Gerald McKenna1, P Finbarr Allen2, Denis O'Mahony3, Michael Cronin4, Cristiane DaMata2, Noel Woods5. 1. Centre for Public Health, Nutrition and Metabolism Research Group, Queen's University Belfast, Institute of Clinical Sciences, Block B, Royal Victoria Hospital, Belfast, BT12 6BA, Northern Ireland, UK. g.mckenna@qub.ac.uk. 2. Cork University Dental School and Hospital, University College Cork, Cork, Ireland, UK. 3. School of Medicine, University College Cork, Cork, Ireland, UK. 4. School of Mathematical Sciences, University College Cork, Cork, Ireland, UK. 5. Centre for Policy Studies, University College Cork, Cork, Ireland, UK.
Abstract
OBJECTIVES: The aim of this study was to compare the impact of two different tooth replacement strategies on the nutritional status of partially dentate older patients. Nutritional status was measured using the full version of the Mini Nutritional Assessment (MNA) and the short form of the Mini Nutritional Assessment (MNA-SF). MATERIALS AND METHODS: A randomised controlled clinical trial was conducted (Trial Registration no. ISRCTN26302774). Partially dentate patients aged 65 years and older were recruited and randomly allocated to the two different treatment groups: the removable partial dentures (RPD) group and the shortened dental arch (SDA) group. Nutritional status was measured using the MNA and MNA-SF administered at baseline and 1, 6 and 12 months after treatment intervention by a research nurse blinded to the treatment group allocation of all participants. RESULTS: Data collected using the full version of the MNA showed significant improvements in mean MNA scores over the length of the study (p < 0.05). For the entire patient group, there was a mean increase of 0.15 points at 6 months and a further increase of 0.19 points at 12 months. These increases were similar within the treatment groups (p > 0.05). For MNA-SF, the analysis showed that there were no significant differences recorded over the data collection points after treatment intervention (p < 0.05). CONCLUSION:Tooth replacement using conventional and functionally orientated treatment for the partially dentate elderly showed significant improvements in MNA score 12 months after intervention. CLINICAL RELEVANCE: Prosthodontic rehabilitation may play an important role in the nutritional status of partially dentate elders.
RCT Entities:
OBJECTIVES: The aim of this study was to compare the impact of two different tooth replacement strategies on the nutritional status of partially dentate older patients. Nutritional status was measured using the full version of the Mini Nutritional Assessment (MNA) and the short form of the Mini Nutritional Assessment (MNA-SF). MATERIALS AND METHODS: A randomised controlled clinical trial was conducted (Trial Registration no. ISRCTN26302774). Partially dentate patients aged 65 years and older were recruited and randomly allocated to the two different treatment groups: the removable partial dentures (RPD) group and the shortened dental arch (SDA) group. Nutritional status was measured using the MNA and MNA-SF administered at baseline and 1, 6 and 12 months after treatment intervention by a research nurse blinded to the treatment group allocation of all participants. RESULTS: Data collected using the full version of the MNA showed significant improvements in mean MNA scores over the length of the study (p < 0.05). For the entire patient group, there was a mean increase of 0.15 points at 6 months and a further increase of 0.19 points at 12 months. These increases were similar within the treatment groups (p > 0.05). For MNA-SF, the analysis showed that there were no significant differences recorded over the data collection points after treatment intervention (p < 0.05). CONCLUSION: Tooth replacement using conventional and functionally orientated treatment for the partially dentate elderly showed significant improvements in MNA score 12 months after intervention. CLINICAL RELEVANCE: Prosthodontic rehabilitation may play an important role in the nutritional status of partially dentate elders.
Authors: Floor Neelemaat; Judith Meijers; Hinke Kruizenga; Hanne van Ballegooijen; Marian van Bokhorst-de van der Schueren Journal: J Clin Nurs Date: 2011-04-28 Impact factor: 3.036
Authors: Jaana-Sophia Kern; Stefan Wolfart; Ralf-Dieter Hilgers; Birgit Marré; Herbert Scheller; Jörg Strub; Klaus Böning; Wolfgang Hannak; Ralph G Luthardt; Guido Heydecke; Jan Huppertz; Peter Pospiech; Bernd Wöstmann; Helmut Stark; Torsten Mundt; Florentine Jahn; Matthias Kern; Daniel Edelhoff; Michael H Walter Journal: Clin Oral Investig Date: 2016-10-26 Impact factor: 3.573
Authors: Leigh-Ann McCrum; Sinead Watson; Laura McGowan; Bernadette McGuinness; Christopher Cardwell; Mike Clarke; Jayne V Woodside; Gerry McKenna Journal: Pilot Feasibility Stud Date: 2020-08-24