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Simon L, Marsh R, Sanchez LD, Camargo C, Donoff B, Cardenas V, Manning W, Loo S, Cash RE, Samuels-Kalow ME. Mapping Oral health and Local Area Resources (MOLAR): protocol for a randomised controlled trial connecting emergency department patients with social and dental resources. BMJ Open 2023; 13:e078157. [PMID: 38072485 PMCID: PMC10729266 DOI: 10.1136/bmjopen-2023-078157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 11/23/2023] [Indexed: 12/18/2023] Open
Abstract
INTRODUCTION There are substantial inequities in oral health access and outcomes in the USA, including by income and racial and ethnic identity. People with adverse social determinants of health (aSDoH), such as housing or food insecurity, are also more likely to have unmet dental needs. Many patients with dental problems present to the emergency department (ED), where minimal dental care or referral is usually available. Nonetheless, the ED represents an important point of contact to facilitate screening and referral for unmet oral health needs and aSDoH, particularly for patients who may not otherwise have access to care. METHODS AND ANALYSIS Mapping Oral health and Local Area Resources is a randomised controlled trial enrolling 2049 adult and paediatric ED patients with unmet oral health needs into one of three trial arms: (a) a standard handout of nearby dental and aSDoH resources; (b) a geographically matched listing of aSDoH resources and a search link for identification of geographically matched dental resources; or (c) geographically matched resources along with personalised care navigation. Follow-up at 3, 6, 9 and 12 months will evaluate oral health-related quality of life, linkage to resources and dental treatment, ED visits for dental problems and the association between linkage and neighbourhood resource density. ETHICS AND DISSEMINATION All sites share a single human subjects review board protocol which has been fully approved by the Mass General Brigham Human Subjects Review Board. Informed consent will be obtained from all adults and adult caregivers, and assent will be obtained from age-appropriate child participants. Results will demonstrate the impact of addressing aSDoH on oral health access and the efficacy of various forms of resource navigation compared with enhanced standard care. Our findings will facilitate sustainable, scalable interventions to identify and address aSDoH in the ED to improve oral health and reduce oral health inequities. TRIAL REGISTRATION NUMBER NCT05688982.
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Affiliation(s)
- Lisa Simon
- Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
- Harvard Medical School, Boston, Massachusetts, USA
| | - Regan Marsh
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Leon D Sanchez
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Carlos Camargo
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Bruce Donoff
- Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA
- Harvard School of Dental Medicine, Boston, MA, USA
| | - Vanessa Cardenas
- Rutgers, The State University of New Jersey, New Brunswick, New Jersey, USA
| | - William Manning
- Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Stephanie Loo
- Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Rebecca E Cash
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Margaret E Samuels-Kalow
- Harvard Medical School, Boston, Massachusetts, USA
- Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA
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Kumar A, Almotairy N, Merzo JJ, Wendin K, Rothenberg E, Grigoriadis A, Sandborgh-Englund G, Trulsson M. Chewing and its influence on swallowing, gastrointestinal and nutrition-related factors: a systematic review. Crit Rev Food Sci Nutr 2023; 63:11987-12017. [PMID: 35837677 DOI: 10.1080/10408398.2022.2098245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
The study aimed to evaluate the hypothesis that chewing is a mechanical and physiological contributor to swallowing, physiologic/pathologic processes of the gastrointestinal tract (GIT), and nutrition-related factors. A search strategy was applied to three different databases to investigate if chewing function in adults affects the swallowing, physiologic/pathologic processes of the GIT, and nutrition-related factors compared to controls with no exposure. The included studies were evaluated for methodological quality and risk of bias and certainty of evidence. The results showed 71 eligible studies. Overall, the results showed that 46 studies supported the hypothesis while 25 refuted it. However, the GRADE analysis showed low to very low certainty of the evidence to support the hypothesis that chewing is an important contributor in the swallowing process, and physiologic/pathologic processes in the GIT. The GRADE analysis also showed a moderate to very low certainty of the evidence to suggest that chewing function contributes to nutrition-related parameters. The overall results of the current study showed that a majority (64.7%) of the studies (46 out of 71) supported the hypothesis. However, robust studies with proper design, adequate sample size, and well-defined outcome parameters are needed to establish conclusive evidence.
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Affiliation(s)
- Abhishek Kumar
- Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden
| | - Nabeel Almotairy
- Department of Orthodontics and Pediatric Dentistry, College of Dentistry, Qassim University, Buraidah, Saudi Arabia
| | | | - Karin Wendin
- Food and Meal Science, Kristianstad University, Kristianstad, Sweden
- Department of Food Science, University of Copenhagen, Frederiksberg, Denmark
| | - Elisabet Rothenberg
- Food and Meal Science, Kristianstad University, Kristianstad, Sweden
- Facutly of Health Sciences, Kristianstad University, Kristianstad, Sweden
| | - Anastasios Grigoriadis
- Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden
| | - Gunilla Sandborgh-Englund
- Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden
- Academic Center for Geriatric Dentistry, Karolinska Institutet, Stockholm, Sweden
| | - Mats Trulsson
- Division of Oral Diagnostics and Rehabilitation, Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden
- Academic Center for Geriatric Dentistry, Karolinska Institutet, Stockholm, Sweden
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Fluitman KS, van den Broek T, Reinders I, Wijnhoven HAH, Nieuwdorp M, Visser M, IJzerman RG, Keijser BJF. The Effect of Dietary Advice Aimed at Increasing Protein Intake on Oral Health and Oral Microbiota in Older Adults: A Randomized Controlled Trial. Nutrients 2023; 15:4567. [PMID: 37960220 PMCID: PMC10647493 DOI: 10.3390/nu15214567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Revised: 10/20/2023] [Accepted: 10/23/2023] [Indexed: 11/15/2023] Open
Abstract
Nutrition and oral health are closely related, especially in older adults in whom poor nutrition may lead to oral microbial perturbations, exacerbating poor oral health. In a 6-month randomized controlled trial, we evaluated the effects on oral microbiota and on oral health of dietary advice aimed at increasing protein intake to ≥1.2 g/kg adjusted body weight/day (g/kg aBW/d) in community-dwelling older adults with low habitual protein intake (<1.0 g/kg aBW/d). Food intake was measured via 24 h dietary recalls, oral health was measured via questionnaires, and oral microbial composition was assessed via the 16S rRNA sequencing of tongue swabs. Mean baseline protein intake was 0.8 g/kg aBW/day in both groups. In the high protein group (n = 47), participants increased their protein intake to mean 1.2 g/kg aBW/day at the 6-month follow-up. Protein intake in the control group (n = 43) remained at 0.9 g/kg a BW/day. The intervention did not affect self-reported oral health. While it caused moderate shifts in oral microbiota alpha- and beta-diversity measures, abundances of individual bacterial taxa were not affected. In conclusion, our intervention did not affect self-reported oral health within a period of 6 months, nor did it substantially affect the tongue microbiota composition.
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Affiliation(s)
- Kristina S. Fluitman
- Department of Internal Medicine, Amsterdam University Medical Centers, Location VUmc, 1081 HV Amsterdam, The Netherlands
- Amsterdam Public Health Research Institute, 1081 HV Amsterdam, The Netherlands
| | - Tim van den Broek
- Department of Microbiology and Systems Biology, TNO Earth, Life and Social Sciences, 3704 HE Zeist, The Netherlands
| | - Ilse Reinders
- Amsterdam Public Health Research Institute, 1081 HV Amsterdam, The Netherlands
- Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands
| | - Hanneke A. H. Wijnhoven
- Amsterdam Public Health Research Institute, 1081 HV Amsterdam, The Netherlands
- Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands
| | - Max Nieuwdorp
- Department of Internal Medicine, Amsterdam University Medical Centers, Location VUmc, 1081 HV Amsterdam, The Netherlands
- Department of Vascular Medicine, Amsterdam University Medical Centers, Location AMC, 1105 AZ Amsterdam, The Netherlands
| | - Marjolein Visser
- Amsterdam Public Health Research Institute, 1081 HV Amsterdam, The Netherlands
- Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands
| | - Richard G. IJzerman
- Department of Internal Medicine, Amsterdam University Medical Centers, Location VUmc, 1081 HV Amsterdam, The Netherlands
| | - Bart J. F. Keijser
- Department of Microbiology and Systems Biology, TNO Earth, Life and Social Sciences, 3704 HE Zeist, The Netherlands
- Department of Preventive Dentistry, Academic Center for Dentistry Amsterdam, University of Amsterdam and VU University, 1081 LA Amsterdam, The Netherlands
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Al-Sultani HFF, Breckons M, Field J, Thomason JM, Moynihan P. Development of patient-centric eating advice for complete denture wearers. Gerodontology 2023; 40:56-73. [PMID: 35067964 DOI: 10.1111/ger.12618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 12/01/2021] [Accepted: 12/15/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Edentulous people eat less healthily, and wearing dentures impairs eating function and enjoyment. OBJECTIVE To apply a sequential approach to integrate scientific evidence, and patient and professional experience to co-develop intervention to support better eating with dentures. METHODS Focus groups, two with purposive samples of patients and two with dental professionals, explored experiences and opinions about advice on eating with complete dentures. Findings were distilled with evidence from the literature to underpinned concepts for eating interventions. User engagement informed prioritisation of ideas and led to the development of a leaflet on eating with dentures. RESULTS Patients receive no advice on what they can realistically expect when eating with dentures, and professionals lacked confidence to provide eating advice. Patients did not think dentists a credible provider of eating advice, feeling peer support more appropriate and offering numerous strategies for eating with dentures. Concepts for eating intervention included a patient leaflet, Web-based eating interventions, patient support blogs, waiting room videos and improved nutrition training for dental professionals. User feedback informed prioritisation of ideas, leading to the development of a leaflet on eating with dentures. Justified by the data, the leaflet focused on patient-generated tips for overcoming the functional limitations of eating with dentures, and unobtrusive healthier eating advice. Face validity with users confirmed acceptability. CONCLUSION A systematic and rigorous integration of scientific evidence, expert experience and patient input has developed a patient-centric, evidence-based approach to a patent leaflet on eating with dentures that, based on initial face validity, is likely to be well received.
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Affiliation(s)
- Hassan Faleeh Farhan Al-Sultani
- School of Dental Sciences, Newcastle University, Newcastle upon Tyne, UK.,Department of Paediatrics, Orthodontics and Preventive Dentistry, Faculty of Dentistry, University of Babylon, Hillah, Iraq
| | - Matthew Breckons
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
| | - James Field
- School of Dental Sciences, Newcastle University, Newcastle upon Tyne, UK.,Cardiff University School of Dentistry, University Dental Hospital, Cardiff, UK
| | - J Mark Thomason
- School of Dental Sciences, Newcastle University, Newcastle upon Tyne, UK
| | - Paula Moynihan
- School of Dental Sciences, Newcastle University, Newcastle upon Tyne, UK.,Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia
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Lee YH, Myong JP. Relationship between Bone Mineral Density and Dental Caries in Koreans by Sex and Menopausal State. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19116917. [PMID: 35682500 PMCID: PMC9180879 DOI: 10.3390/ijerph19116917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 06/02/2022] [Accepted: 06/03/2022] [Indexed: 11/16/2022]
Abstract
We aimed to investigate the relationship between bone mineral density and dental caries in adults of over 19 years of age who were categorized according to their sex and menopausal status. The Korea National Health and Nutrition Examination Survey (KNHANES) dataset was used for the study. Bone mineral density (BMD) and oral health examination data were collected between 2008 and 2011. A total of 17,141 adults of ≥19 years old were eligible for inclusion in the present study. Multiple regression analysis was performed after adjustment for age, household income, educational level, smoking status, and alcohol drinking status for men, and pre- and post-menopausal women. In men, the β-value for the mean decayed, missing, and filled teeth (DMFT) index was 0.98 (95% confidence interval (CI) = 0.71−1.25), and was significantly higher in osteoporotic participants than in participants with normal BMD (p < 0.05). In post-menopausal women, the β-value for the mean DMFT index was 0.86, and was higher in the osteoporotic participants than in the participants with normal BMD (p < 0.05). Men and post-menopausal women with osteoporosis had higher DMFT indexes than those with normal BMD. In addition, there was a correlation between DMFT index and BMD in men and post-menopausal women. Therefore, the prevention of osteoporosis should be implemented alongside proper oral care.
