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Johansen Professor of Dental Research
Tufts School of Dental Medicine
DHS-5, One Kneeland Street
Boston, MA 02115
E-mail: athena.papas{at}tufts.edu
This text brings together the key elements of oral medicine and nutrition in an accessible form for the dental professional. This is an excellent reference text that promulgates the comprehensive management of medically or nutritionally compromised patients throughout life. The editors gathered a diverse group of experts in their field to provide an evidence-based approach to the nutritional aspects of oral health and oral medicine.
The editors have designed the book to help students to take a questioning view of nutritional fads and to realize the complexity and uncertainty that, unfortunately, make up the actual state of our knowledge of nutrition. Strategies for treatment, based on the latest evidence, are given. The authors present populations at high risk of poor oral health, such as the elderly or patients with cancer, HIV infection, autoimmune diseases, osteoporosis, and diabetes, and discuss the strategies for tackling their oral health problems, on the basis of our current knowledge of nutrition and oral medicine. These high-risk populations are frequently overlooked by both the medical and dental professions, which results in poor oral and general health. Early intervention is critical. In this era of complementary and alternative medicines, the current evidence as to the interplay of nutrition and oral health is briefly discussed, and sound advice is provided for the dental professional with regard to what aids and what can interfere with dental therapy.
This book includes coverage of the expected topics (ie, diet and general heath, protein-energy malnutrition, maternal and child health, aging, and the interrelations of medication, diet, and oral health). In addition, the book describes concise, elegant methods for treating patients who are medically compromised and details risk assessment tools, giving the dental and nutritional management for each condition according to the most current literature. The recognition of potential drug-nutrient interactions is vital in modern dentistry, and these interactions are covered comprehensively in this book. The final chapter covers education, risk assessment, and oral medicine. It reports the risk assessment tools used at 2 different schools and provides a BMI chart and dietary reference tables that are current and very useful. Especially useful to the dental professional are the numerous tables and forms that can be used for clinical practice. The CD that accompanies the book makes it easy for dental professionals to download the forms to use in their practices.
The information on disease that this book provides is particularly welcome because most dentists who are interested in nutrition want to understand how nutrients affect oral health. Patients often ask for advice when they have seen information in the media or on the Internet. This book provides a quick way for health professionals to give educated answers. Although much specific information did not make its way into these relatively brief chapters, each chapter contains up-to-date information, including detailed references to published articles. The chapters in this book contain concise summaries of the recent literature and graphs and charts that are extremely useful.
The chapters are quite readable, which ensures that the information is accessible to the dental and nutrition community at large, and this book should provide an easy way for students, as well as the rest of us, to be up-to-date on recent advances. As DePaola stated in the foreword to the book, we are now at the point that proteomics and metabolomics are helping us understand the basic mechanisms of nutrition, oral disease, and craniofacial development. The questions raised by proteomics and metabolomics should help inspire a new generation to study nutrition and its relation to oral health.
I would wholeheartedly recommend this book to all dental health professionals, nutritionists, and other health professionals as a resource and reference text.
ACKNOWLEDGMENTS
The author had no personal or financial conflicts of interest with regard to this book or the authors or editors of the book.