Características orofaciais de idosos funcionalmente independentes

Silva, Danielle Nunes Moura; Couto, Erica de Araújo Brandão; Becker, Helena Maria Gonçalves; Bicalho, Maria Aparecida Camargos

doi:10.1590/2317-1782/20172016240

Cited by 3 publications

(4 citation statements)

References 21 publications

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“…Presently, patients with SS showed low socioeconomic status. This finding was similar to Silva et al ( 22 ) study that used the Economic Classification Criteria Brazil. These authors observed a significant association between socioeconomic status and the number remaining natural teeth, evidencing that individuals with high socioeconomic status had a higher number of permanent teeth when compared to lower socioeconomic status.…”

Section: Discussionsupporting

confidence: 91%

Dental status, salivary flow, and sociodemographic aspects in Sheehan Syndrome patients

Cavalcante

Pinto-Quidute²,

Alves-Martins³

et al. 2018

Med Oral

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BackgroundSheehan’s syndrome (SS) is one of the leading causes of hypopituitarism in developing countries. It occurs after postpartum necrosis of the pituitary gland, and it is considered a significant public health problem. This paper, apparently unpublished, aimed to perform an analysis on oral aspects in patients with SS.Material and MethodsA cross-sectional study was performed with 23 women diagnosed with SS at the Division of Endocrinology and Diabetes (Walter Cantídio University Hospital, Fortaleza, Brazil).ResultsData on sociodemographic, dental and salivary flow aspects were collected through a clinical approach and a panoramic radiograph request. The mean age was 64 ± 11.5 years old, with the sample consisting mainly of married women (56.5%), socioeconomic class C2 or D / E (78.2%) and years of education up to 8 years (69.5%). The presence of horizontal bone loss (p<0.001) and bilateral pneumatization of the maxillary sinus (p=0.015) were significant data. The mean number of absent teeth considering all subjects was 23.17±9.7, being statistically significant (p<0.001). In relation to age, the mean number of missing teeth was higher in individuals over 65 years old (p=0.048). Reduced salivary flow was observed in 78.3% of the patients. In a bivariate analysis, considering the outcome variables “missing teeth” and “reduced salivary flow”, it was observed that economic class (p< 0.001), family income (0.037) and maxillary sinus pneumatization (0.032) were statistically significant.ConclusionsIn brief, patients with SS showed severe teeth loss, reduced salivary flow, and low educational status. This study addressed important aspects regarding oral findings in SS and highlighted the importance of researches in oral medicine. Key words:Sheehan’s Syndrome, hypopituitarism, tooth loss, salivary flow.

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Section: Discussionsupporting

confidence: 91%

Dental status, salivary flow, and sociodemographic aspects in Sheehan Syndrome patients

Cavalcante

Pinto-Quidute²,

Alves-Martins³

et al. 2018

Med Oral

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“…In addition it was also found that elderly people who underwent labial occlusion with tension were more likely to have flaccid and/or arched cheeks and the normality of the nasolabial fold was related to adequate lip volume. 6 In accordance with this study, other studies also found that the elderly showed changes in the appearance and posture of the lips, with a reduction in lip volume and thickness 33 and an increase in the contraction of these muscles during lip sealing, demonstrating that there is tension in the lip perioral muscles so that it is possible to maintain an effective lip seal, in addition to depressed oral rhymes. 6 Despite the significant difference in appearance and posture of the lips mentioned above, there was no significant difference in lip pressure strength but a significant difference was found between both groups in appearance and posture of the chin muscle.…”

Section: Discussionsupporting

confidence: 88%

“…A similar conclusion was found by a study that also used OMES‐E, and it was also concluded that the elderly had flaccid cheeks and an accentuated nasolabial fold. In addition it was also found that elderly people who underwent labial occlusion with tension were more likely to have flaccid and/or arched cheeks and the normality of the nasolabial fold was related to adequate lip volume 6 . In accordance with this study, other studies also found that the elderly showed changes in the appearance and posture of the lips, with a reduction in lip volume and thickness 33 and an increase in the contraction of these muscles during lip sealing, demonstrating that there is tension in the lip perioral muscles so that it is possible to maintain an effective lip seal, in addition to depressed oral rhymes 6 …”

