The Experts below are selected from a list of 324 Experts worldwide ranked by ideXlab platform

Caroline M. Speksnijder - One of the best experts on this subject based on the ideXlab platform.

  • Oral Function after maxillectomy and reconstruction with an obturator
    International Journal of Oral and Maxillofacial Surgery, 2012
    Co-Authors: A M Kreeft, Caroline M. Speksnijder, M Krap, D Wismeijer, L E Smeele, S D Bosch, M S A Muijen, Alfons J M Balm
    Abstract:

    Maxillectomy defects can be reconstructed by a prosthetic obturator or (free) flap transfer, but there is no consensus about the optimal method. This study evaluated 32 maxillectomy patients with prosthetic obturation regarding Function (mastication, subjective Oral and swallowing complaints and maximal mouth opening). Outcomes were related to the extent of the resection (Brown maxillectomy classification), dentition and history of adjuvant radiotherapy. Maxillectomy defects ranged from 2-1 to 4B on the Brown classification, and most had a defect graded as 2-A or 2-B. Mean mixing ability test after 10 chewing strokes was 24.2 and after 20 chewing strokes 19.7, which compares to edentulous healthy individuals. None of the outcomes was influenced by Brown classification. Radiotherapy negatively influenced mean maximal mouth opening (29.1 mm versus 40.9 mm, p = 0.017) and subjective outcomes. Edentate obturated patients had worse outcomes than dentate patients, measured by mixing ability test and questionnaire. In conclusion, mastication after obturator reconstruction of a maxillectomy defect is comparable to mastication with full dentures. Size of the maxillectomy defect did not significantly influence Functional outcome, but adjuvant radiotherapy resulted in worse mouth opening and self-reported Oral and swallowing problems. Residual dentition had a positive influence on mastication and subjective outcomes.

  • mastication in patients treated for malignancies in tongue and or floor of mouth a 1 year prospective study
    Head and Neck-journal for The Sciences and Specialties of The Head and Neck, 2011
    Co-Authors: Andries Van Der Bilt, Caroline M. Speksnijder, J H Abbink, Matthias A W Merkx, Ronald Koole
    Abstract:

    Background. People confronted with Oral cancer run a high risk of deteriorated masticatory performance. Reduced masticatory Function may affect quality of life and food choice. An altered food choice may result in lower intakes for key nutrients and weight loss. Methods. Dental state, bite force, and masticatory performance were determined in a group of 45 patients with squamous cell carcinoma of the tongue and/or floor of mouth. Measurements were performed before surgery and at various moments after surgery and/or radiotherapy. Results. Surgical intervention had a large negative impact on Oral Function. Radiotherapy further worsened Oral Function. Also, the recovery of Oral Function 1 year after surgery was less prominent for the surgery-radiotherapy group than for the surgery group. Conclusion. Objective determination of Oral Function 1 year after surgery showed that patients treated for malignancies in the tongue and/or floor of mouth had significantly deteriorated masticatory performance, bite force, and dental state. (C) 2010 Wiley Periodicals, Inc. Head Neck 33: 1013-1020, 2011

  • Oral Function After Oncological Intervention in the Oral Cavity: A Retrospective Study
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 2010
    Co-Authors: Caroline M. Speksnijder, Andries Van Der Bilt, Hilbert W. Van Der Glas, Robert J.j. Van Es, Esther Van Der Rijt, Ron Koole
    Abstract:

    Purpose To assess self-perceived Oral Function of patients with Oral cavity cancer at different stages of treatment, ie, before oncologic intervention, 5 weeks after intervention, and 5 years after intervention. Patients and Methods A cohort of 158 patients with malignancy in the Oral cavity treated by surgery in 1999 or 2000 was included. From this cohort we interviewed 69 patients by telephone in 2005 and collected data on dental status, disorders of chewing and swallowing, xerostomia, preference of food consistency, tube nutrition, weight loss, and speech for different stages of treatment. Results For patients treated in the maxilla region we observed a significant ( P Conclusions Our telephone interview on Oral Function provided supplementary information on how patients experienced their problems with Oral Function during various phases of oncologic treatment. A retrospective interview may thus help to add information to incomplete retrospective data.

Duohong Zou - One of the best experts on this subject based on the ideXlab platform.

