Masticatory Function and Nutritional Status in Brazilian Institutionalized Elders: Influence of Denture Use
Keywords:
Aged, Mouth, Edentulous, Nursing Homes, DenturesAbstract
Objective: To evaluate the influence of tooth loss and the use of removable dentures on chewing function and nutritional status of institutionalized elders. Material and Methods: Cross-sectional study with 155 elders from seven long-stay institutions in João Pessoa, Brazil. The participants were classified according to the presence of reminiscent teeth and use of dentures in four levels: toothless, without denture (1); toothless with a complete denture (2); partial toothless without denture (3) and partial toothless with a partial denture (4). Nutritional status was assessed using the Mini-Nutritional Assessment (MNA) instrument and the Body Mass Index (BMI). Swallowing threshold was used for the assessment of masticatory function, using a portion of roasted peanuts (3.7 g). Comparisons among groups were performed using Kruskal-Wallis test with Bonferroni adjustment, considering p<0.05. Results: MNA (p=0.702) and BMI (p=0.884) were not modified in relation to the presence of teeth and denture use. Toothless individuals without dentures had a lower swallowing threshold (p<0.001), whilst partial toothless with dentures had better masticatory function (p>0.05). Conclusion: The presence of reminiscent teeth and the use of dentures do not influence the nutritional status of the elders but interfere with the masticatory function. Prosthetic rehabilitation is desirable for complete toothless individuals.
References
Reher DS. Baby booms, busts, and population ageing in the developed world. Popul Stud 2015; 69(Suppl 1):S57-S68. https://doi.org/10.1080/00324728.2014.963421
Luppa M, Luck T, Weyerer S, König HH, Brähler E, Riedel-Heller SG. Prediction of institutionalization in the elderly. A systematic review. Age Ageing 2010; 39(1):31-38. https://doi.org/10.1093/ageing/afp202
Niesten D, Witter D, Bronkhorst E, Creugers N. Oral health-related quality of life and associated factors in a care-dependent and a care-independent older population. J Dent 2016; 55:33-9. https://doi.org/10.1016/j.jdent.2016.09.007
Farias IPSE, Sousa SA, Almeida LFD, Santiago BM, Pereira AC, Cavalcanti YW. Does non-institutionalized elders have a better oral health status compared to institutionalized ones? A systematic review and meta-analysis. Cien Saude Colet 2020; 25(6):2177-92. https://doi.org/10.1590/1413-81232020256.18252018
Sahyoun NR, Lin CL, Krall E. Nutritional status of the older adult is associated with dentition status. J Am Diet Assoc 2003; 103(1):61-6. https://doi.org/10.1053/jada.2003.50003
Bomfim RA, de Souza LB, Corrente JE. Tooth loss and its relationship with protein intake by elderly Brazilians: A structural equation modelling approach. Gerodontology 2018; 35(1):51-8. https://doi.org/10.1111/ger.12317
Klotz AL, Ehret J, Zajac M, Schwindling FS, Hassel AJ, Rammelsberg P, et al. The effects of prosthetic status and dementia on the chewing efficiency of seniors in nursing homes. J Oral Rehabil 2020; 47(3):377-85. https://doi.org/10.1111/joor.12912
Zhang Q, Witter DJ, Bronkhorst EM, Creugers NHJ. The relationship between masticatory ability, age, and dental and prosthodontic status in an institutionalized elderly dentate population in Qingdao, China. Clin Oral Investig 2019; 23(2):633-40. https://doi.org/10.1007/s00784-018-2477-z
Bulgareli JV, Faria ET, Cortellazzi KL, Guerra LM, Meneghim MC, Ambrosano GMB, et al. Factors influencing the impact of oral health on the daily activities of adolescents, adults and older adults. Rev Saude Publica 2018; 52:44. https://doi.org/10.11606/s1518-8787.201805200004.
Amorim Sena Pereira ML, de Almeida Moreira P, Cunha de Oliveira C, Carneiro Roriz AK, Reis Amaral MT, Mello AL, et al. Nutritional status of institutionalized elderly Brazilians: a study with the Mini Nutritional Assessment. Nutr Hosp 2014; 31(3):1198-1204. https://doi.org/10.3305/nh.2015.31.3.8070
Campos CH, Gonçalves TM, Rodrigues Garcia RC. Implant retainers for free-end removable partial dentures affect mastication and nutrient intake. Clin Oral Implants Res 2014; 25(8):957-61. https://doi.org/10.1111/clr.12165
Ferreira RC, Magalhães CS, Rocha ES, Schwambach CW, Moreira AN. Oral health among institutionalized elderly in Belo Horizonte, Minas Gerais State, Brazil. Cad Saude Publica 2009; 25(11):2375-85. https://doi.org/10.1590/s0102-311x2009001100008
Mendonça DD, Furtado MV, Sarmento RA, Nicoletto BB, Souza GC, Wagner TP, et al. Periodontitis and tooth loss have negative impact on dietary intake: A cross-sectional study with stable coronary artery disease patients. J Periodontol 2019; 90(10):1096-1105. https://doi.org/10.1002/JPER.19-0036
Dewake N, Hashimoto H, Nonoyama T, Nonoyama K, Shimazaki Y. Posterior occluding pairs of teeth or dentures and 1-year mortality in nursing home residents in Japan. J Oral Rehabil 2020; 47(2):204-11. https://doi.org/10.1111/joor.12883
Assumpção D, Domene SM, Fisberg RM, Barros MB. Diet quality and associated factors among the elderly: a population-based study in Campinas, São Paulo State, Brazil. Cad Saude Publica 2014; 30(8):1680-94. https://doi.org/10.1590/0102-311x00009113
Amagai N, Komagamine Y, Kanazawa M, Iwaki M, Jo A, Suzuki H, et al. The effect of prosthetic rehabilitation and simple dietary counseling on food intake and oral health related quality of life among the edentulous individuals: A randomized controlled trial. J Dent 2017; 65:89-94. https://doi.org/10.1016/j.jdent.2017.07.011
Bauer S, Halfens RJG, Lohrmann C. Changes in nutritional status in nursing home residents and associated factors in nutritional status decline: a secondary data analysis. J Adv Nurs 2017; 73(10):2420-9. https://doi.org/10.1111/jan.13297
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