Abstract：
OBJECTIVE: This prospective clinical study aimed to determine the influence of oral prosthodontic rehabilitation with partial removable dentures and simplified dietary advice on glycaemic control, nutritional status and oral health-related quality of life (OHRQoL) of older adults with type 2 diabetes.
BACKGROUND: Individuals with tooth loss who did not wear complete or partial dentures are more likely to be at nutritional risk, suggesting that using dental prostheses would benefit the re-establishment of an adequate nutritional status and potentially improve quality of life. Nutritional therapy is essential for diabetes prevention, treatment and management, favouring glycaemic control. The literature provides little evidence on the contribution of partial removable dentures to improving diabetes control, nutritional profile and satisfaction in older adults, especially those with type 2 diabetes.
METHODS: Older individuals diagnosed with type 2 diabetes mellitus, aged 60 years or older and needing oral rehabilitation with partial removable dentures were eligible for this prospective study. The primary outcome measure was glycaemic control, measured by glycated haemoglobin (HbA1c) levels. The Oral Health Impact Profile (OHIP-14) questionnaire and the Mini Nutritional Assessment short-form (MNA-SF) represented secondary outcome measures. These measures were assessed at baseline and 12 months of follow-up after prosthesis delivery, combined with simple dietary advice in pamphlet form. The data were analysed using the Wilcoxon matched-pairs test.
RESULTS: Forty-four patients who met the inclusion criteria and required treatment with removable partial dentures were selected for this study, which was carried out for a year. During this period, seven participants declined to participate because they moved to another city. Hence, a final sample of 37 participants (16 men and 21 women, average age of 65.8 years, ranging from 60 to 83 years) were included in the study. No laboratory parameter (HbA1c levels) changed significantly during the investigation. The number of older adults at risk of malnutrition was significantly lower at 12 months than at baseline. Furthermore, nutritional status significantly improved 12 months after prosthodontic treatment combined with dietary advice, and the effect sizes were large. OHRQoL significantly improved after prosthodontic therapy combined with dietary advice.
CONCLUSIONS: Prosthodontic treatment with partial dentures associated with simple dietary advice did not influence glycaemic control but improved the nutritional status and OHRQoL of older adults with type 2 diabetes.
BACKGROUND: Individuals with tooth loss who did not wear complete or partial dentures are more likely to be at nutritional risk, suggesting that using dental prostheses would benefit the re-establishment of an adequate nutritional status and potentially improve quality of life. Nutritional therapy is essential for diabetes prevention, treatment and management, favouring glycaemic control. The literature provides little evidence on the contribution of partial removable dentures to improving diabetes control, nutritional profile and satisfaction in older adults, especially those with type 2 diabetes.
METHODS: Older individuals diagnosed with type 2 diabetes mellitus, aged 60 years or older and needing oral rehabilitation with partial removable dentures were eligible for this prospective study. The primary outcome measure was glycaemic control, measured by glycated haemoglobin (HbA1c) levels. The Oral Health Impact Profile (OHIP-14) questionnaire and the Mini Nutritional Assessment short-form (MNA-SF) represented secondary outcome measures. These measures were assessed at baseline and 12 months of follow-up after prosthesis delivery, combined with simple dietary advice in pamphlet form. The data were analysed using the Wilcoxon matched-pairs test.
RESULTS: Forty-four patients who met the inclusion criteria and required treatment with removable partial dentures were selected for this study, which was carried out for a year. During this period, seven participants declined to participate because they moved to another city. Hence, a final sample of 37 participants (16 men and 21 women, average age of 65.8 years, ranging from 60 to 83 years) were included in the study. No laboratory parameter (HbA1c levels) changed significantly during the investigation. The number of older adults at risk of malnutrition was significantly lower at 12 months than at baseline. Furthermore, nutritional status significantly improved 12 months after prosthodontic treatment combined with dietary advice, and the effect sizes were large. OHRQoL significantly improved after prosthodontic therapy combined with dietary advice.
