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Do implant overdentures improve dietary intake? A randomized clinical trial.

Identifieur interne : 001180 ( Main/Exploration ); précédent : 001179; suivant : 001181

Do implant overdentures improve dietary intake? A randomized clinical trial.

Auteurs : N M Hamdan [Canada] ; K. Gray-Donald ; M A Awad ; L. Johnson-Down ; S. Wollin ; J S Feine

Source :

RBID : pubmed:24158335

Descripteurs français

English descriptors

Abstract

People wearing mandibular two-implant overdentures (IOD) chew food with less difficulty than those wearing conventional complete dentures (CD). However, there is still controversy over whether or not this results in better dietary intake. In this randomized clinical trials (RCT), the amounts of total dietary fiber (TDF), macronutrients, 9 micronutrients, and energy in diets consumed by persons with IOD and CD were compared. Male and female edentate patients ≥ 65 yrs (n = 255) were randomly divided into 2 groups and assigned to receive a maxillary CD and either a mandibular IOD or a CD. One year following prosthesis delivery, 217 participants (CD = 114, IOD = 103) reported the food and quantities they consumed to a registered dietician through a standard 24-hour dietary recall method. The mean and median values of TDF, macro- and micronutrients, and energy consumed by both groups were calculated and compared analytically. No significant between-group differences were found (ps > .05). Despite quality-of-life benefits from IODs, this adequately powered study reveals no evidence of nutritional advantages for independently living medically healthy edentate elders wearing two-implant mandibular overdentures over those wearing conventional complete dentures in their dietary intake at one year following prosthesis delivery.

DOI: 10.1177/0022034513504948
PubMed: 24158335


Affiliations:


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Le document en format XML

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<term>Denture, Complete, Lower</term>
<term>Denture, Complete, Upper</term>
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<term>Diet</term>
<term>Diet Records</term>
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<term>Dietary Fats (administration & dosage)</term>
<term>Dietary Fiber (administration & dosage)</term>
<term>Dietary Proteins (administration & dosage)</term>
<term>Energy Intake</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Independent Living</term>
<term>Male</term>
<term>Mastication (physiology)</term>
<term>Micronutrients (administration & dosage)</term>
<term>Mouth, Edentulous (rehabilitation)</term>
<term>Nutritional Status</term>
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<term>Complexe vitaminique B (administration et posologie)</term>
<term>Femelle</term>
<term>Fibre alimentaire (administration et posologie)</term>
<term>Humains</term>
<term>Hydrates de carbone alimentaires (administration et posologie)</term>
<term>Implants dentaires</term>
<term>Journaux alimentaires</term>
<term>Mastication (physiologie)</term>
<term>Matières grasses alimentaires (administration et posologie)</term>
<term>Micronutriments (administration et posologie)</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire complète supérieure</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Protéines alimentaires (administration et posologie)</term>
<term>Qualité de vie</term>
<term>Ration calorique</term>
<term>Régime alimentaire</term>
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<term>Dietary Fiber</term>
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<term>Vitamin A</term>
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<term>Complexe vitaminique B</term>
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<term>Hydrates de carbone alimentaires</term>
<term>Matières grasses alimentaires</term>
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<term>Mâle</term>
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<term>Prothèse dentaire complète inférieure</term>
<term>Prothèse dentaire complète supérieure</term>
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<div type="abstract" xml:lang="en">People wearing mandibular two-implant overdentures (IOD) chew food with less difficulty than those wearing conventional complete dentures (CD). However, there is still controversy over whether or not this results in better dietary intake. In this randomized clinical trials (RCT), the amounts of total dietary fiber (TDF), macronutrients, 9 micronutrients, and energy in diets consumed by persons with IOD and CD were compared. Male and female edentate patients ≥ 65 yrs (n = 255) were randomly divided into 2 groups and assigned to receive a maxillary CD and either a mandibular IOD or a CD. One year following prosthesis delivery, 217 participants (CD = 114, IOD = 103) reported the food and quantities they consumed to a registered dietician through a standard 24-hour dietary recall method. The mean and median values of TDF, macro- and micronutrients, and energy consumed by both groups were calculated and compared analytically. No significant between-group differences were found (ps > .05). Despite quality-of-life benefits from IODs, this adequately powered study reveals no evidence of nutritional advantages for independently living medically healthy edentate elders wearing two-implant mandibular overdentures over those wearing conventional complete dentures in their dietary intake at one year following prosthesis delivery.</div>
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