A A Systematic Review on Impact of Edentulism on Nutritional Status of Eldrly Adults as Compared to Dentulous Adults Edentulism and nutritional status
Abstract
ABSTRACT
Background: Age related changes in oral structures and nutritional deficiencies cause difficulties in wearing complete dentures amongst elderly adults
Objective: To identify the impact of edentulism on nutritional status of eldrly adults.
Methodology: To conduct the present study, information of existing literature are collected from textbooks, printed journals, and electronic databases such as pubmed, scopus, and science direct.
Result: Prevalence of malnutrition rises with an increase in age. Edentulous subjects more likely to report trouble in chewing their food as compared to dentulous subjects. Edentulous subjects had significantly lower intake of calories, protein, carbohydrate, fibres, vitamins A, C,B1, and B6 . Intake of calcium and protein was lower in women with dentures than in dentate women. Compromised oral functional status was associated with lower serum albumin levels and lower BMI in functionally dependent elderly people.
Conclusion: There is good quality evidence that edentulism is associated with poor diet and compromised nutrition.Although the majority of the studies cited here have not established a cause and effect relationship, results from Sheiham and others. However, more longitudinal studies on this topic are required to further understand the potential role of nutrition in the prevention of age related changes and reduce the failure of complete denture treatment in elderly adults.
Keywords:Aging, Complete Denture, Elderly adults, Nutritional Assessment, Nutrition.
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References
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31) Awad MA, Locker D, Korner-Bitensky N, Feine JS. Measuring the effect of intra-oral implant rehabilitation on health related quality of life in a randomized controlled clinical trial. J Dent Res 2000; 79(9):1659-63.
32) Awad MA, Feine JS. Measuring patient satisfaction with mandibular prostheses. Community Dent Oral Epidemiol 1998; 26(6):400-5.
33) Sebring NG, Guckes AD, Li SH, McCarthy GR. Nutritional adequacy of reported intake of edentulous subjects treated with new conventional or implant-supported mandibular dentures. J Prosthet Dent 1995; 74(4):358-63.
34) Sandström B, Lindquist LW. The effect of different prosthetic restorations on the dietary selection in edentulous subjects. A longitudinal study of patients initially treated with optimal complete dentures and finally with tissue-integrated prostheses. ActaOdontolScand 1987; 45(6):423-8.
35) Milne AC, Potter J, Vivanti A, Avenell A. Protein and energy supplementation in elderly people at risk from malnutrition. Cochrane Database Syst Rev. 2009;(2):CD003288. This systematic review was updated by WHO in 2015.
36) Baldwin C, Weekes CE. Dietary advice with or without oral nutritional supplements for disease-related malnutrition in adults. Cochrane Database Syst Rev. 2011;(9):CD002008.
37) Munk T, Tolstrup U, Beck AM, Holst M, Rasmussen K, Hovhannisyan K, Thomsen T. Individualized dietary counselling for nutritionally at-risk older patients following discharge from acute hospital to home: a systematic review and meta-analysis. J Hum Nutr Diet. 2016;29(2):196–208.
38) ICOP guidelines. WHO. Evidence profile:Malnutrition.2017:1-35
39) Nizel, A. E.: Nutrition in Clinical Dentistry, Philadelphia, 1960, W. B. Saunders Co., pp. 383-391.
40) Barone, J. (1965). Nutrition of edentulous patients. The Journal of Prosthetic Dentistry, 15(5), pp.804-809.
41) Bandodkar K, Aras M. Nutrition for geriatric denture patients. The Journal of Indian Prosthodontic Society. 2006;6(1):22.
2) Wolff,A., Ship,J.A, Tylenda, C.A, Fox,P.C,Baum B.J (1991) Oral mucosal appearance is unchanged in healthy, different- aged persons. Oral Surg. Oral Med. Oral Pathol. 71:569-572
3) Walls, A.W.G. (1992) The aging mouth. In Oxford Textbook of Geriatric Medicine, eds. Evans, J.G., Williams, T.F. pp. 179-195. Oxford: Oxford University Press
4) Katz, R.V, Neely, A.L, Morse, D.E (1996) The epidemiology of oral diseases in older adults. In Textbook of Geriatric Dentistry. 2nd ed.eds.Holm-Pedersen, P., Loe,H. pp.263-301.Copenhagen:Munksgaard
5) Budtz-Jørgensen E. Prosthodontics for the elderly. Chicago: Quintessence Publishing Co, Inc.; 1999.
6) Adam C.D Gerodontologic Aspects of Diet and Nutrition, J. PROS. DEN. 1961.11:345-348.
7) Zarb GA. Nature and significance of the edentulous state. In: Brånemark PI, Zarb GA, Albrektsson T, editors. Tissue-integrated prostheses- osseointegration in clinical dentistry. Chicago: Quintessence Publishing Co, Inc.; 1985. p. 77-87.
8) Carlsson GE, Otterland A, Wennstrom A, Odont D. Patient factors in appreciation of complete dentures. J Prosthet Dent 1967; 17(4):322-8.
9) Chauncey HH, Kapur KK, Feller RP, Wayler AH. Altered masticatory function and perceptual estimates of chewing experience. Spec Care Dentist 1981; 1(6):250-5.
10) Hartsook EI. Food selection, dietary adequacy, and related dental problems of patients with dental prostheses. J Prosthet Dent 1974; 32(1):32-40.
11) Manly R, Vinton P. A survey of the chewing ability of denture wearers. J Dent Res 1951; 30:314-21.
12) Wayler AH, Muench ME, Kapur KK, Chauncey HH. Masticatory performance and food acceptability in persons with removable partial dentures, full dentures and intact natural dentition. J Gerontol 1984; 39(3):284-9.
