Orofacial evaluation in patients with multiple sclerosis using Nordic Orofacial Test-Screening

Gonçalves, Marcela Letícia Leal; França, Cristiane Miranda; Fragoso, Yára Dadalti; Deana, Alessandro Melo; Almeida, Larissa Mateus de; Bussadori, Sandra Kalil

doi:10.1007/s00784-016-1952-7

Cited by 8 publications

(5 citation statements)

References 10 publications

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“…The median was 2 in the interview domain of the NOT‐S, 1 in the clinical examination domain, and thus 3 in total. This finding is consistent with the previous findings reported in a study which was conducted on a sample of the healthy controls ( n = 34) and patients with multiple sclerosis ( n = 34) (Gonçalves et al, 2017). These values could be considered normal suggesting that the orofacial functions of the participants may be minimally affected.…”

Section: Discussionsupporting

confidence: 93%

Orofacial functions and oral health: An analysis on children aged 5–8 years old

Öztürk

Özler

Arslan

et al. 2021

Journal of Texture Studies

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The aim of this study is to assess the orofacial function performance and oral health status of healthy children as well as their potential correlations. In this descriptive study, the oral functions of four hundred systemically healthy children who applied for the pediatric dentistry clinic were evaluated. Three scales, namely Karaduman Chewing Performance Scale (KCPS), Pediatric version of the Eating Assessment Tool (PEDI‐EAT‐10), and Nordic Orofacial Test Screening (NOT‐S) protocol, are used to collect the data. These children's carious lesions were evaluated by using the decayed, missing, filled tooth/surface (DMFT/S, dmft/s) indices, the International Caries Detection and the Assessment‐II System (ICDAS‐II). In total, 400 (6.5 years [78.02 months]) children were participated in the study. Their KCPS scores indicate that 58.0% of the children were at level 0 and 35.8% were at level 1. The results of the KCPS levels and the DMFT, dmft, DT, dt, MT, mt (as =0 and ≥1) were found to be statistically significant; p = .044, p = .009, p = .008, p = .000, p = .032, and p = .003, respectively. The total PEDI‐EAT‐10 score of 13.4% of the children was found to be 3 or higher, suggesting that they experience a problem in swallowing. According to the NOT‐S, the most affected domains were “habits” (51.0%), “facial expression” (49.3%), and “chewing and swallowing” (45.3%). Among healthy children without a defined problem in swallowing and orofacial functions, the oral health status may affect orofacial functions. Decayed (particularly, extensive caries existence) or missing tooth may have critical importance for adequate chewing in children. Especially in the presence of so many decayed or missing teeth, evaluating the orofacial functions through different scales may considerably contribute to early diagnosis of functional problems.

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Section: Discussionsupporting

confidence: 93%

Orofacial functions and oral health: An analysis on children aged 5–8 years old

Öztürk

Özler

Arslan

et al. 2021

Journal of Texture Studies

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“…Despite there being several studies on the oral condition of MS patients [8][9][10], there is a gap in the literature about the prevalence and management of halitosis and whether there is a relation to the type of medication used for MS or the expanded disability status scale (EDSS) score (degree of neurological disability, which is measured on a scale of 0 to 10, 0.5 by 0.5, and in which the higher the number, the higher the inability is).…”

Section: Introductionmentioning

confidence: 99%

Effect of photodynamic therapy in the reduction of halitosis in patients with multiple sclerosis: clinical trial

et al. 2017

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Smell and odours play a vital role in social interaction. Halitosis is a social problem that affects one third of the population, causing a negative impact on the quality of life. There is little knowledge on the prevalence and management of halitosis in multiple sclerosis (MS) patients. The present study aims to evaluate the presence of halitosis in patients with MS when compared to a control group, and also evaluate treatment of the problem with antimicrobial photodynamic therapy (aPDT). This is a case-control clinical study in which 60 patients were evaluated: 30 MS patients in treatment at the Specialties Clinic School of Medicine, and 30 healthy patients, matched in age and gender for the control group. Data was collected on the duration of the disease as well as the degree of disability and medication use in the MS group. For all patients, halitosis was assessed with Oral Chroma™. Individuals with halitosis underwent treatment with tongue scraping and aPDT. The photosensitizer was methylene blue (0.005%) and a THERAPY XT-EC laser (660 nm, 9 J, 100 mW for 90 s per point, 320 J cm, 3537 mW cm) was used. Six points 1 cm apart from each other were irradiated in the tongue dorsum. There was a positive correlation between the disability and disease duration. No parameter was correlated with halitosis. Patients with MS have higher levels of SH compounds when compared to the control group (p = 0.003, Mann-Whitney), but after aPDT both groups significantly reduced the levels to under the halitosis threshold. The aPDT scraping treatment was effective in the immediate reduction of halitosis in both groups.

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“…However, as one can assume this classification can loosely encompass all the different manifestations of dysphagia. (18)(19)(20)(21)(22) Hence, neurologic dysphagia is diagnosed in a patient when the underlying error that leads to dysphagia is within the neural circuits that orchestrate dysphagia rather than related anatomical structures and functional dysphagia is detected in the absence of any anatomical and neuronal abnormalities that might contribute to difficulty swallowing. (23,24) Another aspect of dysphagia is whether or not the patient experiences different levels of difficulty when swallowing different forms of foods such as liquid or solid.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of dysphagia in patients with multiple sclerosis: A systematic review and meta-analysis

Mirmosayyeb¹,

Ebrahimi²,

Shekarian³

et al. 2023

Journal of Clinical Neuroscience

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Orofacial evaluation in patients with multiple sclerosis using Nordic Orofacial Test-Screening

Abstract: This study points out the orofacial dysfunctions which health professionals should be aware in this population.

Cited by 8 publications

References 10 publications

Orofacial functions and oral health: An analysis on children aged 5–8 years old

Orofacial functions and oral health: An analysis on children aged 5–8 years old

Effect of photodynamic therapy in the reduction of halitosis in patients with multiple sclerosis: clinical trial

Prevalence of dysphagia in patients with multiple sclerosis: A systematic review and meta-analysis

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