  • Oral rehabilitation of adult edentulous siblings severely lacking alveolar bone due to ectodermal dysplasia a report of 2 clinical cases and a literature review
    Journal of Oral and Maxillofacial Surgery, 2015
    Co-Authors: Chenping Zhang, Cristiane H Squarize, Duohong Zou
    Abstract:

    The Oral conditions of adult edentulous patients with ectodermal dysplasia (ED) often lead to decreased physical and psychological health, and the negative effects can become as extreme as social and psychological isolation. However, restoring Oral Function of adult edentulous patients with ED using zygomatic implants (ZIs) or conventional implants (CIs) remains challenging for dentists because of the severe atrophy of these patients' alveolar ridges. This report describes 2 cases of adult edentulous siblings with ED; they exhibited severe alveolar bone atrophy and were treated with ZIs and CIs as bases to augment the bone in their anterior jaws. For these patients, bone augmentation was completed with an autogenous fibular graft. Although there was mild evidence of bone graft resorption in the maxilla, the bone augmentation procedures were successful in the 2 patients. Effective osseointegration of the implants was obtained. After placement, the Functional and esthetic results of the Oral rehabilitation were acceptable. More importantly, restoration of the patients' Oral Function enhanced their self-confidence and self-esteem. Therefore, restoring Oral Function in adult patients with ED and edentulous jaws using ZIs and CIs as the bases for bone augmentation is an effective approach.

  • Restoration of Oral Function for Adult Edentulous Patients with Ectodermal Dysplasia: A Prospective Preliminary Clinical Study
    Clinical Implant Dentistry and Related Research, 2015
    Co-Authors: Xudong Wang, Feng Wang, Wei Huang, Zhi-yong Zhang, Zhiyuan Zhang, Darnell Kaigler, Duohong Zou
    Abstract:

    Background Therapy with zygomatic implants (ZIs) or conventional implants (CIs) has proven to be an effective method to restore Oral Function for systemically healthy patients. However, it is still a major challenge to fully restore Oral Function to edentulous adult patients with ectodermal dysplasia (ED). Purpose The aim of this study was to determine an effective treatment protocol for restoring Oral Function using ZIs and CIs to edentulous adult ED patients. Materials and Methods Ten edentulous adult ED patients were treated in this study. The treatment protocol involved the following: (1) bone augmentation in the region of the anterior teeth; (2) placement of two ZIs and four CIs in the maxilla, and four CIs in the mandible; (3) fabrication of dental prosthesis; and (4) psychological and Oral education. Following treatment of these patients, implant success rates, biological complications, patient satisfaction, and psychological changes were recorded. Results Although there was evidence of bone graft resorption in the maxilla, bone augmentation of the mandible was successful in all patients. Nine CIs in the maxilla failed and were removed. All ZIs were successful, and the CIs success rates were 77.50% in the maxilla and 100% in the mandible, with a mean of 88.75%. The mean peri-implant bone resorption for the CIs ranged from 1.3 ± 0.4 mm to 1.8 ± 0.6 mm, and four cases exhibited gingival hyperplasia in the maxilla and mandible. One hundred percent of the patients were satisfied with the restoration of their Oral Function, and >50% of the patients exhibited enhanced self-confidence and self-esteem. Conclusions This study demonstrates that Oral Function can be restored in edentulous adult ED patients using a comprehensive and systematic treatment protocol involving psychological and Oral education, bone augmentation, implant placement, and denture fabrication. Despite these positive outcomes, bone augmentation remains challenging in the anterior region of the maxilla for edentulous adult ED patients.

  • Restoration of Oral Function for Adult Edentulous Patients with Ectodermal Dysplasia: A Prospective Preliminary Clinical Study.
    Clinical implant dentistry and related research, 2015
    Co-Authors: Xudong Wang, Feng Wang, Wei Huang, Zhi-yong Zhang, Zhiyuan Zhang, Darnell Kaigler, Duohong Zou
    Abstract:

