Number of teeth, denture wearing and cognitive function in relation to nutritional status in residents of nursing homes

Suma, Shino; Furuta, Michiko; Takeuchi, Kenji; Tomioka, Mikiko; Iwasa, Yasuyuki; Yamashita, Yoshihisa

doi:10.1111/ger.12554

Cited by 8 publications

(9 citation statements)

References 39 publications

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“…Our study is in accordance with the previous study where emotional wellbeing was indirectly affected by dental health & prosthetic rehabilitation through nutritional status. 31 They had experienced depression, nervousness, restlessness & lack of interest towards their daily life during COVID-19 pandemic. Specifically, loneliness was associated with higher levels of depression for older adults who were living in old age home during the pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…Decreased intake of essential nutrients has been reported to be a risk factor for decline in cognitive skills and memory loss. 31 Complete edentulousness may not be life threatening and yet it has been shown to have a negative effect on the quality of life of older adults. 43,44 This study is concurrent with a previous study that has demonstrated the association between edentulism, malnutrition and poor emotional wellbeing.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation and correlation of nutritional status and emotional wellbeing in relation to dentition and prosthetic rehabilitation of community living geriatric individuals during COVID-19 pandemic

Shafiuallah¹,

Balaraman²,

Bhuvaneshwar³

et al. 2022

j-cpi

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Background: COVID-19 infection has become a serious problem among rapidly growing geriatric individuals in India. During the pandemic, the availability of food and emotional support has decreased in old age homes, and this must have affected the nutritional status and emotional wellbeing of the geriatric individuals. Aim: To evaluate and correlate the association between the nutritional status and emotional wellbeing of geriatric individuals during covid-19 pandemic with dentition and prosthetic rehabilitation. Materials and method: The questionnaire consisted of three sections which included. Demographic data and dental status, WHO approved Mini Nutritional Assessment Short Form (MNA-SF) and WHO approved Emotional well-being five scale. We also compared the BMI of geriatric elders before 6 months of Covid-19 and during Covid-19. 112 participants were enrolled from 9 government old age homes in Tamilnadu, India. Data were collected and subjected to statistical testing. Simple frequency analysis and Chi square test were used. Result: 70.5% of geriatric elders had poor emotional wellbeing and 65.1% were malnourished during this pandemic. Dentition status showed that 51.7% were completely edentulous and 74.1% were without prosthetic rehabilitation. Statistical significance results were found when comparing nutritional status & emotional wellbeing with dentition and prosthetic rehabilitation status of elders during COVID-19. Conclusion: Older adults’ mental health was negatively affected by the COVID-19 pandemic, whereas dentition and prosthetic rehabilitation status indirectly affect the mental health of elders through malnutrition. As a prosthodontist, who provide geriatric care, treating the elders by looking beyond the teeth, will help to improve overall wellbeing of these individuals.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluation and correlation of nutritional status and emotional wellbeing in relation to dentition and prosthetic rehabilitation of community living geriatric individuals during COVID-19 pandemic

Shafiuallah¹,

Balaraman²,

Bhuvaneshwar³

et al. 2022

j-cpi

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“…Examiners also determined the number of teeth and removable denture use. Based on this information, dentition status was divided into three categories (≥20 teeth, ≤19 teeth with removable dentures, and ≤ 19 teeth without removable dentures) 27,28 . Furthermore, the number of pairs of opposing natural teeth excluding third molars, termed functional natural tooth units (FNTUs; range 0–14), was counted.…”

Section: Methodsmentioning

confidence: 99%

“…Based on this information, dentition status was divided into three categories (≥20 teeth, ≤19 teeth with removable dentures, and ≤ 19 teeth without removable dentures). 27,28 Furthermore, the number of pairs of opposing natural teeth excluding third molars, termed functional natural tooth units (FNTUs; range 0-14), was counted. To assess occlusal status, it is more common to use pairs of opposing natural or prosthetic teeth, termed functional tooth units (FTUs).…”

Section: Oral Examinationsmentioning

confidence: 99%

Periodontal status is associated with oral function in community‐dwelling older adults, independent of dentition status

