Prosthetic Rehabilitation of Edentulism Prevents Malnutrition in Nursing Home Residents

Zenthöfer, Andreas; Rammelsberg, Peter; Cabrera, Tomas; Hassel, Alexander J.

doi:10.11607/ijp.4016

Cited by 15 publications

(7 citation statements)

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“…(2) It is very important to monitor the periodontal status of the older patient and to provide a proper treatment plan, such as modification of general health-risk factors and oral health-specific risk factors, but professional hygiene or surgical procedures may also be necessary. (3) Prosthetic rehabilitation of the edentulous patient may help to prevent malnutrition [151] since it restores the chewing function. (4) In order to prevent problems related to the xerostomia and reduce exacerbation of carious lesions, it may be helpful to treat with saliva substitutes.…”

Section: Oral Managementmentioning

confidence: 99%

Poor Oral Health as a Determinant of Malnutrition and Sarcopenia

et al. 2019

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Aging is accompanied by profound changes in many physiological functions, leading to a decreased ability to cope with stressors. Many changes are subtle, but can negatively affect nutrient intake, leading to overt malnutrition. Poor oral health may affect food selection and nutrient intake, leading to malnutrition and, consequently, to frailty and sarcopenia. On the other hand, it has been highlighted that sarcopenia is a whole-body process also affecting muscles dedicated to chewing and swallowing. Hence, muscle decline of these muscle groups may also have a negative impact on nutrient intake, increasing the risk for malnutrition. The interplay between oral diseases and malnutrition with frailty and sarcopenia may be explained through biological and environmental factors that are linked to the common burden of inflammation and oxidative stress. The presence of oral problems, alone or in combination with sarcopenia, may thus represent the biological substratum of the disabling cascade experienced by many frail individuals. A multimodal and multidisciplinary approach, including personalized dietary counselling and oral health care, may thus be helpful to better manage the complexity of older people. Furthermore, preventive strategies applied throughout the lifetime could help to preserve both oral and muscle function later in life. Here, we provide an overview on the relevance of poor oral health as a determinant of malnutrition and sarcopenia.

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Section: Oral Managementmentioning

confidence: 99%

Poor Oral Health as a Determinant of Malnutrition and Sarcopenia

et al. 2019

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“…Recently, a decrease in the number of present and functional teeth has been regarded as a risk factor for malnutrition that leads to high mortality in both community-dwelling older people and older people requiring nursing care [26][27][28][29][30][31]. In this study, root caries were more frequently observed in clasped teeth of RPD wearers.…”

Section: Discussionmentioning

confidence: 60%

Risk factors for root caries annual incidence and progression among older people requiring nursing care: A one-year prospective cohort study

et al. 2022

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Purpose: We aimed to determine root caries annual incidence (RCAI) and root caries annual progression (RCAP) and risk factors for them among older people requiring nursing care. Methods: The target population comprised 186 dentate individuals aged ≥ 65 years who required nursing care while living in nursing homes (NHs) or their own homes (OHs) in Okayama, Japan. Survey items included presence/absence and severity of root caries, age, sex, living environment (NH or OH), the Clinical Dementia Rating, and the Barthel Index (BI). Baseline surveys were conducted from 2015 to 2017; subjects were followed up for one year. RCAI and RCAP per tooth and per person were calculated, and risk factors for them were identified using generalized estimating equations. Results: In total, 104 individuals (mean age: 82.0 ± 12.4 years) completed the follow-up survey. RCAIs per tooth and per person were 14.6% (173/1188) and 59.6% (62/104), respectively. RCAP per tooth was 22.5% (51/227 teeth with root caries at baseline). Significant risk factors for RCAI were living environment (OH, odds ratio [OR]: 2.14), sex (male, OR: 1.84), clasped tooth (OR: 1.82), and older age (OR: 1.05) at baseline. Significant risk factors for RCAP were sex (male, OR: 5.20), regular dental checkup (OR: 2.74), and high BI score (OR: 1.02) at baseline. Conclusions: At one-year follow-up, 59.6% of the subjects developed at least one root caries. Risk factors for RCAI were living environment (OH), male, clasped tooth, and older age, whereas those for RCAP were male, regular dental checkup, and high BI score.

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“…3 This study is concurrent with the findings of similar studies demonstrating the association between prosthetic rehabilitation, nutrition and emotional wellbeing. [46][47][48][49][50][51] Also, the pandemic has worsened both the nutritional and emotional well-being of the geriatric individuals. The preventive measures that could be taken to improve dental and emotional health include professional counselling sessions in old age homes and regular dental screening camps and awareness camps to emphasize the importance of prosthetic rehabilitation in geriatric patients.…”

Section: Discussionmentioning

confidence: 99%

Evaluation and correlation of nutritional status and emotional wellbeing in relation to dentition and prosthetic rehabilitation of community living geriatric individuals during COVID-19 pandemic

Shafiuallah¹,

Balaraman²,

Bhuvaneshwar³

et al. 2022

j-cpi

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Background: COVID-19 infection has become a serious problem among rapidly growing geriatric individuals in India. During the pandemic, the availability of food and emotional support has decreased in old age homes, and this must have affected the nutritional status and emotional wellbeing of the geriatric individuals. Aim: To evaluate and correlate the association between the nutritional status and emotional wellbeing of geriatric individuals during covid-19 pandemic with dentition and prosthetic rehabilitation. Materials and method: The questionnaire consisted of three sections which included. Demographic data and dental status, WHO approved Mini Nutritional Assessment Short Form (MNA-SF) and WHO approved Emotional well-being five scale. We also compared the BMI of geriatric elders before 6 months of Covid-19 and during Covid-19. 112 participants were enrolled from 9 government old age homes in Tamilnadu, India. Data were collected and subjected to statistical testing. Simple frequency analysis and Chi square test were used. Result: 70.5% of geriatric elders had poor emotional wellbeing and 65.1% were malnourished during this pandemic. Dentition status showed that 51.7% were completely edentulous and 74.1% were without prosthetic rehabilitation. Statistical significance results were found when comparing nutritional status & emotional wellbeing with dentition and prosthetic rehabilitation status of elders during COVID-19. Conclusion: Older adults’ mental health was negatively affected by the COVID-19 pandemic, whereas dentition and prosthetic rehabilitation status indirectly affect the mental health of elders through malnutrition. As a prosthodontist, who provide geriatric care, treating the elders by looking beyond the teeth, will help to improve overall wellbeing of these individuals.

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Prosthetic Rehabilitation of Edentulism Prevents Malnutrition in Nursing Home Residents

Cited by 15 publications

References 0 publications

Poor Oral Health as a Determinant of Malnutrition and Sarcopenia

Poor Oral Health as a Determinant of Malnutrition and Sarcopenia

Risk factors for root caries annual incidence and progression among older people requiring nursing care: A one-year prospective cohort study

Evaluation and correlation of nutritional status and emotional wellbeing in relation to dentition and prosthetic rehabilitation of community living geriatric individuals during COVID-19 pandemic

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