Impacts of wearing complete dentures on bolus transport during feeding in elderly edentulous.
Identifieur interne : 004B37 ( Ncbi/Curation ); précédent : 004B36; suivant : 004B38Impacts of wearing complete dentures on bolus transport during feeding in elderly edentulous.
Auteurs : H. Yamamoto [Japon] ; J. Furuya ; Y. Tamada ; H. KondoSource :
- Journal of oral rehabilitation [ 1365-2842 ] ; 2013.
Descripteurs français
- KwdFr :
- Administration par voie orale, Bouche édentée (physiopathologie), Déglutition, Femelle, Humains, Mastication, Mâle, Partie orale du pharynx (imagerie diagnostique), Produits de contraste (administration et posologie), Prothèse dentaire complète, Qualité de vie, Radioscopie (), Sujet âgé, Sulfate de baryum (administration et posologie), Troubles de la déglutition (imagerie diagnostique), Troubles de la déglutition (physiopathologie).
- MESH :
- administration et posologie : Produits de contraste, Sulfate de baryum.
- imagerie diagnostique : Partie orale du pharynx, Troubles de la déglutition.
- physiopathologie : Bouche édentée, Troubles de la déglutition.
- Administration par voie orale, Déglutition, Femelle, Humains, Mastication, Mâle, Prothèse dentaire complète, Qualité de vie, Radioscopie, Sujet âgé.
English descriptors
- KwdEn :
- Administration, Oral, Aged, Barium Sulfate (administration & dosage), Contrast Media (administration & dosage), Deglutition, Deglutition Disorders (diagnostic imaging), Deglutition Disorders (physiopathology), Denture, Complete, Female, Fluoroscopy (methods), Humans, Male, Mastication, Mouth, Edentulous (physiopathology), Oropharynx (diagnostic imaging), Quality of Life.
- MESH :
- chemical , administration & dosage : Barium Sulfate, Contrast Media.
- diagnostic imaging : Deglutition Disorders, Oropharynx.
- methods : Fluoroscopy.
- physiopathology : Deglutition Disorders, Mouth, Edentulous.
- Administration, Oral, Aged, Deglutition, Denture, Complete, Female, Humans, Male, Mastication, Quality of Life.
Abstract
Prosthetic treatment with dentures is often required for the elderly who have reduced swallowing function. Therefore, it is important to understand the relationship between denture-wearing and feeding function from the perspective of swallowing. To clarify changes in bolus transport during feeding in elderly edentulous patients with or without complete dentures. Subjects were 15 elderly edentulous volunteers who were treated with maxillary and mandibular complete dentures. The test food was 10 g of minced agar jelly containing barium sulphate with a particle diameter of 4·0-5·6 mm. Lateral videofluoroscopy was performed to assess the position of the leading edge of the bolus, the bolus volume in each area at swallow onset, bolus transit time and the mandibular position during pharyngeal swallowing. There were significant changes between the bolus transport with and without dentures. Without dentures, the leading edge of the bolus at swallow onset fell from the valleculae area to the hypopharynx, and the bolus volume in the hypopharynx increased. Bolus transit time increased in the oral cavity, valleculae and hypopharynx. The mandibular position shifted anterosuperior direction. The results arose owing to anatomical changes in the oral and pharyngeal structure and the following functional changes: poor food manipulation, poor bolus formation and delayed swallowing reflex. Removing dentures in elderly edentulous individuals influences bolus transport during feeding, resulting in the exacerbation of the reduced swallowing reserve capacity that accompanies ageing, and may increase the risk of dysphagia.
DOI: 10.1111/joor.12107
PubMed: 24237359
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pubmed:24237359Le document en format XML
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<affiliation wicri:level="4"><nlm:affiliation>Department of Prosthodontics and Oral Implantology, School of Dentistry, Iwate Medical University, Morioka, Japan.</nlm:affiliation>
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<term>Aged</term>
<term>Barium Sulfate (administration & dosage)</term>
<term>Contrast Media (administration & dosage)</term>
<term>Deglutition</term>
<term>Deglutition Disorders (diagnostic imaging)</term>
<term>Deglutition Disorders (physiopathology)</term>
<term>Denture, Complete</term>
<term>Female</term>
<term>Fluoroscopy (methods)</term>
<term>Humans</term>
<term>Male</term>
<term>Mastication</term>
<term>Mouth, Edentulous (physiopathology)</term>
<term>Oropharynx (diagnostic imaging)</term>
<term>Quality of Life</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Administration par voie orale</term>
<term>Bouche édentée (physiopathologie)</term>
<term>Déglutition</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mastication</term>
<term>Mâle</term>
<term>Partie orale du pharynx (imagerie diagnostique)</term>
<term>Produits de contraste (administration et posologie)</term>
<term>Prothèse dentaire complète</term>
<term>Qualité de vie</term>
<term>Radioscopie ()</term>
<term>Sujet âgé</term>
<term>Sulfate de baryum (administration et posologie)</term>
<term>Troubles de la déglutition (imagerie diagnostique)</term>
<term>Troubles de la déglutition (physiopathologie)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Barium Sulfate</term>
<term>Contrast Media</term>
</keywords>
<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Produits de contraste</term>
<term>Sulfate de baryum</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Deglutition Disorders</term>
<term>Oropharynx</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Partie orale du pharynx</term>
<term>Troubles de la déglutition</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Fluoroscopy</term>
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<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Bouche édentée</term>
<term>Troubles de la déglutition</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Deglutition Disorders</term>
<term>Mouth, Edentulous</term>
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<term>Aged</term>
<term>Deglutition</term>
<term>Denture, Complete</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mastication</term>
<term>Quality of Life</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Administration par voie orale</term>
<term>Déglutition</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mastication</term>
<term>Mâle</term>
<term>Prothèse dentaire complète</term>
<term>Qualité de vie</term>
<term>Radioscopie</term>
<term>Sujet âgé</term>
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<front><div type="abstract" xml:lang="en">Prosthetic treatment with dentures is often required for the elderly who have reduced swallowing function. Therefore, it is important to understand the relationship between denture-wearing and feeding function from the perspective of swallowing. To clarify changes in bolus transport during feeding in elderly edentulous patients with or without complete dentures. Subjects were 15 elderly edentulous volunteers who were treated with maxillary and mandibular complete dentures. The test food was 10 g of minced agar jelly containing barium sulphate with a particle diameter of 4·0-5·6 mm. Lateral videofluoroscopy was performed to assess the position of the leading edge of the bolus, the bolus volume in each area at swallow onset, bolus transit time and the mandibular position during pharyngeal swallowing. There were significant changes between the bolus transport with and without dentures. Without dentures, the leading edge of the bolus at swallow onset fell from the valleculae area to the hypopharynx, and the bolus volume in the hypopharynx increased. Bolus transit time increased in the oral cavity, valleculae and hypopharynx. The mandibular position shifted anterosuperior direction. The results arose owing to anatomical changes in the oral and pharyngeal structure and the following functional changes: poor food manipulation, poor bolus formation and delayed swallowing reflex. Removing dentures in elderly edentulous individuals influences bolus transport during feeding, resulting in the exacerbation of the reduced swallowing reserve capacity that accompanies ageing, and may increase the risk of dysphagia.</div>
</front>
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