Functional tooth units and nutritional status of older people in care homes in Indonesia

Adiatman, Melissa; Ueno, Masashi; Ohnuki, Mari; Hakuta, Chiyoko; Shinada, Kayoko; Kawaguchi, Yoko

doi:10.1111/j.1741-2358.2012.00673.x

Cited by 34 publications

(31 citation statements)

References 32 publications

(40 reference statements)

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“…Nearly half of our sample of LTC facility residents had 20 or more functioning teeth, which is lower than the prevalence reported from Qingdao, China, but higher than in Wales . Indeed, the prevalence of edentulous residents was low (<10%) compared to previous international studies of older people, but higher than in Southern Vietnam, where more participants aged 60 years or older had DMFT . The high prevalence and need for treatment of both coronal and root caries could be because new residents were admitted to the nursing homes with a compromised oral health status, or because they developed these oral diseases and conditions while living in the nursing homes.…”

Section: Discussioncontrasting

confidence: 65%

“…Periodontal disease increases with age; gingival recession and alveolar bone loss can occur due to traumatic tooth brushing, periodontal disease or periodontal treatment, which may lead to more tooth root surfaces with a risk of developing root caries . The mean numbers of teeth with coronal or root caries were much higher than in Indonesia, Thailand, Wales, Slovenia, Canada, or China, possibly because the number of participants with natural teeth was higher than in the other populations, despite the limited education of many of the older residents in our study.…”

Section: Discussioncontrasting

confidence: 63%

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Dental and periodontal problems of elderly people in Vietnamese nursing homes

Pham

Nguyen

2018

Gerodontology

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Section: Discussioncontrasting

confidence: 65%

Section: Discussioncontrasting

confidence: 63%

Dental and periodontal problems of elderly people in Vietnamese nursing homes

Pham

Nguyen

2018

Gerodontology

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“…The proportion of people who were overweight (39.8%) and who had no posterior tooth pairs was lower than the results obtained in studies on the Indonesian population (46.8%) 23. Hilgert et al demonstrated that having no functional occluded tooth pairs or being edentulous increases the chance of being obese 24…”

Section: Discussionmentioning

confidence: 83%

Masseter muscle tension, chewing ability, and selected parameters of physical fitness in elderly care home residents in Lodz, Poland

Gaszyńska

Godala

Szatko

et al. 2014

CIA

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BackgroundMaintaining good physical fitness and oral function in old age is an important element of good quality of life. Disability-related impairment of oral function contributes to a deterioration of the diet of older people and to the reduction of their social activity.ObjectivesInvestigate the association between masseter muscle tension, dental status, and physical fitness parameters.Materials and methodsTwo hundred fifty-nine elderly care home residents (97 men, 162 women; mean age, 75.3±8.9 years) were involved in this cross-sectional study. Their chewing ability was evaluated by masseter muscle tension palpation, differences of masseter muscle thickness, self-reported chewing ability, number of present and functional teeth, and number of posterior tooth pairs. Masseter muscle thickness was measured by ultrasonography. To assess physical fitness, hand grip strength and the timed up-and-go test were performed. Nutritional status was assessed using body mass index and body cell mass index (BCMI), calculated on the basis of electrical bioimpedance measurements. Medical records were used to collect information on systemic diseases and the number of prescribed medications. Subjects were also evaluated for their ability to perform ten activities of daily living.ResultsNinety-seven percent of the subjects suffered from systemic diseases. The three most prevalent illnesses were cardiac/circulatory 64.5%, musculoskeletal 37.3%, and endocrine/metabolic/nutritional 29.3%. Of the participants, 1.5% were underweight and more than one third (34.4%) were overweight. Malnutrition (BCMI below normal) was found in almost half (45.2%) of the subjects. Only 5.8% had a sufficient number of functional natural teeth. Statistically significant correlations were found between palpation of masseter muscle tension and perceived chewing ability, number of present teeth, number of functional teeth, number of posterior tooth pairs, timed up-and-go, hand grip strength, body mass index, BCMI, and activities of daily living. In a multivariate model, after adjusting for age, sex, and education, subjects with higher BCMI, higher hand grip strength, and more present teeth had a significantly higher chance of strong masseter muscle tension.ConclusionThere is a relationship between chewing ability and physical fitness in elderly people. Efficiency of masseter muscles is related to physical fitness in the elderly. Masseter muscle tension examined by palpation can be used in public dentistry as one of the indicators of quality of life.

