The Effects of Removable Denture on Swallowing
Identifieur interne : 001749 ( Pmc/Checkpoint ); précédent : 001748; suivant : 001750The 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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<author><name sortKey="Seong, Jin Wan" sort="Seong, Jin Wan" uniqKey="Seong J" first="Jin Wan" last="Seong">Jin Wan Seong</name>
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<author><name sortKey="Hwang, Chang Ho" sort="Hwang, Chang Ho" uniqKey="Hwang C" first="Chang Ho" last="Hwang">Chang Ho Hwang</name>
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<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>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ann Rehabil Med</journal-id>
<journal-id journal-id-type="iso-abbrev">Ann Rehabil Med</journal-id>
<journal-id journal-id-type="publisher-id">ARM</journal-id>
<journal-title-group><journal-title>Annals of Rehabilitation Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">2234-0645</issn>
<issn pub-type="epub">2234-0653</issn>
<publisher><publisher-name>Korean Academy of Rehabilitation Medicine</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23705121</article-id>
<article-id pub-id-type="pmc">3660487</article-id>
<article-id pub-id-type="doi">10.5535/arm.2013.37.2.247</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>The Effects of Removable Denture on Swallowing</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Son</surname>
<given-names>Dae-Sik</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Seong</surname>
<given-names>Jin Wan</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Younghoon</given-names>
</name>
<degrees>BS</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Chee</surname>
<given-names>Youngjoon</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Hwang</surname>
<given-names>Chang Ho</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.</aff>
<aff id="A2"><label>2</label>
Department of Electrical Engineering, University of Ulsan, Ulsan, Korea.</aff>
<author-notes><corresp>Corresponding author: Chang Ho Hwang. Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, 877 Bangeojinsunhwan-doro, Dong-gu, Ulsan 682-714, Korea. Tel: +82-52-250-7210, Fax: +82-52-250-7211, <email>chhwang1220ciba@yahoo.co.kr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>4</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>30</day>
<month>4</month>
<year>2013</year>
</pub-date>
<volume>37</volume>
<issue>2</issue>
<fpage>247</fpage>
<lpage>253</lpage>
<history><date date-type="received"><day>22</day>
<month>6</month>
<year>2012</year>
</date>
<date date-type="accepted"><day>19</day>
<month>9</month>
<year>2012</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2013 by Korean Academy of Rehabilitation Medicine</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>
) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><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>
</abstract>
<kwd-group><kwd>Dysphagia</kwd>
<kwd>Removable partial denture</kwd>
<kwd>Swallowing</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><table-wrap id="T1" position="float"><label>Table 1</label>
<caption><p>Demographic characteristics of subjects (n=20)</p>
</caption>
<graphic xlink:href="arm-37-247-i001"></graphic>
<table-wrap-foot><fn><p>SD, standard deviation; NIHSS, National Institutes of Health Stroke Scale.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T2" position="float"><label>Table 2</label>
<caption><p>Comparison of the functional dysphasia scale</p>
</caption>
<graphic xlink:href="arm-37-247-i002"></graphic>
<table-wrap-foot><fn><p>Values are mean±standard deviation.</p>
<p>OTT, oral transit time; OPSE, oropharyngeal swallow efficiency; PTT, pharyngeal transit time; ORES, percentage of oral residue; PRES, percentage of pharyngeal residue; WD, with denture; WOD, without denture.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T3" position="float"><label>Table 3</label>
<caption><p>Relationship between functional dysphasia scale and level of consciousness, masticatory performance, sensation of oral cavity, and underlying disease</p>
</caption>
<graphic xlink:href="arm-37-247-i003"></graphic>
<table-wrap-foot><fn><p>Values are average of the ranks.</p>
<p>NIHSS, National Institutes of Health Stroke Scale; OTT, oral transit time; OPSE, oropharyngeal swallow efficiency; WD, with denture; WOD, without denture.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</pmc>
<affiliations><list><country><li>Corée du Sud</li>
</country>
</list>
<tree><country name="Corée du Sud"><noRegion><name sortKey="Son, Dae Sik" sort="Son, Dae Sik" uniqKey="Son D" first="Dae-Sik" last="Son">Dae-Sik Son</name>
</noRegion>
<name sortKey="Chee, Youngjoon" sort="Chee, Youngjoon" uniqKey="Chee Y" first="Youngjoon" last="Chee">Youngjoon Chee</name>
<name sortKey="Hwang, Chang Ho" sort="Hwang, Chang Ho" uniqKey="Hwang C" first="Chang Ho" last="Hwang">Chang Ho Hwang</name>
<name sortKey="Kim, Younghoon" sort="Kim, Younghoon" uniqKey="Kim Y" first="Younghoon" last="Kim">Younghoon Kim</name>
<name sortKey="Seong, Jin Wan" sort="Seong, Jin Wan" uniqKey="Seong J" first="Jin Wan" last="Seong">Jin Wan Seong</name>
</country>
</tree>
</affiliations>
</record>
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