Oral hypofunction in the older population: Position paper of the Japanese Society of Gerodontology in 2016

Oral hypofunction in the older population: Position paper of the Japanese Society of Gerodontology in 2016
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DOI:
10.1111/ger.12347
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发表时间:
2018-12-01
期刊:
影响因子:
2
通讯作者:
Sakurai, Kaoru
Sakurai, Kaoru
中科院分区:
医学3区
文献类型:
--
作者:
Minakuchi, Shunsuke;Tsuga, Kazuhiro;Sakurai, Kaoru

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工作背景:国际社会越来越关注老龄化对口腔健康的影响,以及管理口腔疾病的适当战略。日本老年牙科学会(JSG)作为日本老年牙科研究人员和临床医生的官方代表,就“口腔功能减退”的概念提出了几点建议。“目的:本研究提出了老年人口腔功能减退的诊断标准和管理策略,以降低老年人口腔功能减退的风险。概念框架:我们将口腔功能减退定义为7种口腔体征或症状的表现:口腔不清洁;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;吞咽功能下降。每个症状的标准确定的数据的基础上,以前的研究,口腔功能减退的诊断,如果标准为3个或更多的体征或症状missed.Conclusions:我们建议,更多的证据应收集临床研究和试验,以澄清我们的诊断标准和管理策略。
Background: There is growing international interest in identifying the effects of ageing on oral health and on appropriate strategies for managing oral disorders. The Japanese Society of Gerodontology (JSG), as the official representative of researchers and clinicians interested in geriatric dentistry in Japan, makes several recommendations on the concept of "oral hypofunction."Aims: This study proposes diagnostic criteria and management strategies to reduce the risk of oral hypofunction among older people.Conceptual Framework: We define oral hypofunction as a presentation of 7 oral signs or symptoms: oral uncleanness; oral dryness; decline in occlusal force; decline in motor function of tongue and lips; decline in tongue pressure; decline in chewing function; and decline in swallowing function. The criteria of each symptom were determined based on the data of previous studies, and oral hypofunction was diagnosed if the criteria for 3 or more signs or symptoms were met.Conclusions: We recommend that more evidence should be gathered from clinical studies and trials to clarify our diagnostic criteria and management strategies.