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Affiliation(s)
- Yun-Hee Lee
- Department of Urology, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul 06591, Korea;
| | - Jun-Pyo Myong
- Department of Occupational & Environmental Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul 06591, Korea
- Correspondence: or ; Tel.: +82-2-2258-6267
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Atanda AJ, Livinski AA, London SD, Boroumand S, Weatherspoon D, Iafolla TJ, Dye BA. Tooth retention, health, and quality of life in older adults: a scoping review. BMC Oral Health 2022; 22:185. [PMID: 35585618 PMCID: PMC9118621 DOI: 10.1186/s12903-022-02210-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Accepted: 04/11/2022] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE This scoping review describes the relationship between tooth retention, health, and quality of life in older adults. METHODS Seven databases were searched for English language articles for subjects ≥ 65 y from 1981 to 2021. Exposure was tooth retention (≥ 20), and outcomes were general/systemic health and quality of life. Methodological quality was assessed using the Newcastle-Ottawa Scale and Cochrane Risk of Bias 2.0 tool. RESULTS 140 articles were included, only four were randomized trials. Inter-rater agreement (κ) regarding study inclusion was 0.924. Most were assessed with low risk of bias (n = 103) and of good quality (n = 96). Most studies were conducted in Japan (n = 60) and Europe (n = 51) and only nine in the US. Tooth retention was referred to as "functional dentition" in 132 studies and "shortened dental arch" in 19 studies. Study outcomes were broadly synthesized as (1) cognitive decline/functional dependence, (2) health status/chronic diseases, (3) nutrition, and (4) quality of life. DISCUSSION There is a positive relationship between tooth retention, overall health, and quality of life. Older adults retaining ≥ 20 teeth are less likely to experience poorer health. Having < 20 teeth increases the likelihood for functional dependence and onset of disability, and may affect successful ageing. This review supports the general finding that the more teeth older adults retain as they age, the less likely they are to have adverse health outcomes. However, significant knowledge gaps remain which can limit decision-making affecting successful ageing for many older adults. This review highlights the need to consider, as an important marker of oral health and function, the retention of a functional minimum of a natural dentition, rather than a simple numeric score of missing teeth.
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Affiliation(s)
- Adejare Jay Atanda
- National Institute of Dental and Craniofacial Research, National Institutes of Health, 31 Center Dr., Suite 5B55, Bethesda, MD, USA.
- National Library of Medicine, National Institutes of Health, Bethesda, MD, USA.
| | - Alicia A Livinski
- National Institutes of Health Library, Office of Research Services, OD, National Institutes of Health, Bethesda, MD, USA
| | - Steven D London
- National Institute of Dental and Craniofacial Research, National Institutes of Health, 31 Center Dr., Suite 5B55, Bethesda, MD, USA
- National Library of Medicine, National Institutes of Health, Bethesda, MD, USA
- School of Dental Medicine, Stony Brook University, Stony Brook, NY, USA
| | - Shahdokht Boroumand
- National Institute of Dental and Craniofacial Research, National Institutes of Health, 31 Center Dr., Suite 5B55, Bethesda, MD, USA
| | | | - Timothy J Iafolla
- National Institute of Dental and Craniofacial Research, National Institutes of Health, 31 Center Dr., Suite 5B55, Bethesda, MD, USA
| | - Bruce A Dye
- National Institute of Dental and Craniofacial Research, National Institutes of Health, 31 Center Dr., Suite 5B55, Bethesda, MD, USA.
- School of Dental Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
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Honeywell S, Samavat H, Touger-Decker R, Parrott JS, Hoskin E, Zelig R. Associations between Dentition Status and Nutritional Status in Community-Dwelling Older Adults. JDR Clin Trans Res 2022; 8:23800844211063859. [PMID: 35000489 DOI: 10.1177/23800844211063859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND/OBJECTIVE Older adults are at higher risk of malnutrition. The aim of this study was to explore associations between nutritional status and dentition status among older adults seeking care in a dental clinic. METHODS This was a cross-sectional study of data from older adults (65-89 y) who received care at a northeastern US urban dental school clinic between June 2015 and June 2020 (N = 305). Clinical and demographic data were obtained from the electronic health record; nutritional status was determined using the Self-Mini Nutritional Assessment (Self-MNA), and odontograms and digital radiography were used to determine dental data. Adjusted multivariable models were used to explore associations between variables. RESULTS The sample was 53.8% female with a median age of 72.0 y. The median Self-MNA score was 13, reflective of normal nutritional status; 29.5% were at risk of or had malnutrition. Median numbers of teeth and posterior and anterior occluding pairs of teeth (POP, AOP) were 18.0, 2.0, and 5.0, respectively. Those with normal nutritional status had significantly more teeth, POPs, and AOPs than those at risk of or with malnutrition (P = 0.015, P = 0.015, and P = 0.039, respectively). Every additional unit increase in the number of natural or restored teeth or POP was associated with significantly lower odds of being at risk of or with malnutrition (3% and 13%, respectively). Having functional dentition was associated with 46% lower odds of being at risk of or with malnutrition. CONCLUSION This study demonstrated that older adults who had more teeth, better occlusion, and functional dentition were more likely to be of normal nutritional status than those who had less teeth, had poorer occlusion, and lacked functional dentition. Further research with larger, more diverse samples and varied measures of dentition are needed to better understand the associations between nutritional status and dentition status. KNOWLEDGE TRANSFER STATEMENT The findings from this study suggest that older adults with fewer teeth and therefore less efficient occlusion are at higher risk for malnutrition than those with more teeth and better occlusion. Health care professionals should include screening for dentition and malnutrition as part of their routine practice to identify patients who may have tooth loss and be at risk of malnutrition and refer them accordingly for interventions to optimize oral health and nutritional status.
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Affiliation(s)
- S Honeywell
- Department of Clinical and Preventive Nutrition Sciences, School of Health Professions, Rutgers University, Newark, NJ, USA
| | - H Samavat
- Department of Clinical and Preventive Nutrition Sciences, School of Health Professions, Rutgers University, Newark, NJ, USA
| | - R Touger-Decker
- Department of Clinical and Preventive Nutrition Sciences, School of Health Professions, Rutgers University, Newark, NJ, USA
- Department of Diagnostic Sciences, School of Dental Medicine, Rutgers University, Newark, NJ, USA
| | - J S Parrott
- Department of Interdisciplinary Studies, School of Health Professions, Rutgers University, Newark, NJ, USA
| | - E Hoskin
- Division of Restorative Dentistry, Rutgers School of Dental Medicine, Newark, NJ, USA
| | - R Zelig
- Department of Clinical and Preventive Nutrition Sciences, School of Health Professions, Rutgers University, Newark, NJ, USA
- Department of Diagnostic Sciences, School of Dental Medicine, Rutgers University, Newark, NJ, USA
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Yi NY, Choi JH. Evaluation of the nutrient quotient for the elderly (NQ-E) using congregate meal services according to their oral health conditions. Nutr Res Pract 2022; 16:628-645. [PMID: 36238384 PMCID: PMC9523199 DOI: 10.4162/nrp.2022.16.5.628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2021] [Revised: 11/12/2021] [Accepted: 12/02/2021] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND/OBJECTIVES The purposes of this study were to evaluate the nutritional status and dietary habits of the elderly using the nutrition quotient for the elderly (NQ-E) and to analyze the differences in the NQ-E according to their levels of oral health. SUBJECTS/METHODS The survey was administered to 123 elderly people receiving congregate meal services in Seoul. The questionnaire comprised 3 domains: oral health status, general characteristics, and the NQ-E for the elderly. RESULTS The respondents were divided into 2 groups based on the average score of their levels of oral health (the group with high oral health scores: 4.42 points and the group with low oral health scores: 2.89 points). As a result of evaluating nutritional status using the NQ-E, it was found that the average NQ-E score was 58.7 points, with 46.0 points in the balance domain, 47.0 points in the diversity domain, 72.9 points in the moderation domain, and 61.8 points in the dietary behavior domain. The NQ-E score (62.3 points) of the group with high oral health scores is significantly higher than the NQ-E score (54.7 points) of the group with low oral health scores (P < 0.001). Concerning the NQ domain scores, the elderly with good oral health status had “favorable” results in terms of balance and dietary behavior, and the elderly with poor oral health status had “favorable” results only in terms of balance. CONCLUSIONS Overall, several dietary areas needed improvement in general. Those with poor oral health conditions urgently needed to improve related factors to minimize the risk of increasing imbalanced nutrition and comorbidities due to insufficient nutrition and undesirable eating habits.
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Affiliation(s)
- Na-Young Yi
- Department of Food and Nutrition, Daejeon University, Daejeon 34520, Korea
| | - Jung-Hwa Choi
- Department of Food and Nutrition, Soongeui Women’s College, Seoul 04628, Korea
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Da D, Ge S, Zhang H, Zeng X, Jiang Y, Yu J, Wang H, Wu W, Xiao Z, Liang X, Ding D, Zhang Y. Association of occlusal support with type 2 diabetes: A community-based study. Front Endocrinol (Lausanne) 2022; 13:934274. [PMID: 36004339 PMCID: PMC9393363 DOI: 10.3389/fendo.2022.934274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Accepted: 07/12/2022] [Indexed: 11/13/2022] Open
Abstract
Occlusal support was proved to be associated with type 2 diabetes. Our aim was to investigate the association between the Eichner index and the prevalence of type 2 diabetes. We included 715 participants with oral health examinations in the Shanghai Aging Study. The occlusal support status was determined by the number of functional occlusal support areas and Eichner index classifications. Those with fasting plasma glucose ≥126 mg/dL and/or hemoglobin A1c ≥6.5% and/or current medications for type 2 diabetes with relevant medical history were diagnosed with type 2 diabetes. Multiple logistic regression models were used to analyze the relationship between occlusal support status and type 2 diabetes. The average age of 715 participants was 73.74 ± 6.49 years old. There were 84 diabetics with 1.71 occlusal supporting areas on average. Seven hundred and fifteen participants were divided into 3 groups according to Eichner classifications: Eichner group A with 4 occlusal functional areas, Eichner group B with 1-3 occlusal functional areas or 0 area with anterior occlusal contact, and Eichner group C with no functional occlusal contact. Blood glucose level was significantly lower in participants of Eichner group A compared to those in group B or C. The ordinal logistic regression showed more occlusal supporting areas were significantly associated with less type 2 diabetes cases with an Odds Ratio(OR) of 0.253(95%CI 0.108-0.594) after adjusting covariates. Participants in Eichner group A had a significantly much lower OR of 0.078 for type 2 diabetes (95%CI 0.009-0.694) compared to those in Eichner group C after adjustment. The number of functional occlusal support areas might be inversely related to the blood glucose level and the prevalence of type 2 diabetes.
