International Journal of Prosthodontics and Restorative Dentistry

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VOLUME 12 , ISSUE 1 ( January-March, 2022 ) > List of Articles

ORIGINAL RESEARCH

Assessment of Changes in Oral Health-related Quality of Life and Nutritional Status of Edentulous Patients before and after Insertion of Complete Dentures

Chetna Arora, Pankaj Dhawan, Piyush Tandan, Shivam Singh Tomar, Harsimran Kaur, Meena Jain

Keywords : Complete denture, Edentulous, Nutritional status, Oral health-related quality of life

Citation Information : Arora C, Dhawan P, Tandan P, Tomar SS, Kaur H, Jain M. Assessment of Changes in Oral Health-related Quality of Life and Nutritional Status of Edentulous Patients before and after Insertion of Complete Dentures. Int J Prosthodont Restor Dent 2022; 12 (1):5-10.

DOI: 10.5005/jp-journals-10019-1355

License: CC BY-NC 4.0

Published Online: 18-10-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Purpose: The present study was designed to assess changes in oral health-related quality of life (OHRQoL) and nutritional status (NS) of edentulous patients before and after the insertion of complete dentures in a dental school in India. Materials and methods: A longitudinal observational study was carried out among 100 patients. A face-to-face interview was conducted for eligible participants, and the questionnaires—geriatric oral health assessment index (GOHAI) and oral health impact profile-14 (OHIP-14) were administered to determine the OHRQoL of patients. A mini nutritional assessment-short form (MNA-SF) was used to assess the NS. The questionnaires were filled 1 week before denture insertion to 1, 3, and 6 months postinsertion. The data obtained were subjected to statistical analysis. Results: A great improvement in OHRQoL and NS of edentulous patients was observed after the insertion of complete dentures. The overall mean OHIP score before treatment was 3.35 + 0.32, and it decreased to 0.17 ± 0.02 at 6 months after treatment (p = 0.001). The overall mean GOHAI score increased from 1.53 ± 0.14 before treatment to 2.46 ± 0.08 after 6 months (p = 0.001). The mean MNA score significantly increased from 0.69 + 0.26 to 2.28 ± 0.10 after 6 months of wearing complete dentures (p = 0.001). Conclusion: Low NS is a key indicator associated with poor OHRQoL among completely edentulous patients. In the present study, a great improvement in OHRQoL and NS of denture wearers was evident postinsertion from the mean OHIP, GOHAI, and MNA scores.