    Therapy with zygomatic implants (ZIs) or conventional implants (CIs) has proven to be an effective method to restore Oral Function for systemically healthy patients. However, it is still a major challenge to fully restore Oral Function to edentulous adult patients with ectodermal dysplasia (ED). The aim of this study was to determine an effective treatment protocol for restoring Oral Function using ZIs and CIs to edentulous adult ED patients. Ten edentulous adult ED patients were treated in this study. The treatment protocol involved the following: (1) bone augmentation in the region of the anterior teeth; (2) placement of two ZIs and four CIs in the maxilla, and four CIs in the mandible; (3) fabrication of dental prosthesis; and (4) psychological and Oral education. Following treatment of these patients, implant success rates, biological complications, patient satisfaction, and psychological changes were recorded. Although there was evidence of bone graft resorption in the maxilla, bone augmentation of the mandible was successful in all patients. Nine CIs in the maxilla failed and were removed. All ZIs were successful, and the CIs success rates were 77.50% in the maxilla and 100% in the mandible, with a mean of 88.75%. The mean peri-implant bone resorption for the CIs ranged from 1.3 ± 0.4 mm to 1.8 ± 0.6 mm, and four cases exhibited gingival hyperplasia in the maxilla and mandible. One hundred percent of the patients were satisfied with the restoration of their Oral Function, and >50% of the patients exhibited enhanced self-confidence and self-esteem. This study demonstrates that Oral Function can be restored in edentulous adult ED patients using a comprehensive and systematic treatment protocol involving psychological and Oral education, bone augmentation, implant placement, and denture fabrication. Despite these positive outcomes, bone augmentation remains challenging in the anterior region of the maxilla for edentulous adult ED patients. © 2015 Wiley Periodicals, Inc.

  • A retrospective 3- to 5-year study of the reconstruction of Oral Function using implant-supported prostheses in patients with hypohidrotic ectodermal dysplasia.
    The Journal of oral implantology, 2014
    Co-Authors: Duohong Zou, Xudong Wang, Wei Huang, Zhi-yong Zhang, Zhiyuan Zhang
    Abstract:

    The aim of this study was to evaluate Oral Function rehabilitation in patients with hypohidrotic ectodermal dysplasia (HED) using implant-supported prostheses based on bone augmentation. From September 2005 and March 2009, 25 HED patients were chosen for clinical data analysis in this study. The criteria for patient selection included the following: the display of clinical features of HED, the number of congenitally missing teeth (>5), the patient age (>16 years), the patient's willingness, and the patient's tolerance for bone graft surgery and implant placement. Follow-up evaluations were initiated from the time of implant prosthetic placement and scheduled annually for 3–5 years. The effects of Oral Function reconstruction were assessed based on the cumulative survival and success rates of implants, the health of the peri-implant area, and the degree of patient satisfaction. Twenty-five HED patients received 169 conventional implants and 10 zygomatic implants (179 total implants). During 3–5 years of po...

Andries Van Der Bilt - One of the best experts on this subject based on the ideXlab platform.

  • mastication in patients treated for malignancies in tongue and or floor of mouth a 1 year prospective study
    Head and Neck-journal for The Sciences and Specialties of The Head and Neck, 2011
    Co-Authors: Andries Van Der Bilt, Caroline M. Speksnijder, J H Abbink, Matthias A W Merkx, Ronald Koole
    Abstract:

    Background. People confronted with Oral cancer run a high risk of deteriorated masticatory performance. Reduced masticatory Function may affect quality of life and food choice. An altered food choice may result in lower intakes for key nutrients and weight loss. Methods. Dental state, bite force, and masticatory performance were determined in a group of 45 patients with squamous cell carcinoma of the tongue and/or floor of mouth. Measurements were performed before surgery and at various moments after surgery and/or radiotherapy. Results. Surgical intervention had a large negative impact on Oral Function. Radiotherapy further worsened Oral Function. Also, the recovery of Oral Function 1 year after surgery was less prominent for the surgery-radiotherapy group than for the surgery group. Conclusion. Objective determination of Oral Function 1 year after surgery showed that patients treated for malignancies in the tongue and/or floor of mouth had significantly deteriorated masticatory performance, bite force, and dental state. (C) 2010 Wiley Periodicals, Inc. Head Neck 33: 1013-1020, 2011

  • Mandibular implant-supported overdentures and Oral Function.
    Clinical oral implants research, 2010
    Co-Authors: Andries Van Der Bilt, M. Burgers, Van Frits Kampen, Marco S. Cune
    Abstract:

    Objectives Oral rehabilitation by means of implant-retained mandibular overdentures is known to improve Oral Function. The aim of this study was to evaluate the long-term effects of mandibular implant treatment on Oral Function. We quantified maximum bite force and masticatory performance 10 years after implant treatment. It was hypothesized that these outcome measures would not change in this period. Materials and methods Eighteen edentulous patients were scheduled for re-evaluation of their Oral Function 10 years after they had participated in a randomized cross-over clinical trial. In that trial, they had received two mandibular implants and a new denture with successively magnet-, ball-socket, and bar-clip attachments. Results At the 10-year follow-up, 14 of the initial 18 patients participated in the evaluation. As a result of the implant treatment, the average maximum bite force more than doubled, from 162 to 341 N, whereas the average number of chewing cycles to halve the initial partcle size decreased from 55 to 27 cycles. No significant changes in maximum bite force and masticatory performance were observed after 10 years. However, the average maximum bite force obtained with implant-retained overdentures is still significantly lower than that of dentate subjects (569 N). Conclusion Maximum bite force and masticatory performance significantly increased after implant treatment and remained unaltered during the following 10-year period. Thus, implant treatment greatly improves Oral Function for a long period of time. To cite this article:van der Bilt A, Burgers M, van Kampen FMC, Cune MS. Mandibular implant-supported overdentures and Oral Function.Clin. Oral Impl. Res. 21, 2010; 1209-1213.doi: 10.1111/j.1600-0501.2010.01915.x.

  • Oral Function After Oncological Intervention in the Oral Cavity: A Retrospective Study
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 2010
    Co-Authors: Caroline M. Speksnijder, Andries Van Der Bilt, Hilbert W. Van Der Glas, Robert J.j. Van Es, Esther Van Der Rijt, Ron Koole
    Abstract:

    Purpose To assess self-perceived Oral Function of patients with Oral cavity cancer at different stages of treatment, ie, before oncologic intervention, 5 weeks after intervention, and 5 years after intervention. Patients and Methods A cohort of 158 patients with malignancy in the Oral cavity treated by surgery in 1999 or 2000 was included. From this cohort we interviewed 69 patients by telephone in 2005 and collected data on dental status, disorders of chewing and swallowing, xerostomia, preference of food consistency, tube nutrition, weight loss, and speech for different stages of treatment. Results For patients treated in the maxilla region we observed a significant ( P Conclusions Our telephone interview on Oral Function provided supplementary information on how patients experienced their problems with Oral Function during various phases of oncologic treatment. A retrospective interview may thus help to add information to incomplete retrospective data.

  • The influence of mandibular advancement surgery on Oral Function in retrognathic patients: a 5-year follow-up study.
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 2006
    Co-Authors: Willem Van Den Braber, Andries Van Der Bilt, Hilbert Van Der Glas, Toine Rosenberg, Ron Koole
    Abstract:

    Purpose Previous studies have shown that patients with mandibular retrognathism who were scheduled for orthognathic surgery have a lower maximum bite force and an impaired chewing performance. Surgical correction of this deformity is supposed to lead to an improvement of these Oral Functions. One year after surgery, no significant changes could be shown in these patients. However, a longer follow-up might demonstrate an improvement after all. Patients and Methods Maximum bite force and chewing performance were determined in 12 patients with a mandibular retrognathism before mandibular advancement surgery and at least 5 years after surgery. Chewing performance (median particle size) was determined with a sieving method after chewing 15 strokes on an artificial test food. Maximum bite force was recorded bilaterally at the level of the first molars. Results Five years after surgery, chewing performance was improved, especially in patients with a poor performance before treatment. An increase of the maximum bite force could not be shown. Conclusion Surgical correction of mandibular retrognathism had a positive effect on Oral Function 5 years after surgery, although it could not be detected 1 year after surgery. However, the Function of the masticatory system was still impaired when compared with controls.

  • Human Oral Function: a review
    Brazilian Journal of Oral Sciences, 2002
    Co-Authors: Andries Van Der Bilt
    Abstract:

