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Implant retainers for free‐end removable partial dentures affect mastication and nutrient intake

Identifieur interne : 002E65 ( Istex/Corpus ); précédent : 002E64; suivant : 002E66

Implant retainers for free‐end removable partial dentures affect mastication and nutrient intake

Auteurs : Camila Heitor Campos ; Thais Marques Simek Vega Gonçalves ; Renata Cunha Matheus Rodrigues Garcia

Source :

RBID : ISTEX:5F104A9EA2DCFEC9FC5D40E97194C0775D21789E

Abstract

This study measured swallowing threshold parameters and nutrient intake in partially dentate subjects rehabilitated by conventional free‐end removable partial dentures (RPD) and by RPD over posterior implant retainers and ball attachments (BA).

Url:
DOI: 10.1111/clr.12165

Links to Exploration step

ISTEX:5F104A9EA2DCFEC9FC5D40E97194C0775D21789E

Le document en format XML

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<affiliation>Corresponding author: Renata Cunha Matheus Rodrigues Garcia, PhD Department of Prosthodontics and Periodontology Piracicaba Dental School, University of Campinas Avenida Limeira, nº 901, Bairro Areião CEP 13414‐903, Piracicaba, SP, Brazil Tel.: +55 19 2106 5240 Fax: +55 19 2106 5211 e‐mail: regarcia@fop.unicamp.br</affiliation>
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<head>Abstract</head>
Objectives
<p>This study measured swallowing threshold parameters and nutrient intake in partially dentate subjects rehabilitated by conventional free‐end removable partial dentures (
<hi rend="fc">RPD</hi>
) and by
<hi rend="fc">RPD</hi>
over posterior implant retainers and ball attachments (
<hi rend="fc">BA</hi>
).</p>
Materials and methods
<p>Eight subjects (two men and six women; mean age 60.1 ± 6.6 years old) received conventional total maxillary dentures and free‐end
<hi rend="fc">RPD</hi>
in the mandible. Two months after denture insertion, swallowing threshold and nutrient intake assessments occurred, which included an evaluation of the number of masticatory cycles and medium particle size (X
<hi rend="subscript">50</hi>
) of a silicone test material (Optocal). A 3‐day food diary verified nutrient intake based on a standard Brazilian Food Composition Table. Then, osseointegrated implants were placed bilaterally in the mandibular first molar region, followed by
<hi rend="fc">BA</hi>
, which was fitted in the
<hi rend="fc">RPD</hi>
bases after healing. After 2 months of the
<hi rend="fc">RPD</hi>
over implants and
<hi rend="fc">BA</hi>
use, variables were again assessed. Wilcoxon signed rank tests evaluated the data (
<hi rend="italic"></hi>
<
<hi rend="italic"> </hi>
0.05).</p>
Results
<p>Masticatory cycles did not differ (
<hi rend="italic"></hi>
>
<hi rend="italic"> </hi>
0.05); however, subjects showed decreased X
<hi rend="subscript">50</hi>
values at the swallowing moment (
<hi rend="italic"></hi>
=
<hi rend="italic"> </hi>
0.008) and increased daily energy (
<hi rend="italic"></hi>
=
<hi rend="italic"> </hi>
0.008), carbohydrate (
<hi rend="italic"></hi>
=
<hi rend="italic"> </hi>
0.016), protein (
<hi rend="italic"></hi>
=
<hi rend="italic"> </hi>
0.023), calcium (
<hi rend="italic"></hi>
=
<hi rend="italic"> </hi>
0.008), fiber (
<hi rend="italic"></hi>
=
<hi rend="italic"> </hi>
0.016), and iron (
<hi rend="italic"></hi>
=
<hi rend="italic"> </hi>
0.016) intake with
<hi rend="fc">RPD</hi>
implants and
<hi rend="fc">BA</hi>
inserts. No differences were found in fat consumption (
<hi rend="italic"></hi>
>
<hi rend="italic"> </hi>
0.05).</p>
Conclusion
<p>Implants and
<hi rend="fc">BA</hi>
retainers over a free‐end
<hi rend="fc">RPD</hi>
resulted in smaller swallowed median particle size and improved nutrient intake.</p>
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<orgName>University of Campinas</orgName>
<address>
<city>Campinas</city>
<country>Brazil</country>
</address>
</affiliation>
<affiliation countryCode="BR" type="organization" xml:id="clr12165-aff-0002">
<orgDiv>Department of Prosthodontics and Periodontology</orgDiv>
<orgDiv>Piracicaba Dental School</orgDiv>
<orgName>University of Campinas</orgName>
<address>
<city>Campinas</city>
<country>Brazil</country>
</address>
</affiliation>
</affiliationGroup>
<keywordGroup type="author">
<keyword xml:id="clr12165-kwd-0001">deglutition</keyword>
<keyword xml:id="clr12165-kwd-0002">dental implants</keyword>
<keyword xml:id="clr12165-kwd-0003">dental prosthesis</keyword>
<keyword xml:id="clr12165-kwd-0004">nutrition</keyword>
</keywordGroup>
<abstractGroup>
<abstract type="main" xml:id="clr12165-abs-0001" xml:lang="en">
<title type="main">Abstract</title>
<section xml:id="clr12165-sec-0001">
<title type="main">Objectives</title>
<p>This study measured swallowing threshold parameters and nutrient intake in partially dentate subjects rehabilitated by conventional free‐end removable partial dentures (
<fc>RPD</fc>
) and by
<fc>RPD</fc>
over posterior implant retainers and ball attachments (
<fc>BA</fc>
).</p>
</section>
<section xml:id="clr12165-sec-0002">
<title type="main">Materials and methods</title>
<p>Eight subjects (two men and six women; mean age 60.1 ± 6.6 years old) received conventional total maxillary dentures and free‐end
<fc>RPD</fc>
in the mandible. Two months after denture insertion, swallowing threshold and nutrient intake assessments occurred, which included an evaluation of the number of masticatory cycles and medium particle size (X
<sub>50</sub>
