ascorbic-acid and Mouth--Edentulous

People wearing mandibular two-implant overdentures (IOD) chew food with less difficulty than those wearing conventional complete dentures (CD). However, there is still controversy over whether or not this results in better dietary intake. In this randomized clinical trials (RCT), the amounts of total dietary fiber (TDF), macronutrients, 9 micronutrients, and energy in diets consumed by persons with IOD and CD were compared. Male and female edentate patients ≥ 65 yrs (n = 255) were randomly divided into 2 groups and assigned to receive a maxillary CD and either a mandibular IOD or a CD. One year following prosthesis delivery, 217 participants (CD = 114, IOD = 103) reported the food and quantities they consumed to a registered dietician through a standard 24-hour dietary recall method. The mean and median values of TDF, macro- and micronutrients, and energy consumed by both groups were calculated and compared analytically. No significant between-group differences were found (ps > .05). Despite quality-of-life benefits from IODs, this adequately powered study reveals no evidence of nutritional advantages for independently living medically healthy edentate elders wearing two-implant mandibular overdentures over those wearing conventional complete dentures in their dietary intake at one year following prosthesis delivery.

Topics: Aged; Ascorbic Acid; Dental Implants; Dental Prosthesis, Implant-Supported; Denture, Complete, Lower; Denture, Complete, Upper; Denture, Overlay; Diet; Diet Records; Dietary Carbohydrates; Dietary Fats; Dietary Fiber; Dietary Proteins; Energy Intake; Female; Follow-Up Studies; Humans; Independent Living; Male; Mastication; Micronutrients; Mouth, Edentulous; Nutritional Status; Quality of Life; Vitamin A; Vitamin B Complex; Vitamin D

To clarify the association of tooth loss with dietary intakes among dentists, for whom sufficient dental care is available.. We analyzed the data from 20 366 Japanese dentists (mean age +/- SD, 52.2 +/- 12.1 years; women 8.0%) who participated in a nationwide cohort study from 2001 to 2006. The baseline questionnaire included a validated food-frequency questionnaire to estimate intakes of foods and nutrients. We computed the geometric means of daily intakes by the number of teeth, adjusting for age, sex, smoking, physical activity, and history of diabetes.. The mean intakes of some key nutrients and food groups, such as carotene, vitamins A and C, milk and dairy products, and vegetables including green-yellow vegetables, decreased with the increasing number of teeth lost (P for trend <0.05). On the contrary, mean intakes of carbohydrate, rice, and confectioneries were increased among those with fewer teeth (P for trend <0.05). The difference in the geometric mean (%) between totally edentulous subjects and those with > or =25 teeth, that is [(Geometric mean for > or =25 teeth) - (Geometric mean for 0 teeth)]/(Geometric mean for > or =25 teeth) x 100, was 14.3%, 8.6%, 6.1%, and -6.1% for carotene, vitamin C, vitamin A, and carbohydrate, respectively. For food groups, it was 26.3%, 11.9%, 5.6%, -9.5%, and -29.6% for milk and dairy products, green-yellow vegetables, total vegetables, rice, and confectioneries, respectively.. Tooth loss was linked with poorer nutrition even among dentists.

Topics: Adult; Age Factors; Aged; Aged, 80 and over; Ascorbic Acid; Candy; Carotenoids; Cohort Studies; Dairy Products; Dentists; Diabetes Mellitus; Diet; Dietary Carbohydrates; Feeding Behavior; Female; Humans; Japan; Jaw, Edentulous, Partially; Male; Middle Aged; Motor Activity; Mouth, Edentulous; Nutritional Status; Oryza; Sex Factors; Smoking; Tooth Loss; Vegetables; Vitamin A

The objectives of this study were to examine the associations between functional dentition and the Healthy Eating Index (HEI) scores and nutrient intakes among older adults in the United States.. The sample consisted of 2560 adults, 60 years and over from the National Health and Nutrition Examination Survey 1999-2002. We used multivariate linear regression to examine associations between functional dentition and HEI scores or nutrient intakes controlling for the potential confounding effects of age, race/ethnicity, education, smoking status, body mass index (BMI), self-reported health, and caloric intake. Dentate status was classified as: edentulous (no natural permanent teeth or implants), 1-20 teeth, or > or =21 teeth. A functional dentition was defined as having 21 or more teeth present. HEI scores and nutrient intakes were based on one 24-hour dietary recall.. Males with a functional dentition consumed slightly more fruit and had higher alpha- and beta-carotene intakes than edentulous males. Females with any natural teeth had higher vitamin C intakes than edentulous females. There were no significant associations between dentate status and any of the remaining HEI scores or nutrient intakes for either sex.. Having a functional dentition did not contribute substantially to higher HEI scores or nutrient intakes in this nationally representative sample of older adults. However, older men and women with no teeth or those who wear dentures consumed fewer servings of fruits and vegetables, especially those rich in carotenes and vitamin C, than those with teeth.

