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Chewing function and related parameters as a function of the degree of dementia: Is there a link between the brain and the mouth?

BACKGROUND: To date, no study has investigated the association between chewing function and related parameters as a function of the degree of dementia using a finer subdivision of the values of the Mini‐Mental State Examination (MMSE). OBJECTIVE: This study aimed to investigate the differences in ch...

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Autores principales: Jockusch, Julia, Hopfenmüller, Werner, Nitschke, Ina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9291087/
https://www.ncbi.nlm.nih.gov/pubmed/34288029
http://dx.doi.org/10.1111/joor.13231
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author Jockusch, Julia
Hopfenmüller, Werner
Nitschke, Ina
author_facet Jockusch, Julia
Hopfenmüller, Werner
Nitschke, Ina
author_sort Jockusch, Julia
collection PubMed
description BACKGROUND: To date, no study has investigated the association between chewing function and related parameters as a function of the degree of dementia using a finer subdivision of the values of the Mini‐Mental State Examination (MMSE). OBJECTIVE: This study aimed to investigate the differences in chewing function and related parameters as a function of the degree of dementia. METHODS: An analysis of cross‐sectional data obtained from the OrBiD (Oral Health, Bite Force, and Dementia) pilot study was performed. The participants were stratified into five groups based on the outcomes of the MMSE (no dementia, MMSE 28–30; mild cognitive impairment, MMSE 25–27; mild dementia, MMSE 18–24; moderate dementia, MMSE 10–17; severe dementia, MMSE <10). The chewing efficiency, maximum occlusal force and related parameters (number of supporting zones, number of teeth, Eichner index, tooth/denture status, denture quality, and dental treatment needs) were recorded. RESULTS: The MMSE groups showed significantly different chewing efficiencies (p = .003, Jonckheere‐Terpstra test) and maximum occlusal forces (p = .003, Jonckheere‐Terpstra test), but the number of supporting zones (p = .055, chi‐square test) and the number of natural teeth (p = .126, chi‐square test) were not different. The Eichner index, tooth/denture status, denture quality and dental treatment need showed no significant associations with the degree of dementia. CONCLUSION: An improvement in the usability of the measurement methods for assessing chewing function in people with dementia is needed. Research involving people with dementia is necessary because the nutritional situation often deteriorates rapidly within a multifactorial system, which includes chewing ability and oral health.
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spelling pubmed-92910872022-07-20 Chewing function and related parameters as a function of the degree of dementia: Is there a link between the brain and the mouth? Jockusch, Julia Hopfenmüller, Werner Nitschke, Ina J Oral Rehabil Original Articles BACKGROUND: To date, no study has investigated the association between chewing function and related parameters as a function of the degree of dementia using a finer subdivision of the values of the Mini‐Mental State Examination (MMSE). OBJECTIVE: This study aimed to investigate the differences in chewing function and related parameters as a function of the degree of dementia. METHODS: An analysis of cross‐sectional data obtained from the OrBiD (Oral Health, Bite Force, and Dementia) pilot study was performed. The participants were stratified into five groups based on the outcomes of the MMSE (no dementia, MMSE 28–30; mild cognitive impairment, MMSE 25–27; mild dementia, MMSE 18–24; moderate dementia, MMSE 10–17; severe dementia, MMSE <10). The chewing efficiency, maximum occlusal force and related parameters (number of supporting zones, number of teeth, Eichner index, tooth/denture status, denture quality, and dental treatment needs) were recorded. RESULTS: The MMSE groups showed significantly different chewing efficiencies (p = .003, Jonckheere‐Terpstra test) and maximum occlusal forces (p = .003, Jonckheere‐Terpstra test), but the number of supporting zones (p = .055, chi‐square test) and the number of natural teeth (p = .126, chi‐square test) were not different. The Eichner index, tooth/denture status, denture quality and dental treatment need showed no significant associations with the degree of dementia. CONCLUSION: An improvement in the usability of the measurement methods for assessing chewing function in people with dementia is needed. Research involving people with dementia is necessary because the nutritional situation often deteriorates rapidly within a multifactorial system, which includes chewing ability and oral health. John Wiley and Sons Inc. 2021-08-14 2021-10 /pmc/articles/PMC9291087/ /pubmed/34288029 http://dx.doi.org/10.1111/joor.13231 Text en © 2021 The Authors. Journal of Oral Rehabilitation published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Jockusch, Julia
Hopfenmüller, Werner
Nitschke, Ina
Chewing function and related parameters as a function of the degree of dementia: Is there a link between the brain and the mouth?
title Chewing function and related parameters as a function of the degree of dementia: Is there a link between the brain and the mouth?
title_full Chewing function and related parameters as a function of the degree of dementia: Is there a link between the brain and the mouth?
title_fullStr Chewing function and related parameters as a function of the degree of dementia: Is there a link between the brain and the mouth?
title_full_unstemmed Chewing function and related parameters as a function of the degree of dementia: Is there a link between the brain and the mouth?
title_short Chewing function and related parameters as a function of the degree of dementia: Is there a link between the brain and the mouth?
title_sort chewing function and related parameters as a function of the degree of dementia: is there a link between the brain and the mouth?
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9291087/
https://www.ncbi.nlm.nih.gov/pubmed/34288029
http://dx.doi.org/10.1111/joor.13231
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