Evaluation of the dietary outcomes among middle-aged Libyan edentulous male subjects treated with complete dentures; Part 1: The perceived ability to chew.
DOI:
https://doi.org/10.37376/ljst.v14i1.7173Keywords:
Edentulism, Diet, Chewing, Complete Denture Quality.Abstract
Statement of problem: The implant-retained or supported overdentures have been indicated as the primary treatment of edentulousness. However, for obvious reasons fewer patients will afford this type of treatment. Therefore, it is desirable to investigate and re-establish the effectiveness of the provision of complete dentures on patients’ essential oral functions.
Aim of the study: To assess the perceived chewing ability of edentulous Libyan patients rehabilitated with traditional complete dentures.
Materials and methods: Thirty-five edentulous adult male patients were carefully selected for this clinical trial. The researchers interviewed all subjects and assisted them in filling accurately the visual analogue scale questionnaire (VAS). The VAS questionnaire contained efficiency-rating questions assessing the effectiveness of wearing complete dentures on the ability to chew seven locally favourite meals. The answer for each question was ranked from zero to 100. Then, a standard treatment procedure was performed to provide each subject with a conventional complete denture. At the recall visit scheduled after six months of post-insertion of all prostheses, the same researchers helped subjects to indicate again their satisfaction level with their complete dentures using the same practice VAS questionnaire. The VAS scores recorded pre-treatment were compared to those scores recorded post-treatment using Wilcoxon signed-rank tests.
Results: All subjects verbally expressed their contentment and enjoyment when eating meals using their dentures. The perceived ability to chew was significantly improved for almost all food tested except for those, which require slicing before chewing. The conventional complete dentures still provide edentulous patients with an improved chewing ability when consuming traditional Libyan meals.
Conclusion: An optimistic improvement of chewing ability with complete dentures is achieved as shown by the validated practice VAS questionnaire. Consequently, the treatment with traditional complete dentures can be generalized and used for wider edentulous patients seeking treatment in the Libyan general dental practice.
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References
Allen, F. and McMillan, A. (2002) ‘Food selection and perceptions of chewing ability following provision of implant and conventional prostheses in complete denture wearers’, Clinical Oral Implants Research, 13(3), pp. 320-326.
Allen, F. and McMillan, A. (2003b) ‘A longitudinal study of quality of life outcomes in older adults requesting implant prostheses and complete removable dentures’, Clinical Oral Implants Research, 14(2), pp. 173-179.
Allen, F. and McMillan, A. (2003a) ‘A review of the functional and psychosocial outcomes of edentulousness treated with complete replacement dentures’ Journal of the Canadian Dental Association, 69(10), pp. 662a-662e.
Allen, F. (2005) ‘Association between diet, social resources, and oral health related quality of life in edentulous patients’, Journal of Oral Rehabilitation, 32(9), pp. 623-628.
Awad, M., Lund, J., Shapiro, S., Locker, D., Klemetti, E., Chehade, A., Savard, A., Feine, J. (2003) ‘Oral health status and treatment satisfaction with mandibular implant overdentures and conventional dentures: A randomized clinical trial in a senior population’, The International Journal of Prosthodontics, 16(4), pp. 390-396.
Bashayer, Z. and Salma, A. (2016) ‘Influencing Factors on Patients’ Expectation and Satisfaction with Complete Denture wearers’, ECRONICON Dental Science, 6.3(3), pp. 1316-1320.
Bellini D., Dos Santos, M., De Paula, V., Marchini, L. (2009) ‘Patients’ expectations and satisfaction of complete denture therapy and correlation with the locus of control’ Journal of Oral Rehabilitation, 36(9), pp. 682-686
Bergman, B. and Carlsson, G. (1972) ‘Review of 54 complete denture wearers. Patients' opinions 1 year after treatment’, Acta Odontologica Scandinavia, 30(4), pp. 399-414.
Carlsson, G. and Omar, R. (2010) ‘The future of complete dentures in oral rehabilitation. A critical review’, Journal of Oral Rehabilitation, 37(2), pp. 143-156.
Celebic, A., Knezovic-Zlataric, D., Papic, M., Carek, V., Baucic I., Stipetic J. (2003) ‘Factors Related to Patient Satisfaction With Complete Denture Therapy’, The Journal of Gerontology, 58(10), pp. 948-953.
Cerutti‐Kopplin, D., Emami E., Hilgert, J., Hugo F., Rivaldo, E., Padilha, D. (2017) ‘Predictors of Satisfaction with Dentures in a Cohort of Individuals Wearing Old Dentures: Functional Quality or Patient‐Reported Measures?’, Journal of Prosthodontics, 26(3), pp. 196-200
Chong, M., Khoo, C., Goh, K., Rahman, F., Shoji, Y. (2016) ‘Effect of age on bite force’, Journal of Oral Science, 58(3), pp. 361-363.
Daly, R., Elsner, R., Allen, F., Burke, F. (2003) ‘Associations between self‐reported dental status and diet’, Journal of Oral Rehabilitation, 32, 30(10), pp. 964-970.
De Angelis, F., Basili, S., Giovanni, F., Dan Trifan, P., Di Carlo, S., Manzon, L. (2018) ‘Influence of the oral status on cardiovascular diseases in an older Italian population’, International Journal of Immunopatholology and Pharmacology, 32, pp. 1-7.
De Grandmont, P., Feine, J., Tache, R., Boudrias, P., Donohue, W., Tanguay, R., Lund, J. (1994) ‘Within-subject comparisons of implant-supported mandibular prostheses: psychometric evaluation’, Journal of Dental Research, 73(5), pp. 1096-1104.
