Influence of simplified dietary advice combined with new complete denture fabrication on masticatory function of complete denture wearers

Abstract

Background Dietary advice combined with prosthetic treatment could improve dietary intake earlier than prosthetic treatment only. This early improvement might signify early adaptation to new prostheses. Therefore, dietary advice might affect functional adaptation to new prostheses. Objective The aim was to clarify the influence of simple dietary advice on masticatory function of elderly individuals with new complete dentures. Methods A randomised controlled trial was performed on 59 edentulous elderly individuals who had received new complete dentures. Participants were randomly divided into an intervention group (received simple dietary advice: 15 men and 15 women, mean age: 74.8 ± 8.0 years) or a control group (received denture care advice: 15 men and 14 women, mean age: 78.6 ± 6.8 years). Masticatory function was assessed using colour‐changeable chewing gum for mixing ability and test gummy jelly for shearing ability. Mixing and shearing ability were assessed at pre‐treatment, and 3 and 6 months post‐treatment. At each assessment time, mixing ability was compared using Student's t test and shearing ability using Mann‐Whitney's U test. Within‐group differences in mixing ability were analysed using repeated‐measures one‐way analysis of variance and those in shearing ability were analysed using Wilcoxon signed‐rank test with Bonferroni correction. Results At each assessment time, there was no significant difference in mixing or shearing ability between groups. In the intervention group, mixing and shearing ability significantly increased at 3 and 6 months post‐treatment. In the control group, mixing ability significantly increased at 6 months post‐treatment. Conclusion Simple dietary advice might lead to relatively early improvements in masticatory function.

Factors affecting the oral health of inpatients with advanced cancer in palliative care

“…In this study, more than half of the participants did not wear their removable dentures despite needing them. Wearing removable dentures improves the ability to masticate and improves QOL by allowing patients to eat a variety of foods [ 28 ]. The practice is extremely important for establishing oral nutrition due to its effect on food transport when swallowing [ 29 ] and the support it provides for oral and pharyngeal movement during oral nutrition [ 20 ].…”

Food intake and oral health status of inpatients with dysphagia in acute care settings

“…In acute care hospitals, dentures are often removed because of management complexities, risk of aspiration or swallowing, and to prevent disturbances in sensory perception 12 . However, the presence of removable denture improves the masticatory ability 30 and the oral anatomical environment, and it may potentially play a role in supporting oral cavity and pharyngeal movements during oral intake, including bolus transportation and elevation of the hyoid bone in swallowing function training 31,32 . Therefore, the use of removable dentures during the acute management phase of medical conditions is important to maintain and improve early dysphagia rehabilitation.…”

Eating Advice for People Who Wear Dentures: A Scoping Review

“…2011;142 Suppl 1:1S–20] (Control) 3 and 6 months N = 70 edentate patients who request new complete dentures To examine the medium-term effect of a new complete denture fabrication and dietary advice provided by dentists using unique pamphlets on nutrient intake in edentulous elderly patients. BDHQ, energy intake (protein, lipids, carbohydrates), nutritional status (mineral and vitamin intake) - [ 16 ] Suzuki H et al 2019 Tokyo, Japan Secondary Manuscript Randomised controlled trial Dietary advice pamphlets (20 min to read) given on trial entry and day of dentures from 2 sources: Test Intervention vs. American College of Prosthodontists [Felton et al J Am Dent Assoc. 2011;142 Suppl 1:1S–20] (Control) 3 and 6 months N = 70 edentate patients who request new complete dentures To clarify the influence of simple dietary advice on masticatory function in elderly individuals with new complete dentures Masticatory function-shearing and mixing - [ 17 ] Suzuki H et al 2019 Tokyo, Japan Secondary Manuscript Randomised controlled trial Dietary advice pamphlets (20 min to read) given on trial entry and day of dentures from 2 sources: Test Intervention vs. American College of Prosthodontists [Felton et al J Am Dent Assoc.…”