Use este identificador para citar ou linkar para este item: http://repositorio.ufla.br/jspui/handle/1/50054
Registro completo de metadados
Campo DCValorIdioma
dc.creatorBezerra, Adriana Pinto-
dc.creatorGama, Lorena Tavares-
dc.creatorPereira, Luciano José-
dc.creatorVan der Bilt, Andries-
dc.creatorPeyron, Marie-Agnès-
dc.creatorGarcia, Renata Cunha Matheus Rodrigues-
dc.creatorGonçalves, Thais Marques Simek Vega-
dc.date.accessioned2022-05-30T12:24:13Z-
dc.date.available2022-05-30T12:24:13Z-
dc.date.issued2021-05-
dc.identifier.citationBEZERRA, A. P. et al. Do implant-supported prostheses affect bioavailability of nutrients of complete and partially edentulous patients? Asystematic review with meta-analysis. Clinical Nutrition, [S.l.], v. 40, n. 5, p. 3235-3249, May 2021. DOI: 10.1016/j.clnu.2021.02.018.pt_BR
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S0261561421000923pt_BR
dc.identifier.urihttp://repositorio.ufla.br/jspui/handle/1/50054-
dc.description.abstractBackground & aims: debate still exists about the impact of dental implant-supported prostheses on nutritional status of partially and complete edentulous patients. This review aims to answer the focused question: “Do complete and partial edentulous patients, using implant-supported prostheses, present better nutritional and masticatory functions when compared to those using conventional rehabilitations?”. A possible cause–effect relationship between masticatory improvements and nutritional gain was also evaluated. Methods: literature search included 6 databases (PubMed/Medline, Embase, LILACS, Scopus, Web of Science, and The Cochrane Library - CENTRAL), grey literature (Google Scholar, Proquest Dissertations and Thesis and Open Grey databases) and manual search (last update June 2020), without language, publication time and follow-up restrictions. We included only studies evaluating both masticatory and nutritional outcomes. The PICO question comprised complete and partial edentulous patients (Population), submitted to implant-supported prostheses (Intervention), in comparison to conventional dental prosthetic rehabilitation, evaluating masticatory function and nutrition parameters (outcomes). Risk of bias was assessed by using Cochrane Collaboration's tool (randomized clinical trials), Joanna Briggs Institute critical appraisal checklist (paired clinical trials), and Meta-Analysis of Statistics Assessment and Review Instrument” (JBI - MAStARI) critical appraisal tools (cohort studies). All meta-analyses were conducted at 5% level of significance. This report followed the PRISMA guidelines. (Review registration PROSPERO - CRD42019135744). Results: we identified 1199 articles while searching databases. Fourteen articles met eligibility criteria, including 817 prostheses installed in 660 patients (mean age = 66.8 years-old). Patients wearing implant overdentures (IOD) presented better masticatory function in comparison to conventional complete denture (CD) wearers (p < 0.05). However, bioavailability of several nutrients remained within the same range, except for serum folate that was lower in IOD patients after 6 (mean difference 3.51 nmol/L; p = 0.01) and 12 months of rehabilitation (mean difference 3.69 nmol/L; p = 0.003). When comparing the effects of CD and IOD rehabilitations along time (for the same patient), serum albumin and vitamin B12 levels also decreased for both groups after 12 months-follow-up, but still within the reference range. The additional retention of the implants did not interfere in body weight, but reduced the risk of malnutrition (using the Mini Nutritional Assessment). Implant-supported partial prostheses also improved mastication in comparison to the conventional ones, increasing short-term daily intake of carbohydrates, protein, calcium, fiber, and iron, whereas decreasing the consumption of cholesterol. However, no long-term changes on bioavailability of most nutrients were observed, expect for a slight increase in ferritin and cholinesterase, and a small reduction in folate and Vitamin A. Conclusion: current evidence indicates significant masticatory improvements for dental fixed implant-supported prostheses in comparison to conventional removable prostheses. However, bioavailability remained stable for most of the nutrients, especially for complete edentulous patients. These results indicate the importance of a multidisciplinary approach during oral rehabilitation (nutrient specialist), in order to enhance food choices and promote health benefits to the patients.pt_BR
dc.languageen_USpt_BR
dc.publisherElsevierpt_BR
dc.rightsrestrictAccesspt_BR
dc.sourceClinical Nutritionpt_BR
dc.subjectMasticationpt_BR
dc.subjectNutritionpt_BR
dc.subjectOverdenturept_BR
dc.subjectDental implantpt_BR
dc.subjectSystematic reviewpt_BR
dc.titleDo implant-supported prostheses affect bioavailability of nutrients of complete and partially edentulous patients? Asystematic review with meta-analysispt_BR
dc.typeArtigopt_BR
Aparece nas coleções:DME - Artigos publicados em periódicos

Arquivos associados a este item:
Não existem arquivos associados a este item.


Os itens no repositório estão protegidos por copyright, com todos os direitos reservados, salvo quando é indicado o contrário.