The effect of prosthetic rehabilitation and simple dietary counseling on food intake and oral health related quality of life among the edentulous individuals: A randomized controlled trial

Noriko Amagai; Yuriko Komagamine; Manabu Kanazawa; Maiko Iwaki; Ayami Jo; Hiroyuki Suzuki; Shunsuke Minakuchi

doi:10.1016/j.jdent.2017.07.011

The effect of prosthetic rehabilitation and simple dietary counseling on food intake and oral health related quality of life among the edentulous individuals: A randomized controlled trial

J Dent. 2017 Oct:65:89-94. doi: 10.1016/j.jdent.2017.07.011. Epub 2017 Jul 21.

Authors

Noriko Amagai¹, Yuriko Komagamine², Manabu Kanazawa³, Maiko Iwaki⁴, Ayami Jo⁵, Hiroyuki Suzuki⁶, Shunsuke Minakuchi⁷

Affiliations

¹ Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo, Tokyo 113-8549, Japan. Electronic address: n.amagai.gerd@tmd.ac.jp.
² Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo, Tokyo 113-8549, Japan. Electronic address: y.komagamine.gerd@tmd.ac.jp.
³ Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo, Tokyo 113-8549, Japan. Electronic address: m.kanazawa.gerd@tmd.ac.jp.
⁴ Oral Diagnosis and General Dentistry, University Hospital of Dentistry, Tokyo Medical and Dental University, TMDU, 1-5-45 Yushima, Bunkyo, Tokyo 113-8549, Japan. Electronic address: m.iwaki.gerd@tmd.ac.jp.
⁵ Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo, Tokyo 113-8549, Japan. Electronic address: a.jo.ore@tmd.ac.jp.
⁶ Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo, Tokyo 113-8549, Japan. Electronic address: h.suzuki.gerd@tmd.ac.jp.
⁷ Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo, Tokyo 113-8549, Japan. Electronic address: s.minakuchi.gerd@tmd.ac.jp.

PMID: 28739319
DOI: 10.1016/j.jdent.2017.07.011

Abstract

Objective: To investigate the combined effect of complete denture renewal and simple dietary advice.

Methods: A randomized controlled trial was performed with edentulous patients who required new complete dentures. All participants received complete denture treatment. In addition, the intervention group received dietary advice in a pamphlet form, while the control group received advice pertaining to the care and maintenance of the dentures. The advice was given by dentists for each group. The participants' food intake was assessed at baseline and 3 months after intervention using a diet history questionnaire and an oral health related quality of life assessment measured using the Japanese version of the Oral Health Impact Profile for edentulous people (OHIP-EDENT-J).

Results: Among 70 participants who were randomized, 62 participants finished all parts of this trial. At baseline, there was no significant difference in the food intake between the two groups. At the 3-month assessment, the intervention group showed significantly greater intake of chicken (P=0.013), fish with bones (P=0.012), and carrots and pumpkins (P=0.025) compared to the control group. However, at baseline and at the 3-month assessment, there was no significant difference in the OHIP-EDENT-J scores between the groups, but the OHIP-EDENT-J scores significantly improved for both groups at the 3-month assessment. There were more significant improved dimensions of OHIP-EDENT-J in the intervention group than in the control group at the 3-month assessment.

Conclusions: Simple dietary advice combined with complete denture treatment could improve food intake of edentulous patients.

Clinical significance: The present study suggests that brief dietary advice provided by dentists can improve food intake of edentulous elderly. This simply diet advice is much easier compared to customized forms, might enable normal dentists provide patients it. The result of this study broadens possibility of nutritional counseling in daily clinical practice.

Keywords: Complete denture; Edentulous patients; Food intake; Oral health-related quality of life; Randomized controlled trial; Simple dietary counseling.

Publication types

Randomized Controlled Trial

MeSH terms

Aged
Aged, 80 and over
Animals
Chickens
Counseling*
Denture, Complete / psychology*
Diet / methods
Diet / psychology
Diet, Healthy
Double-Blind Method
Eating*
Feeding Behavior*
Female
Humans
Japan
Male
Mouth, Edentulous / diet therapy*
Mouth, Edentulous / physiopathology
Mouth, Edentulous / psychology
Mouth, Edentulous / rehabilitation*
Nutrition Assessment
Nutritional Status
Oral Health*
Quality of Life*
Recommended Dietary Allowances
Surveys and Questionnaires
Time Factors
Treatment Outcome