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- DOI 10.18231/j.agems.v.12.i.1.2
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CrossMark
Nutritional challenges and dietary considerations in completely edentulous patients
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Smitha L Rajeev *
Smitha L Rajeev *
Partial or complete Edentulism is highly prevalent among older adults and profoundly affects their nutritional status. When masticatory function is lost, especially due to the loss of posterior teeth, people avoid hard and fibrous foods such fresh fruits, vegetables, and lean meats. Reduced consumption of important macronutrients and micronutrients as a result of this dietary change raises the risk of sarcopenia, frailty, anaemia, and immunological impairment.
Oral anatomy and chewing function can be restored by prosthetic rehabilitation using complete dentures or implant-supported over dentures; nevertheless, research shows that nutritional results, including meal quality and biochemical markers, do not change in the absence of continuous dietary counseling. Despite statistical constraints brought on by brief follow-up periods, randomized trials show that combining dietary intervention with Prosthodontic treatment gives better result.
Edentulous people continuously exhibit decreased dietary diversity, lower intake of fruits, vegetables, and vital nutrients, and has greater rates of underweight status, according to observational studies and national surveys. Edentulism further restricts food options by being associated with xerostomia, dysphagia, and increased use of gastrointestinal medicines. Edentulism raises the risk of malnutrition in older persons and substantially reduces the quality of their food. Improving health outcomes in this susceptible group requires a multidisciplinary strategy that combines customized nutritional advice with prosthetic rehabilitation. This article provides a comprehensive review of the nutritional challenges encountered by completely edentulous older adults and emphasizes the benefits of a multidisciplinary approach in promoting healthier living.
References
- Geissler CA, Bates JF. The nutritional effects of tooth loss. The Ame J Clin Nutr. 1984:39(3):478–89.
- Awad MA, Morais JA, Wollin S, Khalil A, Gray-Donald K, Feine JS. Implant overdenture and nutrition: A randomized controlled trial. J Dent Res. 2012;91(1):39–46.
- Amagai N, Komagamine Y, Kanazawa M, Iwaki M, Jo A, Suzuki H. et al. The effect of prosthetic rehabilitation and simple dietary counseling on food intake and oral health related quality of life among edentulous individuals: a randomized controlled trial. J Dentist. 2017;65:89–94.
- Samnieng P, Ueno M, Shinada K, Zaitsu T, Wright FA, Kawaguchi Y. Oral health status and chewing ability is related to mini- nutritional assessment results in an older adult population in Thailand. Journal of nutrition in gerontology and geriatrics. 2011;30(3):291-304.
- Cousson PY, Bessadet M, Nicolas E, Veyrune J-L, Lesourd B, Lassauzay C. Nutritional status, dietary intake and oral quality of life in elderly complete denture wearers: Edentulousness and nutritional status. Gerodontology. 2012;29(2):e685-92.
- Kapil U, Gupta A, Khandelwal R. Interrelationship between dental health status and nutritional status among elderly subjects in India. J Family Med Prim Care. 2019;8(2):477.
- Nascimento MA do, Francelino VCM, Porcelli IC de S, Yokoyama MF, Poli-Frederico RC, Fracasso M de LC, et al. Relationship between tooth loss, nutritional status and consumption of macro and micronutrients in elderly people from southern Brazil. Acta Sci Health Sci. 2022;44:e53676.
- Wu X, Xu Y, Liu Y, Ma A, Zhong F, Gao T, et al. Relationships between oral function, dietary intake and nutritional status in older adults aged 75 years and above: a cross-sectional study. BMC Public Health. 2024;24(1):1465.
- Hutton. Is there an association between edentulism and nutritional state? J (Canadian Dent Assoc) 2025;68(3).
- Haralur SB. Clinical Strategies for Complete Denture Rehabilitation in a Patient with Parkinson Disease and Reduced Neuromuscular Control. Case Rep Dent. 2015;2015:1–5.
- 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;40(10):843–50. 7 Rajeev / Annals of Geriatric Education and Medical Sciences 2025;12(1):3-7
- Vijaya S, Rodrigues A, Garg M, Vijaya S, Shetty MJ, Dhanania S. Effectiveness of dietary intervention in geriatric patients receiving new complete dentures: A randomized controlled trial. J Indian Prosthodont Soc. 2024;24(4):329-35.
- Hussein S, Rifat Falak Kantawalla, Dickie S, Suarez‐Durall P, Enciso R, Mulligan R. Association of Oral Health and Mini Nutritional Assessment in Older Adults: A Systematic Review with Meta-analyses. J Prosthod Res. 2022;66(2):208–20.
- de Andrade IM, de Albuquerque RF Jr, de Oliveira FR, Carreiro Ada F. Impact f mandibular conventional and implant-supported overdentures on nutrition and quality of life: a randomized clinical trial. J Oral Rehabil. 2004;31(8):709–15.
- Harder S, Wolfart S, Egert S, Wenz HJ, Kern M. Nutritional counseling and therapy in geriatric edentulous patients. Clin Oral Implants Res. 2015;26(9):1041–7.