Topics: Age Factors; Aged; Aged, 80 and over; Ascorbic Acid; beta Carotene; Dentition; Diet; Energy Intake; Female; Fruit; Humans; Linear Models; Male; Middle Aged; Mouth, Edentulous; Nutrition Disorders; Nutrition Surveys; Nutritional Status; Sex Factors; United States; Vegetables

Topics: Aged; Alcoholism; Ascorbic Acid; Dermoscopy; Erythrocytes; Fibrosis; Fruit; Hair Follicle; Humans; Keratosis; Male; Malnutrition; Mouth, Edentulous; Purpura; Remission Induction; Scurvy; Skin Pigmentation; Vegetables

Various factors may be associated with edentulism in elderly people. Association of total tooth loss with smoking, alcohol intake and nutrition in non-institutionalised elderly Japanese was assessed utilising national database.. Records of independent surveys, the Survey of Dental Diseases (SDD) and the National Nutrition Survey (NNS) in 1999 were electronically linked using the household identification number.. Among the records of 6903 subjects in the SDD and 12 763 subjects in the NNS, 6805 records were successfully linked. Overall, prevalence of total tooth loss in adults was very similar in males and females at approximately 7.0%, and the smoking rate was 47.6% and 9.9% respectively. Total tooth loss was a rare phenomenon (<2%) in age groups of <60 years. According to the multiple logistic regression analysis involving 2200 subjects aged 60 years or older, significant variables were age, current smokers and vitamin C intake in males, and age and current smokers in females. The variable for current drinkers was significant in females but the odds ratio was <1.0. No significant relationship was detected with respect to former smokers and drinkers, body mass index, vitamin E intake and blood glucose level.. Current smoking was associated with total tooth loss, although smoking rate was low in females. Gender difference in the association was suggestive with respect to drinking alcohol and vitamin C intake.

Topics: Adult; Age Distribution; Aged; Aged, 80 and over; Alcohol Drinking; Ascorbic Acid; Blood Glucose; Comorbidity; Cross-Sectional Studies; Databases, Factual; Dental Health Surveys; Female; Humans; Japan; Male; Middle Aged; Mouth, Edentulous; Nutrition Surveys; Nutritional Status; Odds Ratio; Sex Distribution; Smoking; Tooth Loss; Vitamin E

Dental status and its relationship to diet and nutritional status have been little explored. In this study of a representative sample of the US civilian, non-institutionalized population (NHANES III), we predicted that the intake of nutritious foods, dietary fiber, and levels of biochemical analytes would be lower, even after adjusting for potential social and behavioral factors, among those who were edentulous and wore complete dentures than for those who had all their natural teeth. Multivariate analyses indicated that intake of carrots and tossed salads among denture-wearers was, respectively, 2.1 and 1.5 times less than for the fully dentate (p < 0.0001), and dietary fiber intake was 1.2 times less (p < 0.05). Serum levels of beta carotene (9.8 microg/dL), folate (4.7 ng/dL), and vitamin C (0.87 mg/dL) were also lower among denture-wearers (p < 0.05). Intakes of some nutrient-rich foods and beta carotene, folate, and vitamin C serum levels were significantly lower in denture-wearers.