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Affiliation(s)
- Dongxin Da
- Department of Preventive Dentistry, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China
| | - Suyu Ge
- Department of Preventive Dentistry, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China
| | - Hao Zhang
- Department of Preventive Dentistry, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China
| | - Xiaoli Zeng
- Department of Preventive Dentistry, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China
| | - Yiwei Jiang
- Department of Preventive Dentistry, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China
| | - Jin Yu
- Department of Preventive Dentistry, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China
| | - Huning Wang
- Department of Preventive Dentistry, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China
| | - Wanqing Wu
- Institute of Neurology, Huashan Hospital, Fudan University, Shanghai, China
- National Center for Neurological Disorders, Huashan Hospital, Fudan University, Shanghai, China
- National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Zhenxu Xiao
- Institute of Neurology, Huashan Hospital, Fudan University, Shanghai, China
- National Center for Neurological Disorders, Huashan Hospital, Fudan University, Shanghai, China
- National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Xiaoniu Liang
- Institute of Neurology, Huashan Hospital, Fudan University, Shanghai, China
- National Center for Neurological Disorders, Huashan Hospital, Fudan University, Shanghai, China
- National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Ding Ding
- Institute of Neurology, Huashan Hospital, Fudan University, Shanghai, China
- National Center for Neurological Disorders, Huashan Hospital, Fudan University, Shanghai, China
- National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China
- *Correspondence: Ying Zhang, ; Ding Ding,
| | - Ying Zhang
- Department of Preventive Dentistry, Shanghai Stomatological Hospital & School of Stomatology, Fudan University, Shanghai, China
- Shanghai Key Laboratory of Craniomaxillofacial Development and Diseases, Fudan University, Shanghai, China
- *Correspondence: Ying Zhang, ; Ding Ding,
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Milledge K, Cumming RG, Wright FA, Naganathan V, Blyth FM, Le Couteur DG, Waite LM, Handelsman DJ, Hirani V. Associations between the composition of functional tooth units and nutrient intake in older men: the Concord Health and Ageing in Men Project. Public Health Nutr 2021; 24:6335-6345. [PMID: 34412721 PMCID: PMC11148599 DOI: 10.1017/s1368980021003566] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Inadequate nutrient intakes have been linked with poor dentition in older adults. The aim of this study was to investigate the associations between the composition of functional tooth units (FTU) and nutrient intakes in older men. DESIGN A cross-sectional study with a standardised validated diet history assessment and comprehensive oral health assessments. FTU were categorised by dentition type: (i) Group A (Natural FTU Only), (ii) Group B (Natural and Replaced FTU) and (iii) Group C (No Natural FTU). Attainment of nutrient reference values (NRV) for sixteen micronutrients was incorporated into a micronutrient risk variable, dichotomised 'good' (≥ 12) or 'poor' (≤ 11), and for seven macronutrients into a macronutrient risk variable, dichotomised 'good' (≥ 5) or 'poor' (≤ 4). SETTING Subjects selected from the local Sydney geographical areas. PARTICIPANTS Community-dwelling older men (n 608). RESULTS 32 % (n 197) of participants were categorised as Group A, 27 % (n 167) as Group B and 40 % (n 244) as Group C. In adjusted logistic regression analysis, being in Group C, compared with Group A, was associated with intakes below NRV recommendations for fibre (OR: 2·30, 95 % CI 1·30, 4·05). Adjusted analysis also showed that men in Group C, compared with Group A, were more likely to have poor intake of macronutrients (OR: 2·00, 95 % CI 1·01, 3·94). CONCLUSIONS Our study shows statistically significant associations between the composition of FTU and poor macronutrient intakes. Maintaining natural pairs of occluding FTU may be important for attaining adequate nutrient intakes in older men.
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Affiliation(s)
- Kate Milledge
- Discipline of Nutrition and Dietetics, Sydney School of Nursing, Faculty of Medicine, University of Sydney, Sydney, NSW, Australia
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, NSW2139, Australia
- The ARC Centre of Excellence in Population Ageing Research (CEPAR), University of New South Wales, Sydney, NSW, Australia
- School of Public Health, University of Sydney, Sydney, NSW, Australia
| | - Robert G Cumming
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, NSW2139, Australia
- The ARC Centre of Excellence in Population Ageing Research (CEPAR), University of New South Wales, Sydney, NSW, Australia
- School of Public Health, University of Sydney, Sydney, NSW, Australia
| | - Frederick Ac Wright
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, NSW2139, Australia
| | - Vasi Naganathan
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, NSW2139, Australia
- Concord Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
| | - Fiona M Blyth
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, NSW2139, Australia
- School of Public Health, University of Sydney, Sydney, NSW, Australia
| | - David G Le Couteur
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, NSW2139, Australia
- ANZAC Research Institute, University of Sydney, Sydney, NSW, Australia
| | - Louise M Waite
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, NSW2139, Australia
| | | | - Vasant Hirani
- Discipline of Nutrition and Dietetics, Sydney School of Nursing, Faculty of Medicine, University of Sydney, Sydney, NSW, Australia
- Centre for Education and Research on Ageing, Concord Hospital, University of Sydney, Sydney, NSW2139, Australia
- The ARC Centre of Excellence in Population Ageing Research (CEPAR), University of New South Wales, Sydney, NSW, Australia
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Factors Affecting Dietary Improvements in Elderly Residents of Long-Term Care Institutions Receiving Domiciliary Dental Care. MEDICINES 2021; 8:medicines8110062. [PMID: 34822359 PMCID: PMC8622908 DOI: 10.3390/medicines8110062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 10/15/2021] [Accepted: 10/19/2021] [Indexed: 11/21/2022]
Abstract
Background: Oral disabilities occur due to tooth loss. This study aimed to investigate oral and systemic factors related to diet in elderly residents receiving domiciliary dental care. Methods: The subjects were 74 consenting residents. Survey items included whether subjects could eat independently and diet type. Subjects were examined by the dentist for the number of teeth, occlusal support index, and wearing dentures. Contingency table analysis was performed to determine what levels of decline in general and oral functions led to difficulties eating a normal diet. Results: There was a significant difference in the mean number of activities of daily living (ADL) requiring assistance evident between subjects eating a normal diet and those eating fluid boiled rice (p < 0.01). A comparison of occlusal support and diet type showed that most subjects who ate a soft diet or gruel had no occlusal support. Almost all subjects who ate a normal diet wore dentures. However, only 38% of subjects eating a soft diet and 40% of those eating gruel did wear dentures; both group differences were significant (p < 0.01). Conclusions: Future studies need to further investigate oral factors related to the type of diet and their relationships to domiciliary dental care in older adults.
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Moynihan P, Varghese R. Impact of Wearing Dentures on Dietary Intake, Nutritional Status, and Eating: A Systematic Review. JDR Clin Trans Res 2021; 7:334-351. [PMID: 34210202 DOI: 10.1177/23800844211026608] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
INTRODUCTION A key purpose of denture provision is to enable eating, yet the body of evidence pertaining to the impact of dentures on wide-ranging nutritional outcomes has not been systematically reviewed. OBJECTIVES To systematically review published evidence pertaining to the effect of wearing removable dental prosthesis on dietary intake, nutritional status, eating function, and eating related-quality of life (ERQoL). METHODS Eight questions relating to the impact of wearing dentures on nutritional outcomes were addressed. The target population was healthy adults aged ≥18 y. Data sources included Medline, Embase, CINAHL, and PubMed. Included were all human epidemiologic studies. The Newcastle-Ottawa score was used for appraisal of study quality. Harvest plots, vote counting, and accompanying narrative provided the basis for synthesis. RESULTS Of the 1,245 records identified, 134 were retrieved and eligibility assessed by 2 reviewers, and 41 studies were included in the synthesis (14 rated good quality, 20 fair, and 7 poor). The balance of data supported a positive impact of wearing full (5/7 studies) or partial (3/3 studies) dentures (vs. no dentures) on nutritional status, though no clear direction of effect was detected for the impact of dentures on dietary intake. The balance of data clearly showed that objective measures of eating function were compromised in full (14/15 studies) and partial (6/7 studies) denture wearers as compared with the dentate. Data showed that ERQoL was also compromised in denture wearers as compared with the dentate (3/3 studies). However, data showed a positive impact of wearing dentures on ERQoL (5/5 studies) as opposed to wearing no dentures. CONCLUSION The balance of evidence shows that despite no clear pattern on impact of wearing dentures on measured dietary intake, in those with tooth loss, wearing dentures can have a positive impact on nutritional status and enjoyment of eating. KNOWLEDGE TRANSFER STATEMENT The results of this systematic review can be used to advocate for health care services to address prosthodontic need to benefit nutritional outcomes. The findings will be of use in educating health care professionals on the impact of wearing dentures and not addressing prosthodontic need on nutritional outcomes.
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Affiliation(s)
- P Moynihan
- Adelaide Dental School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia
| | - R Varghese
- Glaxosmithkline Consumer Healthcare, Weybridge, UK
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Zaitsu T, Ohnuki M, Ando Y, Kawaguchi Y. Evaluation of occlusal status of Japanese adults based on functional tooth units. Int Dent J 2021; 72:100-105. [PMID: 33965238 PMCID: PMC9275336 DOI: 10.1016/j.identj.2021.02.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Accepted: 02/22/2021] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVES Although extensive national oral health data on dental caries and periodontal diseases in Japan are available, few studies have assessed the occlusal status of the Japanese population, and none are based on national survey data. The presence and prosthodontic conditions of the molar region are important for masticatory function, and the functional tooth unit (FTU) approach can be used to evaluate the occlusal status. Thus, using the national oral health survey data, this study investigated the occlusal status of the Japanese population using FTU. METHODS Overall, 3,605 adults (aged ≥20 years) who participated in the 2011 Japanese national oral health survey were included. FTUs were used as indices for evaluating the occlusal status. FTUs were calculated according to sex, age group, and the number of teeth present, and their associations were further analysed. RESULTS The number of teeth present, posterior teeth, and FTUs decreased with age in both men and women. In the age group of those ≥60 years, all only natural teeth-FTU (n-FTU) and natural teeth and artificial teeth from fixed prostheses or implant-supported FTU (nif-FTU) scores were <8. The total-FTU scores of all age groups, except the 60-69 and 70-79 years age groups, were >10. CONCLUSION This is the first study to use FTUs and national oral health survey data to investigate the occlusal status in the Japanese population. People aged ≥60 years who have low n-FTU or natural teeth and artificial teeth from fixed prostheses or implant-supported FTU scores or those aged 60-70 years who have the lowest total-FTU scores require careful evaluation of masticatory performance.
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Affiliation(s)
- Takashi Zaitsu
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
| | - Mari Ohnuki
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Yuichi Ando
- Department of Health Promotion, National Institute of Public Health, Saitama, Japan
| | - Yoko Kawaguchi
- Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
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Turgut H, Turgut S. Effect of Edentulism and Oral Quality of Life on Sexual Functions in Men: A Cohort Prospective Study. Sex Med 2021; 9:100305. [PMID: 33529813 PMCID: PMC8072162 DOI: 10.1016/j.esxm.2020.100305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Revised: 12/09/2020] [Accepted: 12/13/2020] [Indexed: 10/26/2022] Open
Abstract
INTRODUCTION Edentulism has a serious impact on quality of life (QoL), and changes in QoL can affect sexual functioning. AIM To assess the correlation between oral health-related quality of life (OHQoL) and sexual function in edentulous men. METHODS A total of 148 men (18-70 years) with incomplete natural dentition completed the International Index of Erectile Function (IIEF) and Oral Health Impact Profile (OHIP-14) at 4 time points: before (T0), during (T1), 4 weeks after (T2), and 1 year (T3) after dental treatment. Kruskal-Wallis, Friedman, and Spearman's rank correlation tests were used for statistical analyses (significance at P < .05). RESULTS IIEF total scores differed significantly between the time points (P < .001), with medians and interquartile ranges (IQR) of 46 (7), 42 (8), 49 (6), and 52 (5) at T0, T1, T2, and T3, respectively. The highest rate of sexual dysfunction was detected at T1 (42.2%) and the lowest at T3 (26.6%). IIEF domain scores also decreased at T1 and increased at T2 and T3 compared with T0 (P < .05). Median (IQR) OHIP-14 scores were 26.0 (8), 28.0 (8), 20.0 (6), and 18.0 (5), respectively (P < .001). OHIP score was significantly correlated with IIEF domain scores (P < .05) and there were strong negative correlations between OHIP and total IIEF scores at T0 (r = -0.737), T1 (r = -0.802), T2 (r = -0.831), and T3 (r = -0.722) (P = <.001 for all). MAIN OUTCOME MEASURE Changes and correlations in IEFF and OHIP-14 scores; SD and ED prevalances at T0; T1; T2 and T3 periods. CLINICAL IMPLICATIONS Sexual functions was significantly correlate with OHQoL; thus patients with ED should also be examined in terms of toothlessness. CONCLUSION OHQoL was significantly associated with sexual function in men. However, correcting the problem of edentulism improved OHQoL and sexual function, with the best results observed after 1-year follow-up. H Turgut, S Turgut. Effect of Edentulism and Oral Quality of Life on Sexual Functions in Men: A Cohort Prospective Study. Sex Med 2021;9:100305.