CONCLUSIONS: Prosthodontic treatment with partial dentures associated with simple dietary advice did not influence glycaemic control but improved the nutritional status and OHRQoL of older adults with type 2 diabetes.
摘要：
目的：这项前瞻性临床研究旨在确定部分可摘义齿和简化饮食建议对血糖控制的口腔修复修复的影响。老年2型糖尿病患者的营养状况和口腔健康相关生活质量（OHRQoL）。
背景：没有佩戴完整或局部假牙的牙齿脱落者更有可能面临营养风险，这表明使用假牙将有利于重建适当的营养状况，并有可能改善生活质量。营养治疗对预防糖尿病至关重要，治疗和管理，有利于血糖控制。文献很少提供关于部分可摘义齿对改善糖尿病控制的贡献的证据。老年人的营养状况和满意度，尤其是那些2型糖尿病患者。
方法：诊断为2型糖尿病的老年人，年龄在60岁或以上，需要使用部分可移动义齿进行口腔修复，符合这项前瞻性研究的条件。主要结果指标是血糖控制，通过糖化血红蛋白（HbA1c）水平测量。口腔健康影响概况（OHIP-14）问卷和迷你营养评估短格式（MNA-SF）代表次要结果指标。这些措施在基线和12个月的随访后，假体输送，结合小册子形式的简单饮食建议。使用Wilcoxon配对检验分析数据。
结果：选择符合纳入标准并需要使用可摘局部义齿治疗的44例患者进行本研究，进行了一年。在此期间,七名参与者拒绝参加，因为他们搬到了另一个城市。因此，37名参与者的最终样本(16名男性和21名女性，平均年龄65.8岁,研究包括60至83岁）。在研究期间，实验室参数（HbA1c水平）没有显着变化。12个月时有营养不良风险的老年人数量明显低于基线。此外，营养状态显著改善后12个月修复治疗结合饮食建议，效果大小很大。口腔修复治疗结合饮食建议后，OHRQoL明显改善。
结论：与简单饮食建议相关的局部义齿修复治疗不会影响2型糖尿病老年人的血糖控制，但改善了营养状况和OHRQoL。
背景：没有佩戴完整或局部假牙的牙齿脱落者更有可能面临营养风险，这表明使用假牙将有利于重建适当的营养状况，并有可能改善生活质量。营养治疗对预防糖尿病至关重要，治疗和管理，有利于血糖控制。文献很少提供关于部分可摘义齿对改善糖尿病控制的贡献的证据。老年人的营养状况和满意度，尤其是那些2型糖尿病患者。
方法：诊断为2型糖尿病的老年人，年龄在60岁或以上，需要使用部分可移动义齿进行口腔修复，符合这项前瞻性研究的条件。主要结果指标是血糖控制，通过糖化血红蛋白（HbA1c）水平测量。口腔健康影响概况（OHIP-14）问卷和迷你营养评估短格式（MNA-SF）代表次要结果指标。这些措施在基线和12个月的随访后，假体输送，结合小册子形式的简单饮食建议。使用Wilcoxon配对检验分析数据。
结果：选择符合纳入标准并需要使用可摘局部义齿治疗的44例患者进行本研究，进行了一年。在此期间,七名参与者拒绝参加，因为他们搬到了另一个城市。因此，37名参与者的最终样本(16名男性和21名女性，平均年龄65.8岁,研究包括60至83岁）。在研究期间，实验室参数（HbA1c水平）没有显着变化。12个月时有营养不良风险的老年人数量明显低于基线。此外，营养状态显著改善后12个月修复治疗结合饮食建议，效果大小很大。口腔修复治疗结合饮食建议后，OHRQoL明显改善。
结论：与简单饮食建议相关的局部义齿修复治疗不会影响2型糖尿病老年人的血糖控制，但改善了营养状况和OHRQoL。
