Cognitive status of edentate elders wearing complete denture: Does quality of denture matter?
Cognitive status of edentate elders wearing complete denture: Does quality of denture matter?
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DOI：
10.1016/j.jdent.2015.07.008
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发表时间：
2015-09-01
影响因子：
4.4
通讯作者：
Pereira Padilha, Dalva Maria
中科院分区：
文献类型：
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作者：
Cerutti-Kopplin, Daiane;Emami, Elham;Pereira Padilha, Dalva Maria
背景：新的证据表明，一个人的咀嚼水平可能会在他们的认知状态中发挥作用。这表明，在无牙个体戴全口义齿，非最佳咀嚼通过不充分的义齿可能与cognitive status.Objectives：检查义齿质量的影响对认知状态的一个样本的老年无牙巴西个体戴全口义齿。这项研究是一个横断面分析的数据收集自117无齿老年人（平均年龄73.7 +/- 5.6岁）戴全口义齿，在巴西南部。认知功能障碍的评估使用巴西版的简易精神状态检查（MMSE）。采用义齿功能评定仪对义齿进行临床检查，评价义齿质量。咀嚼能力通过自我报告的问题进行评估。总样本的平均MMSE评分为23.1（SD = 4.4），并与年龄相关（p = 0.001），教育（p < 0.0001）、抑郁症状（p = 0.003）、咀嚼能力（p = 0.001）和义齿功能质量（p < 0.0001）。在FAD评分较低的无牙个体中，咀嚼能力不满意的情况更常见（p < 0.0001），并导致MMSE总分较低。不满意的咀嚼能力与MMSE评分（P = 0.002）调整后，结论：研究结果支持的潜在作用，最佳功能质量的义齿在维持认知活动的老年人。这种关联可以解释通过咀嚼pathway.Clinical Significance：功能性义齿通过咀嚼对认知状态的潜在有益影响可以鼓励预防策略，以减少老年人发病的重大风险。(C)2015爱思唯尔有限公司版权所有。
Background: Emerging evidence suggests that an individual's level of mastication may play a role in their cognitive status. This suggests that in edentate individuals wearing complete denture, non-optimal mastication via inadequate denture could be related to cognitive status.Objectives: To examine the impact of quality of denture on cognitive status of a sample of elderly edentate Brazilian individuals wearing complete denture.Methods: This study is a cross-sectional analysis of data collected from 117 edentate elders (mean age 73.7 +/- 5.6 years) wearing complete denture, in southern Brazil. Cognitive impairment was assessed using the Brazilian version of the mini-mental state examination (MMSE). Clinical examination was conducted to evaluate the quality of dentures by use of the FAD (functional assessment of dentures) instrument. Masticatory ability was assessed by self-reported questions.Results: The mean MMSE score for the total sample was 23.1 (SD = 4.4) and was associated with age (p = 0.001), education (p < 0.0001), depressive symptoms (p = 0.003), as well as the masticatory ability (p = 0.001) and functional quality of dentures (p < 0.0001). Unsatisfactory masticatory ability was more frequent in edentate individuals with lower FAD score (p < 0.0001) and led to a lower MMSE total score. Unsatisfactory masticatory ability was associated with MMSE scores (p = 0.002) after adjustment.Conclusion: The study results support the potential role of optimal functional quality of dentures in maintaining cognitive activity in elders. This association may be explained via mastication pathway.Clinical significance: The potential beneficial effect of functional dentures on cognitive status via mastication could encourage preventive strategies to decrease substantial risk of morbidity in elders. (C) 2015 Elsevier Ltd. All rights reserved.