EVALUATION OF ORAL HYGIENE AND DIETARY STATUS AMONG EDENTULOUS, DENTATE AND DENTURE WEARERS IN THE ELDERLY

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Published: Sep 30, 2020
DOI: https://doi.org/10.35845/kmuj.2020.20195
Keywords:
Oral Health Aged Mouth, Edentulous Dentures, Complete Dentate; Edentulous Diet Energy Intake Body Mass Index BMI Mouth Denture Edentulous

Main Article Content

Syed Hamid Habib
Department of Physiology, Institute of Basic Medical Sciences, Khyber Medical University, Peshawar, Pakistan
Afshan Gul
Department of Physiology, Institute of Basic Medical Sciences, Khyber Medical University, Peshawar, Pakistan
Muhammad Omar Malik
Department of Physiology, Institute of Basic Medical Sciences, Khyber Medical University, Peshawar, Pakistan
Syed Rashid Habib
Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia
Akbar Khalil
Department of Prosthodontics, Khyber College of Dentistry, Peshawar, Pakistan

Abstract

OBJECTIVE: To evaluate the role of dentition and dentures on diet, body mass index and oral health among elderly population.


METHODS: This cross-sectional study included sixty elderly participants within age range of 60-75 years. The participants were divided into three groups; Dentate, Edentulous and Complete-Denture wearers. Dietary data was obtained using the 24-hours dietary recall questionnaire and analyzed using Windiet®-2005 software. Oral health status was assessed using the General Oral Health Assessment Index scale (GOHAI). Anthropometric measurements including lean body mass (LBM), body water and fat content were recorded with body composition analyzer. ANOVA with Tukey post-hoc analysis was done for comparison of results among groups.


RESULTS: Levels of various parameters showed vitamin B12 (0.66±1.47μg vs 0.43± 0.77μg, p=0.04) for complete-denture wearers vs edentulous; carotene (615.8±58μg vs 257.0±228μg, p=0.03) for dentate vs complete-denture and dietary fibers (17.0±7.24gm vs 10.7±6.3gm, p=0.01) for dentate vs edentulous respectively. LBM was 52.7±8.8 kg vs 42.2±6.5 kg (p<0.001) in dentate vs complete-dentures and 52.5±8.8 kg vs 47.1±6.3 kg (p=0.04) in dentate vs edentulous subjects, respectively. Mean caloric intake was 1750.9±132.9 KCal vs 1649.1±125.1 KCal (p=0.02) in   dentate vs complete-dentures. Mean GOHAI was 33.3±1.2, 31.8±2.6, 26.5±2.6 (p<0.001) in dentate, complete-dentures users & edentulous subjects, respectively. Differences in rest of the parameters were non-significant.


CONCLUSION: The use of complete-dentures significantly improves oral health status. However, it does not improve the caloric intake and anthropometric measures compared to edentulous subjects. These parameters are not influenced by provision of complete-dentures; rather these are dependent on the duration of edentulousness.

Article Details

How to Cite
Habib, S. H., A. Gul, M. O. Malik, S. R. Habib, and A. Khalil. “EVALUATION OF ORAL HYGIENE AND DIETARY STATUS AMONG EDENTULOUS, DENTATE AND DENTURE WEARERS IN THE ELDERLY”. KHYBER MEDICAL UNIVERSITY JOURNAL, vol. 12, no. 3, Sept. 2020, pp. 177-82, doi:10.35845/kmuj.2020.20195.
Issue
Vol. 12 No. 3 (2020): KMUJ 2020; VOL 12; ISSUE 3 - JUL - SEP
Section
Original Articles

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References

Thomas DR, Zdrowski CD, Wilson M-M, Conright KC, Lewis C, Tariq S, et al. Malnutrition in subacute care. Am J Clin Nutr 2002;75(2):308-13. DOI: 10.1093/ajcn/75.2.308 .

Montgomery SC, Streit SM, Beebe ML, Maxwell IV PJ. Micronutrient needs of the elderly. Nutr in Clin Pract 2014;29(4):435-44. DOI: 10.1177/0884533614537684.

Nowjack-Raymer R, Sheiham A. Association of edentulism and diet and nutrition in US adults. J. of Dent Res 2003;82(2):123-6. DOI: 10.1177/154405910308200209.

Helkimo E, Carlsson GE, Helkimo M. Chewing efficiency and state of dentition: a methodologic study. Acta Odontologica Scandinavica 1978;36(1):33-41. DOI: 10.3109/00016357809026364.

Yoshida M, Suzuki R, Kikutani T. Nutrition and oral status in elderly people. Jap Dent Sci Rev. 2014;50(1):9-14.

Dorri M, Sheiham A, Tsakos G. Validation of a Persian version of the OIDP index. BMC Oral Health 2007;7(1):2.

Shigli K, Hebbal M. Assessment of changes in oral health‐related quality of life among patients with complete denture before and 1 month post‐insertion using Geriatric Oral Health Assessment Index. Gerodontology 2010;27(3):167-73. DOI: 10.1111/j.1741-2358.2009.00323.

Gerritsen AE, Allen PF, Witter DJ, Bronkhorst EM, Creugers NH. Tooth loss and oral health-related quality of life: a systematic review and meta-analysis. Health Qual Life Outcomes 2010;8(1):126. DOI: 10.1186/1477-7525-8-126.

Sahyoun NR, Lin C-L, Krall E. Nutritional status of the older adult is associated with dentition status. J Am Diet Assoc 2003;103(1):61-6. DOI: 10.1053/jada.2003.50003.

Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. J Dentl Educ 1990;54(11):680-7.