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Affiliation(s)
- Hasan Turgut
- Avrasya University, Faculty of Health Sciences, Trabzon, Turkey; Department of Urology, Medikalpark Karadeniz Hospital, Trabzon, Turkey.
| | - Sedanur Turgut
- Karadeniz Technical University, Faculty of Dentistry, Trabzon, Turkey
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15
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Simon L, Ahern J, Fox K, Barrow J, Palmer N. Variation in dental services by rurality among privately insured adults in the United States. J Public Health Dent 2020; 81:50-56. [PMID: 32918758 DOI: 10.1111/jphd.12398] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 06/30/2020] [Accepted: 08/25/2020] [Indexed: 02/06/2023]
Abstract
OBJECTIVES Rurality is associated with reduced dental access and worse oral health outcomes. It is unknown whether there is variation in dental services received by rural adults who visit a dentist. METHODS This was a retrospective analysis of claims data from a large private insurer. All individuals who had at least one dental visit in 2018 were included. Patient demographics, whether or not a patient's ZIP code was rural as defined by the Federal Office of Rural Health Policy, as well as ZIP code demographics were collected. Differences in the frequency of dental services received were evaluated using χ2 tests. Multilevel logistic regressions were used to evaluate the individual and ZIP code-level correlates of receiving a preventive dental procedure, a tooth extraction, or a denture-related dental procedure. RESULTS Rates of preventive, oral and maxillofacial surgery, and denture-related procedures were higher among rural adults. Accounting for individual age and gender, and ZIP code average income and dentist density, rural dwellers were more likely to receive a preventive procedure [odds ratio (OR) 1.15, P < 0.0001] or tooth extraction (OR 1.08, P < 0.0001), and less likely to have a denture-related procedure (OR 0.94, P = 0.015) compared to nonrural dwellers. Female gender was the strongest predictor of receiving a preventive procedure (OR 1.30, P < 0.0001). CONCLUSIONS Even among privately insured individuals with known access to dental care, rurality was associated with significant differences in the frequency of various dental procedures. Rural dental patients may have higher needs for oral surgical procedures, even when they have access to preventive care.
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Affiliation(s)
- Lisa Simon
- Harvard School of Dental Medicine, Boston, MA, USA.,Brigham and Women's Hospital, Boston, MA, USA
| | - John Ahern
- Harvard School of Dental Medicine, Boston, MA, USA
| | - Kathe Fox
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA
| | - Jane Barrow
- Harvard School of Dental Medicine, Boston, MA, USA
| | - Nathan Palmer
- Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA
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Mitri R, Fakhoury Sayegh N, Boulos C. Factors associated with oral health‐related quality of life among Lebanese community‐dwelling elderly. Gerodontology 2020; 37:200-207. [DOI: 10.1111/ger.12463] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Revised: 12/20/2019] [Accepted: 01/10/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Rosy Mitri
- Department of Nutrition & Dietetics Faculty of Health Sciences Beirut Arab University Tripoli Lebanon
| | | | - Christa Boulos
- Department of Nutrition Faculty of Pharmacy Saint Joseph University Beirut Lebanon
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Simon L, Silk H, Savageau J, Sullivan K, Riedy C. Oral Health Training in Osteopathic Medical Schools: Results of a National Survey. J Osteopath Med 2019; 118:463-471. [PMID: 29946664 DOI: 10.7556/jaoa.2018.100] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
Context Oral health is a critical aspect of overall health, yet many vulnerable communities struggle to access regular dental care and instead seek urgent treatment from physicians. In addition to addressing the consequences of untreated dental disease, physicians are in an ideal position to provide preventive and referral dental services to patients. Osteopathic physicians make up a substantial portion of the physician workforce and can play a central role in increasing oral health care provision in medical settings. Objective To assess the extent of oral health curricula in osteopathic medical schools in the United States, including content taught, evaluation practices, and influences and barriers to providing oral health training perceived by educators at these institutions. Methods An invitation to participate in the survey was sent electronically to deans of education at all osteopathic medical schools in the United States. Four email reminders followed the initial invitation. In addition to descriptive statistics, the associations between the number of curriculum hours, affiliation with a dental school, and curricular content were evaluated. Results Of the 42 institutions contacted, 22 responded (response rate, 52%). The majority of respondents (20 of 22 [91%]) reported the presence of some oral health education at their institutions. Eighteen of 20 respondents (90%) reported that their institution offered at least 1 hour of oral health curriculum over the course of students' education. Greater numbers of curriculum hours were not significantly associated with dental school affiliation or a formalized relationship with oral health educators. Institutions affiliated with dental schools were significantly more likely to include oral health in interprofessional education exercises (P=.023) but were not significantly more likely to cover any specific oral health topics. Seven of 17 respondents (41%) were satisfied with the level of oral health competence their graduates possessed. Conclusion Oral health education is present at many osteopathic medical schools, but the content covered and the extent of training varies considerably.
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Khozeimeh F, Tahani B, Saberi Z, Gholi A. Evaluation of Knowledge, Attitudes and Oral Health-related Nutritional Performance of Diabetic Patients Referred to the Diabetes Research Center in Isfahan-Iran, 2016. Open Dent J 2019. [DOI: 10.2174/1874210601913010165] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background:
Type II diabetes is a chronic disease, with an ever-increasing incidence, concomitant with an increase in the number of the elderly. It is one of the conditions that can affect the orodental health. In general, the diabetes-related oral problems include dental caries, xerostomia, oral candidiasis, periodontal diseases and consumption of inappropriate foodstuff.
Objective:
The aim of this study was to evaluate knowledge, attitudes and oral health-related nutritional performance of diabetic patients referred to the diabetes center research in Isfahan-Iran, 2016.
Methods:
In the present cross-sectional study, 362 diabetic subjects (142 females and 220 males) referred to the Research Center for Endocrine Glands and Metabolism in Isfahan, were evaluated after being selected by simple random sampling technique. The frequency distribution of demographic data (gender, marital status, occupation, affliction with orodental diseases, disease history, and use of medications and supplements) were evaluated. The relationships of the variables above and the knowledge, attitude and performance scores of the subjects were evaluated. Data were analyzed with independent t-test, Pearson’s correlation coefficient and Spearmen’s correlation coefficient.
Results:
There were no significant relationships between orodental diseases and the mean scores of knowledge, attitudes and performance of the subjects. The mean scores of knowledge, attitudes and performance of the subjects were 33.8 ± 11.2, 53.311.01 and 53.7 ± 6.9 out of 100, respectively.
Conclusion:
The oral-health related nutritional knowledge of diabetic subjects was poor. Programs should be prepared to improve the knowledge and oral health-related nutritional performance of diabetic patients.
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Kanazawa M, Suzuki H, Komagamine Y, Iwaki M, Amagai N, Minakuchi S. Combined effects of new complete denture fabrication and simplified dietary advice on nutrient intake in edentulous elderly patients for 6 months. Clin Oral Investig 2018; 23:2245-2252. [PMID: 30280328 DOI: 10.1007/s00784-018-2669-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2018] [Accepted: 09/25/2018] [Indexed: 11/28/2022]
Abstract
OBJECTIVE The aim was to evaluate the combined effects of a new complete denture fabrication and simple dietary advice (using unique pamphlets) by dentists on nutrient intake in edentulous elderly patients. MATERIALS AND METHODS A randomized controlled trial was performed on edentulous elderly patients who were randomly allocated to either an intervention or a control group. The intervention group received a new complete denture and simple dietary advice, whereas the control group received a new complete denture and denture care advice. The outcomes of this trial (nutrient intakes) were calculated using a brief-type self-administered diet history questionnaire (BDHQ) and assessed at three time points (pretreatment and 3 and 6 months post-treatment). RESULTS At 3 months post-treatment, the intake of several nutrients such as proteins (p = 0.004), magnesium (p < 0.001), and vitamin B1 (p = 0.014) was significantly higher in the intervention group than the control group, whereas at 6 months post-treatment, plant protein (p = 0.028) intake was significantly higher in the intervention group than the control group. On the contrary, animal protein (p = 0.049) and vitamin B12 (p = 0.028) intakes were significantly higher in the control group. CONCLUSIONS New complete denture fabrication with simple dietary advice might improve nutrient intake in elderly edentulous patients; however, the effect is probably short term. CLINICAL SIGNIFICANCE New complete denture fabrication along with simple dietary advice by dentists might improve nutrient intake in edentulous elderly patients. Therefore, regular use of these interventions in the dental setting might have long-term effects on nutrient intake in elderly edentulous patients. TRIAL REGISTRATION UMIN-CTR Clinical Trial, unique trial number: UMIN000017879.
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Affiliation(s)
- Manabu Kanazawa
- Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, TMDU, Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
| | - Hiroyuki Suzuki
- Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, TMDU, Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan.
| | - Yuriko Komagamine
- Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, TMDU, Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
| | - Maiko Iwaki
- Oral Diagnosis and General Dentistry, University Hospital of Dentistry, Tokyo Medical and Dental University, TMDU, Tokyo, Japan
| | - Noriko Amagai
- Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, TMDU, Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
| | - Shunsuke Minakuchi
- Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, TMDU, Yushima, Bunkyo-ku, Tokyo, 113-8549, Japan
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Chatzopoulos GS, Cisneros A, Sanchez M, Wolff LF. Systemic medical conditions and periodontal status in older individuals. SPECIAL CARE IN DENTISTRY 2018; 38:373-381. [DOI: 10.1111/scd.12319] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2018] [Revised: 07/20/2018] [Accepted: 07/24/2018] [Indexed: 12/24/2022]
Affiliation(s)
- Georgios S. Chatzopoulos
- Division of Periodontology; Department of Developmental and Surgical Sciences; School of Dentistry; University of Minnesota; Minneapolis MN USA
| | - Alejandro Cisneros
- Division of Periodontology; Department of Developmental and Surgical Sciences; School of Dentistry; University of Minnesota; Minneapolis MN USA
| | - Miguel Sanchez
- Division of Periodontology; Department of Developmental and Surgical Sciences; School of Dentistry; University of Minnesota; Minneapolis MN USA
| | - Larry F. Wolff
- Division of Periodontology; Department of Developmental and Surgical Sciences; School of Dentistry; University of Minnesota; Minneapolis MN USA
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Cavalcante DDS, Pinto-Quidute AR, Alves-Martins MR, Walter-de-Aguiar AS, Lima-Cid AMP, Silva PGB, Cavalcante RF, Costa FWG. Dental status, salivary flow, and sociodemographic aspects in Sheehan Syndrome patients. Med Oral Patol Oral Cir Bucal 2018; 23:e436-e442. [PMID: 29924763 PMCID: PMC6051684 DOI: 10.4317/medoral.22377] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2018] [Accepted: 05/25/2018] [Indexed: 11/17/2022] Open
Abstract
Background Sheehan’s syndrome (SS) is one of the leading causes of hypopituitarism in developing countries. It occurs after postpartum necrosis of the pituitary gland, and it is considered a significant public health problem. This paper, apparently unpublished, aimed to perform an analysis on oral aspects in patients with SS. Material and Methods A cross-sectional study was performed with 23 women diagnosed with SS at the Division of Endocrinology and Diabetes (Walter Cantídio University Hospital, Fortaleza, Brazil). Results Data on sociodemographic, dental and salivary flow aspects were collected through a clinical approach and a panoramic radiograph request. The mean age was 64 ± 11.5 years old, with the sample consisting mainly of married women (56.5%), socioeconomic class C2 or D / E (78.2%) and years of education up to 8 years (69.5%). The presence of horizontal bone loss (p<0.001) and bilateral pneumatization of the maxillary sinus (p=0.015) were significant data. The mean number of absent teeth considering all subjects was 23.17±9.7, being statistically significant (p<0.001). In relation to age, the mean number of missing teeth was higher in individuals over 65 years old (p=0.048). Reduced salivary flow was observed in 78.3% of the patients. In a bivariate analysis, considering the outcome variables “missing teeth” and “reduced salivary flow”, it was observed that economic class (p<
0.001), family income (0.037) and maxillary sinus pneumatization (0.032) were statistically significant. Conclusions In brief, patients with SS showed severe teeth loss, reduced salivary flow, and low educational status. This study addressed important aspects regarding oral findings in SS and highlighted the importance of researches in oral medicine. Key words:Sheehan’s Syndrome, hypopituitarism, tooth loss, salivary flow.
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Affiliation(s)
- D-D-S Cavalcante
- Alexandre Barauna, 949 Rodolfo Teofilo, 60430-160 Fortaleza, Ceara, Brazil, Federal University of Ceara, Department of Clinical Dentistry, School of Dentistry,
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Functional determinants of dietary intake in community-dwelling older adults: a DEDIPAC (DEterminants of DIet and Physical ACtivity) systematic literature review. Public Health Nutr 2018; 21:1886-1903. [DOI: 10.1017/s1368980017004244] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
AbstractObjectiveThe identification of determinants of dietary intake is an important prerequisite for the development of interventions to improve diet. The present systematic literature review aimed to compile the current knowledge on individual functional determinants of dietary intake in community-dwelling older adults.DesignA systematic search was performed in PubMed, Scopus, Web of Science and the Cochrane Library. Titles, abstracts and full texts were screened according to predefined inclusion and exclusion criteria. Studies were included when focusing on dietary intake as an outcome and on chemosensory, oral, cognitive or physical function as a determinant.SettingCommunity.SubjectsOlder adults at least 65 years old without acute or specific chronic diseases.ResultsFrom initially 14 585 potentially relevant papers, thirty-six were included. For chemosensory, cognitive and physical function only a few papers were found, which reported inconsistent results regarding the relationship to dietary intake. In contrast, oral function was extensively studied (n31). Different surrogates of oral function like dental status, number of teeth, bite force or chewing problems were associated with food as well as nutrient intakes including fibre. As all except six studies had a cross-sectional design, no causal relationships could be derived.ConclusionsAmong functional determinants of dietary intake oral factors are well documented in older adults, whereas the role of other functional determinants remains unclear and needs further systematic research.
