The Quality of Denture Influencing Oral-Health-Related Quality of Life in Complete Denture Wearing Older Adults: A Systematic Review
Background: One major oral problem for Thai elderly patients is tooth loss, adversely affecting the quality of grinding and occlusion. Thus, wearing a complete denture to replace missing teeth is essential so that the patient can better use the denture to grind, talk, and improve their quality of life.
Objectives: To investigate empirical evidence about denture quality factors affecting the oral-health-related quality of life (OHRQoL) of elderly with a conventional complete denture.
Methods: This systematic review was conducted to search for related studies published between 2010 and 2020 from international databases, including PubMed, SCOPUS, Cochrane Library, Web of Science, and ScienceDirect. Two researchers independently conducted research by selecting research on denture quality factors affecting OHRQoL, critical appraisal of research, data extraction, and the narrative synthesis process.
Results: Of all 699 studies obtained from the search, five studies were selected to include in this research. There were two retrospective cohort studies and three cross-sectional studies. The majority of studies were of short duration. Only one study provided 7-year evaluations.
Conclusions: The denture quality factors affecting OHRQoL included maxillary and mandibular stability and retention, articulation, and esthetic.
1. Department of Health, Bureau of Dental Health, Ministry of Public Health. The 8th national oral health survey, Thailand 2017. Bankok: Samchareon Phanich); 2018.
2. Cerutti-Kopplin D, Feine J, Padilha D, De Souza R, Ahmadi M, Rompré P, et al. Tooth loss increases the risk of diminished cognitive function: a systematic review and meta-analysis. JDR Clin Trans Res. 2016;1:10-9.
3. Tsakos G, Watt RG, Rouxel PL, De Oliveira C, Demakakos P. Tooth loss associated with physical and cognitive decline in older adults. J Am Geriatr Soc. 2015;63:91-9.
4. Chanthorn S. Oral health-related quality of life of older people in Chachoengsao district. Th Dent PH J. 2008;13(3):158-68.
5. Naka O, Anastassiadou V, Pissiotis A. Association between functional tooth units and chewing ability in older adults: a systematic review. Gerodontology. 2014; 31(3): 166-77.
6. Zelig R, Touger-Decker R, Chung M, Byham-Gray L. Associations between tooth loss, with or without dental prostheses, and malnutrition risk in older adults. Topics Clin Nutr. 2016;31(3): 232-47.
7. Gerritsen AE, Allen PF, Witter DJ, Bronkhorst EM, Creugers NH. Tooth loss and oral health-related quality of life: a systematic review and meta-analysis. Health Qual Life Outcomes. 2010;8:126.
8. Teekayupan S, Padee P. Satisfaction in prosthesis denture campaign for the elderly to celebrate 80th aniversary his majesty’s the king in Roi-Et province under universal coverge project year 2006. Th Dent PH J. 2006;13:88-96.
9. Suepatthima B. Satisfaction and quality of life of elderly after wearing complete dentures on His Majesty the King prosthsis service campaign at Krok Phra hospital, Nakhon Sawan province. Th Dent PH J. 2013;18:36-48.
10. Theebumrung A, Sirikul S, Woratanarat T. Nutrition status change after denture treatment among elderly in royal denture bestowed project: a case study of second health service region. J Hlth Syst Res. 2016;10:17-22.
12. Alfadda SA, Al-Fallaj A, Al-Banyan, Al-Kadhi RM. A clinical investigation of the relationship between the quality of conventional complete dentures and the patients’ quality of life. Saudi Dent J. 2015;27(2):93-8.
13. Chen YF, Yang YH, Chen JH, Lee HE, Lin YC, Ebinger J, et al. The impact of complete dentures on the oral health-related quality of life among the elderly. JDS. 2012;7(3):289-95.
14. Komagamine Y, Kanazawa M, Kaiba Y, Sato Y, Minakuchi S. Association between self-assessment of complete dentures and oral health-related quality of life. J Oral Rehabil. 2012;39:847-57.
15. Limpuangthip N, Somkotra T, Arksornnukit M. Impacts of denture retention and stability on oral health-related quality of life, general health, and happiness in elderly Thais. Curr Gerontol Geriatr Res. 2019:2019;1-8.
