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Journal of Dental Research
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Clinical

The Effects of Mandibular Two-implant Overdentures on Nutrition in Elderly Edentulous Individuals

J.A. Morais1, G. Heydecke2, J. Pawliuk2, J.P. Lund2,3 and J.S. Feine2,4,*

1 Nutrition and Food Science Centre, Royal Victoria Hospital, Faculty of Medicine, McGill University;
2 Faculty of Dentistry, McGill University;
3 Centre de Recherche en Sciences Neurologiques, Université de Montréal; and
4 Associate Member, Dept. of Epidemiology and Biostatistics, Faculty of Medicine, McGill University, 3640 University Street, Montreal, Quebec H3A 2B2, Canada;

Correspondence: *corresponding author, jocelyne.feine{at}mcgill.ca

It is unclear whether mandibular implant overdentures improve the nutritional state of edentulous patients better than conventional dentures. In a randomized clinical trial, we tested for post-treatment differences in nutritional status between patients with mandibular two-implant retained overdentures and those with conventional complete dentures. Edentulous subjects (ages 65–75 yrs) received two-implant mandibular overdentures (IOD, n = 30) or conventional dentures (CD, n = 30). Measures of nutritional state were gathered before and 6 mos after treatment. Significant improvements in anthropometric parameters were detected in the IOD but not in the CD group, for percent body fat (p = 0.011) and skin-fold thickness at the biceps, subscapularis, and abdomen (p < 0.05), with significant decreases in waist circumference (p < 0.0001) and waist-hip ratio (p = 0.001). Significant increases were seen in concentrations of serum albumin (p = 0.015), hemoglobin (p = 0.01), and B12 (p = 0.01). No significant between-group differences were found. These results suggest that low-cost IOD treatment may improve the nutritional state of edentulous people.

Key Words: nutrition • elderly • mandible • edentulous • dental prosthesis • dental implants

Journal of Dental Research, Vol. 82, No. 1, 53-58 (2003)
DOI: 10.1177/154405910308200112


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