Do implant-supported prostheses affect bioavailability of nutrients of complete and partially edentulous patients? A systematic review with meta-analysis

Bezerra, Adriana Pinto; Gama, Lorena Tavares; Bilt, Andries van der; Peyron, Marie‐Agnès; Garcia, Renata Cunha Matheus Rodrigues; Gonçalves, Thaís Marques Simek Vega

doi:10.1016/j.clnu.2021.02.018

Cited by 10 publications

(7 citation statements)

References 44 publications

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“…In contrast, several studies have reported that dental prostheses did not improve nutrition 14,15 . Implant‐supported dentures improve chewing efficiency, bite force, and satisfaction but do not affect patient nutrition 15 .…”

Section: Introductionmentioning

confidence: 89%

“…In contrast, several studies have reported that dental prostheses did not improve nutrition. 14,15 Implant-supported dentures improve chewing efficiency, bite force, and satisfaction but do not affect patient nutrition. 15 A randomised control trial suggested that masticatory performance may not predict nutrition status in older partially dentate patients.…”

Section: Introductionmentioning

confidence: 99%

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Effect of dentures and dietary advice on protein intake in older Thai adults with missing posterior occluding teeth

et al. 2022

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ObjectiveTo compare the effectiveness of dentures with dietary advice and dentures alone on protein intake in older Thai adults.BackgroundDentures combined with nutritional advice may improve protein intake in older adults with posterior tooth loss. However, evidence is limited, especially in developing countries.MethodsA randomised‐control trial including 69 older adults with less than four pairs of posterior occluding teeth was conducted for 3 months. The experimental group received dentures and dietary advice based on the Health Belief Model (HBM); the control group received dentures alone. Three‐day dietary records were collected and protein intake was assessed using INMUCAL‐NUTRIENTS V.4.0 software at baseline, 1 month, and 3 months after the intervention. Data were analysed using a t‐test, Mann–Whitney U test, chi‐square test, and repeated‐measure ANOVA.ResultsBoth groups reported significantly increased protein intake (control group = 0.4, 0.5, 0.6 g kg BW−1 d−1, intervention = 0.4, 0.6, 0.7 g kg BW−1 d−1, at baseline, 1 month and 3 months, respectively). However, participants in the experimental group had significantly higher total protein (36.3 vs. 39.8 g/d, P = .032) and animal protein intake (18.9 vs. 23.2 g/day, P = .020) than those in the control group at 3 months after the intervention; plant protein intake was similar (10.9 vs. 11.5 g/day, P = .923). In addition, the HBM scores of the experimental group were higher than those of the control group after the intervention (P < .001).ConclusionDentures combined with dietary advice significantly increased the total and animal protein intake of older people with posterior tooth loss more than dentures alone. To maintain optimal protein intake, dental practitioners should incorporate dietary advice when providing dental prostheses to older adults with posterior tooth loss.

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Section: Introductionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Effect of dentures and dietary advice on protein intake in older Thai adults with missing posterior occluding teeth

et al. 2022

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“…Several studies have tried to improve the nutrient intake among edentulous individuals with various types of dentures. However, this goal has been elusive for interventions based on either complete dentures or implant-retained overdentures, given the functional limitation on these prostheses and perhaps the lack of concomitant dietary intervention (12)(13)(14)(15). A small-scale case series has shown that implant-supported fixed prosthesis resulted in more efficient mastication and improved nutrient intake compared with conventional and implant-based removable dentures in partial edentulism (16).…”