Topics: Adult; Aged; Ascorbic Acid; beta Carotene; Deficiency Diseases; Denture, Complete; Diet; Dietary Fiber; Female; Folic Acid; Humans; Linear Models; Male; Mouth, Edentulous; Multivariate Analysis; Nutritional Status; Tooth Loss; United States; Vegetables

Tooth loss has been associated with cardiovascular disease (CVD), but the mechanisms are unclear. We evaluated the association of total tooth loss with prevalent CVD in men and women; as well as with citrus fruit consumption, plasma vitamin C, and inflammatory and thrombotic variables.. We used an age-and sex-stratified population survey, of men and women aged 25-74 years, in North Glasgow.. Thirty-eight percent of women and 29% of men were edentulous. Total tooth loss was associated with prevalent CVD in both sexes. After adjustment for major potential confounders (age, sex, smoking, and social class), the odds ratio (95% CI) for prevalent CVD was 1.55 (1.13, 2.13) in the edentulous. Total tooth loss was also associated with low citrus fruit consumption and low plasma vitamin C levels, increased plasma C-reactive protein in men, and with increased plasma interleukin-6, fibrinogen, and factor VIII levels in women.. Prevalent CVD is associated with total tooth loss. Possible mechanisms include low intake of citrus fruit, and hence, low plasma vitamin C levels, and a predisposition to low-grade inflammation and thrombosis. It may be prudent to ensure adequate vitamin C intake in people with no teeth.

Topics: Adult; Age Distribution; Aged; Ascorbic Acid; Cardiovascular Diseases; Citrus; Diet; Female; Health Surveys; Humans; Male; Middle Aged; Mouth, Edentulous; Prevalence; Risk Factors; Scotland; Sex Distribution; Tooth Loss

This study tested the null hypothesis that there are no differences in dietary patterns or adequacy between edentulous patients and individuals with nearly complete dentitions. The research design involved comparing the dietary patterns and adequacies of 34 edentulous subjects who regularly wear dentures with 38 subjects who had nearly complete dentitions. The subjects were between the ages of 51 and 83 years and were sampled from patients attending Case Western Reserve University Dental Clinic. Although edentulous subjects were more likely to claim that they had trouble chewing their food, they were not more likely to select easy-to-chew foods. On the other hand, the diet of dentate subjects tended to be superior to that of edentulous subjects, as indicated by a lower fat and cholesterol consumption and a higher consumption of protein and all of the vitamins and minerals (significantly or nearly significantly for vitamin A, ascorbic acid, calcium, and riboflavin).

Topics: Aged; Aged, 80 and over; Ascorbic Acid; Calcium, Dietary; Cholesterol, Dietary; Dentition; Denture, Complete; Diet; Dietary Fats; Dietary Proteins; Feeding Behavior; Female; Humans; Male; Mastication; Middle Aged; Mouth, Edentulous; Nutrition Policy; Riboflavin; Vitamin A

Scurvy occurred in an elderly man with fatigue, dyspnea on exertion, and extensive ecchymoses and brawny edema of the legs. Platelet count, prothrombin time, and partial thromboplastin time were normal, but serum ascorbic acid level was very low. Other signs considered to be classic and almost pathognomonic for were absent: bleeding gums, hyperkeratotic follicles, coiled hairs, and perifollicular hemorrhages. Reliance on these well-known features of scurvy may obscure or delay diagnosis of an easily cured disorder Severe scurvy is most commonly suggested by tenderness, extensive ecchymoses, and brawny edema of the lower extremities.

Topics: Aged; Ascorbic Acid; Diet; Dyspnea; Ecchymosis; Edema; Fatigue; Humans; Male; Mouth, Edentulous; Scurvy

Many edentulous patients are "sick patients." Often geriatric considerations are involved, as well obesity and postmenopausal problems. These patients have deficient tissues on which to build dentures. The degenerative processes which initiate the loss of teeth continue after extraction and cause further shrinkage of supporting tissues. Repeated relining and rebuilding of dentures can be avoided and happier and healthier patients maintained by (1) saturating patients with therapeutic dosages of vitamins and minerals prior to surgical intervention, (2) using scientifically evaluated liquid and semisolid diets containing the maximum quantities of nutrients and the minimum number of calories during the preoperative and postoperative periods, and (3) thereafter maintaining the patient on a high-protein, high-vitamin, high-mineral diet.

Topics: Aged; Aging; Ascorbic Acid; Calcium; Denture, Complete; Dietary Carbohydrates; Female; Humans; Menopause; Middle Aged; Mouth Mucosa; Mouth, Edentulous; Nutritional Physiological Phenomena; Obesity; Osteoporosis; Protein Deficiency; Proteins; Salivary Glands; Stress, Physiological; Vitamin A; Vitamin B Complex; Vitamin D