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  1. Sartorius N. The meanings of health and its promotion. Croat Med J 2006;47(4):662–664. PMID: 16909464; PMCID: PMC2080455.
  2. Yap KB, Niti M, Ng TP. Nutrition screening among community-dwelling older adults in Singapore. Singapore Med J 2007;48(10):911–916. PMID: 17909675.
  3. Samnieng P, Ueno M, Shinada K, et al. Oral health status and chewing ability is related to mini-nutritional assessment results in an older adult population in Thailand. J Nutr Gerontol Geriatr 2011;30(3):291–304. DOI: 10.1080/21551197.2011.591271
  4. Kaur D, Rasane P, Singh J, et al. Nutritional interventions for elderly and considerations for the development of geriatric foods. Curr Aging Sci 2019;12(1):15–27. DOI: 10.2174/1874609812666190521110548
  5. Park K. Concept of health and disease. Park's Textbook of Preventive and Social Medicine, 19th edn. Jabalpur: Banarsidas Bhanot Publishers, 2007;12–47.
  6. Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 1997;25(4):284–290. DOI: 10.1111/j.1600-0528.1997.tb00941.x
  7. Inglehart MR, Bagramian R, editors. Oral health-related quality of life: Quintessence Pub. 2002 Aug.
  8. Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile. Community dent health 1994;11(1):3–11. PMID: 8193981.
  9. Adulyanon S, Vourapukjaru J, Sheiham A. Oral impacts affecting daily performance in a low dental disease Thai population. Community Dent Oral Epidemiol 1996;24(6):385–389. DOI: 10.1111/j.1600-0528.1996.tb00884.x
  10. Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. J Dent Educ 1990;54(11):680–687. DOI: 10.1002/J.0022-0337.1990.54.11.TB02481.X
  11. Mathur VP, Jain V, Pillai RS, et al. Translation and validation of hindi version of geriatric oral health assessment index. Gerodontology 2016;33(1):89–96. DOI: 10.1111/ger.12099
  12. Kaiser MJ, Bauer JM, Ramsch C, et al. Validation of the mini nutritional assessment short-form (MNA-SF): a practical tool for identification of nutritional status. J Nutr Health Aging 2009;13(9):782–788. DOI: 10.1007/s12603-009-0214-7
  13. Schmalz G, Denkler CR, Kottmann T, et al. Oral health-related quality of life, oral conditions, and risk of malnutrition in older German people in need of care-a cross-sectional study. J Clin Med 2021;10(3):426. DOI: 10.3390/jcm10030426
  14. Deshpande NC, Nawathe AA. Translation and validation of Hindi version of oral health impact profile-14. J Indian Soc Periodontol 2015;19(2):208–210. DOI: 10.4103/0972-124X.145806
  15. Banerjee R, Chahande J, Banerjee S, et al. Evaluation of relationship between nutritional status and oral health related quality of life in complete denture wearers. Indian J Dent Res 2018;29(5):562–567. DOI: 10.4103/ijdr.IJDR_285_17
  16. Komagamine Y, Kanazawa M, Iwaki M, et al. Combined effect of new complete dentures and simple dietary advice on nutritional status in edentulous patients: study protocol for a randomized controlled trial. Trials 2016;17(1):539. DOI: 10.1186/s13063-016-1664-y
  17. Singh A, Anuradha P, Narayan M. Nutritional status of institutionalized elderly population of Lucknow city. Int j adv sci res dev 2018;3(10):128–132.
  18. Veyrune JL, Tubert-Jeannin S, Dutheil C, et al. Impact of new prostheses on the oral health related quality of life of edentulous patients. Gerodontology 2005;22(1):3–9. DOI: 10.1111/j.1741-2358.2004.00048.x
  19. Shigli K, Hebbal M. Assessment of changes in oral health-related quality of life among patients with complete denture before and 1 month post-insertion using geriatric oral health assessment index. Gerodontology 2010;27(3):167–173. DOI: 10.1111/j.1741-2358.2009.00323.x
  20. Gil-Montoya JA, Ponce G, Lara IS, et al. Association of the oral health impact profile with malnutrition risk in Spanish elders. Arch Gerontol Geriatr 2013;57(3):398–402. DOI: 10.1016/j.archger.2013.05.002
  21. Su Y, Yuki M, Hirayama K, et al. Denture wearing and malnutrition risk among community-dwelling older adults. Nutrients 2020;12(1):151. DOI: 10.3390/nu12010151
  22. Surya LS, Ferdina R, Syafutri I. The use of complete dentures affects the nutritional status of the elderly. Makassar Dent J 2021;10(1):47–49. DOI: 10.35856/mdj.v10i1.386
  23. Pereira MLAS, de Almeida Moreira P, de Oliveira CC, et al. Nutritional status of institutionalized elderly Brazilians: a study with the mini nutritional assessment. Nutr Hosp 2014;31(3):1198–1204. DOI: 10.3305/nh.2015.31.3.8070
  24. El Hélou M, Boulos C, Adib SM, et al. Relationship between oral health and nutritional status in the elderly: a pilot study in Lebanon. J Clin Gerontol Geriatr 2014;5(3):91–95. DOI: 10.1016/j.jcgg.2014.04.002
  25. Guigoz Y. The mini nutritional assessment (MNA®) review of the literature-what does it tell us? J Nutr Health Aging 2006;10(6):466–485. PMID: 17183419.
  26. Patel P, Shivakumar KM, Patil S, et al. Association of oral health-related quality of life and nutritional status among elderly population of Satara district, western Maharashtra, India. J Indian Assoc Public Health Dent 2015;13(3):269–273. DOI: 10.4103/2319-5932.165261
  27. Rosli TI, Chan YM, Kadir RA, et al. Association between oral health-related quality of life and nutritional status among older adults in district of Kuala Pilah, Malaysia. BMC Public Health 2019;19(Suppl 4):1–8. DOI: 10.1186/s12889-019-6867-1
  28. Bailey RL, Ledikwe JH, Smiciklas-Wright H, et al. Persistent oral health problems associated with comorbidity and impaired diet quality in older adults. J Am Diet Assoc 2004;104:1273–1276. DOI: 10.1016/j.jada.2004.05.210
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