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The impact of Replacement Conventional Dentures on Eating Experience

Lookup NU author(s): Dr Hassan Al-Sultani, Dr James Field, Professor Mark Thomason, Professor Paula Moynihan



This is the authors' accepted manuscript of an article that has been published in its final definitive form by Sage Publications, Inc., 2019.

For re-use rights please refer to the publisher's terms and conditions.


Abstract INTRODUCTION: Despite much research on the impact of edentulism and prosthetic rehabilitation on food and nutrient intake, there is little information on how replacing complete dentures impacts on social and emotional issues around eating. OBJECTIVES: to investigate, in a cohort study, how replacing conventional complete dentures impacts on eating related quality of life (ERQoL).A secondary aim was to test the responsiveness of an Emotional and Social Issues Related to Eating (ESIRE) questionnaire to change in ERQoL. METHODS: Participants, recruited from the Dental Hospital, Newcastle-upon-Tyne, UK, completed the self-administrated ESIRE questionnaire, before and after provision of new conventional complete dentures. Paired t-test was used to determine any change between pre- and post-treatment ESIRE scores, which can range from 0 (poor) to 100 (excellent). Cohen’s d effect size was used to measure the magnitude of change in ERQoL. Standardised Response Mean (SRM) was used to measure the responsiveness of the ESIRE questionnaire to changes in ERQoL. RESULTS: 55 participants aged 52-85 years (mean 72 years), 21 males (42%), and 29 females (58%) completed the study. A statistically significant improvement in the total ESIRE scores was found, mean (SE) +20.3 (3.30), p<0.001. Equally, all domains of the ESIRE questionnaire showed significant improvements; enjoyment of food/ eating; +27.3 (3.63), p<0.001, self-consciousness/ embarrassment; +18.1 (3.88), p<0.001, interruption to meals; +13.3 (5.27), p<0.05, confidence when eating; +18.7 (4.84), p<0.001, time for eating/ preparation of meals; +18.5 (4.85), p<0.001), and functional ability to eat; +18.2 (3.67), p<0.001). Cohen’s d was large (0.95) for the total score, and ranged from medium (0.37) to large (1.30) for all domains. Value of SRM was large (0.87) for the total score, and ranged from medium (0.36) to large (1.1) for all domains. CONCLUSION: Denture replacement can directly improve ERQoL. The ESIRE questionnaire was responsive to clinically important changes in ERQoL.

Publication metadata

Author(s): Al-Sultani HF, Field J, Thomason JM, Moynihan PJ

Publication type: Article

Publication status: Published

Journal: JDR Clinical & Translational Research

Year: 2019

Volume: 4

Issue: 1

Pages: 29-40

Print publication date: 01/01/2019

Online publication date: 05/10/2018

Acceptance date: 04/09/2018

Date deposited: 04/09/2018

ISSN (print): 2380-0844

ISSN (electronic): 2380-0852

Publisher: Sage Publications, Inc.


DOI: 10.1177/2380084418803091


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