Ueno

Iwasaki

Kimura

et al. 2022

J of Periodontal Research

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Objective: To determine whether periodontal status is associated with oral function, including masticatory performance and occlusal force, among community-dwelling older adults.Background: Although a potential association between periodontal status and oral function has been reported, variations in the root surface area (RSA) of each tooth have not been considered. Methods:We used data from a population-based study involving community-dwelling older adults. The RSA with periodontal ligament (RSA-PL), which quantifies the RSA attached to the periodontal ligament and alveolar bone, was calculated based on full-mouth periodontal examination. Masticatory performance was assessed using spectrophotometric measurement of the color (a* value) of color-changing chewing gum. The bilateral maximal occlusal force (MOF) was measured using a pressure-sensitive sheet and dedicated software. The associations of the RSA-PL, a quantitative marker of periodontal tissue support, with the a* value and MOF were assessed using linear regression models. Results:The analyses included data from 250 adults [60.8% women; age, mean (standard deviation) 82.5 (5.0) years]. On average, the study participants had an RSA-PL of 26.3 cm 2 , a* value of 25.0, and an MOF value of 555.1 N. After adjustments for potential confounders, including dentition status, age, sex, dental visit regularity, smoking status, physical activity level, depressive symptoms, a history of stroke or diabetes mellitus, and body mass index, the RSA-PL was found to be associated with the a* value [coefficient (per 1 cm 2 increase): 0.16, 95% confidence interval (CI) 0.10-0.22)] and MOF (coefficient: 9.2, 95% CI 5.3-13.1). Conclusion:This study demonstrated that greater amounts of remaining toothsupporting structures, indicated by higher RSA-PL values, were associated with better masticatory performance and a higher occlusal force among community-dwelling older adults.

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“…The deterioration of cognitive functions, behavioral disturbances, and inadequate nursing and parasanitary training contribute to poor oral health in elderly people with dementia [ 18 , 19 , 20 ]. Studies show that frail people having fewer teeth are associated with a lack of nutritional supply and that dental status could play a role in musculoskeletal frailty [ 6 , 21 ] and cognitive impairment [ 22 ]; additionally, the presence of lesions of the oral mucosa could interfere with the nutrition of elderly patients [ 6 , 23 , 24 , 25 ]. The first alarm bell is the lack of energy that the elderly manifest during the day and that social health workers notice and report to the doctor in order to act preventively/promptly on potentially reversible causes [ 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

Dental Prosthetic Rehabilitation Interventions in Elderly Patients Hospitalized in the Nursing Homes of the Lombardy Region: A Retrospective Study

Ceraulo

Caccianiga

Casto³

et al. 2022

Healthcare

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Background: The difficulty of frail, non-self-sufficient or non-ambulatory collaborating elderly residents in nursing homes to eat due to a lack of teeth or the absence of a dental prosthesis leads to an increasingly evident increase in the patients’ systemic pathological state, particularly in older patients who take a lot of medications. Total or partial edentulousness that is not filled with dental prostheses or that is filled with inadequate prostheses, associated with socioeconomic factors, depression, impaired motor functions, heart disease and a large number of chronic diseases including excessive use of drugs, often affects elderlies’ feeding. Aim: In this study, prosthetic rehabilitation was performed on some frail elderly residents in 10 nursing homes in the Lombardy district, and, subsequently, meal behavior and social activity were examined in two information questionnaires through compilation. Methods: The research was conducted on only 67 patients, 26 men and 41 women, aged between 75 and 99, who were guests in 10 health facilities (nursing homes) in the Lombard district; only 8 residents did not undergo prosthetic rehabilitation, as they did not cooperate. All the patients who were visited underwent oral prosthetic rehabilitation, and, subsequently, some aspects such as nutrition and socialization were assessed with other residents through the aid of two information dossiers. Results: the results showed that all the residents, despite difficulties in chewing with the new prosthesis, were fed and did not refuse more consistent foods; in addition, there was an improvement in social activity among the residents. Only 19.3% of men and 22% of women continued to eat little; there was an improvement in the participation in social activities among the residents, with a percentage of 73% of men and 88% of women; in particular, during meals 35 residents conversed with the other residents. Discussion: The dental problems of elderly people residing in social welfare homes are increasingly evident when other systemic pathologies are present. It would be desirable to introduce telemedicine in residences for the elderly for the monitoring of dental problems. Conclusions: From the information obtained and from the evaluation of the change in the elderly, it can be concluded that it would be desirable to include specific dental protocols to create a network, including a telematic one, to monitor and perform more dental checks in nursing homes.

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Number of teeth, denture wearing and cognitive function in relation to nutritional status in residents of nursing homes

Cited by 8 publications

References 39 publications

Evaluation and correlation of nutritional status and emotional wellbeing in relation to dentition and prosthetic rehabilitation of community living geriatric individuals during COVID-19 pandemic

Evaluation and correlation of nutritional status and emotional wellbeing in relation to dentition and prosthetic rehabilitation of community living geriatric individuals during COVID-19 pandemic

Periodontal status is associated with oral function in community‐dwelling older adults, independent of dentition status

Dental Prosthetic Rehabilitation Interventions in Elderly Patients Hospitalized in the Nursing Homes of the Lombardy Region: A Retrospective Study

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