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      Assessment of Nutritional and Psychosocial Status of Elderly Patients Wearing Removable Dental Prosthetics

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          Abstract

          Introduction:

          Tooth loss is an age-related problem. As age advances, people's ability to maintain their teeth is affected due to their reduced physical capacity and income. After fitting dentures, resuming a healthy diet can help alleviate a variety of discomforts, both psychological and physiological. The present study was conducted to evaluate the nutritional and psychological status of elderly patients with removable dentures.

          Materials and Methods:

          A longitudinal study was conducted among 502 elderly participants to assess their nutritional status and psychological impact on elderly people who recently underwent denture placement. The data regarding nutritional status and its psychological impact due to tooth loss were collected from participants, and after 3 months of adaptability, postdenture data were collected. The survey was conducted in five parts, including initial demographic analysis, nutritional status, and psychological impact before and after denture wearing.

          Results:

          > Most participants noticed a substantial increase in food consumption after wearing dentures to 59.76%. About 39.64% of the participants were reported to be skipping their meals regularly before wearing the denture. There was a significant increase in participants' ability to eat hard food, which accounts to be by 66.53%. There was an improvement in confidence in their smile by 32.87% of the participants after wearing dentures compared with their previous state. Only 34.66% of participants were worried about wearing dentures in public.

          Conclusion:

          Removable dentures in senior persons had a substantial impact on nutritional balance. The study also claims that wearing a complete denture improves edentulous people's psychological well-being and quality of life.

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          Most cited references22

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          The Impact of Edentulism on Oral and General Health

          An adequate dentition is of importance for well-being and life quality. Despite advances in preventive dentistry, edentulism is still a major public health problem worldwide. In this narrative review, we provide a perspective on the pathways that link oral to general health. A better understanding of disease indicators is necessary for establishing a solid strategy through an organized oral health care system to prevent and treat this morbid chronic condition.
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            The relationship among dental status, nutrient intake, and nutritional status in older people.

            Dental health status may influence nutrition. The objective of this part of the National Diet and Nutrition Survey was to assess if there is a relationship between dental status in people 65 years and older and intake of certain nutrients and any link between dental status and blood-derived values of key nutrients. Random national samples of independently living subjects and those living in institutions had dental examinations, interviews, four-day food diaries, and blood and urine analyzed. In the sample living independently, intakes of most nutrients were lower in edentate than dentate subjects. Intake of non-starch polysaccharides, protein, calcium, non-heme iron, niacin, and vitamin C was significantly lower in edentate subjects. People with 21 or more teeth consumed more of most nutrients, particularly of non-starch polysaccharide. This relationship in intake was not apparent in the hematological analysis. Plasma ascorbate and plasma retinol were the only analytes significantly associated with dental status.
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              Functional units, chewing, swallowing, and food avoidance among the elderly.

              The number of teeth in the dentition was compared with the number and types of dental functional units (opposing tooth pairs) to correlate the number of functional units with complaints about chewing and swallowing in the elderly. Complaints of oral pharyngeal function and food avoidance practices were compared with the number and types of functional units. A convenience sample of 602 elderly subjects (468 men, 134 women, mean age 70 years) were interviewed and examined dentally. Functional unit measures, which included functional arrangement of the teeth and the number and type of teeth present, were found to be more discriminatory and descriptive of masticatory potential than the more number of teeth. Elderly persons (> or = 60 years of age) with reduced numbers of functional units tended to report difficulty chewing, avoidance of stringy foods (including meat), crunchy foods (including vegetables), and dry solid foods (including breads), and difficulty in swallowing. Removable prostheses did not appear to prevent these consequences and, at least in this elderly population, did not appear to be equivalent to natural teeth in terms of masticatory potential. It is possible that compromised dental function results in the swallowing of poorly chewed food, food avoidance patterns, dietary inadequacies, and systemic changes favoring illness, reduced vigor, debilitation, and shortened life expectancy. Emphasis should be placed on maintaining natural teeth whenever possible.
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                Author and article information

                Journal
                J Pharm Bioallied Sci
                J Pharm Bioallied Sci
                JPBS
                Journal of Pharmacy & Bioallied Sciences
                Wolters Kluwer - Medknow (India )
                0976-4879
                0975-7406
                July 2022
                13 July 2022
                : 14
                : Suppl 1
                : S429-S432
                Affiliations
                [1 ]Department of Prosthodontics, Dentistry Program, Batterjee Medical College, Jeddah, Saudi Arabia
                [2 ]Department of Prosthodontics, Dentistry Program, Batterjee Medical College, Jeddah, Saudi Arabia
                [3 ]Department of Prosthodontics, Dentistry Program, Batterjee Medical College, Jeddah, Saudi Arabia
                [4 ]Department of Prosthodontics, Dentistry Program, Batterjee Medical College, Jeddah, Saudi Arabia
                Author notes
                Address for correspondence: Dr. Wayel Mohammed Huraib, Department of Prosthodontics, Dentistry Program, Batterjee Medical College, Jeddah, Saudi Arabia. E-mail: wayel.huraib@ 123456bmc.edu.sa
                Article
                JPBS-14-429
                10.4103/jpbs.jpbs_840_21
                9469388
                b484f13b-8603-4638-8116-9376af0c36ad
                Copyright: © 2022 Journal of Pharmacy and Bioallied Sciences

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 16 December 2021
                : 27 December 2021
                : 03 January 2022
                Categories
                Original Article

                Pharmacology & Pharmaceutical medicine
                dentures,geriatric,nutrition,psychological,quality of life
                Pharmacology & Pharmaceutical medicine
                dentures, geriatric, nutrition, psychological, quality of life

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