13) Wayler AH, Chauncey HH. Impact of complete dentures and impaired natural dentition on masticatory performance and food choice in healthy aging men. J Prosthet Dent 1983; 49(3):427-33.
14) Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009;339:b2700.
15) Moher D, Liberati A, Tetzlaff J, Altman DG. PRISMA group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J ClinEpidemiol. 2009;62(10):1006–12.
16) Cohen J. Statistical power analysis for the behavioural sciences. 2nd ed. Hillsdale, NJ: Erlbaum; 1988.
17) Hasselblad V, Hedges LV. Meta-analysis of screening and diagnostic tests. Psychol Bull. 1995;117:167–8.
18) Sheiham A, Steele JG, Marcenes W, Lowe C, Finch S, Bates CJ, and others. The relationship among dental status, nutrient intake, and nutritional status in older people. J Dent Res 2001; 80(2):408-13.
19) Joshipura KJ, Willett WC, Douglass CW. The impact of edentulousness on food and nutrient intake. J Am Dent Assoc 1996; 127(4):459-67.
20) Krall E, Hayes C, Garcia R. How dentition status and masticatory function affect nutrient intake. J Am Dent Assoc 1998; 129(9):1261-9.
21) Fontijn-Tekamp FA, van’t Hof MA, Slater AP, van Waas MA. The state of dentition in relation to nutrition in elderly Europeans in the SENECA study of 1993. Eur J ClinNutr 1996; 50(Suppl 2):S117-22.
22) Papas AS, Palmer CA, Rounds MC, Russell RM. The effects of denture status on nutrition. Spec Care Dent 1998; 18(1):17-.
23) Greksa LP, Parraga IM, Clark CA. The dietary adequacy of edentulous older adults. J Prosthet Dent 1995; 73(2):142-5.
24) Mojon P, Budtz-Jorgensen E, Rapin CH. Relationship between oral health and nutrition in very old people. Age Ageing 1999; 28(5):463-8.
25) Allen F, McMillan A. Food selection and perceptions of chewing ability following provision of implant and conventional prostheses in complete denture wearers. Clinical Oral Implants Research (in press).
26) B.Hutton et al. Is There an Association Between Edentulism and Nutritional State? J Can Dent Assoc 2002; 68(3):182-7.
27) Gunne HS, Wall AK. The effect of new complete dentures on mastication and dietary intake. ActaOdontolScand 1985; 43(5):257-68.
28) Fontijn-Tekamp FA, Slater AP, Van Der Bilt A, van’t Hof MA, Witter DJ, Kalk W, and other. Biting and chewing in overdentures, full dentures and natural dentitions. J Dent Res 2000; 79(7):1519-24.
29) Boerrigter EM, Geertman ME, Van Oort RP, Bouma J, Raghoebar GM, van Waas MA, and other. Patient satisfaction with implant-retained mandibular overdentures. A comparison with new complete dentures not retained by implants — a multicentre randomized clinical trial. Br J Oral MaxillofacSurg 1995; 33(5):282-8.
30) Allen PF, McMillan AS, Walshaw D. A patient-based assessment of implant-stabilized and conventional complete dentures. J Prosthet Dent 2001; 85(2):141-7.
31) Awad MA, Locker D, Korner-Bitensky N, Feine JS. Measuring the effect of intra-oral implant rehabilitation on health related quality of life in a randomized controlled clinical trial. J Dent Res 2000; 79(9):1659-63.
32) Awad MA, Feine JS. Measuring patient satisfaction with mandibular prostheses. Community Dent Oral Epidemiol 1998; 26(6):400-5.
33) Sebring NG, Guckes AD, Li SH, McCarthy GR. Nutritional adequacy of reported intake of edentulous subjects treated with new conventional or implant-supported mandibular dentures. J Prosthet Dent 1995; 74(4):358-63.
34) Sandström B, Lindquist LW. The effect of different prosthetic restorations on the dietary selection in edentulous subjects. A longitudinal study of patients initially treated with optimal complete dentures and finally with tissue-integrated prostheses. ActaOdontolScand 1987; 45(6):423-8.
35) Milne AC, Potter J, Vivanti A, Avenell A. Protein and energy supplementation in elderly people at risk from malnutrition. Cochrane Database Syst Rev. 2009;(2):CD003288. This systematic review was updated by WHO in 2015.
36) Baldwin C, Weekes CE. Dietary advice with or without oral nutritional supplements for disease-related malnutrition in adults. Cochrane Database Syst Rev. 2011;(9):CD002008.
37) Munk T, Tolstrup U, Beck AM, Holst M, Rasmussen K, Hovhannisyan K, Thomsen T. Individualized dietary counselling for nutritionally at-risk older patients following discharge from acute hospital to home: a systematic review and meta-analysis. J Hum Nutr Diet. 2016;29(2):196–208.
38) ICOP guidelines. WHO. Evidence profile:Malnutrition.2017:1-35
39) Nizel, A. E.: Nutrition in Clinical Dentistry, Philadelphia, 1960, W. B. Saunders Co., pp. 383-391.
40) Barone, J. (1965). Nutrition of edentulous patients. The Journal of Prosthetic Dentistry, 15(5), pp.804-809.
41) Bandodkar K, Aras M. Nutrition for geriatric denture patients. The Journal of Indian Prosthodontic Society. 2006;6(1):22.
Authors
SUTARIYA, P., Mehta, D. S., Shah, D., Shah, D. ., Karia, D., & Goyal, D. . (2020). A A Systematic Review on Impact of Edentulism on Nutritional Status of Eldrly Adults as Compared to Dentulous Adults: Edentulism and nutritional status. Journal of Current Medical Research and Opinion, 3(11), 739–748. https://doi.org/10.15520/jcmro.v3i11.368
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