The effect and approach of dentures on the nutritional state of the elderly
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20234152Keywords:
Dentures, Edentulism, Nutritional status, Malnutrition, Masticatory function, Dietary guidanceAbstract
The absence of natural teeth presents considerable hurdles in consuming certain foods that demand efficient chewing, rendering elderly individuals vulnerable to malnutrition. Studies have reported malnutrition rates among this group ranging from 2% to 10%. Several factors contribute to this issue, including tooth loss itself, diminished masticatory function, and age-related alterations in taste sensitivity and saliva production. This review delves into the significant effect of dentures on the nutritional well-being of elderly individuals, shedding light on the challenges posed by edentulism, or complete tooth loss. The review underscores the crucial role of integrating dietary guidance into the prosthodontic treatment of edentulous patients. Personalized dietary counselling emerges as a vital strategy to rectify nutrient imbalances and enhance oral and overall health. Key recommendations encompass embracing a diverse array of foods while also moderating salt, fat, and sugar consumption. Furthermore, promoting the intake of hydrating fluids such as water, juice, and milk is essential. Continuous monitoring and support are emphasized as indispensable components for ensuring enduring dietary improvements among this vulnerable population. In conclusion, this review underscores the imperative of addressing the nutritional implications of dentures in the elderly and advocates for a comprehensive approach to safeguarding their dietary health.
References
Tsakos G, Herrick K, Sheiham A, Watt R. Edentulism and fruit and vegetable intake in low-income adults. J Dent Res. 2010;89(5):462-7.
Sheiham A, Steele J, Marcenes W. The relationship among dental status, nutrient intake, and nutritional status in older people. J Dent Res. 2001;80(2):408-13.
Guigoz Y. The mini nutritional assessment (MNA®) review of the literature-what does it tell us? J Nytr Health Aging. 2006;10(6):466.
Lochs H, Allison S, Meier R. Introductory to the ESPEN guidelines on enteral nutrition: terminology, definitions and general topics. Clin Nutr. 2006;25(2):180-6.
Nagler R. Salivary glands and the aging process: mechanistic aspects, health-status and medicinal-efficacy monitoring. Biogerontology. 2004;5:223-33.
Gil‐Montoya J, Subirá C, Ramón J, González‐Moles M. Oral health‐related quality of life and nutritional status. J Public Health Dent. 2008;68(2):88-93.
Cousson PY, Bessadet M, Nicolas E, Veyrune J-L, Lesourd B, Lassauzay C. Nutritional status, dietary intake and oral quality of life in elderly complete denture wearers. Gerodontology. 2012;29(2):e685-92.
Volkert D, Kreuel K, Heseker H, Stehle P. Energy and nutrient intake of young-old, old-old and very-old elderly in Germany. Eur J Clin Nutr. 2004;58(8):1190-200.
Bradbury J, Thomason J, Jepson N. Perceived chewing ability and intake of fruit and vegetables. J Dent Res. 2008;87(8):720-5.
Velho S, Marques-Vidal P, Baptista F, Camilo ME. Dietary intake adequacy and cognitive function in free-living active elderly: a cross-sectional and short-term prospective study. Clin Nutr. 2008;27(1):77-86.
Foratori GA, Andrade FJPd, Mosquim V, et al. Presence of serum ferritin before and after bariatric surgery: analysis in dentate and edentulous patients. PLoS One. 2016;11(10):e0164084.
Rémond D, Shahar DR, Gille D. Understanding the gastrointestinal tract of the elderly to develop dietary solutions that prevent malnutrition. Oncotarget. 2015;6(16):13858.
Kossioni AE. The association of poor oral health parameters with malnutrition in older adults: a review considering the potential implications for cognitive impairment. Nutrients. 2018;10(11):1709.
Najeeb S, Zafar MS, Khurshid Z, Zohaib S, Almas K. The role of nutrition in periodontal health: an update. Nutrients. 2016;8(9):530.
Leslie W, Hankey C. Aging, Nutritional Status and Health. Healthcare. 2015;3(3):648-58.
Su Y, Yuki M, Hirayama K, Sato M, Han T. Denture wearing and malnutrition risk among community-dwelling older adults. Nutrients. 2020;12(1):151.
Kossioni AE. Current status and trends in oral health in community dwelling older adults: a global perspective. Oral Health Prevent Dent. 2013;11(4):331-40.
Gellar MC, Alter D. The impact of dentures on the nutritional health of the elderly. J Aging Res Clin Pract. 2015;4(1):50-3.
Toniazzo MP, Amorim PS, Muniz F, Weidlich P. Relationship of nutritional status and oral health in elderly: Systematic review with meta-analysis. Clin Nutr. 2018;37(3):824-30.
Sahyoun NR, Krall E. Low dietary quality among older adults with self-perceived ill-fitting dentures. J Am Diet Assoc. 2003;103(11):1494-9.
Locker D. Subjective reports of oral dryness in an older adult population. Community Dent Oral Epidemiol. 1993;21(3):165-8.
Gilbert GH, Heft MW, Duncan RP. Mouth dryness as reported by older Floridians. Community Dent Oral Epidemiol. 1993;21(6):390-7.
Krall E, Hayes C, Garcia R. How dentition status and masticatory function affect nutrient intake. The J Am Dent Assoc. 1998;129(9):1261-9.
Rathee M, Hooda A. Nutritional Status In Denture Wearers A Review. Nutrients. 2009;10:23-9.
Palmer CA. Gerodontic nutrition and dietary counseling for prosthodontic patients. Dent Clin. 2003;47(2):355-71.
Fontijn-Tekamp F, Van't Hof M, Slagter A, Van Waas M. The state of dentition in relation to nutrition in elderly Europeans in the SENECA Study of 1993. Masticat Funct. 1996:81:123-8.
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.
Papas AS, Palmer CA, Rounds MC. Longitudinal relationships between nutrition and oral health. Ann NY Acad Sci. 1989;561(1):124-42.
Chauncey H, Muench M, Kapur K, Wayler A. The effect of the loss of teeth on diet and nutrition. Int Dent J. 1984;34(2):98-104.
Willett WC. Diet and health: what should we eat? Science. 1994;264(5158):532-7.
Geertman M, Slagter A, Van Waas M, Kalk W. Comminution of food with mandibular implant-retained overdentures. J Dent Res. 1994;73(12):1858-64.
Mericske-Stern R. Treatment outcomes with implant-supported overdentures: clinical considerations. J Prosthet Dent. 1998;79(1):66-73.
Norlén P, Steen B, Birkhed D, Björn A-L. On the relations between dietary habits, nutrients, and oral health in women at the age of retirement. Acta Odontol Scand. 1993;51(5):277-84.