Examination and Diagnosis for Masticatory and Swallowing Function
Examination and Diagnosis for Masticatory and Swallowing Function
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咀嚼吞咽功能检查与诊断
DOI：
10.2186/jjps.46.463
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发表时间：
2010
影响因子：
1.4
通讯作者：
Sasaki Keiichi
中科院分区：
文献类型：
--
作者：
Sasaki Keiichi
目的：吞咽被定义为通过口和咽摄入物质，并使其通过颈咽结构和食管进入胃。咀嚼是食物在口腔内被保持、咀嚼和移动的过程，为吞咽做准备。咀嚼功能和吞咽功能的检查和诊断是口腔修复治疗循证医学不可缺少的组成部分。回顾了以前关于这个问题的文章，以考虑咀嚼和吞咽的功能测试，适合于主要由老年人组成的社会。研究选择：选择教科书中引用的经典文章，从Medline和Journal of Japan Prosthodontic Society中检索的最新文章，并根据不同的评估目标进行单独的分类。结果如下：咀嚼功能已经通过问卷调查或个人访谈进行评估，旨在主观评估个人的咀嚼能力，并通过临床功能测试提供有关咀嚼效率的更客观信息。这些客观测试包括分级筛选测试和分析下颌运动和咀嚼时的咀嚼肌活动。目前大多数可用的方法都足够敏感，以评估目标功能。然而，每种方法评估的功能都是咀嚼和吞咽功能的一部分。结论：建立咀嚼和吞咽功能的检查和诊断系统需要理解个体测量的目的，并基于这些可用的测量构建系统的检查。
Purpose: Swallowing is defined as taking a substance through the mouth and pharynx and passing it through the cricopharyngeal construction and esophagus and into the stomach. Mastication is the process by which food is held, chewed, and moved within the oral cavity, in preparation for swallowing. Examination and diagnosis of masticatory function and swallowing function is indispensable for evidence-based prosthodontic treatment. Previous articles concerning this issue were reviewed to consider the functional test of mastication and swallowing, suited in a society composed largely of elderly. Selection of study: Classic articles cited in textbooks, recent articles searched from Medline and Journal of Japan Prosthodontic Society were selected and reviewed in the separate categories with different objectives of assessments. Results: Masticatory function has been evaluated by questionnaires or personal interviews designed to subjectively assess an individual's chewing ability and by clinical functional tests to provide more objective information about masticatory efficiency. Such objective tests included fractional sieving tests and analyses of mandibular movement and of masticatory muscle activities during chewing. Most currently available methods are sensitive enough to assess target functions. However the function assessed by each method is a part of masticatory and swallowing function. Conclusions: Establishment of a examination and diagnostic system for masticatory and swallowing function requires an understanding of the objectives of individual measurements and construction of systematic examinations based on these available measurements.