Association between oral stereognostic ability and masticatory performance in aged complete denture wearers. 2007

Kazunori Ikebe, and Mikiko Amemiya, and Kentaro Morii, and Ken-ichi Matsuda, and Masako Furuya-Yoshinaka, and Masaki Yoshinaka, and Takashi Nokubi
Division of Oromaxillofacial Regeneration, Osaka University Graduate School of Dentistry, 1-8 Yamadaoka Suita, Osaka 565-0871, Japan. ikebe@dent.osaka-u.ac.jp

OBJECTIVE Clinically excellent dentures have shown a limited influence on the function of denture wearers, suggesting that patient factors, such as salivary flow or oral sensory ability, may play an important role in oral function. The purpose of this study was to examine the oral sensory ability of aged edentulous patients in relation to masticatory performance. METHODS Subjects were 30 edentulous elderly patients with no oral symptoms or pathologies. Oral stereognostic ability (OSA) tests were conducted with test pieces of 12 shaped forms. The duration time for recognition was noted and the answers were recorded using a 3-point scale. Masticatory performance was determined by the concentration of dissolved glucose obtained from test gummy jellies, which are a standardized food developed for measuring masticatory performance. Bilateral maximum occlusal force in the intercuspal position was measured with pressure-sensitive sheets. Stimulated whole saliva was collected using the mastication method. A multiple linear regression analysis for masticatory performance was carried out. Statistical significance was set at P < .05. RESULTS The stepwise multiple linear regression analysis showed that masticatory performance was significantly associated with maximum occlusal force (beta = .65, P < .001), OSA score (beta = .51, P < .001), and hyposalivation (beta = -.26, P = .042). The R2 of the model was 0.67, indicating that about two thirds of the variation in masticatory performance could be statistically explained by this model. CONCLUSIONS Reduced oral sensory function, low occlusal force, and hyposalivation appear to be associated with impairment of masticatory performance in aged complete denture wearers.

UI MeSH Term Description Entries
D008297 Male Males
D008409 Mastication The act and process of chewing and grinding food in the mouth. Chewing
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009066 Mouth, Edentulous Total lack of teeth through disease or extraction. Mouth, Toothless,Edentulous Mouth,Edentulous Mouths,Toothless Mouth
D001732 Bite Force The force applied by the masticatory muscles in dental occlusion. Masticatory Force,Occlusal Force,Bite Forces,Force, Bite,Force, Masticatory,Force, Occlusal,Forces, Bite,Forces, Masticatory,Forces, Occlusal,Masticatory Forces,Occlusal Forces
D003824 Denture, Complete A denture replacing all natural teeth and associated structures in both the maxilla and mandible. Complete Denture,Complete Dentures,Dentures, Complete
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D013236 Stereognosis Perception of shape and form of objects by TOUCH and KINESTHESIS, via tactile stimuli. Haptic Perception,Tactile Gnosis,Gnoses, Tactile,Gnosis, Tactile,Perception, Haptic,Tactile Gnoses

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