16. Yamaga E, Sato Y, Minakuchi S. A structural equation model relating oral condition, denture quality, chewing ability, satisfaction, and oral health-related quality of life in complete denture wearers. J Dent. 2013;41(8):710-7.
17. Fueki K, Yoshida E, Igarashi Y. A structural equation model relating objective and subjective masticatory function and oral health-related quality of life in patients with removable partial dentures. J Oral Rehabil. 2011;38:86–94.
18. Inukai M, Baba K, John MT, Igarashi Y. Does removable partial denture quality affect individuals’ oral health?. J Dent Res. 2008;87:736–9.
19. Joanna Briggs Institute. JBI Reviewer’s Manual. 2020 [cited 1 May 2020]. Available from:
https://wiki.jbi.global/display/MANUAL.
20. Popay J, Roberts H, Sowden A. Petticrew M, Arai L, Rodgers M, et al. Guidance on the conduct of narrative synthesis in systematic reviews: a product from the ESRC methods programme. Lancester: Lancester University. 2006;1-92.
21. Gough D. Weight of evidence: a framework for the appraisal of the quality and relevance of evidence. Research Papers in Education. 2007;22(2):213-28.
22. Inukai M, Baba K, John MT, Igarashi Y. Does removable partial denture quality affect individuals’ oral health?. J Dent Res. 2008;87:736–9.
23. Fueki K, Yoshida E, Igarashi Y. A structural equation model relating objective and subjective masticatory function and oral health-related quality of life in patients with removable partial dentures. J Oral Rehabil. 2011;38:86–94.
24. de Souza e Silva ME, de Magalhães CS, Ferreira e Ferreira E. Complete removable prostheses: from expectation to (dis)satisfaction. Gerodontology. 2009;26 (2):143-9.
25. Anastassiadou V, Robin Heath M. The effect of denture quality attributes on satisfaction and eating difficulties. Gerodontology. 2006;23(1):23–32.
26. Jacobson T, Krol A. A contemporary review of the factors involved in complete dentures. Part II: stability. Journal of Prosthetic Dentistry. 1983; 49(2): 165-72.
27. Lee JH, Chen JH, Lee HE, Chang HP, Chen HS, Yang YH, et al. Improved denture retention in patients with retracted tongues. J Am Dent Assoc. 2009;140:987-91.
28. Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile. Community Dent Health. 1994;11:3–11.
29. Adulyanon S, Vourapukjaru J, Sheiham A. Oral impacts affecting daily performance in a low dental disease Thai population. Community Dent Oral Epidemiol. 1996;24:385–9.
30. Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. J Dent Educ. 1990;54:680–7.
31. Feine JS, Lund JP. Measuring chewing ability in randomized controlled trials with edentulous populations wearing implant prostheses. J Oral Rehabil. 2006;33:301–8.
32. Yamamoto T, Kondo K, Misawa J, Hirai H, Nakade M, Aida J, et al. Dental status and incident falls among older Japanese: a prospective cohort study. BMJ Open. 2012;2:1-7.
33. Klineberg I, Palla S, Trulsson M. Contemporary relevance of occlusion and mastication. Int J Prosthodont. 2014;27:411–2.
34. Osterberg T, Carlsson GE, Sundh V, Steen B. Number of teeth–a predictor of mortality in the elderly? a population study in three nordic localities. Acta Odontol Scand. 2007;65:335–40.
35. Setthaworaphan P, Thitasomakul S, Daosodsai P. Oral health-related quality of life among elderly complete denture wearers and its associations with denture quality and masticatory effiency assessed by the Thai version of OHIP-EDENT. J Dent Assoc Thai. 2014;64:26-46.
36. Slade GD, Akinkugbe AA, Sanders AE. Projections of U.S. edentulism prevalence following 5 decades of decline. J Dent Res. 2014;93:959–65.
37. Osterberg T, Carlsson GE, Sundh V, Steen B. Number of teeth–a predictor of mortality in the elderly? a population study in three Nordic localities. Acta Odontol Scand. 2007;65:335–40.
38. Osterberg T, Carlsson GE, Sundh V, Mellstr€om D. Number of teeth–a predictor of mortality in 70-year-old subjects. Community Dent Oral Epidemiol. 2008;36:258–68.