title: Impact of Different Prosthodontic Treatment Modalities on Nutritional Parameters of Elderly Patients.
abstract: OBJECTIVE
  To assess dietary and nutritional changes among the elderly following pros-thodontic rehabilitation. Another objective was to study the relationship, if any, between diet and nutrition, with extent of edentulism and different types of prosthodontic treatment.
  
  
  METHODS
  One hundred and thirty-five patients who satisfied the inclu-sion and exclusion criteria and agreed to be a part of the study after informed consent were recruited to this longitudinal study. Following selection, they were investigated on four aspects: dental examination, dietary assessment, anthropometric assessment, and serum biochemical assessment. All measurements were collected twice, first at baseline and then 6 months following prosthodontic rehabilitation. Treatment modalities included were complete denture (CD), removable partial denture (RPD), and fixed partial denture (FPD). The RPD group was of two types: distal extension prosthesis (RPDD) and tooth-supported prosthesis (RPDT). Change (post-pre) in outcome measures was compared by one-way ANOVA, and significance of mean difference between the groups was done by Tukey's honestly significance difference post hoc test.
  
  
  RESULTS
  The improvement in diet was found to be: CD > RPDD > RPDT > FPD. Significant improvement in weight (p < 0.001), BMI (p < 0.001), protein (p < 0.001), carbohydrate (p = 0.021), calorie (p < 0.001), iron (p = 0.002), and vitamin B (p < 0.001) in group CD as compared to partially edentulous patients (group RPDD + RPDT + FPD) was noted. The protein and calorie intake increased significantly in group RPD as compared to group FPD in partially edentulous patients.
  
  
  CONCLUSIONS
  Prosthetic rehabilitation becomes increasingly important as the level of edentulism increases to improve dietary, anthropometric, and biochemical parameters.
authors.affiliation: Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University UP, Lucknow, India.
authors.forename: Kopal
authors.initials: K
authors.lastname: Goel
authors.affiliation: Department of Biochemistry, King George's Medical University UP, Lucknow, India.
authors.forename: Saumyendra V
authors.initials: SV
authors.lastname: Singh
authors.affiliation: Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University UP, Lucknow, India.
authors.forename: Pooran
authors.initials: P
authors.lastname: Chand
authors.affiliation: Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University UP, Lucknow, India.
authors.forename: Jitendra
authors.initials: J
authors.lastname: Rao
authors.affiliation: Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University UP, Lucknow, India.
authors.forename: Shuchi
authors.initials: S
authors.lastname: Tripathi
authors.affiliation: Department of Prosthodontics, Faculty of Dental Sciences, King George's Medical University UP, Lucknow, India.
authors.forename: Lakshya
authors.initials: L
authors.lastname: Kumar
authors.affiliation: Department of Biochemistry, King George's Medical University UP, Lucknow, India.
authors.forename: Abbas Ali
authors.initials: AA
authors.lastname: Mahdi
authors.affiliation: Department of Biochemistry, King George's Medical University UP, Lucknow, India.
authors.forename: Kalpana
authors.initials: K
authors.lastname: Singh
mesh_terms: D000368:Aged; D003824:Denture, Complete; D003830:Denture, Partial, Fixed; D003832:Denture, Partial, Removable; D006801:Humans; D007576:Jaw, Edentulous, Partially; D008137:Longitudinal Studies; D011476:Prosthodontics
keywords: Edentulism; diet; elderly; nutritional status; prosthodontic rehabilitation