Dentition and Diet, 8/8/2024

About the Course:
For clinicians involved with patients diagnosed with dysphagia utilize information revealed from the bedside evaluation and instrumental assessments to develop a therapy plan, determine the highest appropriate diet and mealtime strategies/precautions to be implemented to keep the individual safe. In making these determinations, the role of dentition and oral care is critical. This seminar builds on our basis knowledge providing a more detailed understanding of the role of specific teeth in the mastication process. Bite force is different in individuals with natural teeth versus dentures versus the edentulous individual and impacts diet selection. Mouth care is critical for all residents; however, poor care contributes to increased risk of aspiration pneumonia from bacteria-laden saliva and may contribute to additional health issues especially for patients with diabetes and cancer. Free water protocols are dependent on consistent mouth care. Ill- fitting dentures may require denture adhesives to improve fit, but can be a challenge for mouth care. Protocols for mouth care will be addressed for natural teeth, dentures and the edentulous individual. Bite force, mastication skills and dentition status are key factors in selecting the appropriate diet level on the National Dysphagia Diet and the IDDSI. In addition, recommended mealtime strategies and precautions must be implemented by caregivers. These strategies and precautions should be part of the patients plan of care for improved safety at mealtime and are directly related to dentition status, diet selection and adequate mouth-care.

Course Objectives:
1. Identify the role of dentition and tooth loss on mastication
2. List protocol for mouth care
3. Identify an appropriate diet, mealtime strategies and precautions utilizing specific patient assessments

About the Author:
Denise Dougherty, MA, CCC-SLP, is a Speech Pathologist who has her own private practice, where she conducts therapy with both children and adults. Ms. Dougherty received her Bachelor's degree at Marywood University, Scranton, Pennsylvania, a Master's Degree from St. Louis University and has completed postgraduate courses at Johns Hopkins University and several doctoral courses at University of Phoenix. Ms. Dougherty was also an adjunct faculty member at York College of Pennsylvania and Wesley College in Dover, Delaware. She is the Vice President of The American Academy of Private Practice in Speech Pathology and Audiology and received the Academy's 2007 Honors Award for achievements.