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“…This disease has spread considerably during the last few decades, especially among socioeconomically disadvantaged families (Allukian, ; American Academy of Pediatric Dentistry, ) and its impact on children's nutrition, growth, and development is often evoked in quality of life studies (Feitosa, Colares, & Pinkham, ; Schroth et al, ; Schroth, Levi, Kliewer, Friel, & Moffatt, ; Vania et al, ), but little is known about mastication in children with altered dentition. In adults, it was reported that any alteration of occlusal dental contacts may impact masticatory behavior and nutrition (Adiatman et al, ; Brodeur, Laurin, Vallee, & Lachapelle, ; Decerle, Nicolas, & Hennequin, ; Mishellany‐Dutour, Renaud, Peyron, Rimek, & Woda, ; Prakash, Kalavathy, Sridevi, & Premnath, ; Woda, Foster, Mishellany, & Peyron, ; Woda, Mishellany, & Peyron, ). The number of chewing cycles, the chewing duration and/or the chewing frequency are modified in such conditions (Decerle et al, ; Hennequin, Allison, Faulks, Orliaguet, & Feine, ; Peyron et al, ; van der Bilt, ).…”

Section: Introductionmentioning

confidence: 99%

Masticatory behavior for different solid foods in preschool children according to their oral state

Linas

Peyron

Hennequin

et al. 2019

Journal of Texture Studies

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Gradual introduction of solid foods in early childhood takes part in the maturation of mastication. The impact of any oral state alteration on food oral processing development is poorly documented for this age group. This study investigated the masticatory behavior in 3 to 6 year‐old children with or without early childhood caries (ECC) for three solid foods of different textures. Twenty‐one children with healthy oral state and 23 children with severe ECC were observed during complete mastication of calibrated samples of raw carrot, cheese and breakfast cereals. Food refusals and kinematic parameters (Ti: chewing time, Nc: number of cycles and Fq: chewing frequency) were used to assess children masticatory behavior. Oral Health‐related Quality of Life and orofacial dysfunctions were evaluated using, respectively the early childhood oral health impact scale (ECOHIS) and the Nordic orofacial dysfunction test screening (NOT‐S). Children suffering from ECC exhibited significantly higher ECOHIS and NOT‐S scores, in particular for the mastication domain. Accordingly, lower chewing frequencies values were recorded in children with ECC (i.e., carrot Fq: 1.21 ± 0.20 vs 1.35 ± 0.22, p ≤ 0.01), as well as more frequent refusals for carrots. Kinematic parameters were shown to be repeatable in all children for successive samples of the same food, and tended to vary depending on the proposed food. Some masticatory behavior regulation according to food properties could already be present in preschool children. Children with ECC developed alternative behavioral strategies to overcome feeding difficulties. Further studies should investigate food bolus properties according to oral health, as well as nutritional issues. Practical applications During childhood, the way solid foods are processed in the oral cavity to be safely swallowed and then digested in available nutrients, is poorly documented. In this study, preschool children have been shown to repeatedly adapt their masticatory behavior to a given food. The collection of various food boli as recorded at the moment of swallowing could then be considered in further food bolus properties research investigations. Moreover, this study suggested that children with altered dentition modified their masticatory kinematic parameters and developed alternative strategies, including food or texture selection, to overcome their feeding difficulties. The development of a mastication evaluation protocol could help medical professionals to detect children masticatory deficiencies and then propose diet adaptations. Considering the importance of food diversity in mastication development and maturation, food industries may consider to develop a range of texture adapted foods for young children, especially designed to gradually rehabilitate the masticatory function.

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Functional tooth units and nutritional status of older people in care homes in Indonesia

Abstract: This study revealed significant relationships between the number of FTUs and nutritional status. Keeping the posterior occlusion should be emphasized in order to maintain good nutritional status in older subjects.

Cited by 34 publications

References 32 publications

Dental and periodontal problems of elderly people in Vietnamese nursing homes

Dental and periodontal problems of elderly people in Vietnamese nursing homes

Masseter muscle tension, chewing ability, and selected parameters of physical fitness in elderly care home residents in Lodz, Poland

Masticatory behavior for different solid foods in preschool children according to their oral state

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