{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T18:56:24Z","timestamp":1789412184763,"version":"build-2803163510"},"reference-count":60,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T00:00:00Z","timestamp":1778976000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T00:00:00Z","timestamp":1778976000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess the effect of prosthodontic treatment and management on oral function and oral\u2010health\u2010related patient reported outcome measures (PROMs) in older adults with tooth loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A systematic search of four databases identified clinical studies (\u2265\u200910 participants) reporting functional or PROM outcomes in partially or fully edentulous adults \u2265\u200965\u2009years rehabilitated with dental prostheses for \u2265\u20096\u2009months. Pooled standardized mean differences in pre\u2013post changes were estimated by prosthesis type and follow\u2010up using random\u2010effects models (REML), with heterogeneity assessed by Cochran's\n                      <jats:italic>Q<\/jats:italic>\n                      and\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From an initial 7654 studies, 24 were included in this review, covering 1711 individuals. Fourteen studies assessed masticatory performance (MP), masticatory ability (MA), and maximum bite force (MBF). Complete dentures (CDs) showed modest functional improvement, while implant overdentures (IODs) consistently produced higher MP and MBF with significant long\u2010term improvements. Eighteen studies evaluated OHRQoL using OHIP variants, OIDP, and modified GOHAI\u201011. IODs and fixed full\u2010arch prostheses showed the greatest improvements, while CDs and removable partial dentures were associated with smaller but positive changes. Subjective MA improved over 6\u201312\u2009months post insertion in regardless groups, with high heterogeneity. OHRQoL showed short\u2010term benefits of implant\u2010supported prostheses, particularly for OHIP\u201020, while OHIP\u201014 results were inconsistent over time, indicating more reliable functional and patient\u2010reported outcomes with dental implants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Tooth loss leads to functional and psycho\u2010social limitations, and although restorative measures can alleviate these shortcomings, they require ongoing maintenance, highlighting the complexity of care in this vulnerable older population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>PROSPERO International prospective register of systematic reviews (CRD420251077683)<\/jats:p>\n                  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