title: Do implant overdentures improve dietary intake? A randomized clinical trial.
abstract: People wearing mandibular two-implant overdentures (IOD) chew food with less difficulty than those wearing conventional complete dentures (CD). However, there is still controversy over whether or not this results in better dietary intake. In this randomized clinical trials (RCT), the amounts of total dietary fiber (TDF), macronutrients, 9 micronutrients, and energy in diets consumed by persons with IOD and CD were compared. Male and female edentate patients ≥ 65 yrs (n = 255) were randomly divided into 2 groups and assigned to receive a maxillary CD and either a mandibular IOD or a CD. One year following prosthesis delivery, 217 participants (CD = 114, IOD = 103) reported the food and quantities they consumed to a registered dietician through a standard 24-hour dietary recall method. The mean and median values of TDF, macro- and micronutrients, and energy consumed by both groups were calculated and compared analytically. No significant between-group differences were found (ps > .05). Despite quality-of-life benefits from IODs, this adequately powered study reveals no evidence of nutritional advantages for independently living medically healthy edentate elders wearing two-implant mandibular overdentures over those wearing conventional complete dentures in their dietary intake at one year following prosthesis delivery.
authors.affiliation: Faculty of Dentistry, McGill University, Montreal, Canada.
authors.forename: N M
authors.initials: NM
authors.lastname: Hamdan
authors.forename: K
authors.initials: K
authors.lastname: Gray-Donald
authors.forename: M A
authors.initials: MA
authors.lastname: Awad
authors.forename: L
authors.initials: L
authors.lastname: Johnson-Down
authors.forename: S
authors.initials: S
authors.lastname: Wollin
authors.forename: J S
authors.initials: JS
authors.lastname: Feine
mesh_terms: D000368:Aged; D001205:Ascorbic Acid / Q000008:administration & dosage; D015921:Dental Implants; D019094:Dental Prosthesis, Implant-Supported; D003826:Denture, Complete, Lower; D003827:Denture, Complete, Upper; D003828:Denture, Overlay; D004032:Diet; D015930:Diet Records; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D004041:Dietary Fats / Q000008:administration & dosage; D004043:Dietary Fiber / Q000008:administration & dosage; D004044:Dietary Proteins / Q000008:administration & dosage; D002149:Energy Intake; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D057187:Independent Living; D008297:Male; D008409:Mastication / Q000502:physiology; D018977:Micronutrients / Q000008:administration & dosage; D009066:Mouth, Edentulous / Q000534:rehabilitation; D009752:Nutritional Status; D011788:Quality of Life; D014801:Vitamin A / Q000008:administration & dosage; D014803:Vitamin B Complex / Q000008:administration & dosage; D014807:Vitamin D / Q000008:administration & dosage
chemical_list: D015921:Dental Implants; D004040:Dietary Carbohydrates; D004041:Dietary Fats; D004043:Dietary Fiber; D004044:Dietary Proteins; D018977:Micronutrients; D014801:Vitamin A; D014803:Vitamin B Complex; D014807:Vitamin D; D001205:Ascorbic Acid
keywords: dental implant(s); edentulous/edentulism; geriatric dentistry; nutrition/nutritional sciences; prostheses; removable prosthodontics.