Kaye Jillian, Lee Sara, Chinn Courtney H
College of Dentistry, Department of Pediatric Dentistry, New York University, New York, NY, United States.
Front Public Health. 2025 Feb 26;13:1534525. doi: 10.3389/fpubh.2025.1534525. eCollection 2025.
There are bidirectional relationships between diet and nutrition, systemic health and oral health. Diet and nutrition are fundamental to the prevention and management of chronic diseases. Systemic health can impact oral health. And oral health can influence diet and nutrition. The 2020 Surgeon General's Report "Oral Health in America" stated that nutrition is an integral factor in the development of oral disease and health overall. Within the medical model, Registered Dietitians have been impactful members of a multidisciplinary team by providing medical nutrition therapy and nutritional counseling to reduce the development and management of chronic diseases like obesity, diabetes and cardiovascular disease. Despite the well-established collaboration and the role nutrition plays in health outcomes, there is limited documented collaboration between nutrition and dentistry. The purpose of this paper is to review the current evidence of nutritional counseling in oral health settings compared to the medical model, identify specific challenges, and suggest possible next steps for collaboration. The intended outcome of this paper will be to provide the reader with insight about the need to integrate nutrition into both oral health education and clinical practice to address prevalent chronic diseases and increase health equity for those at high risk.
饮食与营养、全身健康与口腔健康之间存在双向关系。饮食和营养是预防和管理慢性病的基础。全身健康会影响口腔健康。而口腔健康也会影响饮食和营养。2020年美国卫生局局长报告《美国的口腔健康》指出，营养是口腔疾病发展及整体健康状况的一个不可或缺的因素。在医学模式中，注册营养师通过提供医学营养治疗和营养咨询，以减少肥胖、糖尿病和心血管疾病等慢性病的发生与管理，成为多学科团队中有影响力的成员。尽管营养与医学之间已建立了良好的合作关系，且营养在健康结果中发挥着作用，但营养与牙科之间的文献记载的合作却很有限。本文的目的是回顾与医学模式相比，口腔健康环境中营养咨询的现有证据，确定具体挑战，并提出可能的下一步合作措施。本文的预期成果将是让读者了解将营养纳入口腔健康教育和临床实践的必要性，以应对普遍存在的慢性病，并提高高危人群的健康公平性。
