EHR study finds wearing dentures could hurt overall nutrition

EHR study finds wearing dentures could hurt overall nutrition

A brand new examine from the Regenstrief Institute and the Indiana University School of Dentistry discovered that individuals with dentures skilled a decline in sure vitamin markers over two years.  

The research, not too long ago revealed within the Journal of Prosthodontics, linked dental data with the lab values of dietary biomarkers.   Researchers imagine that it’s the first examine to take action.   

“Dentures are a big change for an individual. They don’t present the identical chewing effectivity, which can alter consuming habits,” mentioned senior creator Dr. Thankam Thyvalikakath, director of the Regenstrief and IU School of Dentistry Dental Informatics program, in an announcement.  

“Dentists want to pay attention to this and supply recommendation or a referral for vitamin counseling. These sufferers want assist through the transition and attainable continued monitoring,” she added.  


Tooth loss, also referred to as edentulism, can have an effect on total well being, together with elevating the danger for malnutrition.  

For this examine, researchers used digital well being document knowledge and digital dental document knowledge from greater than 10,000 sufferers to attempt to longitudinally look at the dietary standing amongst denture wearers. 

They additionally in contrast the dietary profiles of denture and nondenture sporting sufferers utilizing biomarkers from laboratory reviews.  

“To the very best of our data, research using laboratory values of dietary biomarkers within the serum and urine samples current within the EHR and linking with EDR knowledge haven’t been reported beforehand,” wrote researchers.  

The analysis staff discovered that serum albumin, calcium and complete protein decreased over the course of two years after sufferers acquired the dentures when in comparison with these with out dentures.  

“Serum albumin, a predominant protein in blood is an indicator for dietary evaluation in wholesome people and diminished ranges point out poor well being outcomes,” famous the researchers. “Reduction in serum calcium might be attributed to diminished dietary calcium consumption amongst denture wearers relative to others,” they added.  

Protein, in the meantime, is a biomarker for dietary standing.   

“Older adults with diminished protein consumption are in danger for sarcopenia which may impression bodily exercise and result in poor high quality of life,” mentioned the analysis staff.  

Although the degrees had been inside regular vary, researchers mentioned they might lower as extra time passes.  

“Future research ought to examine the importance of screening sufferers who obtain denture therapy (no matter the kind of prosthesis they obtain) for malnutrition threat utilizing easy and easy-to-implement instruments reminiscent of a questionnaire,” they wrote.  

They famous limitations within the examine, together with potential document inconsistencies and using affected person knowledge from a single educational establishment.

Next steps within the analysis space might be to analyze different potential influences on vitamin, reminiscent of insurance coverage standing and dental clinics traits.  Researchers additionally mentioned multisite research would be warranted.

“In addition, additionally it is essential that future analysis examine the advantage of dietary food regimen counseling for sufferers who obtain enamel replacements – dentures in addition to implants,” mentioned researchers.  


Electronic dental data are a possible gold mine for data-driven insights – notably given the hyperlink between oral well being and different circumstances. In 2018, Columbia University College of Dental Medicine introduced the institution of the Center for Precision Dental Medicine, aimed at facilitating deeper understandings of the connection between dental and total well being.  

The College was among the many first educational dental establishments to unify dental and medical affected person data within the Epic EHR, mentioned officers.   

A number of months later, Epic signed its first dental support organization, enabling knowledge change for improved affected person care.  


“With the rising consciousness to combine dental and medical care, matched EDR-EHR knowledge is a wealthy useful resource to check the impact of oral well being and dental therapies on total well being and vice versa,” mentioned researchers within the Journal of Prosthodontics examine.

Kat Jercich is senior editor of Healthcare IT News.
Twitter: @kjercich
Email: [email protected]
Healthcare IT News is a HIMSS Media publication.

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