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Detection of Mild Hyposalivation in Elderly People Based on the Chewing Time of Specifically Designed Disc Tests: Diagnostic Accuracy

Identifieur interne : 000D21 ( Istex/Corpus ); précédent : 000D20; suivant : 000D22

Detection of Mild Hyposalivation in Elderly People Based on the Chewing Time of Specifically Designed Disc Tests: Diagnostic Accuracy

Auteurs : Isabelle Madinier ; Mireille Starita-Geribaldi ; Frederic Berthier ; Catherine Pesci-Bardon ; Patrice Brocker

Source :

RBID : ISTEX:1AD3F405777AF30FE0597F9B80AA8D944DE16E32

English descriptors

Abstract

OBJECTIVES: To compare sialometry with chewing time (including swallowing) of specifically designed disc tests.

Url:
DOI: 10.1111/j.1532-5415.2009.02179.x

Links to Exploration step

ISTEX:1AD3F405777AF30FE0597F9B80AA8D944DE16E32

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<affiliation>From the *Laboratory of Oral Microbiology URE 01 UNS, Faculty of Dentistry, University of Nice Sophia Antipolis, Nice, France†Departments of Dentistry‡Medical Information; and §Geriatrics, Nice University Hospital, Nice, France.
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To compare sialometry with chewing time (including swallowing) of specifically designed disc tests.</p>
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<hi rend="bold">DESIGN: </hi>
Index test versus reference standard (sialometry; 60 patients); reliability study (10 patients).</p>
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<hi rend="bold">SETTING: </hi>
Outpatient dental clinic and geriatric ward, Nice University Hospital, France.</p>
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Thirty adults and 30 older patients (mean ages 47 and 84).</p>
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<hi rend="bold">INTERVENTION: </hi>
Index test assessment in patients with and without hyposalivation.</p>
<p>
<hi rend="bold">MEASUREMENTS: </hi>
Data from medical files, interviews and oral examination were collected. Sialometry (stimulated salivary flow rate (SSFR) mL/min) and disc chewing times (seconds) were measured.</p>
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Sialometry was too long and was inappropriate for five of the 30 older persons. Chewing times were negatively correlated to sialometry results (Spearman correlation coefficient (
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<.001). The threshold to diagnose hyposalivation (SSFR <1 mL/min) was 40 seconds (area under the receiver operating characteristic curve (AUC)=0.921, 100% sensitivity, 72% specificity). Twenty‐seven subjects with a SSFR less than 1.5 mL/min had a chewing time longer than 40 seconds, suggesting that mild hyposalivation and eating difficulties were related (AUC=0.941, 93% sensitivity, 88% specificity). Mean chewing time was greater with xerostomia (51.9 vs 30.7 seconds,
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<p>
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This disc test was conceived to detect mild hyposalivation in geriatric patients with impaired dental health. Early detection of hyposalivation could help to suppress or avoid xerostomia‐inducing drugs and to prevent oral infections and dental caries.</p>
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<p>
<b>OBJECTIVES: </b>
To compare sialometry with chewing time (including swallowing) of specifically designed disc tests.</p>
<p>
<b>DESIGN: </b>
Index test versus reference standard (sialometry; 60 patients); reliability study (10 patients).</p>
<p>
<b>SETTING: </b>
Outpatient dental clinic and geriatric ward, Nice University Hospital, France.</p>
<p>
<b>PARTICIPANTS: </b>
Thirty adults and 30 older patients (mean ages 47 and 84).</p>
<p>
<b>INTERVENTION: </b>
Index test assessment in patients with and without hyposalivation.</p>
<p>
<b>MEASUREMENTS: </b>
Data from medical files, interviews and oral examination were collected. Sialometry (stimulated salivary flow rate (SSFR) mL/min) and disc chewing times (seconds) were measured.</p>
<p>
<b>RESULTS: </b>
Sialometry was too long and was inappropriate for five of the 30 older persons. Chewing times were negatively correlated to sialometry results (Spearman correlation coefficient (
<i>R</i>
)=0.77,
<i>P</i>
<.001). The threshold to diagnose hyposalivation (SSFR <1 mL/min) was 40 seconds (area under the receiver operating characteristic curve (AUC)=0.921, 100% sensitivity, 72% specificity). Twenty‐seven subjects with a SSFR less than 1.5 mL/min had a chewing time longer than 40 seconds, suggesting that mild hyposalivation and eating difficulties were related (AUC=0.941, 93% sensitivity, 88% specificity). Mean chewing time was greater with xerostomia (51.9 vs 30.7 seconds,
<i>P</i>
<.001) but not with dental pain (39.5 vs 39.9,
<i>P</i>
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<p>
<b>CONCLUSION: </b>
This disc test was conceived to detect mild hyposalivation in geriatric patients with impaired dental health. Early detection of hyposalivation could help to suppress or avoid xerostomia‐inducing drugs and to prevent oral infections and dental caries.</p>
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<abstract>OBJECTIVES: To compare sialometry with chewing time (including swallowing) of specifically designed disc tests.</abstract>
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