Gil-Montoya JA, de Mello ALF, Barrios R, Gonzalez-Moles MA, Bravo M. Oral health in the elderly patient and its impact on general well-being: a nonsystematic review. Clin Inter Aging. 2015;10:461.

Samnieng P, Ueno M, Shinada K, Zaitsu T, Wright FAC, Kawaguchi Y. Oral health status and chewing ability is related to mini-nutritional assessment results in an older adult population in Thailand. J. Nutr in Geronto Geriatr. 2011;30(3):291-304. DOI: 10.2147/CIA.S54630.

Banerjee R, Chahande J, Banerjee S, Radke U. Evaluation of relationship between nutritional status and oral health related quality of life in complete denture wearers. Indian J Dent Res 2018;29(5):562-7. DOI: 10.4103/ijdr.IJDR_285_17.

Nowjack-Raymer R, Sheiham A. Numbers of natural teeth, diet, and nutritional status in US adults. J Dent Res 2007;86(12):1171-5. DOI: 10.1177/154405910708601206.

Savoca MR, Arcury TA, Leng X, Chen H, Bell RA, Anderson AM, et al. Severe tooth loss in older adults as a key indicator of compromised dietary quality. Public Health Nutr 2010;13(4):466-74, DOI: 10.1017/S1368980009991236.

Sheiham A, Steele J, Marcenes W, Lowe C, Finch S, Bates C, et al. The relationship among dental status, nutrient intake, and nutritional status in older people. J Dent Res 2001;80(2):408-13. DOI: 10.1177/00220345010800020201.

Lee JS, Weyant RJ, Corby P, Kritchevsky SB, Harris TB, Rooks R, et al. Edentulism and nutritional status in a biracial sample of well-functioning, community-dwelling elderly: the health, aging, and body composition study. Am J Clin Nutr 2004;79(2):295-302. DOI: 10.1093/ajcn/79.2.295.

Emami E, de Souza RF, Kabawat M, Feine JS. The impact of edentulism on oral and general health. Int J Dent 2013;2013:498305. DOI;10.1155/2013/498305.

Jainkittivong A, Aneksuk V, Langlais RP. Oral mucosal lesions in denture wearers. Gerodontology 2010;27(1):26-32. DOI: 10.1111/j.1741-2358.2009.00289.x.

Čelebić A, Knezović-Zlatarić D. A comparison of patient's satisfaction between complete and partial removable denture wearers. J Dent 2003;31(7):445-51. DOI: 10.1016/s0300-5712(03)00094-0.

Budtz-Jørgensen E, Chung JP, Rapin CH. Nutrition and oral health. Best Pract Res Clin Gastroenterol 2001;15(6):885-96. DOI: 10.1053/bega.2001.0247

Heydecke G, Locker D, Awad MA, Lund JP, Feine JS. Oral and general health‐related quality of life with conventional and implant dentures. Community Dent Oral Epidemiol 2003;31(3):161-8. DOI: 10.1034/j.1600-0528.2003.00029.x.

Doundoulakis JH, Eckert SE, Lindquist CC, Jeffcoat MK. The implant-supported overdenture as an alternative to the complete mandibular denture. J Am Dent Assoc 2003;134(11):1455-8. DOI: 10.14219/jada.archive.2003.0073.

Gbadebo OS, Lawal FB, Sulaiman AO, Ajayi DM. Dental implant as an option for tooth replacement: The awareness of patients at a tertiary hospital in a developing country. Contemp Clin Dent 2014;5(3):302-6. DOI: 10.4103/0976-237X.137914.

Madhuri S, Hegde SS, Ravi S, Deepti A, Simpy M. Comparison of chewing ability, oral health related quality of life and nutritional status before and after insertion of complete denture amongst edentulous patients in a Dental College of Pune. Ethiop J Health Sci 2014;24(3):253-60. DOI: 10.4314/ejhs.v24i3.9.

Hossain M, Uddoula M, Mahmuduzzaman M, Rahman M. Evaluation of Body Mass Index Before and After Prosthetic Rehabilitation with Complete Denture Therapy. Mymensingh Med J 2016;25(4):698-702.

Klotz A-l, Hassel AJ, Schröder J, Rammelsberg P, Zenthöfer A. Oral health-related quality of life and prosthetic status of nursing home residents with or without dementia. Clin Inter Aging 2017;12:659-65. DOI: 10.2147/CIA.S125128.

Veyrune J, Tubert‐Jeannin S, Dutheil C, Riordan P. Impact of new prostheses on the oral health related quality of life of edentulous patients. Gerodontology 2005;22(1):3-9, DOI: 10.1111/j.1741-2358.2004.00048.x.

Dable RA, Nazirkar GS, Singh SB, Wasnik PB. Assessment of oral health related quality of life among completely edentulous patients in Western India by using GOHAI. J Clin Diag Res 2013;7(9):2063-7. DOI: 10.7860/JCDR/2013/6377.3406.

Ellis JS, Pelekis ND, Thomason JM. Conventional rehabilitation of edentulous patients: the impact on oral health‐related quality of life and patient satisfaction. J Prosthodont 2007;16(1):37-42. DOI: 10.1111/j.1532-849X.2006.00152.x.

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. DOI: 10.1038/sj.ejcn.1601950.

Thompson FE, Subar AF. Dietary assessment methodology. In: Coulston AM, Boushey CJ, Ferruzzi MG, Delahanty LM (eds) Nutrition in the Prevention and Treatment of Disease. Elsevier Academic Press; 2017. pp 5-48. DOI: 10.1016/B978-0-12-802928-2.00001-1.

Shim J-S, Oh K, Kim HC. Dietary assessment methods in epidemiologic studies. Epidemiol Health 2014;36:e2014009. DOI: 10.4178/epih/e2014009.