TY  - CONF
  - McKenna G, Allen PF, Flynn A, O'Mahony D, Cronin M, Woods N
  - 7th Congress of the EUGMS
  - Comparison of tooth replacement strategies on the nutritional status of older patients: A randomised controlled clinical trial
  - 2011
  - September
  - Published
  - 1
  - ()
  - Introduction.¿ Diet plays a key role in disease prevention in olderage. Although nutritional state is in;#64258;uenced by various factors,dental status can have an important impact. Poor oral health andloss of teeth can have signi;#64257;cant negative effects on dietary intakeand nutritional status for older patients. Increasingly, patients areretaining some natural teeth into old age (partially dentate). Manyreceive removable partial dentures to replace all missing teethdespite their potential to increase the risk of further dentaldisease. Alternative, functionally-orientated treatments existincluding the shortened dental arch (SDA). Instead of aiming toreplace all missing teeth, this provides patients with 10 pairs ofteeth that are easy to maintain whilst ensuring acceptablefunction and aesthetics. The aim of this study was to comparethe impact of two different tooth replacement strategies on thenutritional status of partially dentate older patients. The studycompared conventional treatment using removable partialdentures and functionally-orientated treatment based on theSDA.Method.¿ Fifty partially dentate patients (mean age 68.8 years)completed a randomized controlled clinical trial. 26 patients wereallocated to conventional treatment with removable partialdentures and 24 were allocated to functionally-orientatedtreatment with adhesive bridgework used to create 10 pairs ofteeth. Nutritional status was assessed at baseline and 1 monthafter treatment using a range of haematological markers and theMini Nutritional Assessment (MNA).Results.¿ One month after treatment intervention, haematologicalmeasures did not illustrate a clear picture of improvement foreither group. For the conventional group average levels of vitaminB12 (P = 0.68), albumin (P = 0.20) and cholesterol (P = 0.50) allincreased. For the functionally-orientated group average levels ofvitamin B12 (P = 0.62), albumin (P = 0.16) and vitamin D (P = 0.37)all increased. MNA scores improved for both treatment groupspostoperatively. For the conventional group mean MNA scoreincreased from 23.3 to 24.4 (P = 0.03). For the functionallyorientated group mean MNA score increased from 23.2 to 24.1(P = 0.03).Conclusions.¿ Haematological markers did not demonstrate anystatistically signi;#64257;cant improvements in nutritional status foreither treatment group. However, MNA scores improved for bothconventional and functionally-orientated groups after treatmentintervention (P = 0.03).
  - Health Research Board
DA  - 2011/09
ER  - 

@inproceedings{V109438673,
   = {McKenna G,  Allen PF and  Flynn A,  O'Mahony D and  Cronin M,  Woods N },
   = {7th Congress of the EUGMS},
   = {{Comparison of tooth replacement strategies on the nutritional status of older patients: A randomised controlled clinical trial}},
   = {2011},
   = {September},
   = {Published},
   = {1},
   = {()},
   = {{Introduction.¿ Diet plays a key role in disease prevention in olderage. Although nutritional state is in;#64258;uenced by various factors,dental status can have an important impact. Poor oral health andloss of teeth can have signi;#64257;cant negative effects on dietary intakeand nutritional status for older patients. Increasingly, patients areretaining some natural teeth into old age (partially dentate). Manyreceive removable partial dentures to replace all missing teethdespite their potential to increase the risk of further dentaldisease. Alternative, functionally-orientated treatments existincluding the shortened dental arch (SDA). Instead of aiming toreplace all missing teeth, this provides patients with 10 pairs ofteeth that are easy to maintain whilst ensuring acceptablefunction and aesthetics. The aim of this study was to comparethe impact of two different tooth replacement strategies on thenutritional status of partially dentate older patients. The studycompared conventional treatment using removable partialdentures and functionally-orientated treatment based on theSDA.Method.¿ Fifty partially dentate patients (mean age 68.8 years)completed a randomized controlled clinical trial. 26 patients wereallocated to conventional treatment with removable partialdentures and 24 were allocated to functionally-orientatedtreatment with adhesive bridgework used to create 10 pairs ofteeth. Nutritional status was assessed at baseline and 1 monthafter treatment using a range of haematological markers and theMini Nutritional Assessment (MNA).Results.¿ One month after treatment intervention, haematologicalmeasures did not illustrate a clear picture of improvement foreither group. For the conventional group average levels of vitaminB12 (P = 0.68), albumin (P = 0.20) and cholesterol (P = 0.50) allincreased. For the functionally-orientated group average levels ofvitamin B12 (P = 0.62), albumin (P = 0.16) and vitamin D (P = 0.37)all increased. MNA scores improved for both treatment groupspostoperatively. For the conventional group mean MNA scoreincreased from 23.3 to 24.4 (P = 0.03). For the functionallyorientated group mean MNA score increased from 23.2 to 24.1(P = 0.03).Conclusions.¿ Haematological markers did not demonstrate anystatistically signi;#64257;cant improvements in nutritional status foreither treatment group. However, MNA scores improved for bothconventional and functionally-orientated groups after treatmentintervention (P = 0.03).}},
   = {Health Research Board},
  source = {IRIS}
}