Section: Introductionmentioning

confidence: 99%

Effects of Dental Implants and Nutrition on Elderly Edentulous Subjects: Protocol for a Factorial Randomized Clinical Trial

et al. 2022

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BackgroundLoss of masticatory function consequent to tooth loss has been associated with changes in food choices and insufficient nutritional intake. To date, interventions based on dental prostheses alone did not significantly improve nutrient intake. Pilot studies have shown positive impacts of interventions combining implant-supported fixed dental prosthesis with brief dietary advice. The relative contribution and the potential synergy of the components of such interventions need to be determined as it has major public health implications for the community-dwelling aging population that continues to disproportionately suffer from tooth loss and its consequences.ObjectiveTo assess the effect of rehabilitation of masticatory function with fixed implant supported dentures and nutrition education in older subjects with terminal dentition (stage IV periodontitis) or full edentulism.MethodsA 2 × 2 factorial randomized controlled trial with 16-month follow-up of eligible adults (≥60 years) with loss of masticatory function consequent to full arch edentulism or terminal dentition (n = 120) will be conducted to test whether the rehabilitation of masticatory function with fixed implant supported dentures, nutrition education and/or their combination improves intake of fresh fruits and vegetables for aging subjects. The study has been designed to detect changes in fresh fruits and fresh vegetables intake at 4 months using the 24-h dietary recall method. Changes in protein as percentage of total energy, nutritional biomarkers, plasma metabolomics, oral and gut microbiome, quality of life and masticatory function will also be assessed.DiscussionWe hypothesize that receiving rehabilitation of masticatory function with fixed implant dentures together with nutrition education is the most effective intervention for improving nutrient intake in aging community-dwelling subjects with extensive tooth loss. The results of this study will assist in designing better treatment regimens, guide medical care for individual subjects, and inform public health and policy.Clinical Trials RegistrationNCT05334407.

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“…Implants are regarded as one of the main treatment modalities for the elderly population with partially or completely edentulous arches [ 4 , 5 ]. In general, previous reports have proven that dental implant treatments for partially or completely edentulous patients could be a solution to declined oral function and poor aesthetics [ 6 , 7 , 8 , 9 , 10 ]. Although aging exerts a certain effect on systemic and oral health [ 11 , 12 ], previous studies have shown that aging alone does not affect implant treatment and its prognosis [ 13 , 14 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Prognosis of Implants with Implant-Supported Fixed Dental Prostheses in the Elderly Population: A Retrospective Study with a 5- to 10-Year Follow-Up

Takahashi

Kihara²,

Oki³

et al. 2022

Healthcare

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This retrospective study aimed to investigate the survival rate of implants from 5 to 10 years after the placement of implant-supported fixed dental prostheses (ISFDPs) and the management of implant loss in the elderly population. Elderly patients (≥65 years old) who had been treated with ISFDPs and followed up with for at least 5 years between October 2009 and March 2020 were enrolled. Patient profiles and implant-related data were extracted. The survival rate of implants up to 5 years as well as the 10-year cumulative survival rate were evaluated. The management of implant loss and prosthetic interventions were also investigated. In total, 195 patients (mean age: 70.1 ± 4.5 years old) and 687 implants (287 ISFDPs) were assessed. The 5-year survival rate was 99.0% and the 10-year cumulative survival rate was 98.1%. Seven of the eleven implants lost were lost due to peri-implantitis. Only three implants in two patients were placed after the loss of the implants; most were restored using non-invasive procedures. Two patients underwent a conversion from ISFDPs to removable prostheses. This study showed that high survival rates were observed in an elderly population with ISFDPs and that non-invasive procedures were often applied after the loss of an implant.

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Do implant-supported prostheses affect bioavailability of nutrients of complete and partially edentulous patients? A systematic review with meta-analysis

Cited by 10 publications

References 44 publications

Effect of dentures and dietary advice on protein intake in older Thai adults with missing posterior occluding teeth

Effect of dentures and dietary advice on protein intake in older Thai adults with missing posterior occluding teeth

Effects of Dental Implants and Nutrition on Elderly Edentulous Subjects: Protocol for a Factorial Randomized Clinical Trial

Prognosis of Implants with Implant-Supported Fixed Dental Prostheses in the Elderly Population: A Retrospective Study with a 5- to 10-Year Follow-Up

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