guidelines tailored to individual nutrient needs andaccordingly.oral function.• Ask patients about alterations in intake • Adjust diet as appropriate as woundand changes in weight on postoperative healing progresses.visits and refer as needed to a registered • Monitor intake to ensure balanceddietitian.nutrition to promote wound healing.REFERENCES1. Certosimo F, Nicoll B, Nelson R, Wolfgang M. Wound healing and repair: a review of the art andscience. Gen Dent 1998; July/August:362–369.2. Winkler M. Surgery and wound healing. In Skipper A, ed. Dietitian’s Handbook of Enteral andParenteral Nutrition. Gaithersburg, MD: Aspen Publishers, 1998.3. Albina JE. Nutrition and wound healing. J Parenter Enteral Nutr 1994; 18:367–376.4. Rozlog LA, Kiecolt-Glaser JK, Marucha PT, Sheridan JF, Glaser R. Stress and immunity: implicationsfor viral disease and wound healing. J Periodontol 1999; 70:786–792.5. Fehrenbach MJ, Lemborn UE, Phelan JA. Inflammation and repair. In Ibsen O, Phelan J, eds. OralPathology for the Dental Hygienist. 3rd Ed. Philadelphia, PA: W.B. Saunders, 2000, 43–101.6. Nishida M, Grossi SG, Dunford RG, Ho AW, Trevisan M, Genco RJ. Dietary vitamin C and the riskfor periodontal disease. J Periodontol 2000; 71:1215–1223.7. Esposito M, Hirsch J, Lekholm U, Thomsen P. Differential diagnosis and treatment strategies forbiologic complications and failing oral implants: a review of the literature. Int J Oral Maxillofac Implants1999; 14:473–490.8. Cranin AN. Implant surgery: the management of soft tissues. J Oral Implantol 2002; 28:230–237.9. Winkler S, Mekayarajjananonth T, Garg AK, Tewari DS. Nutrition and the geriatric implant patient.Implant Dent 1997; 6:291–294.10. Rees TD, Orth CF. Oral ulcerations with use of hydrogen peroxide. J Periodontal 1986; 57:689–692.11. Kornman KS, Loe H. The role of local factors in the etiology of periodontal diseases. Periodontol 20001993; 2:83–97.12. O’Leary TJ. The impact of research on scaling and root planing. J Periodontol 1986; 57:69–75.13. Axelsson P, Lindhe J. The significance of maintenance care in the treatment of periodontal disease. J ClinPeriodontol 1981; 8:281–294.14. Badersten A, Nilveus R, Egelberg J. Four-year observations of basic periodontal therapy. J ClinPeriodontol 1987; 14:438–444.15. Heard RH, Mellonig JT. Regenerative materials: an overview. Alpha Omegan 2000 1993; 4: 51–58.16. Eickholz P, Kim TS, Hausmann E, Holle R. Long-term results of guided tissue regeneration therapy withnon-resorbable and bioabsorbable barriers. Infrabony defects. Abstract. IADR/AADR/CADR 80thGeneral Session, March 6–9, 2002.17. Alfano MC. Controversies, perspectives, and clinical implications of nutrition in periodontal disease.Dent Clin North Am 1976; 20:519–548.18. Enwonwu CO, Phillips RS, Falkler WA. Nutrition and oral infectious diseases: state of the science.Compend Contin Educ Dent 2002; 23:431–438.19. Enwonwu CO. Interface of malnutrition and periodontal diseases. Am J Clin Nutr 1995; 61:430S–436S.