Ellis, J., Elfeky, A., Moynihan, P., Seal, C., Hyland R., Thomason, M. (2010) ‘The impact of dietary advice on edentulous adults’ denture satisfaction and oral health-related quality of life 6 months after intervention’, Clinical Oral Implants Research, 21(4), pp. 386-391.
Feine, J., Awad, M., Lund, J. (1998) ‘The impact of patient preference on the design and interpretation of clinical trials’, Community dentistry and oral epidemiology, 26(1), pp. 70-74.
Fenlon, M., Sherriff, M., Douglas, J. (2000) ‘An investigation of factors influencing patients' use of new complete dentures using structural equation modeling techniques’, Community dentistry and oral epidemiology, 28(2), pp. 133-140.
Geckili, O., Bilhan, H., Mumcu, E., Dayan, C., Yabul, A., Tuncer, N. (2012) ‘Comparison of patient satisfaction, quality of life, and bite force between elderly edentulous patients wearing mandibular two implant‐supported overdentures and conventional complete dentures after 4 years’, Special Care in Dentistry, 32(4), pp. 136-141.
Goiato, M., Bannwart, L., Moreno, A., Dos Santos, D., Martini, A., Pereira, L. (2012) ‘Quality of life and stimulus perception inpatients’ rehabilitated with complete denture’, Journal of Oral Rehabilitation, 39(6), pp. 438-445.
Heydecke, G., Boudrias, P., Awad, M., De Albuquerque, R., Lund, J., Feine, J. (2003) ‘Within-subject comparisons of maxillary fixed and removable implant prostheses: Patient satisfaction and choice of the prosthesis’, Clinical Oral Implants Research, 14(1), pp. 125-130.
Kovač, Z., Troskot, Z., Uhač, I., Cabov, T., Lajnert, V., Kovačević, D., Filipović-Zore, I., Tariba, P. (2012) ‘Multivariate analysis of different factors affecting the patient general satisfaction with complete dentures’, Collegium Antropologicum, 36(3), pp. 791-794.
Nuñez, M., Silva, D., Barcelos, B., Leles, C. (2015) ‘Patient satisfaction and oral health‐related quality of life after treatment with traditional and simplified protocols for complete denture construction’, The Journal of Gerontology, 32(4), pp. 247-253.
Okamoto, N., Amano, N., Nakamura, T., Yanagi, M. (2019) ‘Relationship between tooth loss, low masticatory ability, and nutritional indices in the elderly: A cross-sectional study’, Biomedcentral Oral Health, 19(1), pp. 110-120.
Palinkas, M., Nassar, M., Cecílio, F., Siéssere, S., Semprini, M., Machado-de-Sousa, J., Hallak, J., Regalo, S. (2010) ‘Age and gender influence on maximal bite force and masticatory muscles thickness’, Archives of Oral Biology, 55(10), pp. 797–802.
Ritchie, C., Joshipura, K., Hung, H., Douglass, C. (2002) ‘Nutrition as a mediator in the relation between oral and systemic disease: associations between specific measures of adult oral health and nutrition outcomes’, Critical Reviews in Oral Biology & Medicine, 13(3), pp. 291-300.
Sarkar, A. (2019) ‘Oral processing in elderly: Understanding eating capability to drive future food texture modifications’, Proceedings of the Nutrition Society, 78(3), pp. 329–339.
Schimmel, M., Katsoulis, J., Genton, L., Müller, F. (2015) ‘Masticatory function and nutrition in old age’, Swiss Dental Journal, 125(4), pp. 449–454.
Shinkai, R., Hatch, J., Rugh, J., Sakai, S., Mobley, C., Saunders, M. (2002) ‘Dietary intake in edentulous subjects with good and poor quality complete dentures’, Journal of Prosthetic Dentistry, 87(5), pp. 490-498.
Siriwardena, A. and Gillam, S. (2014) ‘Patient perspectives on quality’, Quality in Primary Care, 22(1), pp. 11-15.
Sivaramakrishnan, G. and Sridharan, K. (2016) ‘Comparison of implant supported mandibular overdentures and conventional dentures on quality of life: a systematic review and meta‐analysis of randomized controlled studies’, Australian Dental Journal, 61(4), pp. 482-488.
Slagter, A., Bosman, F., Van der Glas, H., Van Der Bilt, A. (1993) ‘Human jaw-elevator muscle activity and food comminution in the dentate and edentulous state’, Archives of Oral Biology, 38(3), pp. 195-205.
Slagter, A., Olthoff, L., Bosman, F., Steen, W. (1992) ‘Masticatory ability, denture quality, and oral conditions in edentulous subjects’, The Journal of prosthetic dentistry, 68(2), pp. 299-307.
Smith, P. and, McCord, J. (2004) ‘What do patients expect from complete dentures?’ Journal of dentistry, 32(1), pp. 3-7.
Thomason, M., Feine, J., Exley, C., Moynihan, P., Müller, F., Naert, I., Ellis, J., Barclay, C., Butterworth, C., Scott, B., Lynch, C. (2009) ‘Mandibular two implant-supported overdentures as the first choice standard of care for edentulous patients-the York Consensus Statement’, British dental journal, 207(4), pp. 185-186.
Tripathi, G., Rajwadha, N., Chhaparia, N., Sharma, A., Anant, M. (2014) ‘Comparative evaluation of maximum bite force in dentulous and edentulous individuals with different facial forms’, Journal of Clinical and Diagnostic Research, 8(9), pp. 37-40.
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