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Comparison of functionally orientated tooth replacement and removable partial dentures on the nutritional status of partially dentate older patients: a randomised controlled clinical trial.

Identifieur interne : 000767 ( PubMed/Checkpoint ); précédent : 000766; suivant : 000768

Comparison of functionally orientated tooth replacement and removable partial dentures on the nutritional status of partially dentate older patients: a randomised controlled clinical trial.

Auteurs : Gerald Mckenna [Irlande (pays)] ; P Finbarr Allen [Irlande (pays)] ; Denis O'Mahony [Irlande (pays)] ; Albert Flynn [Irlande (pays)] ; Michael Cronin [Irlande (pays)] ; Cristiane Damata [Irlande (pays)] ; Noel Woods [Irlande (pays)]

Source :

RBID : pubmed:24657555

Descripteurs français

English descriptors

Abstract

The aims of this study were to conduct a randomised controlled clinical trial (RCT) of partially dentate older adults comparing functionally orientated treatment based on the SDA concept with conventional treatment using RPDs to replace missing natural teeth. The two treatment strategies were evaluated according to their impact on nutritional status measured using haematological biomarkers.

DOI: 10.1016/j.jdent.2014.03.005
PubMed: 24657555


Affiliations:


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pubmed:24657555

Le document en format XML

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<term>Aged</term>
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<term>Biomarkers (blood)</term>
<term>Cholesterol (blood)</term>
<term>Denture Design</term>
<term>Denture, Partial, Fixed, Resin-Bonded</term>
<term>Denture, Partial, Removable</term>
<term>Female</term>
<term>Ferritins (blood)</term>
<term>Folic Acid (blood)</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Intention to Treat Analysis</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Mastication (physiology)</term>
<term>Nutritional Status</term>
<term>Serum Albumin (analysis)</term>
<term>Social Class</term>
<term>Vitamin B 12 (blood)</term>
<term>Vitamin D (blood)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Acide folique (sang)</term>
<term>Analyse de l'intention de traiter</term>
<term>Cholestérol (sang)</term>
<term>Classe sociale</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Femelle</term>
<term>Ferritines (sang)</term>
<term>Humains</term>
<term>Marqueurs biologiques (sang)</term>
<term>Mastication (physiologie)</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Prothèse dentaire partielle fixe à liaison résine</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Sérumalbumine (analyse)</term>
<term>Vitamine B12 (sang)</term>
<term>Vitamine D (sang)</term>
<term>État nutritionnel</term>
<term>Études de suivi</term>
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<term>Serum Albumin</term>
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<term>Biomarkers</term>
<term>Cholesterol</term>
<term>Ferritins</term>
<term>Folic Acid</term>
<term>Vitamin B 12</term>
<term>Vitamin D</term>
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<term>Sérumalbumine</term>
</keywords>
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<term>Mastication</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Mastication</term>
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<term>Jaw, Edentulous, Partially</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire partiellement édentée</term>
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<term>Acide folique</term>
<term>Cholestérol</term>
<term>Ferritines</term>
<term>Marqueurs biologiques</term>
<term>Vitamine B12</term>
<term>Vitamine D</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Denture Design</term>
<term>Denture, Partial, Fixed, Resin-Bonded</term>
<term>Denture, Partial, Removable</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Intention to Treat Analysis</term>
<term>Male</term>
<term>Nutritional Status</term>
<term>Social Class</term>
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<term>Analyse de l'intention de traiter</term>
<term>Classe sociale</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Prothèse dentaire partielle fixe à liaison résine</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<div type="abstract" xml:lang="en">The aims of this study were to conduct a randomised controlled clinical trial (RCT) of partially dentate older adults comparing functionally orientated treatment based on the SDA concept with conventional treatment using RPDs to replace missing natural teeth. The two treatment strategies were evaluated according to their impact on nutritional status measured using haematological biomarkers.</div>
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<DateCompleted>
<Year>2016</Year>
<Month>08</Month>
<Day>16</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>05</Month>
<Day>21</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1879-176X</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>42</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2014</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Journal of dentistry</Title>
<ISOAbbreviation>J Dent</ISOAbbreviation>
</Journal>
<ArticleTitle>Comparison of functionally orientated tooth replacement and removable partial dentures on the nutritional status of partially dentate older patients: a randomised controlled clinical trial.</ArticleTitle>
<Pagination>
