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The effect of prosthetic rehabilitation with or without dietary advice on nutritional status in elderly patients: a systematic review

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Abstract

Background

Elderly people frequently report tooth loss, affecting their nutritional status. There is a gap in the scientific evidence about the influence of prosthodontic rehabilitation on nutritional status.

Objective

To investigate the influence of prosthodontic rehabilitation combinates or not with dietary advice on nutritional status in elderly patients.

Methods

A systematic literature search was conducted in three electronic databases to identify randomized clinical trials that evaluated the effect of prosthetic rehabilitation on nutritional status in subjects aged 60 years or older, with a follow-up of at least 1 month after prosthesis rehabilitation.

Results

Of the 1517 articles identified in the initial search, 12 were selected for the final review. No significant difference between the types of prosthesis were found regarding the chewing by the elderly population. Although patients who received prosthetic treatment had significant improvement in chewing ability, a consistent pattern of improvement in nutritional status was not observed when they did not receive dietary advice. In addition, the association between the condition of the dentition, the masticatory performance and nutritional change of elderly patients has been found. Studies that evaluated simultaneous complete denture treatment and simple dietary advice showed an improvement of nutrient intake in elderly patients.

Conclusions

Isolated prosthetic rehabilitation may not have the effect of exerting a change in nutritional status of edentulous elderly patients. In general, simultaneous dietary consulting and prosthetic treatment in combination may improve dietary habits, since masticatory capacity and efficiency are not the only factors that influence the nutritional status of a patient.

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Data availability

The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

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Funding

The authors did not receive support from any organization for the submitted work.

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Authors and Affiliations

  1. School of Dentistry, Fametro University Centre (UNIFAMETRO), Fortaleza, Brazil

    Jandenilson Alves Brígido

  2. Pelotas Dental School, Graduate Program in DentistryFederal University of Pelotas (UFPEL) Rio Grande do Sul, R Gonçalves Chaves 457, Pelotas, 96015-560, Brazil

    Wellington Luiz de Oliveira da Rosa & Rafael Guerra Lund

Authors
  1. Jandenilson Alves Brígido
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  2. Wellington Luiz de Oliveira da Rosa
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  3. Rafael Guerra Lund
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Contributions

JAB and RGL conceived the study. JAB, RGL, and WLOR planned the study. JAB and WLOR developed the search strategy. JAB and WLOR performed the screening and data extraction. RGL resolved doubts about inclusion. JAB took the lead in writing the manuscript. All authors provided critical feedback and helped shape the research, analysis, and manuscript.

Corresponding author

Correspondence to Rafael Guerra Lund.

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Brígido, J.A., de Oliveira da Rosa, W.L. & Lund, R.G. The effect of prosthetic rehabilitation with or without dietary advice on nutritional status in elderly patients: a systematic review. Aging Clin Exp Res 35, 2399–2411 (2023). https://doi.org/10.1007/s40520-023-02578-6

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  • DOI: https://doi.org/10.1007/s40520-023-02578-6

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