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Kumar A, Kothari M, Grigoriadis A, Trulsson M, Svensson P. Bite or brain: Implication of sensorimotor regulation and neuroplasticity in oral rehabilitation procedures. J Oral Rehabil 2018; 45:323-333. [DOI: 10.1111/joor.12603] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/28/2017] [Indexed: 02/04/2023]
Affiliation(s)
- A. Kumar
- Division of Oral Diagnostics and Rehabilitation; Department of Dental Medicine; Karolinska Institutet; Huddinge Sweden
- Scandinavian Center for Orofacial Neurosciences (SCON); Huddinge Sweden
| | - M. Kothari
- Hammel Neurorehabilitation Centre and University Research Clinic; Aarhus University; Hammel Denmark
| | - A. Grigoriadis
- Division of Oral Diagnostics and Rehabilitation; Department of Dental Medicine; Karolinska Institutet; Huddinge Sweden
- Scandinavian Center for Orofacial Neurosciences (SCON); Huddinge Sweden
| | - M. Trulsson
- Division of Oral Diagnostics and Rehabilitation; Department of Dental Medicine; Karolinska Institutet; Huddinge Sweden
- Scandinavian Center for Orofacial Neurosciences (SCON); Huddinge Sweden
| | - P. Svensson
- Division of Oral Diagnostics and Rehabilitation; Department of Dental Medicine; Karolinska Institutet; Huddinge Sweden
- Scandinavian Center for Orofacial Neurosciences (SCON); Huddinge Sweden
- Section of Orofacial Pain and Jaw Function; Institute for Odontology and Oral Health; Aarhus University; Aarhus Denmark
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The Effect of Number of Teeth and Chewing Ability on Cognitive Function of Elderly in UAE: A Pilot Study. Int J Dent 2017; 2017:5732748. [PMID: 29348749 PMCID: PMC5734010 DOI: 10.1155/2017/5732748] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2017] [Revised: 09/16/2017] [Accepted: 09/24/2017] [Indexed: 12/31/2022] Open
Abstract
Cognitive decline is one of the major causes of disability among the aging population. The aim of this study was to explore the relationship between oral health parameters (number of teeth, chewing ability, and presence of a denture) and cognitive function in the elderly across the UAE. Fifty persons (age ≥ 60; 71.26 ± 10.23) were enrolled in the study. Cognitive status was assessed using the standardized mini-mental state examination (SMMSE) and accordingly, cognitively normal subjects scoring ≥24 were considered as the control group and cognitively impaired individuals scoring ≤23 were considered as the low scoring group. Chewing ability was examined, number of teeth was noted, and demographical data was collected. The results of this pilot study showed that individuals with low SMMSE scores were significantly less educated (P < 0.01) and had fewer number of remaining teeth (P < 0.05) and impaired chewing ability (P < 0.05). These results demonstrate a significant link between the number of teeth, chewing ability, and cognitive function. However, this pilot study had its limitations and was the first of its kind in the UAE and Gulf region; therefore, future research addressing the limitations is needed to further explore this association.
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Ohno T, Heshiki Y, Kogure M, Sumi Y, Miura H. Comparison of Oral Assessment Results Between Non-Oral and Oral Feeding Patients: A Preliminary Study. J Gerontol Nurs 2017; 43:23-28. [PMID: 27845809 DOI: 10.3928/00989134-20161109-05] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2016] [Accepted: 09/30/2016] [Indexed: 01/14/2023]
Abstract
In the current study, evaluation and comparison of oral status was performed to confirm the necessity of oral care for non-oral feeding patients. The study involved patients consulting an attending physician in one hospital's Department of Dentistry for oral care. Based on the feeding method, participants were divided into two groups: (a) non-oral (n = 66) and (b) oral (n = 66) feeding. Characteristics and Oral Assessment Guide scores were compared between groups. The non-oral feeding group had significantly worse scores than the oral feeding group. The non-oral feeding group also showed significantly lower voice-, swallowing-, saliva-, and tongue-related scores. The poor oral status of non-oral feeding patients was clarified. The results suggest the importance of oral care for non-oral feeding patients. [Journal of Gerontological Nursing, 43(4), 23-28.].
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Kwon SH, Park HR, Lee YM, Kwon SY, Kim OS, Kim HY, Lim YS. Difference in food and nutrient intakes in Korean elderly people according to chewing difficulty: using data from the Korea National Health and Nutrition Examination Survey 2013 (6th). Nutr Res Pract 2017; 11:139-146. [PMID: 28386387 PMCID: PMC5376532 DOI: 10.4162/nrp.2017.11.2.139] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2016] [Revised: 12/14/2016] [Accepted: 01/04/2017] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND/OBJECTIVES Chewing difficulty is a factor contributing to a poor nutritional status in the elderly. The aim of this study was to examine disparities in food and nutrition intakes among Korean elderly people with and without chewing difficulty. SUBJECTS/METHODS This study utilized data from the sixth Korea National Health and Nutrition Examination Survey conducted in 2013. The study subjects included males and females over 65 years of age who were not required to adhere to a special diet due to disease or sickness. They were divided into groups according to their chewing ability. Those who found chewing “very difficult” or “difficult”, were combined to form the chewing difficulty group. Similarly, those who found chewing “moderately difficult”, “easy”, and “very easy” were combined to form the normal chewing group. RESULTS Of the 999 subjects, 47.7% had chewing difficulties and the prevalence of chewing difficulty was higher in females than in males (P = 0.03) and higher in those 75 years of age and over than in younger individuals (P < 0.001). The chewing difficulty group had a significantly lower intake of fruits and vegetables (P < 0.05) and lower vitamin C and potassium intake than those in the normal group. Comparison of the percentages of Dietary Reference Intakes for Koreans (KDRIs) in the two groups indicated that the intake of most nutrients (energy, vitamin C, thiamin, riboflavin, niacin, calcium, phosphorus, sodium, potassium, and iron) were significantly lower in the chewing difficulty group than in the normal group. In particular, calcium intake was inadequate (51% of KDRIs) in the chewing difficulty group. CONCLUSIONS The results indicate that chewing difficulty is closely related to food and nutrient intake in the elderly and can result in vitamin and mineral intake deficiencies. It is evident that the care of elderly subjects with chewing difficulty is essential for maintaining a healthy lifestyle.
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Affiliation(s)
- Song Hee Kwon
- Department of Food and Nutrition, Myongji University, 116, Myongji-ro, Cheoin-gu, Yongin-si, Gyeonggi 17058, Korea
| | - Hae Ryun Park
- Department of Food and Nutrition, Myongji University, 116, Myongji-ro, Cheoin-gu, Yongin-si, Gyeonggi 17058, Korea
| | - Young Mi Lee
- Department of Food and Nutrition, Myongji University, 116, Myongji-ro, Cheoin-gu, Yongin-si, Gyeonggi 17058, Korea
| | - Soo Youn Kwon
- Department of Food and Nutrition, Honam University, Gwangju 62399, Korea
| | - Ok Sun Kim
- Department of Food and Nutrition, Jangan University, Gyeonggi 18331, Korea
| | - Hee Young Kim
- Department of Occupational Therapy, Honam University, Gwangju 62399, Korea
| | - Young Suk Lim
- Department of Food and Nutrition, Myongji University, 116, Myongji-ro, Cheoin-gu, Yongin-si, Gyeonggi 17058, Korea
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Song IS, Han K, Choi YJ, Ryu JJ, Park JB. Influence of oral health behavior and sociodemographic factors on remaining teeth in Korean adults: 2010-2012 Korea national health and nutrition examination survey. Medicine (Baltimore) 2016; 95:e5492. [PMID: 27902609 PMCID: PMC5134815 DOI: 10.1097/md.0000000000005492] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2016] [Revised: 10/14/2016] [Accepted: 11/03/2016] [Indexed: 01/20/2023] Open
Abstract
In this study, the number and location of remaining teeth were analyzed according to sociodemographic variables, anthropometric measurements, and oral health behavior patterns. The hypothesis was that the number and location of remaining teeth would be affected by oral health behavior and by sociodemographic factors, such as education levels, household income, and urban/rural residency.This nationwide cross-sectional study was performed with a total of 36,026 representative Korean adults aged 19 and older. The data were taken from the 2012-2012 Korea National Health and Nutrition Examination Survey.Men had, on average, significantly more remaining teeth than women did. Women brushed their teeth more often than men per day and were more likely to brush their teeth after meals. The participants with higher education levels or household income had significantly more remaining teeth; the number of daily tooth brushing was positively associated with the number of remaining teeth; urban residents had significantly more remaining teeth than rural residents; and elderly adults had fewer remaining teeth than younger adults had (all with P < 0.05). The participants were more likely to retain their incisors (especially their canines) for their entire lifetimes than do so for their molars. From the incisors to the second premolars, they had more mandibular teeth than maxillary teeth, but among molars, they had more maxillary teeth than mandibular teeth. Elementary graduates with low household income had fewer remaining teeth than did university graduates with high household income (P < 0.0001). Finally, participants with high socioeconomic status were more likely to lose their molar teeth than anterior teeth compared to those with low socioeconomic status.The participants who brushed their teeth fewer times per day, those with low household incomes and/or education levels, and those who lived in rural districts had significantly higher prevalence of tooth loss than did other groups in Korean adults. Participants had more anterior and premolar teeth on mandible, but they had more molars on maxilla. In addition, participants with high socioeconomic status were more likely to lose their molar teeth than anterior teeth compared to those with low socioeconomic status.
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Affiliation(s)
- In-Seok Song
- Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital
| | - Kyungdo Han
- Department of Biostatistics, College of Medicine, The Catholic University of Korea
| | - Yeon-Jo Choi
- Department of Prosthodontics, Korea University Anam Hospital
| | - Jae-Jun Ryu
- Department of Prosthodontics, Korea University Anam Hospital
| | - Jun-Beom Park
- Department of Periodontics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
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Inomata C, Ikebe K, Okubo H, Takeshita H, Mihara Y, Hatta K, Tada S, Enoki K, Ogawa T, Matsuda K, Gondo Y, Masui Y, Kamide K, Takahashi R, Arai Y, Maeda Y. Dietary Intake Is Associated with Occlusal Force Rather Than Number of Teeth in 80-y-Old Japanese. JDR Clin Trans Res 2016; 2:187-197. [DOI: 10.1177/2380084416673963] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
There has been a growing interest in the association between the number of teeth and dietary intake in older populations. However, people around the age of 80 y have frequently lost most of their teeth, and dental prostheses replacing the missing teeth play an important role in masticatory function. Therefore, masticatory function cannot be evaluated by the number of teeth alone. The occlusal force of the complete dental arches is an index of masticatory function, reflecting not only the number of teeth, but the effect of removable dentures. The purpose of this cross-sectional study was to determine the relative importance of the number of teeth and occlusal force in association with dietary intake in 80-y-old Japanese people. This study included 760 community-dwelling Japanese people aged 79 y to 81 y. The authors measured bilateral maximal occlusal force in the intercuspal position using pressure-sensitive sheets. Removable denture wearers kept their dentures in place during the measurements. Energy-adjusted food groups and nutrient intake during the preceding month were assessed by a brief self-administered diet history questionnaire. The authors assessed linear trends in food and nutrient intake in relation to the number of teeth and occlusal force after adjusting for gender and socioeconomic status (education level, financial status, family structure, resident area and BMI). P values of < 0.05 were considered to be statistically significant. The authors found that the number of teeth was not associated with the energy-adjusted intake of any food group examined. In contrast, a decline in occlusal force was significantly associated with a lower intake of vegetables, fish and shellfish, protein, polyunsaturated fatty acids, dietary fiber and most vitamins and minerals ( P for trend < 0.05). We conclude that food and nutrient intake was more closely associated with occlusal force than the number of teeth in community-dwelling Japanese people aged 79 y to 81 y. Knowledge Transfer Statement: This cross-sectional study of older Japanese people showed that, after controlling for considerable covariates, occlusal force rather than the number of teeth is positively associated with energy-adjusted intake of vegetables, fish and shellfish, protein, polyunsaturated fatty acids, dietary fiber and most of vitamins and minerals. This means that reduced occlusal force may unconsciously lead older people toward a habitual unhealthy dietary intake. Older people have frequently lost most of their teeth and require prosthetics to restore masticatory function. Bilateral occlusal force is therefore a better measure of masticatory function than the number of remaining teeth. Our findings suggest that prosthetic rehabilitation is a significant factor in the prevention and management of chronic diseases and frailty through better dietary intake in older populations.