) of a silicone test material (Optocal). A 3‐day food diary verified nutrient intake based on a standard Brazilian Food Composition Table. Then, osseointegrated implants were placed bilaterally in the mandibular first molar region, followed by
<fc>BA</fc>
, which was fitted in the
<fc>RPD</fc>
bases after healing. After 2 months of the
<fc>RPD</fc>
over implants and
<fc>BA</fc>
use, variables were again assessed. Wilcoxon signed rank tests evaluated the data (
<i></i>
<
<i> </i>
0.05).</p>
</section>
<section xml:id="clr12165-sec-0003">
<title type="main">Results</title>
<p>Masticatory cycles did not differ (
<i></i>
>
<i> </i>
0.05); however, subjects showed decreased X
<sub>50</sub>
values at the swallowing moment (
<i></i>
=
<i> </i>
0.008) and increased daily energy (
<i></i>
=
<i> </i>
0.008), carbohydrate (
<i></i>
=
<i> </i>
0.016), protein (
<i></i>
=
<i> </i>
0.023), calcium (
<i></i>
=
<i> </i>
0.008), fiber (
<i></i>
=
<i> </i>
0.016), and iron (
<i></i>
=
<i> </i>
0.016) intake with
<fc>RPD</fc>
implants and
<fc>BA</fc>
inserts. No differences were found in fat consumption (
<i></i>
>
<i> </i>
0.05).</p>
</section>
<section xml:id="clr12165-sec-0004">
<title type="main">Conclusion</title>
<p>Implants and
<fc>BA</fc>
retainers over a free‐end
<fc>RPD</fc>
resulted in smaller swallowed median particle size and improved nutrient intake.</p>
</section>
</abstract>
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<title>Implant retainers for free‐end removable partial dentures affect mastication and nutrient intake</title>
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<name type="personal">
<namePart type="given">Camila Heitor</namePart>
<namePart type="family">Campos</namePart>
<affiliation>Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Campinas, Brazil</affiliation>
<role>
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</role>
</name>
<name type="personal">
<namePart type="given">Thais Marques Simek Vega</namePart>
<namePart type="family">Gonçalves</namePart>
<affiliation>Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Campinas, Brazil</affiliation>
<role>
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</role>
</name>
<name type="personal">
<namePart type="given">Renata Cunha Matheus</namePart>
<namePart type="family">Rodrigues Garcia</namePart>
<affiliation>Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Campinas, Brazil</affiliation>
<affiliation>, PhDDepartment of Prosthodontics and PeriodontologyPiracicaba Dental School, University of CampinasAvenida Limeira, nº 901, Bairro Areião CEP 13414‐903, Piracicaba, SP, BrazilTel.: +55 19 2106 5240Fax: +55 19 2106 5211e‐mail:</affiliation>
<affiliation>E-mail: regarcia@fop.unicamp.br</affiliation>
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<dateCreated encoding="w3cdtf">2013-03-18</dateCreated>
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<edition>Campos CH, Gonçalves TMSV, Rodrigues Garcia RCM. Implant retainers for free‐end removable partial dentures affect mastication and nutrient intake. Clin. Oral Impl. Res. 25, 2014, 957–961 doi 10.1111/clr.12165</edition>
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<abstract>This study measured swallowing threshold parameters and nutrient intake in partially dentate subjects rehabilitated by conventional free‐end removable partial dentures (RPD) and by RPD over posterior implant retainers and ball attachments (BA).</abstract>
<abstract>Eight subjects (two men and six women; mean age 60.1 ± 6.6 years old) received conventional total maxillary dentures and free‐end RPD in the mandible. Two months after denture insertion, swallowing threshold and nutrient intake assessments occurred, which included an evaluation of the number of masticatory cycles and medium particle size (X50) of a silicone test material (Optocal). A 3‐day food diary verified nutrient intake based on a standard Brazilian Food Composition Table. Then, osseointegrated implants were placed bilaterally in the mandibular first molar region, followed by BA, which was fitted in the RPD bases after healing. After 2 months of the RPD over implants and BA use, variables were again assessed. Wilcoxon signed rank tests evaluated the data (P < 0.05).</abstract>
<abstract>Masticatory cycles did not differ (P > 0.05); however, subjects showed decreased X50 values at the swallowing moment (P = 0.008) and increased daily energy (P = 0.008), carbohydrate (P = 0.016), protein (P = 0.023), calcium (P = 0.008), fiber (P = 0.016), and iron (P = 0.016) intake with RPD implants and BA inserts. No differences were found in fat consumption (P > 0.05).</abstract>
<abstract>Implants and BA retainers over a free‐end RPD resulted in smaller swallowed median particle size and improved nutrient intake.</abstract>
<subject>
<genre>keywords</genre>
<topic>deglutition</topic>
<topic>dental implants</topic>
<topic>dental prosthesis</topic>
<topic>nutrition</topic>
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<title>Clinical Oral Implants Research</title>
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<identifier type="ISSN">0905-7161</identifier>
<identifier type="eISSN">1600-0501</identifier>
<identifier type="DOI">10.1111/(ISSN)1600-0501</identifier>
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<part>
<date>2014</date>
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<caption>vol.</caption>
<number>25</number>
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<number>8</number>
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