Paturu Rasmi, Thallam Veeravalli Padmanabhan, Vaidyanathan Anand Kumar, Grover Manita
Faculty of Dental Sciences, Sri Ramachandra University, Porur, Chennai, 600116 Tamil Nadu India.
J Indian Prosthodont Soc. 2011 Sep;11(3):156-64. doi: 10.1007/s13191-011-0080-y. Epub 2011 Jun 21.
Elderly individuals with extensive tooth loss preferentially consume soft, easier to chew foods which have a low nutrient density. The purpose of this study was to suggest that every complete denture wearer has to be periodically counseled by a registered Dietician and Dentist for check up to avoid malnutrition and disease. Fourteen patients were selected for this study. Seven of them with four or five teeth remaining without any functional units and seven patients who were known cases of complete denture wearers with ill-fitting or worn out dentures. The results of the study analyzed the change in eating pattern and hence the nutritional status of two groups of edentulous subjects; Group I (patients who underwent a recent transition from partially edentulous state to a completely edentulous state), and Group II (known complete denture wearers for five to ten years). Clinical examination of Group I showed an improvement, by, the decrease in percentages in both the paleness of the conjunctiva and nails of the selected patients. In Group II, there was a significant change in anthropometry and iron intake and the clinical examination showed positive changes in the patient's normal appearance, eyes and nails. Paired sample statistics between both the groups evaluated significant changes in energy, iron and vitamin C intakes in the dietary assessment chart. The general questionnaire assessment showed an improvement in the eating pattern of both the groups, which, may definitely account for a positive change in the nutritional status of the participants later. This study emphasizes that every complete denture wearer needs to be periodically counseled by a registered dietician and dentist for checkup to avoid malnutrition and disease.
牙齿大量缺失的老年人优先选择食用质地柔软、易于咀嚼但营养密度低的食物。本研究的目的是表明,每位全口义齿佩戴者都必须定期接受注册营养师和牙医的咨询检查,以避免营养不良和疾病。本研究选取了14名患者。其中7名患者剩余4至5颗牙齿且无任何功能单位,另外7名患者是已知的全口义齿佩戴者,其义齿不合适或已磨损。研究结果分析了两组无牙患者的饮食模式变化以及营养状况;第一组(近期从部分无牙状态转变为完全无牙状态的患者)和第二组(已知佩戴全口义齿5至10年的患者)。对第一组患者的临床检查显示有所改善,即所选患者结膜和指甲苍白的百分比有所下降。在第二组中,人体测量和铁摄入量有显著变化,临床检查显示患者的外貌、眼睛和指甲有积极变化。两组之间的配对样本统计评估了饮食评估表中能量、铁和维生素C摄入量的显著变化。一般问卷调查评估显示两组的饮食模式都有所改善,这肯定可能是参与者营养状况随后出现积极变化的原因。本研究强调,每位全口义齿佩戴者都需要定期接受注册营养师和牙医的咨询检查,以避免营养不良和疾病。