Survey of oral hypofunction in older outpatients at a dental hospital
Survey of oral hypofunction in older outpatients at a dental hospital
复制标题
DOI：
10.1111/joor.13237
复制
发表时间：
2021-08-10
影响因子：
2.9
通讯作者：
Inoue, Makoto
中科院分区：
文献类型：
--
作者：
Onuki, Wakana;Magara, Jin;Inoue, Makoto
背景：口腔功能减退被定义为口腔功能障碍之前的可逆阶段。然而，其评估和管理需要进一步的审查和考虑。目的了解大学附属医院门诊患者口腔功能减退的现状。方法对初诊的口腔功能障碍患者进行面谈，并对其进行详细的口腔功能障碍评估。口腔卫生不良、口腔干燥、咬合力下降、舌唇运动功能下降、舌压下降、咀嚼功能下降、吞咽功能恶化等7项评估中有3项低于临界值，则诊断为口腔功能减退。明确了诊断口腔功能减退的各因素之间的关系及评价值的分布。结果209例患者中75例（35.9%）最终诊断为口腔功能减退。口腔功能减退的诊断与患者年龄、Eichner指数、牙齿或牙周病或假牙不合适的主诉以及神经退行性疾病史显著相关。口腔卫生不良、口腔干燥和咀嚼功能下降的最低五分位数均高于目前的临界值。咬合力降低是诊断口腔功能减退的重要依据。结论某大学附属医院牙科门诊患者口腔功能减退与患者年龄、病史及主诉有关。口腔功能障碍的诊断与咬合力的降低密切相关。评估口腔功能减退的临界值的有效性需要进一步考虑。
Background Oral hypofunction is defined as the reversible stage preceding oral dysfunction. However, its assessment and management need further examination and consideration. Objective The present study aimed to examine the current state of oral hypofunction among outpatients at the university hospital. Methods New outpatients underwent medical interviews and detailed assessment of oral hypofunction at their initial visit to our dental department. Oral hypofunction was diagnosed if the results of three of the following seven assessment items were below cut-off values: poor oral hygiene, oral dryness, reduced occlusal force, decreased tongue-lip motor function, decreased tongue pressure, decreased masticatory function and deterioration of swallowing function. The relationships between factors used to diagnose oral hypofunction as well as the distributions of assessment values were clarified. Results Seventy-five of 209 patients (35.9%) were finally diagnosed with oral hypofunction. Diagnosis of oral hypofunction was significantly related to patient age, Eichner index, a chief complaint of dental or periodontal disease or ill-fitting dentures and a history of neurodegenerative disease. The lowest quintile values for poor oral hygiene, oral dryness and decreased masticatory performance were all above current cut-off values. Reduced occlusal force contributed strongly to the diagnosis of oral hypofunction. Conclusion Oral hypofunction in dental outpatients at a university hospital was associated with patient age, medical history and chief complaint at presentation. Diagnosis of oral hypofunction can be closely related to reduced occlusal force. The validity of cut-off values for assessments of oral hypofunction needs further consideration.