The impact of dietary advice on edentulous adults' denture satisfaction and oral health-related quality of life 6 months after intervention.
OBJECTIVE
The aim of this study was to compare the impact of customised dietary advice on patients' satisfaction with their dentures and oral health-related quality of life (OHRQoL) in patients wearing implant-supported mandibular overdentures (IOD) or conventional dentures (CD).


METHODS
In this prospective cohort study, 28 IOD (two implant-retained mandibular overdenture) and 26 CD patients completed a denture satisfaction scale and the 20-item oral health impact profile (OHIP-20) before and 6 months following provision of customised dietary advice.


RESULTS
At 6 months following provision of individualised dietary advice, the IOD group showed significantly greater satisfaction than the conventional group for denture comfort (80.6, + or - 15.6, vs. 68.7 + or - 15.6 P=0.001), stability (75.8 + or - 15.9 vs. 59.5 + or - 30.4, P=0.002), and perceived chewing ability (79 + or - 30.4 vs. 59.5 + or - 30.4, P=0.027) + or - when adjusted for baseline scores. Before delivery of the dietary advice there were no significant differences between groups for Satisfaction or OHIP scores. No difference in OHRQoL was seen between groups.


CONCLUSIONS
The delivery of customised dietary advice to edentulous patients impacts differently on their satisfaction with denture comfort, stability and chewing ability depending on the nature of their prosthesis. This re-evaluation of satisfaction occurs when edentulous patients challenge themselves to consume more fruits, vegetables and fibre-rich foods. The IOD group reported an increased level of satisfaction and perceived chewing ability whereas it appeared that CD wearers may have had their awareness of the shortcomings of this sort of prosthesis reawakened.
Ellis
Janice S
JS
School of Dental Sciences, Newcastle University, Framlington Place, Newcastle upon Tyne, NE2 4BW, UK. j.s.ellis@ncl.ac.uk
Elfeky
Ahmed F
AF
Moynihan
Paula J
PJ
Seal
Chris
C
Hyland
Robert M
RM
Thomason
Mark
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003376:Counseling; D019094:Dental Prosthesis, Implant-Supported / Q000523:psychology*; D003824:Denture, Complete / Q000523:psychology*; D003828:Denture, Overlay; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible; D008875:Middle Aged; D009066:Mouth, Edentulous / Q000534:rehabilitation*; D052756:Nutritional Sciences / Q000193:education*; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D011788:Quality of Life; D016896:Treatment Outcome