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Affiliation(s)
- C. Inomata
- Osaka University Graduate School of Dentistry, Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka, Japan
| | - K. Ikebe
- Osaka University Graduate School of Dentistry, Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka, Japan
| | - H. Okubo
- National Institute of Public Health, Department of Health Promotion, Saitama, Japan
| | - H. Takeshita
- Osaka University Graduate School of Dentistry, Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka, Japan
| | - Y. Mihara
- Osaka University Graduate School of Dentistry, Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka, Japan
| | - K. Hatta
- Osaka University Graduate School of Dentistry, Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka, Japan
| | - S. Tada
- Osaka University Graduate School of Dentistry, Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka, Japan
| | - K. Enoki
- Osaka University Graduate School of Dentistry, Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka, Japan
| | - T. Ogawa
- Osaka University Graduate School of Dentistry, Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka, Japan
| | - K. Matsuda
- Osaka University Graduate School of Dentistry, Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka, Japan
| | - Y. Gondo
- Osaka University Graduate School of Human Sciences, Department of Clinical Thanatology and Geriatric Behavioral Science, Osaka, Japan
| | - Y. Masui
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - K. Kamide
- Osaka University Graduate School of Allied Health Sciences, Osaka, Japan
| | - R. Takahashi
- Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - Y. Arai
- Keio University School of Medicine, Tokyo, Japan
| | - Y. Maeda
- Osaka University Graduate School of Dentistry, Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka, Japan
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Yamazaki T, Martiniuk AL, Irie K, Sokejima S, Lee CMY. Does a mandibular overdenture improve nutrient intake and markers of nutritional status better than conventional complete denture? A systematic review and meta-analysis. BMJ Open 2016; 6:e011799. [PMID: 27489156 PMCID: PMC4985797 DOI: 10.1136/bmjopen-2016-011799] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES The need for denture treatment in public health will increase as the population ages. However, the impact of dentures on nutrition, particularly overdenture treatment, remains unclear although the physical and psychological effects are known. We investigated whether treatment with a mandibular implant supported overdenture improves nutrient intake and markers of nutritional status better than a conventional complete denture in edentulous patients. DESIGN Systematic review and meta-analysis. METHODS Medline, EMBASE and the Cochrane Central Register of Controlled Trials were searched for eligible studies published up to April 2016. We included studies which compared the treatment effect of an overdenture to conventional denture on nutrition, in which primary outcomes included changes in intake of macronutrients and/or micronutrients and/or indicators of nutritional status. Two reviewers independently evaluated eligible studies and assessed the risk of bias. We used a fixed effects model to estimate the weighted mean difference (WMD) and 95% CI for change in body mass index (BMI), albumin and serum vitamin B12 between overdenture and conventional denture 6 months after treatment. RESULTS Of 108 eligible studies, 8 studies involving 901 participants were included in the narrative appraisal. Four studies reported changes in markers of nutritional status and nutrient intake after treatment with a prosthetic, regardless of type. In a meta-analysis of 322 participants aged 65 years or older from three studies, pooled analysis suggested no significant difference in change in BMI between an overdenture and conventional denture 6 months after treatment (WMD=-0.18 kg/m(2) (95% CI -0.52 to 0.16)), and no significant difference in change in albumin or vitamin B12 between the two treatments. CONCLUSIONS The modifying effect of overdenture treatment on nutritional status might be limited. Further studies are needed to evaluate the effectiveness and efficacy of denture treatments.
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Affiliation(s)
- Toru Yamazaki
- School of Public Health, Sydney Medical School, University of Sydney, Sydney, Australia Epidemiology Centre for Disease Control and Prevention, Mie University Hospital, Tsu, Mie, Japan
| | | | - Koichiro Irie
- Department of Preventive Dentistry and Dental Public Health, School of Dentistry, Aichi Gakuin University, Aichi, Japan Department of Preventive Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Shigeru Sokejima
- Epidemiology Centre for Disease Control and Prevention, Mie University Hospital, Tsu, Mie, Japan Department of Public Health and Occupational Medicine, Mie University Graduate School of Medicine, Tsu, Mie, Japan
| | - Crystal Man Ying Lee
- The Boden Institute of Obesity Nutrition Exercise and Eating Disorders, University of Sydney, Sydney, Australia
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Role of Lipids in the Onset, Progression and Treatment of Periodontal Disease. A Systematic Review of Studies in Humans. Int J Mol Sci 2016; 17:ijms17081202. [PMID: 27463711 PMCID: PMC5000600 DOI: 10.3390/ijms17081202] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Revised: 07/08/2016] [Accepted: 07/20/2016] [Indexed: 01/22/2023] Open
Abstract
The risk of different oral problems (root caries, tooth mobility, and tooth loss) can be increased by the presence of periodontal disease, which has also been associated with a growing list of systemic diseases. The presence of some bacteria is the primary etiology of this disease; a susceptible host is also necessary for disease initiation. In this respect, the progression of periodontal disease and healing of the periodontal tissues can be modulated by nutritional status. To clarify the role of lipids in the establishment, progression, and/or treatment of this pathology, a systematic review was conducted of English-written literature in PubMed until May 2016, which included research on the relationship of these dietary components with the onset and progression of periodontal disease. According to publication type, randomized-controlled trials, cohort, case-control and cross-sectional studies were included. Among all the analyzed components, those that have any effect on oxidative stress and/or inflammation seem to be the most interesting according to current evidence. On one hand, there is quite a lot of information in favor of a positive role of n-3 fatty acids, due to their antioxidant and immunomodulatory effects. On the other hand, saturated fat-rich diets increase oxidative stress as well the as intensity and duration of inflammatory processes, so they must be avoided.
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Wang Y, Peng J, Li Y, Luo H, Huang G, Luo S, Yin X, Song J. Association between tooth loss and risk of oesophageal cancer: a dose-response meta-analysis. SPRINGERPLUS 2016; 5:1020. [PMID: 27441139 PMCID: PMC4938834 DOI: 10.1186/s40064-016-2711-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/28/2015] [Accepted: 06/29/2016] [Indexed: 12/31/2022]
Abstract
Many epidemiological studies have found that tooth loss is associated with susceptibility to oesophageal cancer. However, a definitive answer is yet to be discovered, and the findings are inconclusive. We performed a meta-analysis to assess the relationship between tooth loss and oesophageal cancer risk. We searched PubMed and Embase databases to screen eligible studies up to June 2015. Nine observational studies (eight articles) involving 2604 patients and 113,995 participants were included in the meta-analysis. The combined odds ratio for tooth loss and oesophageal cancer was 1.53 (95 % CI 1.02-2.29) for the high versus lowest teeth loss categories. However, inconsistent results were detected in the stratified and sensitivity analysis. In dose-response analysis, the summary odds ratio for each one tooth loss increment was 1.01 (95 % CI 1.00-1.02). The current evidence, based solely on six case-control studies and three cohort studies, suggests that tooth loss is a potential marker of oesophageal cancer. However, no firm conclusion can be drawn at this time that tooth loss may play a causal role in development of oesophageal cancer. Additional large-scale and high-quality prospective studies are required to evaluate the association between tooth loss and risk of oesophageal cancer.
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Affiliation(s)
- Yadong Wang
- Department of Oral and Maxillofacial Surgery, Guizhou Provincial People's Hospital, Guizhou, 550002 China
| | - Juxiang Peng
- Department of Orthodontics, Stomatology Hospital of Guiyang, Guizhou, 550002 China
| | - Yan Li
- Department of Oral and Maxillofacial Surgery, Guizhou Provincial People's Hospital, Guizhou, 550002 China
| | - Hong Luo
- Department of Oral and Maxillofacial Surgery, Guizhou Provincial People's Hospital, Guizhou, 550002 China
| | - Guanglei Huang
- Department of Oral and Maxillofacial Surgery, Guizhou Provincial People's Hospital, Guizhou, 550002 China
| | - Siyang Luo
- Department of Oral and Maxillofacial Surgery, Guizhou Provincial People's Hospital, Guizhou, 550002 China
| | - Xinhai Yin
- Department of Oral and Maxillofacial Surgery, Guizhou Provincial People's Hospital, Guizhou, 550002 China
| | - Jukun Song
- Department of Oral and Maxillofacial Surgery, Guizhou Provincial People's Hospital, Guizhou, 550002 China
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Associations Between Tooth Loss, With or Without Dental Prostheses, and Malnutrition Risk in Older Adults. TOP CLIN NUTR 2016. [DOI: 10.1097/tin.0000000000000077] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Yaoita F. Animal Models for Elucidation of the Mechanisms of Neuropsychiatric Disorders Induced by Sleep and Dietary Habits. YAKUGAKU ZASSHI 2016; 136:895-904. [PMID: 27252067 DOI: 10.1248/yakushi.15-00283] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Numerous changes in human lifestyle in modern life increase the risk of disease. Especially, modern sleep and dietary habits are crucial factors affecting lifestyle disease. In terms of sleep, decreases in total sleep time and in rapid eye movement sleep time have been observed in attention-deficit/hyperactivity disorder (ADHD) patients. From a dietary perspective, mastication during eating has several good effects on systemic, mental, and physical functions of the body. However, few animal experiments have addressed the influence of this decline in sleep duration or of long-term powdered diet feeding on parameters reflecting systemic health. In our studies, we examined both the influence of intermittent sleep deprivation (SD) treatment and long-term powdered diet feeding on emotional behavior in mice, and focused on the mechanisms underlying these impaired behaviors. Our findings were as follows: SD treatment induced hypernoradrenergic and hypodopaminergic states within the frontal cortex. Furthermore, hyperactivity and an explosive number of jumps were observed. Both the hypernoradrenergic state and the jumps were improved by treatment with ADHD therapeutic drugs. On the other hand, long-term powdered diet feeding increased social interaction behaviors. The feeding affected the dopaminergic function of the frontal cortex. In addition, the long-term powdered diet fed mice presented systemic illness signs, such as elevations of blood glucose, and hypertension. This review, describing the SD mice and long-term powdered diet fed mice can be a useful model for elucidation of the mechanism of neuropsychiatric disorders or the discovery of new therapeutic targets in combatting effects of the modern lifestyle.
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Affiliation(s)
- Fukie Yaoita
- Department of Pharmacology, Faculty of Pharmaceutical Science, Tohoku Medical and Pharmaceutical University
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34
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Chen MC, Kung PT, Su HP, Yen SM, Chiu LT, Tsai WC. Utilization of tooth filling services by people with disabilities in Taiwan. Int J Equity Health 2016; 15:58. [PMID: 27044476 PMCID: PMC4820987 DOI: 10.1186/s12939-016-0347-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2015] [Accepted: 04/01/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The oral condition of people with disabilities has considerable influence on their physical and mental health. However, nationwide surveys regarding this group have not been conducted. For this study, we used the National Health Insurance Research Database to explore the tooth filling utilization among people with disabilities. METHODS Using the database of the Ministry of the Interior in 2008 which included people with disabilities registered, we merged with the medical claims database in 2008 of the Bureau of National Health Insurance to calculate the tooth filling utilization and to analyze relative factors. We recruited 993,487 people with disabilities as the research sample. RESULTS The tooth filling utilization was 17.53 %. The multiple logistic regression result showed that the utilization rate of men was lower than that of women (OR = 0.78, 95 % CI = 0.77-0.79) and older people had lower utilization rates (aged over 75, OR = 0.22, 95 % CI = 0.22-0.23) compared to those under the age of 20. Other factors that significantly influenced the low tooth filling utilization included a low education level, living in less urbanized areas, low economic capacity, dementia, and severe disability. CONCLUSION We identified the factors that influence and decrease the tooth-filling service utilization rate: male sex, old age, low education level, being married, indigenous ethnicity, residing in a low urbanization area, low income, chronic circulatory system diseases, dementia, and severe disabilities. We suggest establishing proper medical care environments for high-risk groups to maintain their quality of life.