<MedlinePgn>653-9</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jdent.2014.03.005</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0300-5712(14)00086-4</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The aims of this study were to conduct a randomised controlled clinical trial (RCT) of partially dentate older adults comparing functionally orientated treatment based on the SDA concept with conventional treatment using RPDs to replace missing natural teeth. The two treatment strategies were evaluated according to their impact on nutritional status measured using haematological biomarkers.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A randomised controlled clinical trial (RCT) was conducted of partially dentate patients aged 65 years and older (Trial Registration no. ISRCTN26302774). Each patient provided haematological samples which were screened for biochemical markers of nutritional status. Each sample was tested in Cork University Hospital for serum Albumin, serum Cholesterol, Ferritin, Folate, Vitamin B12 and 25-hydroxycholecalciferol (Vitamin D).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A mixed model analysis of covariance (ANCOVA) indicated that for Vitamin B12 (p=0.9392), serum Folate (p=0.5827), Ferritin (p=0.6964), Albumin (p=0.8179), Serum Total Cholesterol (p=0.3670) and Vitamin D (p=0.7666) there were no statistically significant differences recorded between the two treatment groups. According to the mixed model analysis of covariance (ANCOVA) for Vitamin D there was a significant difference between levels recorded at post-operative time points after treatment intervention (p=0.0470). There was an increase of 7% in 25-hydroxycholecalciferol levels recorded at 6 months compared to baseline (p=0.0172). There was no further change in recorded levels at 12 months (p=0.6482) and these increases were similar within the two treatment groups (p>0.05).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The only measure which illustrated consistent significant improvements in nutritional status for either group were Vitamin D levels. However no significant difference was recorded between the two treatment groups.</AbstractText>
<AbstractText Label="CLINICAL SIGNIFICANCE" NlmCategory="CONCLUSIONS">Functionally orientated prosthodontic rehabilitation for partially dentate older patients was no worse than conventional removable partial dentures in terms of impact on nutritional status.</AbstractText>
<CopyrightInformation>Copyright © 2014 Elsevier Ltd. All rights reserved.</CopyrightInformation>
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</AffiliationInfo>
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<Affiliation>Cork University Dental School and Hospital, University College Cork, Ireland.</Affiliation>
</AffiliationInfo>
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<Language>eng</Language>
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<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2014</Year>
<Month>03</Month>
<Day>19</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo>
<Country>England</Country>
<MedlineTA>J Dent</MedlineTA>
<NlmUniqueID>0354422</NlmUniqueID>
<ISSNLinking>0300-5712</ISSNLinking>
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<ChemicalList>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D015415">Biomarkers</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D012709">Serum Albumin</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>1406-16-2</RegistryNumber>
<NameOfSubstance UI="D014807">Vitamin D</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>9007-73-2</RegistryNumber>
<NameOfSubstance UI="D005293">Ferritins</NameOfSubstance>
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<Chemical>
<RegistryNumber>935E97BOY8</RegistryNumber>
<NameOfSubstance UI="D005492">Folic Acid</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>97C5T2UQ7J</RegistryNumber>
<NameOfSubstance UI="D002784">Cholesterol</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>P6YC3EG204</RegistryNumber>
<NameOfSubstance UI="D014805">Vitamin B 12</NameOfSubstance>
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<CitationSubset>D</CitationSubset>
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<MeshHeading>
<DescriptorName UI="D003779" MajorTopicYN="N">Denture Design</DescriptorName>
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<DescriptorName UI="D014805" MajorTopicYN="N">Vitamin B 12</DescriptorName>
<QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D014807" MajorTopicYN="N">Vitamin D</DescriptorName>
<QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">Elderly</Keyword>
<Keyword MajorTopicYN="N">Nutrition</Keyword>
<Keyword MajorTopicYN="N">Partially dentate</Keyword>
<Keyword MajorTopicYN="N">Prosthodontics</Keyword>
</KeywordList>
</MedlineCitation>
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<PubMedPubDate PubStatus="received">
<Year>2013</Year>
<Month>11</Month>
<Day>18</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised">
<Year>2014</Year>
<Month>03</Month>
<Day>05</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2014</Year>
<Month>03</Month>
<Day>10</Day>
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<PubMedPubDate PubStatus="entrez">
<Year>2014</Year>
<Month>3</Month>
<Day>25</Day>
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<PubMedPubDate PubStatus="pubmed">
<Year>2014</Year>
<Month>3</Month>
<Day>25</Day>
<Hour>6</Hour>
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<PubMedPubDate PubStatus="medline">
<Year>2016</Year>
<Month>8</Month>
<Day>17</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">24657555</ArticleId>
<ArticleId IdType="pii">S0300-5712(14)00086-4</ArticleId>
<ArticleId IdType="doi">10.1016/j.jdent.2014.03.005</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations>
<list>
<country>
<li>Irlande (pays)</li>
</country>
</list>
<tree>
<country name="Irlande (pays)">
<noRegion>
<name sortKey="Mckenna, Gerald" sort="Mckenna, Gerald" uniqKey="Mckenna G" first="Gerald" last="Mckenna">Gerald Mckenna</name>
</noRegion>
<name sortKey="Allen, P Finbarr" sort="Allen, P Finbarr" uniqKey="Allen P" first="P Finbarr" last="Allen">P Finbarr Allen</name>
<name sortKey="Cronin, Michael" sort="Cronin, Michael" uniqKey="Cronin M" first="Michael" last="Cronin">Michael Cronin</name>
<name sortKey="Damata, Cristiane" sort="Damata, Cristiane" uniqKey="Damata C" first="Cristiane" last="Damata">Cristiane Damata</name>
<name sortKey="Flynn, Albert" sort="Flynn, Albert" uniqKey="Flynn A" first="Albert" last="Flynn">Albert Flynn</name>
<name sortKey="O Mahony, Denis" sort="O Mahony, Denis" uniqKey="O Mahony D" first="Denis" last="O'Mahony">Denis O'Mahony</name>
<name sortKey="Woods, Noel" sort="Woods, Noel" uniqKey="Woods N" first="Noel" last="Woods">Noel Woods</name>
</country>
</tree>
</affiliations>
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