Overdenture with immediate load: mastication and nutrition.
Lower conventional complete dentures were converted to overdentures retained by two implants with an immediately loaded bar-clip system (n 16). The masticatory performance test was carried out using 'Optocal' after forty chewing strokes. Nutritional condition was evaluated by means of a Mini-Nutritional-Assessment questionnaire. No individual was classified as malnourished. The masticatory performance test demonstrated a statistically significant difference before conversion (baseline) and 3 and 6 months after conversion of the lower conventional complete denture to an implant-retained overdenture (paired-samples t test; P < 0·05). A statistically significant difference before and after 6 months of conversion for nutritional condition (Wilcoxon test; P < 0·05) was also observed. The association between masticatory performance and nutritional assessment demonstrated that a statistically significant difference between masticatory performance of the subgroups classified at baseline as nourished (22·43 %) and those at risk of malnutrition (3·9 %) was only evidenced before conversion (P = 0·006). After the conversion from a lower conventional complete denture to an implant-retained overdenture, at 3 months, the risk of malnutrition and nourished at baseline did not present significant differences in masticatory performance. Nonetheless, the mean masticatory performance potential was 19·86 and 31·98 % for subgroups classified at baseline as at risk of malnutrition and nourished, respectively (P = 0·187). The results before conversion were less favourable for masticatory performance and nutritional condition. The increased retention of the mandibular prosthesis allowed improvement in masticatory performance and nutritional condition.
Department of Occlusion, Fixed Prosthodontics and Dental Materials, School of Dentistry, Federal University of Uberlândia, Avenida Pará, Campus Umuarama, Uberlândia, MG, Brazil. tfborges@usp.br
Tânia de Freitas
Tde F
Borges
Francielle Alves
FA
Mendes
Terezinha Rezende Carvalho
TR
de Oliveira
Célio Jesus
CJ
do Prado
Flávio Domingues
FD
das Neves
D000328:Adult; D000368:Aged; D003826:Denture, Complete, Lower; D003828:Denture, Overlay; D006801:Humans; D044342:Malnutrition / Q000209:etiology / Q000517:prevention & control*; D008334:Mandible / Q000601:surgery; D008409:Mastication; D008875:Middle Aged; D015596:Nutrition Assessment; D012307:Risk Factors