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Affiliation(s)
- Ming-Chuan Chen
- />Department of Public Health, China Medical University, Taichung, Taiwan R.O.C
- />Department of Health Services Administration, China Medical University, 91 Hsueh-Shih Road, Taichung, 40402 Taiwan R.O.C
- />Department of Healthcare Administration, Central Taiwan University of Science and Technology, Taichung, Taiwan R.O.C
| | - Pei-Tseng Kung
- />Department of Healthcare Administration, Asia University, Taichung, Taiwan R.O.C
| | - Hsun-Pi Su
- />Department of Dental Hygiene, China Medical University, Taichung, Taiwan R.O.C
| | - Suh-May Yen
- />Department of Chinese Medicine, Nantou Hospital, Nantou, Taiwan R.O.C
| | - Li-Ting Chiu
- />Department of Health Services Administration, China Medical University, 91 Hsueh-Shih Road, Taichung, 40402 Taiwan R.O.C
| | - Wen-Chen Tsai
- />Department of Health Services Administration, China Medical University, 91 Hsueh-Shih Road, Taichung, 40402 Taiwan R.O.C
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Ilha L, Martins AB, Abegg C. Oral impact on daily performance: need and use of dental prostheses among Brazilian adults. J Oral Rehabil 2015; 43:119-26. [DOI: 10.1111/joor.12351] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2015] [Indexed: 11/27/2022]
Affiliation(s)
- L. Ilha
- Department of Preventive Social Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brasil
| | - A. B. Martins
- Department of Preventive Social Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brasil
| | - C. Abegg
- Department of Preventive Social Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brasil
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Kaye EK, Heaton B, Sohn W, Rich SE, Spiro A, Garcia RI. The Dietary Approaches to Stop Hypertension Diet and New and Recurrent Root Caries Events in Men. J Am Geriatr Soc 2015; 63:1812-9. [DOI: 10.1111/jgs.13614] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Elizabeth K. Kaye
- Department of Health Policy and Health Services Research; Henry M. Goldman School of Dental Medicine; Boston University; Boston Massachusetts
- Veterans Affairs Boston Healthcare System; Boston Massachusetts
| | - Brenda Heaton
- Department of Health Policy and Health Services Research; Henry M. Goldman School of Dental Medicine; Boston University; Boston Massachusetts
| | - Woosung Sohn
- Department of Health Policy and Health Services Research; Henry M. Goldman School of Dental Medicine; Boston University; Boston Massachusetts
| | - Sharron E. Rich
- Department of Health Policy and Health Services Research; Henry M. Goldman School of Dental Medicine; Boston University; Boston Massachusetts
- Edith Nourse Rogers Memorial Veterans Affairs Medical Center; Bedford Massachusetts
| | - Avron Spiro
- Department of Health Policy and Health Services Research; Henry M. Goldman School of Dental Medicine; Boston University; Boston Massachusetts
- Veterans Affairs Boston Healthcare System; Boston Massachusetts
- Department of Epidemiology; School of Public Health; Boston University; Boston Massachusetts
- Department of Psychiatry; School of Medicine; Boston University; Boston Massachusetts
| | - Raul I. Garcia
- Department of Health Policy and Health Services Research; Henry M. Goldman School of Dental Medicine; Boston University; Boston Massachusetts
- Veterans Affairs Boston Healthcare System; Boston Massachusetts
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A quantitative assessment of the eating capability in the elderly individuals. Physiol Behav 2015; 147:274-81. [DOI: 10.1016/j.physbeh.2015.04.052] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2015] [Revised: 04/13/2015] [Accepted: 04/28/2015] [Indexed: 11/18/2022]
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Iwasaki M, Taylor GW, Manz MC, Yoshihara A, Sato M, Muramatsu K, Watanabe R, Miyazaki H. Oral health status: relationship to nutrient and food intake among 80-year-old Japanese adults. Community Dent Oral Epidemiol 2015; 42:441-50. [PMID: 25353039 DOI: 10.1111/cdoe.12100] [Citation(s) in RCA: 56] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The aim of this cross-sectional study was to investigate the relationship of oral health status defined on the basis of presence of posterior occluding pairs (POPs) and adequacy of removable denture fit as determined by self-report to nutrient and food intake among older Japanese. METHODS The subjects were 353 Japanese aged 80 years in 2008 and were classified into four groups according to the number of POPs, defined as pairs of occluding natural, restored, or fixed prosthetic postcanine teeth (range: 0-8) and removable denture status. The groups were: (i) good dentition (n = 56; 8 POPs and no removable prosthesis), (ii) well-fitting dentures (n = 158; <8 POPs with self-reported good-fitting dentures), (iii) ill-fitting dentures (n = 70; <8 POPs with self-reported ill-fitting dentures), and (iv) compromised dentition (n = 69; <8 POPs and no removable prosthesis). Multivariable analysis of the differences in nutrient and food intake outcome variables which were collected via validated food frequency questionnaire among the four oral health status groups was conducted using general linear models. Results: Intake of multiple nutrients was significantly (P < 0.05) lower in the group with ill-fitting dentures or compromised dentition than in the good dentition group. Vegetable, fish, and shellfish consumption was significantly lower in the ill-fitting dentures or compromised dentition groups. No significant differences were seen in dietary intake between the well-fitting dentures and good dentition groups. Conclusions: Dietary intake was poorer in those with self-perceived ill-fitting dentures or fewer POPs than among those having all POPs. Regular dental care to maintain intact dentition, as well as dental treatment to replace missing teeth and ensure adequate denture fit and function, may be important to the diet intake and subsequent nutritional status of older Japanese.
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Goel K, Singh SV, Chand P, Rao J, Tripathi S, Kumar L, Mahdi AA, Singh K. Impact of Different Prosthodontic Treatment Modalities on Nutritional Parameters of Elderly Patients. J Prosthodont 2015; 25:21-7. [PMID: 25898981 DOI: 10.1111/jopr.12283] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/09/2014] [Indexed: 12/01/2022] Open
Abstract
PURPOSE To assess dietary and nutritional changes among the elderly following pros-thodontic rehabilitation. Another objective was to study the relationship, if any, between diet and nutrition, with extent of edentulism and different types of prosthodontic treatment. MATERIALS AND METHODS One hundred and thirty-five patients who satisfied the inclu-sion and exclusion criteria and agreed to be a part of the study after informed consent were recruited to this longitudinal study. Following selection, they were investigated on four aspects: dental examination, dietary assessment, anthropometric assessment, and serum biochemical assessment. All measurements were collected twice, first at baseline and then 6 months following prosthodontic rehabilitation. Treatment modalities included were complete denture (CD), removable partial denture (RPD), and fixed partial denture (FPD). The RPD group was of two types: distal extension prosthesis (RPDD) and tooth-supported prosthesis (RPDT). Change (post-pre) in outcome measures was compared by one-way ANOVA, and significance of mean difference between the groups was done by Tukey's honestly significance difference post hoc test. RESULTS The improvement in diet was found to be: CD > RPDD > RPDT > FPD. Significant improvement in weight (p < 0.001), BMI (p < 0.001), protein (p < 0.001), carbohydrate (p = 0.021), calorie (p < 0.001), iron (p = 0.002), and vitamin B (p < 0.001) in group CD as compared to partially edentulous patients (group RPDD + RPDT + FPD) was noted. The protein and calorie intake increased significantly in group RPD as compared to group FPD in partially edentulous patients. CONCLUSION Prosthetic rehabilitation becomes increasingly important as the level of edentulism increases to improve dietary, anthropometric, and biochemical parameters.
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Affiliation(s)
- Kopal Goel
- Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University UP, Lucknow, India
| | - Saumyendra V Singh
- Department of Biochemistry, King George's Medical University UP, Lucknow, India
| | - Pooran Chand
- Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University UP, Lucknow, India
| | - Jitendra Rao
- Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University UP, Lucknow, India
| | - Shuchi Tripathi
- Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University UP, Lucknow, India
| | - Lakshya Kumar
- Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University UP, Lucknow, India
| | - Abbas Ali Mahdi
- Department of Biochemistry, King George's Medical University UP, Lucknow, India
| | - Kalpana Singh
- Department of Biochemistry, King George's Medical University UP, Lucknow, India
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Zhu Y, Hollis JH. Associations between the number of natural teeth and metabolic syndrome in adults. J Clin Periodontol 2015; 42:113-20. [PMID: 25581485 DOI: 10.1111/jcpe.12361] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/02/2015] [Indexed: 12/14/2022]
Abstract
AIM To explore associations between the number of natural teeth and metabolic syndrome in adults. MATERIAL AND METHODS Cross-sectional data from the National Health and Nutrition Examination Survey 2005-2008 were used. Eligible adults (n = 5511) were classified into four groups by their number of natural teeth (excluding third molars): full dentition, 21-27 teeth, 1-20 teeth, or edentulous. Metabolic syndrome was defined by diagnostic guidelines from the American Heart Association and National Heart, Lung, and Blood Institute. Associations were analysed by survey logistic regression. Biometric and metabolic parameters in different dentition groups were compared. RESULTS Adjusting for age, gender, race/ethnicity, ratio of family income to poverty, physical activity, smoking, and energy intake, tooth loss was significantly associated with metabolic syndrome (p = 0.002). Compared to participants with full dentition, the odds were 32% higher in those with 21-27 teeth, 55% higher in those with 1-20 teeth and 79% higher in edentulous participants. The number of natural teeth was inversely associated with body mass index, waist circumference, blood pressure, fasting plasma glucose and insulin concentrations (p < 0.01 for all); it was positively associated with serum HDL cholesterol concentration (p = 0.003). CONCLUSIONS The number of natural teeth is inversely associated with the presence of metabolic syndrome in adults.
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Affiliation(s)
- Yong Zhu
- Department of Epidemiology, The University of Iowa, Iowa City, IA, USA
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Kosaka T, Ono T, Yoshimuta Y, Kida M, Kikui M, Nokubi T, Maeda Y, Kokubo Y, Watanabe M, Miyamoto Y. The effect of periodontal status and occlusal support on masticatory performance: the Suita study. J Clin Periodontol 2015; 41:497-503. [PMID: 24527750 DOI: 10.1111/jcpe.12241] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/06/2014] [Indexed: 11/27/2022]
Abstract
AIM In this study, we investigated the effect of differences in periodontal status in the masticatory performance of dentate subjects with the same occlusal supporting area. MATERIALS AND METHODS The subjects of the analysis were classified into those of Eichner A1-3 (n = 1094) and Eichner B1-4 (n = 529). Subjects' periodontal status was evaluated on the basis of the Community Periodontal Index (CPI). The number of functional teeth and occlusal support were investigated, the latter on the basis of the Eichner Index. Furthermore, masticatory performance was investigated by means of test gummy jelly. For each group, periodontal status was classified in two different ways, either with/without moderate periodontitis (CPI Code ≤2/≥3) or with/without severe periodontitis (CPI Code ≤3/4), and masticatory performance was compared between the various groups. RESULTS In subjects who were Eichner A1 and B3, masticatory performance was significantly lower in subjects with moderate periodontitis compared with those without, and in subjects with severe periodontitis compared with those without. CONCLUSION Periodontal disease affects masticatory performance not only if occlusion is established by natural dentition with no tooth loss but also if occlusal support has decreased.
