title: Association between dental prosthesis need, nutritional status and quality of life of elderly subjects.
abstract: OBJECTIVE
  To determine the effect of prosthesis need on nutritional status and oral health-related quality of life (OHrQoL) in elderly and to check the disparity between prosthesis need and prosthesis want in the Indian elderly.
  
  
  METHODS
  A total of 946 geriatric participants reporting to a geriatric medicine clinic were recruited in the study. Mini-nutritional assessment (MNA), geriatric oral health assessment (GOHAI) indices, prosthesis need according to WHO criteria, and prosthesis want was recorded along with age, gender, socioeconomic status and posterior occluding pair.
  
  
  RESULTS
  Significant associations exist between prosthesis need and age (p = 0.005), MNA (p = 0.006) and GOHAI (p = 0.000). Prosthesis demand too was influenced by age (p = 0.004), posterior occluding pairs (p = 0.000), MNA (p = 0.012) and GOHAI (p = 0.000). GOHAI was negatively correlated with upper (r = -0.445) and lower prosthesis need (r = -0.460). Participants with some prosthesis need had significantly lower MNA and GOHAI scores as compared to those with no prosthesis need. Though prosthesis need was high (79.7 %), demand was low (39.3 %).
  
  
  CONCLUSIONS
  Prosthesis need affects nutritional status and OHrQoL in elderly, and a wide gap exists between need and want of prosthesis.
authors.affiliation: Department of Prosthodontics, Center for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Rajath Sasidharan
authors.initials: RS
authors.lastname: Pillai
authors.affiliation: Department of Pedodontics and Preventive Dentistry, Center for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Vijay Prakash
authors.initials: VP
authors.lastname: Mathur
authors.affiliation: Department of Prosthodontics, Center for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India. jainveena1@gmail.com.
authors.forename: Veena
authors.identifier: http://orcid.org/0000-0003-4803-2370
authors.initials: V
authors.lastname: Jain
authors.affiliation: Department of Conservative and Endodontics, Center for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Naseem
authors.initials: N
authors.lastname: Shah
authors.affiliation: Department of Prosthodontics, Center for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Kalra
authors.affiliation: Department of Prosthodontics, Center for Dental Education and Research, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Pravesh
authors.initials: P
authors.lastname: Kumar
authors.affiliation: Department of Geriatric Medicine, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: A B
authors.initials: AB
authors.lastname: Dey
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017266:Dental Prosthesis; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D007194:India; D008297:Male; D020380:Needs Assessment; D009752:Nutritional Status / Q000502:physiology*; D009909:Oral Health; D011788:Quality of Life; D012923:Social Class
keywords: Dental prosthesis; Elderly; Nutritional status; Oral health