head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing
ISSN: 1312-773X (Online)
Issue: 2018, vol. 24, issue3
Subject Area: Dental Medicine
DOI: 10.5272/jimab.2018243.2104
Published online: 19 July 2018

Original article

J of IMAB. 2018 Jul-Sep;24(3):2104-2108
Rouzha Pancheva1ORCID logo, Desislava Konstantinova2ORCID logo, Mariana Dimova-Gabrovska3ORCID logo Corresponding Autoremail,
1) Department of hygiene and epidemiology, Faculty of public health, Medical Univesity – Varna, Bulgaria.
2) Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University, Varna, Bulgaria.
3) Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University, Sofia, Bulgaria.

Introduction: There are many factors that have an influence on the nutritional status of older people, but the significance of nutrition for the quality of life is indisputable. Complete tooth loss affects and changes nutritional habits, which poses important questions about the intake of energy and macronutrients in subjects with complete dentures.
The aim of this study was to make a comparative analysis of the energy and macronutrient intake in subjects with complete dentures, based on the Bulgarian recommendations for the physiological needs.
Materials and methods: An individual questionnaire was used to collect the primary information, covering the following areas: demographic, co-morbid and 3-day dietary intake registered data, as well as a dental examination to confirm the total tooth loss. The investigation was conducted between March and April 2017 in Sofia and Varna. The study included 28 subjects, aged 47 to 89 years. Statistical data processing was performed with the SPSS software for Windows 15.0.
Results: The average daily energy intake levels were by about 200 kcal higher than the reference needs for the male subjects with low physical activity, aged over 60 years and close to the recommended for the female subjects. For both sexes, protein intake levels corresponding to the reference, but at the expense of animal proteins (>60%); low carbohydrate intake levels (<40%), but increased intake of added sugars (10-12%); low intake of dietary fibers (<25 grams); high intake of fats, mostly at the expense of saturated fatty acids, were found.
Conclusion: Unfavorable tendencies were identified in the nutrition of subjects with total tooth loss, which may further contribute to worsening of their co-morbid conditions.

Keywords: complete dentures, energy and macronutrient intake,

pdf - Download FULL TEXT /PDF 492 KB/
Please cite this article as: Pancheva R, Konstantinova D, Dimova-Gabrovska M. Nutrition in subjects with complete dentures: energy and macronutrient intake. J of IMAB. 2018 Jul-Sep;24(3):2104-2108. DOI: 10.5272/jimab.2018243.2104

Corresponding AutorCorrespondence to: Assoc. Prof. Dr Mariana Dimova-Gabrovska, PhD, DSc. Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University, Sofia; 1, St. G. Sofiiski Blvd.,1431 Sofia, Bulgaria; E-mail: marianadimova@abv.bg,

