The Effects of Removable Denture on Swallowing
Identifieur interne : 002177 ( Main/Exploration ); précédent : 002176; suivant : 002178The Effects of Removable Denture on Swallowing
Auteurs : Dae-Sik Son [Corée du Sud] ; Jin Wan Seong [Corée du Sud] ; Younghoon Kim [Corée du Sud] ; Youngjoon Chee [Corée du Sud] ; Chang Ho Hwang [Corée du Sud]Source :
- Annals of Rehabilitation Medicine [ 2234-0645 ] ; 2013.
Abstract
To investigate the relationship between removable dentures and swallowing and describe risks.
Twenty-four patients with removable dentures who were referred for videofluoroscopic swallowing study (VFSS) were enrolled. We evaluated the change of swallowing function using VFSS before and after the removal of the removable denture. The masticatory performance by Kazunori's method, sensation of oral cavity by Christian's method, underlying disease, and National Institutes of Health Stroke Scale for level of consciousness were collected. Functional dysphagia scales, including the oral transit time (OTT), pharyngeal transit time (PTT), percentage of oral residue, percentage of pharyngeal residue, oropharyngeal swallow efficiency (OPSE), and presence of aspiration were measured.
Four patients dropped out and 20 patients were analyzed (stroke, 13 patients; pneumonia, 3 patients; and others, 4 patients). The mean age was 73.3±11.4 years. There were significant differences before and after the removal of the denture for the OTT. OTT was significantly less after the removal of the denture (8.87 vs. 4.38 seconds, p=0.01). OPSE increased remarkably after the removal of the denture, but without significance (18.24%/sec vs. 25.26%/sec, p=0.05). The OTT and OPSE, while donning a removable denture, were correlated with the masticatory performance (OTT, p=0.04; OPSE, p=0.003) and sensation of oral cavity (OTT, p=0.006; OPSE, p=0.007).
A removable denture may have negative effects on swallowing, especially OTT and OPSE. These affects may be caused by impaired sensation of the oral cavity or masticatory performance induced by the removable denture.
Url:
DOI: 10.5535/arm.2013.37.2.247
PubMed: 23705121
PubMed Central: 3660487
Affiliations:
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type="wicri:Area/Main/Exploration">002177</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Effects of Removable Denture on Swallowing</title><author><name sortKey="Son, Dae Sik" sort="Son, Dae Sik" uniqKey="Son D" first="Dae-Sik" last="Son">Dae-Sik Son</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan</wicri:regionArea><wicri:noRegion>Ulsan</wicri:noRegion></affiliation></author><author><name sortKey="Seong, Jin Wan" sort="Seong, Jin Wan" uniqKey="Seong J" first="Jin Wan" last="Seong">Jin Wan Seong</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan</wicri:regionArea><wicri:noRegion>Ulsan</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Younghoon" sort="Kim, Younghoon" uniqKey="Kim Y" first="Younghoon" last="Kim">Younghoon Kim</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Electrical Engineering, University of Ulsan, Ulsan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Electrical Engineering, University of Ulsan, Ulsan</wicri:regionArea><wicri:noRegion>Ulsan</wicri:noRegion></affiliation></author><author><name sortKey="Chee, Youngjoon" sort="Chee, Youngjoon" uniqKey="Chee Y" first="Youngjoon" last="Chee">Youngjoon Chee</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Electrical Engineering, University of Ulsan, Ulsan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Electrical Engineering, University of Ulsan, Ulsan</wicri:regionArea><wicri:noRegion>Ulsan</wicri:noRegion></affiliation></author><author><name sortKey="Hwang, Chang Ho" sort="Hwang, Chang Ho" uniqKey="Hwang C" first="Chang Ho" last="Hwang">Chang Ho Hwang</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan</wicri:regionArea><wicri:noRegion>Ulsan</wicri:noRegion></affiliation></author></analytic><series><title level="j">Annals of Rehabilitation Medicine</title><idno type="ISSN">2234-0645</idno><idno type="eISSN">2234-0653</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>To investigate the relationship between removable dentures and swallowing and describe risks.</p></sec><sec><title>Methods</title><p>Twenty-four patients with removable dentures who were referred for videofluoroscopic swallowing study (VFSS) were enrolled. We evaluated the change of swallowing function using VFSS before and after the removal of the removable denture. The masticatory performance by Kazunori's method, sensation of oral cavity by Christian's method, underlying disease, and National Institutes of Health Stroke Scale for level of consciousness were collected. Functional dysphagia scales, including the oral transit time (OTT), pharyngeal transit time (PTT), percentage of oral residue, percentage of pharyngeal residue, oropharyngeal swallow efficiency (OPSE), and presence of aspiration were measured.</p></sec><sec><title>Results</title><p>Four patients dropped out and 20 patients were analyzed (stroke, 13 patients; pneumonia, 3 patients; and others, 4 patients). The mean age was 73.3±11.4 years. There were significant differences before and after the removal of the denture for the OTT. OTT was significantly less after the removal of the denture (8.87 vs. 4.38 seconds, p=0.01). OPSE increased remarkably after the removal of the denture, but without significance (18.24%/sec vs. 25.26%/sec, p=0.05). The OTT and OPSE, while donning a removable denture, were correlated with the masticatory performance (OTT, p=0.04; OPSE, p=0.003) and sensation of oral cavity (OTT, p=0.006; OPSE, p=0.007).</p></sec><sec><title>Conclusion</title><p>A removable denture may have negative effects on swallowing, especially OTT and OPSE. These affects may be caused by impaired sensation of the oral cavity or masticatory performance induced by the removable denture.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Monaco, A" uniqKey="Monaco A">A Monaco</name></author><author><name sortKey="Cattaneo, R" uniqKey="Cattaneo R">R Cattaneo</name></author><author><name sortKey="Masci, C" uniqKey="Masci C">C Masci</name></author><author><name sortKey="Spadaro, A" uniqKey="Spadaro A">A Spadaro</name></author><author><name sortKey="Marzo, G" uniqKey="Marzo G">G Marzo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chee, C" uniqKey="Chee C">C Chee</name></author><author><name sortKey="Arshad, S" uniqKey="Arshad S">S Arshad</name></author><author><name sortKey="Singh, S" uniqKey="Singh S">S Singh</name></author><author><name sortKey="Mistry, S" uniqKey="Mistry S">S Mistry</name></author><author><name sortKey="Hamdy, S" uniqKey="Hamdy 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