    Chewing is the first step in the process of digestion and is meant to prepare the food for swallowing and further processing in the digestive system. During chewing, the food bolus or food particles are reduced in size, saliva is produced to moisten the food and flavors are released. Taste and texture of the food are perceived and have their influence on the chewing process. There are several factors determining the chewing result. The teeth are important in the masticatory system. They form the occlusal area where the food particles are fragmented. This fragmentation depends on the total occlusal area and thus on the number of teeth. Another important factor in mastication is the bite force. The bite force depends on muscle volume, jaw muscle activity, and the coordination between the various chewing muscles. Also the movement of the jaw, and thus the neuromuscular control of chewing, plays an important role in the fragmentation of the food. Another aspect of chewing is how well the tongue and cheeks manipulate the food particles between the teeth. Finally, the production of sufficient saliva is indispensable for good chewing. Large differences in Oral Function exist among various groups of subjects, such as dentate subjects, partial and complete denture wearers, and subjects with implant-retained overdentures. Both maximum bite force and masticatory performance are significantly reduced, when dentures replace natural teeth. Oral Function also is impaired in orthognathic patients, both before and after surgery, and in patients with a neuromuscular disease, myasthenia gravis. The muscle activity, needed to overcome the resistance of the food during mastication, consists of two contributions: an anticipating and a sensory-induced component. The anticipating muscle activity is generated only if food resistance is expected. The sensory-induced muscle activity immediately starts after food contact. About 85% of the muscle activity needed to crush the food is sensory induced, which indicates that jaw muscle activity is mainly of sensory origin.

Kazunori Ikebe - One of the best experts on this subject based on the ideXlab platform.

  • Significance of Oral Function for Dietary Intakes in Old People.
    Journal of nutritional science and vitaminology, 2015
    Co-Authors: Kazunori Ikebe
    Abstract:

    There is growing interest in the connection between Oral health and systemic health. In recent years, Oral health in particular is considered a predictor of circulatory mortality. Two major pathways may mediate this relationship, namely (1) the inflammatory effects of chronic periodontal infection on the circulatory system and (2) the effects of masticatory dysFunction on dietary behavior, nutrition and systemic diseases. Previous studies have shown that adults who are edentulous, or have fewer natural teeth are less likely to eat fruits, vegetables and meats. Because it can be easily assessed, the number of teeth has frequently been used as an indicator of Oral health in investigations of food intake. However, the number of teeth alone presents a misleading picture. The role of prosthetic rehabilitation (i.e., dentures) on Oral Function must be taken into account as well. We investigated the association of occlusal force with food and nutrient intakes after adjusting for the number of teeth in independently living 70-y-old Japanese. After adjusting for socioeconomic status and the number of remaining teeth, decline of occlusal force was significantly associated with lower intakes of vegetables, vitamins A, C, and B6, folate, and dietary fiber (p for trend

  • comparison of gohai and ohip 14 measures in relation to objective values of Oral Function in elderly japanese
    Community Dentistry and Oral Epidemiology, 2012
    Co-Authors: Kazunori Ikebe, Ken-ichi Matsuda, Tomohiro Hazeyama, Kaori Enoki, Shunsuke Murai, Tadashi Okada, Ryosuke Kagawa, Yoshinobu Maeda
    Abstract:

    Objectives The aims of this study were to assess the correlations between the Geriatric Oral Health Assessment Index (GOHAI) and the Oral Health Impact Profile-14 (OHIP-14) and to examine which survey is more sensitive to objectively measured Oral Function in the Japanese elderly. Methods The subjects were 290 community-dwelling, cognitively healthy, and independently living people over the age of 60 years (mean: 66.3 years). Measures included the GOHAI and OHIP-14 questionnaires, as well as self-rating of general and Oral health, dry mouth, number of residual teeth, and objective values of occlusal force, masticatory performance, and salivary flow rate. Bivariate and linear regression analyses were used to identify which of these variables predicted GOHAI and OHIP-14 scores. Results Spearman's correlation coefficient between the GOHAI and OHIP-14 scores was 0.728 (P < 0.001), although the OHIP-14 showed a greater number of 0 scores, suggesting a greater floor effect. At the bivariate level, self-rating of general and Oral health, dry mouth, number of residual teeth, occlusal force, and masticatory performance were associated with GOHAI and OHIP-14 scores. Multiple linear regression analyses showed that after controlling for the other significant variables, both the occlusal force (standardized regression coefficient [β] = −0.164, P = 0.004) and masticatory performance (β = −0.125, P = 0.019) had significant associations with the GOHAI score, whereas this association was not found with the OHIP score. Conclusions Although the GOHAI and OHIP-14 had a strong correlation, the GOHAI was more sensitive to the objective values of Oral Functions among independently living elderly persons in Japan.