1. Bradbury J, Thomason JM, Jepson NJ, Walls AW, Allen PF, Moynihan PJ. Nutrition counseling increases fruit and vegetable intake in the edentulous, J Dent Res. 2006 May;85(5):463-8. [PubMed]
2. Hamdan NM, Gray-Donald K, Awad MA, Johnson-Down L, Wollin S, Feine JS. Do implant overdentures improve dietary intake? A randomized clinical trial, J Dent Res. 2013 Dec;92(12 Suppl):146-53. [PubMed]
3. Bartlett DW, Maggio B, Targett D, Fenlon MR, Thomas J. A preliminary investigation into the use of denture adhesives combined with dietary advice to improve diets in complete denture wearers. J Dent. 2013 Feb;41(2):143-7. [PubMed]
4. Morais JA, Heydecke G, Pawliuk J, Lund JP, Feine JS. The effects of mandibular two-implant overdentures on nutrition in elderly edentulous individuals. J Dent Res. 2003 Jan;82(1):53-8. [PubMed]
5. de Andrade FB, Lebrгo ML, Santos JL, Duarte YA. Relationship between oral health and frailty in community-dwelling elderly individuals in Brazil. J Am Geriatr Soc. 2013 May;61(5):809-14. [PubMed]
6. Ordinance No1 for the physiological norms of nutrition of people. Ministry of health. 23.01.2018 [in Bulgarian]
7. Bradbury J, Thomason JM, Jepson NJ, Walls AW, Mulvaney CE, Allen PF, et al. Perceived chewing ability and intake of fruit and vegetables. J Dent Res, 2008 Aug;87(8):720–5. [PubMed]
8. Wöstmann B, Michel K, Brinkert B, Melchheier-Weskott A, Rehmann P, Balkenhol M. Influence of denture improvement on the nutritional status and quality of life of geriatric patients. J Dent. 2008 Oct;36(10):816-21. [PubMed]
9. Madhuri S, Hegde SS, Ravi S, Deepti A, Simpy M. Comparison of chewing ability, oral health related quality of life and nutritional status before and after insertion of complete denture amongst edentulous patients in a Dental College of Pune. Ethiop J Health Sci. 2014 Jul;24(3):253-60. [PubMed]
10. Muller K, Morais J, Feine J. Nutritional and anthropometric analysis of edentulous patients wearing implant overdentures or conventional dentures. Braz Dent J. 2008; 19(2):145-50. [PubMed]
11. Awad MA, Morais JA, Wollin S, Khalil A, Gray-Donald K, Feine JS. Implant overdentures and nutrition: a randomized controlled trial. J Dent Res. 2012 Jan;91(1):39-46. [PubMed]
12. Müller F, Duvernay E, Loup A, Vazquez L, Herrmann FR, Schimmel M. Implant-supported mandibular overdentures in very old adults: a randomized controlled trial. J Dent Res. 2013 Dec;92(12 Suppl):154S-60S. [PubMed]
13. McKenna G, Allen PF, Flynn A, O’Mahony D, DaMata C, Cronin M, et al. Impact of tooth replacement strategies on the nutritional status of partiallydentate elders. Gerodontology. 2012 Jun;29(2):e883-90. [PubMed]
14. McKenna G, Allen PF, O’Mahony D, Flynn A, Cronin M, DaMata C, et al. Comparison of functionally orientated tooth replacement and removable partial dentures on the nutritional status of partially dentate older patients: a randomised controlled clinical trial. J Dent. 2014 Jun;42(6):653-9. [PubMed]
15. McKenna G, Allen PF, O’Mahony D, Cronin M, DaMata C, Woods N. Impact of tooth replacement on the nutritional status of partially dentate elders. Clin Oral Investig. 2015 Nov;19(8):1991-8. [PubMed]
16. Duleva V, Rangelova L, Petrova, Dimirov Pl. National survey of nutrition factor for health risk among the population of Bulgaria. Bulgarian Journal of Public Health.2017;9(2):34-57
17. Ellis JS, Elfeky AF, Moynihan PJ, Seal C, Hyland RM, Thomason M. The impact of dietary advice on edentulous adults’ denture satisfaction and oral health-related quality of life 6 months after intervention. Clin Oral Implants Res. 2010 Apr;21(4):386-91. [PubMed]
18. Moynihan PJ, Elfeky A, Ellis JS, Seal CJ, Hyland RM, Thomason JM. Do implant-supported dentures facilitate efficacy of eating more healthily? J Dent. 2012 Oct;40(10):843-50. [PubMed]
19. Prakash N, Kalavathy N, Sridevi J, Premnath K. Nutritional status assessment in complete denture wearers. Gerodontology. 2012 Sep;29(3):224-30. [PubMed]
20. Komagamine Y, Kanazawa M, Iwaki M, Jo A, Suzuki H, Amagai N, et al. Combined effect of new complete dentures and simple dietary advice on nutritional status in edentulous patients: study protocol for a randomized controlled trial. Trials. 2016 Nov 9;17(1):539. [PubMed] [CrossRef]
21. Ellis JS, Thomason JM, Jepson NJ, Nohl F, Smith DG, Allen PF. A randomized-controlled trial of food choices made by edentulous adults. Clin Oral Implants Res. 2008 Apr;19(4):356-61. [PubMed] [CrossRef].

Received: 13 May 2018
Published online: 19 July 2018

back to Online Journal