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J Dent Res 82(2): 123-126, 2003
© 2003 International and American Associations for Dental Research

RESEARCH REPORT
Clinical

Association of Edentulism and Diet and Nutrition in US Adults

R.E. Nowjack-Raymer1,2,*, and A. Sheiham1

1 Department of Epidemiology and Public Health, University College London Medical School, 1-19 Torrington Place, London WC1E 6BT, UK; and
2 Division of Population and Health Promotion Sciences, National Institute of Dental and Craniofacial Research, 45 Center Drive, Room 4AS-43J, Bethesda, MD 20892-6401, USA;

*address to which correspondence and reprint requests should be addressed; corresponding author, Ruth.Nowjack-Raymer{at}nih.gov

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 µg/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.

KEY WORDS: dentures • health disparities • nutrition • NHANES III • Healthy People 2010




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