Evidence map›Paper›PMID 39049002›Full record

SynthesisBMC oral health2024

Association of tooth loss and nutritional status in adults: an overview of systematic reviews.

Pragati Kaurani, Pradnya Kakodkar, Anamitra Bhowmick, Rupandeep Kaur Samra, Vineeta Bansal

Abstract readSystematic Review
In one paragraph

Synthesis in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  18. Periodontal Medicine: The Past, the Present, the Future.Journal of periodontal research · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Pragati KauraniDepartment of Prosthodontics and Crown & Bridge, Mahatma Gandhi Dental College and Hospital, Jaipur, India.ORCID https://orcid.org/0000-0001-7638-0298
Pradnya KakodkarKT Consultancy, Pune, India.ORCID https://orcid.org/0000-0002-1540-8100
Anamitra BhowmickWest Bengal University of Health Sciences, Kolkata, West Bengal, India.ORCID https://orcid.org/0000-0001-5115-5297
Rupandeep Kaur SamraDepartment of Prosthodontics and Crown & Bridge, DJ College of Dental Sciences and Research, Modinagar, Ghaziabad, Uttar Pradesh, 201204, India. rupansamra@yahoo.com.ORCID https://orcid.org/0000-0003-1472-685X
Vineeta BansalDepartment of Clinical Nutrition and Dietetics, Mahatma Gandhi Medical College and Hospital, Jaipur, India.ORCID https://orcid.org/0009-0006-5529-8846

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssociation of tooth loss and nutritional status has been widely researched with conflicting results. This overview aimed to analyse and summarize findings from systematic reviews on association of tooth loss with nutritional status, in view of their quality assessment and methodological characteristics.

methodsOverview was conducted as per Cochrane Overviews of Reviews guidelines. 5 databases (PubMed, Dentistry and Oral Sciences Source, Scopus, Cochrane Register of Systematic Reviews, Epistemonikos.org) and one online source (Google Scholar) were searched for systematic reviews published between 2010 - July 2022, with inclusion criteria; population: participants aged 18 years or above, intervention/exposure: loss of teeth, comparison: not applicable, outcome: nutritional status, study: systematic reviews and meta-analysis. Reviews on association of prosthetic interventions with nutritional status were not included. Data were extracted for study characteristics, details of primary studies, and main findings. Narrative synthesis of data, overlap of primary studies and quality assessment of studies were done using AMSTAR 2 tool (A Measurement Tool to Assess Systematic Reviews).

resultOf 1525 articles found, seven systematic reviews were selected (four were systematic reviews, three were systematic reviews with meta-analysis). Five studies showed some or positive association, one found weak association and for one study the association was unclear. Overlap of primary studies was 'very slight'. Meta-analysis of two studies concluded fully or partially edentulous individuals were more likely to be malnourished or at risk of malnutrition, (RR = 1.095, 95% CI 1.007 to 1.190, p = 0.033. RR = 1.22; 95% CI 1.11 to 1.32 p < 0.01), but one found that edentulism was not associated with malnutrition. (RR = 1.072, 95% CI 0.9657-1.200). Quality assessment revealed four studies were 'high', one was 'low' and two were 'critically low.'

conclusionThis overview confirms the association between tooth loss and nutritional status specially in elderly. It is evident that tooth loss increases the likelihood of poor nutritional status. Overall, studies show high heterogeneity in the methodology and quality assessment reveals low confidence in the available evidence. Future studies should use standard assessment tools for tooth loss and nutritional status.

Indexed as

Nutritional StatusTooth LossAdultHumansSystematic Reviews as TopicEdentulousElderlyNumber of teethNutritional statusTooth loss

Identifiers

PMID39049002
PMCPMC11267674

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.