Section: Discussionmentioning

confidence: 96%

“…The appearance and posture of these structures undergo important changes with an increase in age, being characterised by increased tension in the perioral region, in addition to the presence of flaccid cheeks, accentuated nasolabial folds and depressed oral rhymes 6 . These structural changes are important factors for changes in the performance of the chewing 7,8 and swallowing 9–12 functions.…”

Section: Introductionmentioning

confidence: 99%

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Lip and tongue pressure and the functionality of oro‐facial structures in healthy individuals

Ramos

Silva

Degan

et al. 2023

J of Oral Rehabilitation

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BackgroundWith the ageing process changes in the musculature of oro‐facial structures take place, consequently there is a reduction in the strength and mobility of the lips, tongue and cheeks.ObjectiveThe aim of this study was to correlate oro‐facial structures and chewing and swallowing functions among a group of senior citizens and young adults and check the influence of lip and tongue pressure of these functions.MethodsThis is an observational, cross‐sectional and analytical study. Thirty seniors with an average age of 67.13 years and 30 young adults with an average age of 22.03 years participated in the study. The Oro‐facial Myofunctional Assessment Protocol with Scores for the Elderly and the Oro‐facial Myofunctional Assessment Protocol with Expanded Scores were also used. The evaluation of the force of pressure of the lips and tip and dorsum of the tongue was carried out using the Biofeedback device Pró‐Fono: Lip and Tongue Pressure.ResultsYoung adults had a higher evaluation score for the aspect/posture of the face, cheeks, lips, mentalis muscle, tongue, mobility of lips, tongue, jaw and cheeks, chewing and swallowing functions, total time and chewing strokes, and tip pressure and dorsum of tongue. According to the Structural Equation Modelling, a direct relationship was found between the tongue dorsum pressure force and the swallowing function.ConclusionWith healthy ageing changes occurring in the appearance, posture and mobility of the lips, tongue, jaw and cheeks, with the seniors and reduced performance of chewing and swallowing functions.

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Relation between oro‐facial thermographic findings and myofunctional characteristics in patients with obstructive sleep apnoea

Ferreira

Castelo

Zanato

et al. 2021

J of Oral Rehabilitation

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Aim To evaluate the thermographic characteristics of oro‐facial structures and submental triangle of participants with obstructive sleep apnoea (OSA), as well as to investigate its correlation with the anatomy, posture and functions of the oro‐facial structures. Method Eighteen patients diagnosed with OSA by polysomnography (OSA group; 57.4 ± 15.8 years) and 13 healthy participants screened for OSA (control group; 57.8 ± 18.1 years) were included. All participants answered to questionnaires for OSA and excessive daytime sleepiness, and were submitted to infrared image thermography analysis of facial regions of interest (ROIs), oro‐facial myofunctional evaluation (OMES‐E protocol) and masticatory performance. Statistical analysis included one‐way ANOVA and Pearson/Spearman correlation test. Results Obstructive sleep apnoea group showed lower thermographic measures in many ROIs in the frontal and lateral views of the face, including the submental triangle region, and lower scores of aspect/posture and performance of oro‐facial structures, as well lower total score of OMES‐E evaluation (P < .05). Scores of aspect/posture and mobility were correlated with the temperature of some ROIs in the frontal and lateral views. Conclusion Lower facial skin and submental triangle region temperatures, measured by infrared thermography, and a worse oro‐facial myofunctional condition were identified in the group of individuals with OSA. The higher temperatures of the ROIs were correlated with the better status of aspect/posture and performance of the oro‐facial myofunctional structures.

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Características orofaciais de idosos funcionalmente independentes

Cited by 3 publications

References 21 publications

Dental status, salivary flow, and sociodemographic aspects in Sheehan Syndrome patients

Dental status, salivary flow, and sociodemographic aspects in Sheehan Syndrome patients

Lip and tongue pressure and the functionality of oro‐facial structures in healthy individuals

Relation between oro‐facial thermographic findings and myofunctional characteristics in patients with obstructive sleep apnoea

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