  • Comparison of GOHAI and OHIP-14 measures in relation to objective values of Oral Function in elderly Japanese.
    Community dentistry and oral epidemiology, 2012
    Co-Authors: Kazunori Ikebe, Ken-ichi Matsuda, Tomohiro Hazeyama, Kaori Enoki, Shunsuke Murai, Tadashi Okada, Ryosuke Kagawa, Yoshinobu Maeda
    Abstract:

    Objectives The aims of this study were to assess the correlations between the Geriatric Oral Health Assessment Index (GOHAI) and the Oral Health Impact Profile-14 (OHIP-14) and to examine which survey is more sensitive to objectively measured Oral Function in the Japanese elderly. Methods The subjects were 290 community-dwelling, cognitively healthy, and independently living people over the age of 60 years (mean: 66.3 years). Measures included the GOHAI and OHIP-14 questionnaires, as well as self-rating of general and Oral health, dry mouth, number of residual teeth, and objective values of occlusal force, masticatory performance, and salivary flow rate. Bivariate and linear regression analyses were used to identify which of these variables predicted GOHAI and OHIP-14 scores. Results Spearman's correlation coefficient between the GOHAI and OHIP-14 scores was 0.728 (P 

  • The relationship between Oral Function and body mass index among independently living older Japanese people.
    The International journal of prosthodontics, 2006
    Co-Authors: Kazunori Ikebe, Ken-ichi Matsuda, Kentaro Morii, Takashi Nokubi, Ronald L. Ettinger
    Abstract:

    Purpose This study aimed to clarify the relationship between Oral Function and Body Mass Index (BMI) using data from independently living, relatively healthy older people. The hypothesis was that Oral Function is more important than dental status for healthy body weight. Materials and methods The subjects were community-dwelling, independently living elderly people over 60 years of age (N = 807, 408 men and 399 women). An Oral health examination, an Oral and general health interview, and measurement of Oral Function, such as masticatory performance and occlusal force, were carried out. BMI (kg/m2) was used to measure body fat. A multiple logistic regression analysis was used for 2 outcome variables of underweight and overweight. Results Overall, 70.1% of the subjects were in the normal category of BMI (20 to 25), 13.4% were in the underweight category ( 25). Neither occlusal force nor masticatory performance was significantly correlated with BMI. However, when the lowest 20% of occlusal force and masticatory performance values were used as explanatory variables, multiple logistic regression analyses showed that being underweight was significantly associated with having lower masticatory performance (odds ratio = 2.0, P= .015). In addition, being overweight was significantly associated with lower occlusal force (odds ratio = 1.8, P = .013). There was no statistical difference in the underweight or overweight proportions as a Function of either number of teeth or type of dentition. Conclusion Based on the results of this study, occlusal force and masticatory performance, rather than number of teeth or type of dentition, may play an important role in maintaining a normal BMI in independently living older Japanese people.

  • Dental status and satisfaction with Oral Function in a sample of community-dwelling elderly people in Japan.
    Special care in dentistry : official publication of the American Association of Hospital Dentists the Academy of Dentistry for the Handicapped and the, 2002
    Co-Authors: Kazunori Ikebe, Takashi Nokubi, Ronald L. Ettinger, Hidekazu Namba, Nozomu Tanioka, Kateuya Iwase, Takahiro Ono
    Abstract:

    The purpose of this study was to determine the influence of dental status on Oral Function and satisfaction among a group of independently living elderly persons in an urban area of Japan. The study sample consisted of participants of the Senior Citizens' College from 1995 to 1999. Their dental status and Oral satisfaction were measured by a questionnaire. The number of usable questionnaires was 3967, or 80.8% of the total sample. The mean age of the subjects was 66.5+/-4.3 years, and 52.2% were male. Twenty-nine percent of them had a natural dentition, and 7.0% were edentulous in both jaws. The prevalence of edentulism in the study sample was significantly lower (p < 0.01) than that for the national survey. Overall, 66.4% of the subjects were satisfied with their ability to chew, 56.2% with the appearance of their teeth, 63.1% with their ability to speak clearly, and 76.5% with their ability to taste food. For complete-denture wearers, the greatest dissatisfaction was with speech (28.5%); however, for the RPD wearers, it was with chewing ability (21.7%). Sixty-one percent of complete-denture wearers reported that they were satisfied with their chewing ability, but only 11% of them could eat all three of the evaluated foods without difficulty. The multiple stepwise logistic regression analyses showed that both dental status and self-assessed general health had a significant association with dissatisfaction with all four Oral Functions and self-assessed impairment of chewing ability. There were significant associations between the elderly subjects' dental status and Oral Function.

