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Do Implant Overdentures Improve Dietary Intake? A Randomized Clinical Trial

Identifieur interne : 002423 ( Pmc/Curation ); précédent : 002422; suivant : 002424

Do Implant Overdentures Improve Dietary Intake? A Randomized Clinical Trial

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

Source :

RBID : PMC:3860059

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 (International Clinical Trials ISRCTN24273915).


Url:
DOI: 10.1177/0022034513504948
PubMed: 24158335
PubMed Central: 3860059

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PMC:3860059

Le document en format XML

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<p>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 (
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> .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 (International Clinical Trials ISRCTN24273915).</p>
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<article-title>Do Implant Overdentures Improve Dietary Intake? A Randomized Clinical Trial</article-title>
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<surname>Hamdan</surname>
<given-names>N.M.</given-names>
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<surname>Wollin</surname>
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<xref ref-type="aff" rid="aff1-0022034513504948">1</xref>
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<surname>Feine</surname>
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<xref ref-type="aff" rid="aff3-0022034513504948">3</xref>
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Faculty of Dentistry, McGill University, Montreal, Canada</aff>
<aff id="aff2-0022034513504948">
<label>2</label>
School of Dietetics and Human Nutrition, McGill University, Montreal, Canada</aff>
<aff id="aff3-0022034513504948">
<label>3</label>
Department of Epidemiology and Biostatistics and Department of Oncology, Faculty of Medicine, McGill University, Montreal, Canada</aff>
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College of Dentistry, University of Sharjah, United Arab Emirates</aff>
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<volume>92</volume>
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<issue-title>Clinical Research Supplement on Implant Dentistry</issue-title>
<fpage>146S</fpage>
<lpage>153S</lpage>
<permissions>
<copyright-statement>© International & American Associations for Dental Research</copyright-statement>
<copyright-year>2013</copyright-year>
<copyright-holder content-type="society">International & American Associations for Dental Research</copyright-holder>
</permissions>
<abstract>
<p>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 (
<italic>ps</italic>
> .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 (International Clinical Trials ISRCTN24273915).</p>
</abstract>
<kwd-group>
<kwd>nutrition/nutritional sciences</kwd>
<kwd>dental implant(s)</kwd>
<kwd>edentulous/edentulism</kwd>
<kwd>geriatric dentistry</kwd>
<kwd>prostheses</kwd>
<kwd>removable prosthodontics.</kwd>
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</front>
</pmc>
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