Coffey Niamh, O' Leary Fiona, Burke Francis, Roberts Anthony, Howlett Ciara, Plant Barry, Hayes Martina
¹Department of Restorative Dentistry, Cork University Dental School and Hospital, University College Cork, Cork, Ireland.
Cork University Hospital, Cork, Ireland.
Gerodontology. 2022 Dec;39(4):354-358. doi: 10.1111/ger.12592. Epub 2021 Sep 26.
The objectives of this article are to list the most commonly prescribed Oral Nutritional Supplements in the UK and Ireland and their sugar content; and to raise awareness among the dental profession regarding their uses and potential dental risks involved.
Many older patients benefit from Oral Nutritional Supplements. Prescribers may not consider dental implications of these. Patients may not think to disclose these medications to their dentist.
A list of commonly prescribed Oral Nutritional Supplements in the UK and Ireland was compiled. Nutritional information was obtained from the manufacturers' website and arranged in order of decreasing sugar content. Potential dental implications are discussed and recommendations made for dental practitioners.
Pre-formed Oral Nutritional Supplements can contain between 6.6 and 27.2 g of sugar per serving. Powdered Oral Nutritional Supplements, which are to be mixed with 200 ml whole milk, contain between 16.4 and 35.0 g sugar per serving. The "shot"-type Oral Nutritional Supplements contain less sugar, ranging from 0.0 to 4.0 g per serving.
The sugar content of frequently prescribed Oral Nutritional Supplements can be high. While they are beneficial in assisting the patient to maintain a healthy BMI, they may increase the risk of dental caries. Dental professionals should enquire specifically about Oral Nutritional Supplements during history taking, particularly in groups who are likely to be prescribed such supplements. Consideration should also be given to increasing caries-preventive measures for patients who take these supplements.
本文的目的是列出英国和爱尔兰最常开具的口服营养补充剂及其含糖量；并提高牙科专业人员对其用途和潜在牙科风险的认识。
许多老年患者受益于口服营养补充剂。开处方者可能未考虑这些补充剂对牙齿的影响。患者可能不会想到向他们的牙医透露这些药物。
编制了一份英国和爱尔兰常用口服营养补充剂清单。营养信息从制造商网站获取，并按含糖量递减顺序排列。讨论了潜在的牙科影响，并为牙科从业者提出了建议。
预制口服营养补充剂每份含糖量在6.6至27.2克之间。需与200毫升全脂牛奶混合的粉状口服营养补充剂每份含糖量在16.4至35.0克之间。“注射”型口服营养补充剂含糖量较低，每份在0.0至4.0克之间。
常用口服营养补充剂的含糖量可能很高。虽然它们有助于患者维持健康的体重指数，但可能会增加龋齿风险。牙科专业人员在问诊时应特别询问口服营养补充剂的情况，尤其是在可能开具此类补充剂的人群中。对于服用这些补充剂的患者，还应考虑增加防龋措施。