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Affiliation(s)
- Takayuki Kosaka
- Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Suita, Japan
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42
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Zhu Y, Hollis JH. Tooth loss and its association with dietary intake and diet quality in American adults. J Dent 2014; 42:1428-35. [DOI: 10.1016/j.jdent.2014.08.012] [Citation(s) in RCA: 63] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2014] [Revised: 08/06/2014] [Accepted: 08/21/2014] [Indexed: 01/09/2023] Open
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Systematic review of the association of mastication with food and nutrient intake in the independent elderly. Arch Gerontol Geriatr 2014; 59:497-505. [DOI: 10.1016/j.archger.2014.08.005] [Citation(s) in RCA: 72] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2012] [Revised: 07/05/2014] [Accepted: 08/07/2014] [Indexed: 11/15/2022]
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44
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Xie Q, Ding T, Yang G. Rehabilitation of oral function with removable dentures - still an option? J Oral Rehabil 2014; 42:234-42. [PMID: 25327636 DOI: 10.1111/joor.12246] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/28/2014] [Indexed: 11/27/2022]
Affiliation(s)
- Q. Xie
- Department of Prosthodontics and Center for Oral Functional Diagnosis, Treatment, and Research; Peking University School and Hospital of Stomatology; Beijing China
| | - T. Ding
- Department of Prosthodontics and Center for Oral Functional Diagnosis, Treatment, and Research; Peking University School and Hospital of Stomatology; Beijing China
| | - G. Yang
- Department of Prosthodontics and Center for Oral Functional Diagnosis, Treatment, and Research; Peking University School and Hospital of Stomatology; Beijing China
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Saarela RKT, Lindroos E, Soini H, Hiltunen K, Muurinen S, Suominen MH, Pitkälä KH. Dentition, nutritional status and adequacy of dietary intake among older residents in assisted living facilities. Gerodontology 2014; 33:225-32. [PMID: 25163661 DOI: 10.1111/ger.12144] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/04/2014] [Indexed: 11/28/2022]
Abstract
OBJECTIVE We examined the relationships between dentition, nutritional status and dietary intakes of energy, protein and micronutrients among older people in assisted living facilities in Helsinki. BACKGROUND Poor dentition is associated with malnutrition. Less is known about how dentition is associated with detailed nutrient intakes in institutionalised older people. MATERIALS AND METHODS This cross-sectional study assessed 343 participants (mean age 83 years). Dentition was assessed by trained ward nurses and divided into edentulous participants without dentures (group 1), edentulous participants with removable dentures (group 2) and those with any natural teeth (group 3). Nutritional status was assessed by Mini Nutritional Assessment (MNA). The energy, protein and nutrient intakes were calculated from detailed 1-day food diaries and compared with the recommendations of the Finnish National Nutrition Council as a measure of dietary adequacy. Assessment included also participants' cognitive and functional status. RESULTS Of the participants, 8.2, 39.1 and 52.8% were in groups 1, 2 and 3, respectively. Altogether 22% were malnourished according to MNA. Group 1 had the poorest nutritional status. A large proportion of participants consumed less than the recommended amounts of energy, protein or micronutrients. Half of the participants consumed <60 g/day of protein. The intake of protein was significantly lower in group 1 than in other two groups. CONCLUSION Malnutrition and inadequate protein intake were very common and associated with dentition among older people with multiple disabilities in assisted living facilities. Assessment of dental status should be part of good nutritional care in long-term care.
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Affiliation(s)
- Riitta K T Saarela
- Department of Social Services and Health Care, Oral Health Care, Helsinki, Finland.,Unit of Primary Health Care, Helsinki University Central Hospital and University of Helsinki, Department of General Practice, Helsinki, Finland
| | - Eeva Lindroos
- Unit of Primary Health Care, Helsinki University Central Hospital and University of Helsinki, Department of General Practice, Helsinki, Finland.,Helsinki Metropolia, University of Applied Sciences, Helsinki, Finland
| | - Helena Soini
- Unit of Primary Health Care, Helsinki University Central Hospital and University of Helsinki, Department of General Practice, Helsinki, Finland.,Department of Social Services and Health Care, Developmental and Operational Support, Helsinki, Finland
| | - Kaija Hiltunen
- Department of Stomatognathic Physiology and Prosthetic Dentistry Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Seija Muurinen
- Unit of Primary Health Care, Helsinki University Central Hospital and University of Helsinki, Department of General Practice, Helsinki, Finland
| | - Merja H Suominen
- Unit of Primary Health Care, Helsinki University Central Hospital and University of Helsinki, Department of General Practice, Helsinki, Finland
| | - Kaisu H Pitkälä
- Unit of Primary Health Care, Helsinki University Central Hospital and University of Helsinki, Department of General Practice, Helsinki, Finland
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Inomata C, Ikebe K, Kagawa R, Okubo H, Sasaki S, Okada T, Takeshita H, Tada S, Matsuda KI, Kurushima Y, Kitamura M, Murakami S, Gondo Y, Kamide K, Masui Y, Takahashi R, Arai Y, Maeda Y. Significance of occlusal force for dietary fibre and vitamin intakes in independently living 70-year-old Japanese: from SONIC Study. J Dent 2014; 42:556-64. [DOI: 10.1016/j.jdent.2014.02.015] [Citation(s) in RCA: 81] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2013] [Revised: 02/13/2014] [Accepted: 02/20/2014] [Indexed: 11/28/2022] Open
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Tsuchiya M, Niijima-Yaoita F, Yoneda H, Chiba K, Tsuchiya S, Hagiwara Y, Sasaki K, Sugawara S, Endo Y, Tan-No K, Watanabe M. Long-term feeding on powdered food causes hyperglycemia and signs of systemic illness in mice. Life Sci 2014; 103:8-14. [PMID: 24690390 DOI: 10.1016/j.lfs.2014.03.022] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2013] [Revised: 03/04/2014] [Accepted: 03/18/2014] [Indexed: 01/04/2023]
Abstract
AIMS Dietary habits are crucial factors affecting metabolic homeostasis. However, few animal experiments have addressed the effects of long-term feeding with soft food on parameters reflecting systemic health. MAIN METHODS Using mice, we compared the effects of short (3 days) and long (17 weeks from weaning) feeding periods between powdered food and normal pellet food on the levels of blood glucose, serum levels of insulin, catecholamines, and corticosterone, blood pressure, and/or social interaction behaviors. In addition, the effects of a human glucagon-like peptide-1 analog, liraglutide (a new drug with protective effects against neuronal and cardiovascular diseases), were compared between the powder and pellet groups. KEY FINDING (i) Powdered food, even for such a short period, resulted in a greater glycemic response than pellet food, consistent with powdered food being more easily digested and absorbed. (ii) Long-term feeding on powdered food induced hyperglycemia and related systemic signs of illness, including increases in serum adrenaline, noradrenaline, and corticosterone, higher blood pressures (especially diastolic), and increased social interaction behaviors. (iii) Liraglutide, when administered subcutaneously for the last 2 weeks of the 17-week period of feeding, improved these changes (including those in social interaction behaviors). SIGNIFICANCE The hyperglycemia associated with long-term powdered-food feeding may lead to certain systemic illness signs, such as elevations of blood glucose, hypertension, and abnormal behaviors in mice. Mastication of food of adequate hardness may be very important for the maintenance of systemic (physical and mental) health, possibly via reduction in the levels of blood glucose and/or adrenal stress hormones (catecholamines and glucocorticoids).
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Affiliation(s)
- Masahiro Tsuchiya
- Divisions of Aging and Geriatric Dentistry, Tohoku University, Sendai 980-8575, Japan.
| | - Fukie Niijima-Yaoita
- Department of Pharmacology, Tohoku Pharmaceutical University, Sendai 981-8558, Japan
| | - Hiroyuki Yoneda
- Advanced Prosthetic Dentistry, Tohoku University, Sendai 980-8575, Japan
| | - Ko Chiba
- Divisions of Aging and Geriatric Dentistry, Tohoku University, Sendai 980-8575, Japan
| | - Shinobu Tsuchiya
- Oral Dysfunction Science, Tohoku University, Sendai 980-8575, Japan; Department of Orthopaedic Surgery, Graduate School of Medicine, Tohoku University, Sendai 980-8575, Japan
| | - Yoshihiro Hagiwara
- Oral Dysfunction Science, Tohoku University, Sendai 980-8575, Japan; Department of Orthopaedic Surgery, Graduate School of Medicine, Tohoku University, Sendai 980-8575, Japan
| | - Keiichi Sasaki
- Advanced Prosthetic Dentistry, Tohoku University, Sendai 980-8575, Japan
| | - Shunji Sugawara
- Oral Immunology, Graduate School of Dentistry, Tohoku University, Sendai 980-8575, Japan
| | - Yasuo Endo
- Oral Immunology, Graduate School of Dentistry, Tohoku University, Sendai 980-8575, Japan
| | - Koichi Tan-No
- Department of Pharmacology, Tohoku Pharmaceutical University, Sendai 981-8558, Japan
| | - Makoto Watanabe
- Divisions of Aging and Geriatric Dentistry, Tohoku University, Sendai 980-8575, Japan
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Saarela RKT, Soini H, Hiltunen K, Muurinen S, Suominen M, Pitkälä K. Dentition status, malnutrition and mortality among older service housing residents. J Nutr Health Aging 2014; 18:34-8. [PMID: 24402386 DOI: 10.1007/s12603-013-0358-3] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Oral health status and oral health problems can affect eating habits and thus consequently the nutritional status of frail older people. OBJECTIVES To assess older service house residents' dentition and its associations with nutritional status and eating habits, and as well as to explore the prognostic value of dentition status for mortality. DESIGN A cross-sectional study with a three-year follow-up. METHODS In 2007, we assessed the nutritional status of all residents in service houses in the two cities of Helsinki and Espoo in Finland (N=2188). Altogether 1475 subjects (67%) participated in the study; dentition status data were available for 1369 of them. Using a personal interview and assessment, trained nurses familiar to the resident collected the subjects' demographic data, medical history, functional and cognitive status, information on dentition status, oral symptoms, eating habits and diets. We assessed nutritional status with the Mini Nutritional Assessment (MNA), and retrieved information on mortality from central registers on 6 July 2010. RESULTS Edentulousness was common; more than half of the residents (52%) had lost all their teeth: 7% (n=94) were totally edentulous without prosthesis (Group 1), 45% (n=614) had removable dentures (Group 2), and 48% (n = 661) of the residents, had some natural teeth left (Group 3). Dentition status was associated with age, gender, education and disability. According to the MNA, 13% were malnourished, 65% were at risk for malnutrition, and 22% were well nourished. Edentulousness without prosthesis was associated with malnutrition, oral symptoms and infrequent use of oral care services. In Group 1, 52% were deceased during follow-up period. The respective figures for Groups 2 and 3 were 48% and 40% (p=0.004). However, in Cox regression analysis adjusted for age, gender, comorbidity and MNA score, dentition status no longer predicted mortality. CONCLUSION Edentulousness is still common among older service housing residents. Edentulousness without prosthesis was associated with poor nutritional status, oral symptoms and infrequent use of dental services. These findings suggest the need for co-operation between nursing staff and oral care services.
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Affiliation(s)
- R K T Saarela
- Riitta Saarela, MSc, Department of social services and health care, Oral Health Care, Kaikukatu 3A, P.O. Box 6452, FI-00099 City of Helsinki, Phone: +358 40 336 0880, Fax: +358 9 310 42602, riitta.saarela(at)hel.fi
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Choi YK, Park DY, Kim Y. Relationship between prosthodontic status and nutritional intake in the elderly in Korea: National Health and Nutrition Examination Survey (NHANES IV). Int J Dent Hyg 2013; 12:285-90. [PMID: 24354919 DOI: 10.1111/idh.12066] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/13/2013] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Many health issues have been reported to be associated with poor nutritional status. We sought to examine the association between nutritional intake and oral health status in elderly people. METHODS The association between perceived disability in mastication and prosthodontic status was analysed using multiple logistic regression. Multiple linear regression was used to analyse the association between prosthodontic status and nutritional intake. RESULTS The elderly subjects with partial or full dentures reported chewing difficulties 1.62-fold more frequently (95% CI: 1.06-2.49) than those with natural teeth or a fixed prosthesis after adjusting for gender, TMD (temporomandibular disorder), household income and education level. Additionally, daily nutritional intakes of energy, protein, fat, ash, calcium, phosphorus and thiamine were decreased significantly in elderly with partial or full dentures compared with those with no prosthesis or with a fixed prosthesis (P < 0.05). CONCLUSIONS Our findings underline oral health status and perceived disability in mastication are associated with dietary imbalances in the elderly. We suggest that the evaluation of patients' nutritional status should be considered as a part of an overall plan for dental hygiene care.
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Affiliation(s)
- Y K Choi
- Department of Dental Hygiene, Sun Moon University, Asan, Korea
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Tajbakhsh S, Rubenstein JE, Faine MP, Mancl LA, Raigrodski AJ. Selection patterns of dietary foods in edentulous participants rehabilitated with maxillary complete dentures opposed by mandibular implant-supported prostheses: A multicenter longitudinal assessment. J Prosthet Dent 2013; 110:252-8. [DOI: 10.1016/s0022-3913(13)60371-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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