Shigeko Takao - One of the best experts on this subject based on the ideXlab platform.

  • Relationship between Oral Function and life-space mobility or social networks in community-dwelling older people: A cross-sectional study.
    2020
    Co-Authors: Motoyoshi Morishita, Taeka Ikeda, Natsue Saito, Mihoko Sanou, Mayumi Yasuda, Shigeko Takao
    Abstract:

    OBJECTIVES: This study aimed to clarify the relationship between Oral Function and life-space mobility or social networks in order to explore approaches that prevent a decline in Oral Function. MATERIALS AND METHODS: A total of 113 community-dwelling older people (mean age; 75.7 ± 7.3 years) who participated in preventive long-term care projects aimed at the maintenance or improvement of physical and mental Functions were included in this study. The life-space assessment (LSA) was used to evaluate life-space mobility, while the Lubben Social Network Scale-6 (LSNS-6) was employed to assess social networks. Oral Function was measured by maximum voluntary tongue pressure, Oral diadochokinesis, the repetitive saliva swallowing test, and lip pressure. Indices of frailty were grip strength and the Kihon Checklist score. Multiple regression analysis was performed to clarify whether the LSA, LSNS-6, and frailty are associated with Oral Function. RESULTS: The results of the Kihon Checklist showed that 63 participants (56%) were subjectively and at least slightly aware of a decline in Oral Function. LSA (B = 0.222, p < .001) and grip strength (B = 0.266, p = .003) associated with maximum voluntary tongue pressure. The goodness of fit of the predictive model was an adjusted R2 value of .486. Other Oral Functions were not associated with any factors and the goodness of fit of the model was poor (Adjusted R2 < .1). LSNS-6 was not associated with any Oral Function. CONCLUSIONS: Life-space mobility and grip strength were independent factors associating maximum voluntary tongue pressure, while social networks did not directly association Oral Function. This study suggests the necessity of a program that approaches both Oral and physical Functions through guidance for securing a certain amount of daily activity for older people at risk of or exhibiting a decline in maximum voluntary tongue pressure.

  • Relationship between Oral Function and life-space mobility or social networks in community-dwelling older people: A cross-sectional study.
    Clinical and experimental dental research, 2020
    Co-Authors: Motoyoshi Morishita, Taeka Ikeda, Natsue Saito, Mihoko Sanou, Mayumi Yasuda, Shigeko Takao
    Abstract:

    This study aimed to clarify the relationship between Oral Function and life-space mobility or social networks in order to explore approaches that prevent a decline in Oral Function. A total of 113 community-dwelling older people (mean age; 75.7 ± 7.3 years) who participated in preventive long-term care projects aimed at the maintenance or improvement of physical and mental Functions were included in this study. The life-space assessment (LSA) was used to evaluate life-space mobility, while the Lubben Social Network Scale-6 (LSNS-6) was employed to assess social networks. Oral Function was measured by maximum voluntary tongue pressure, Oral diadochokinesis, the repetitive saliva swallowing test, and lip pressure. Indices of frailty were grip strength and the Kihon Checklist score. Multiple regression analysis was performed to clarify whether the LSA, LSNS-6, and frailty are associated with Oral Function. The results of the Kihon Checklist showed that 63 participants (56%) were subjectively and at least slightly aware of a decline in Oral Function. LSA (B = 0.222, p < .001) and grip strength (B = 0.266, p = .003) associated with maximum voluntary tongue pressure. The goodness of fit of the predictive model was an adjusted R2 value of .486. Other Oral Functions were not associated with any factors and the goodness of fit of the model was poor (Adjusted R2  < .1). LSNS-6 was not associated with any Oral Function. Life-space mobility and grip strength were independent factors associating maximum voluntary tongue pressure, while social networks did not directly association Oral Function. This study suggests the necessity of a program that approaches both Oral and physical Functions through guidance for securing a certain amount of daily activity for older people at risk of or exhibiting a decline in maximum voluntary tongue pressure. © 2020 The Authors. Clinical and Experimental Dental Research published by John Wiley & Sons Ltd.