Periodontal status is associated with oral function in community-dwelling older adults, independent of dentition status
© 2022 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd..
OBJECTIVE: To determine whether periodontal status is associated with oral function, including masticatory performance and occlusal force, among community-dwelling older adults.
BACKGROUND: Although a potential association between periodontal status and oral function has been reported, variations in the root surface area (RSA) of each tooth have not been considered.
METHODS: We used data from a population-based study involving community-dwelling older adults. The RSA with periodontal ligament (RSA-PL), which quantifies the RSA attached to the periodontal ligament and alveolar bone, was calculated based on full-mouth periodontal examination. Masticatory performance was assessed using spectrophotometric measurement of the color (a* value) of color-changing chewing gum. The bilateral maximal occlusal force (MOF) was measured using a pressure-sensitive sheet and dedicated software. The associations of the RSA-PL, a quantitative marker of periodontal tissue support, with the a* value and MOF were assessed using linear regression models.
RESULTS: The analyses included data from 250 adults [60.8% women; age, mean (standard deviation) 82.5 (5.0) years]. On average, the study participants had an RSA-PL of 26.3 cm2 , a* value of 25.0, and an MOF value of 555.1 N. After adjustments for potential confounders, including dentition status, age, sex, dental visit regularity, smoking status, physical activity level, depressive symptoms, a history of stroke or diabetes mellitus, and body mass index, the RSA-PL was found to be associated with the a* value [coefficient (per 1 cm2 increase): 0.16, 95% confidence interval (CI) 0.10-0.22)] and MOF (coefficient: 9.2, 95% CI 5.3-13.1).
CONCLUSION: This study demonstrated that greater amounts of remaining tooth-supporting structures, indicated by higher RSA-PL values, were associated with better masticatory performance and a higher occlusal force among community-dwelling older adults.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:57 |
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| Enthalten in: |
Journal of periodontal research - 57(2022), 6 vom: 19. Dez., Seite 1139-1147 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Ueno, Yui [VerfasserIn] |
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| Links: |
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| Themen: |
Aged |
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| Anmerkungen: |
Date Completed 15.11.2022 Date Revised 15.11.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1111/jre.13051 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM345764188 |
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| 245 | 1 | 0 | |a Periodontal status is associated with oral function in community-dwelling older adults, independent of dentition status |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. | ||
| 520 | |a OBJECTIVE: To determine whether periodontal status is associated with oral function, including masticatory performance and occlusal force, among community-dwelling older adults | ||
| 520 | |a BACKGROUND: Although a potential association between periodontal status and oral function has been reported, variations in the root surface area (RSA) of each tooth have not been considered | ||
| 520 | |a METHODS: We used data from a population-based study involving community-dwelling older adults. The RSA with periodontal ligament (RSA-PL), which quantifies the RSA attached to the periodontal ligament and alveolar bone, was calculated based on full-mouth periodontal examination. Masticatory performance was assessed using spectrophotometric measurement of the color (a* value) of color-changing chewing gum. The bilateral maximal occlusal force (MOF) was measured using a pressure-sensitive sheet and dedicated software. The associations of the RSA-PL, a quantitative marker of periodontal tissue support, with the a* value and MOF were assessed using linear regression models | ||
| 520 | |a RESULTS: The analyses included data from 250 adults [60.8% women; age, mean (standard deviation) 82.5 (5.0) years]. On average, the study participants had an RSA-PL of 26.3 cm2 , a* value of 25.0, and an MOF value of 555.1 N. After adjustments for potential confounders, including dentition status, age, sex, dental visit regularity, smoking status, physical activity level, depressive symptoms, a history of stroke or diabetes mellitus, and body mass index, the RSA-PL was found to be associated with the a* value [coefficient (per 1 cm2 increase): 0.16, 95% confidence interval (CI) 0.10-0.22)] and MOF (coefficient: 9.2, 95% CI 5.3-13.1) | ||
| 520 | |a CONCLUSION: This study demonstrated that greater amounts of remaining tooth-supporting structures, indicated by higher RSA-PL values, were associated with better masticatory performance and a higher occlusal force among community-dwelling older adults | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a aged | |
| 650 | 4 | |a bite force | |
| 650 | 4 | |a epidemiology | |
| 650 | 4 | |a mastication | |
| 650 | 4 | |a periodontal diseases | |
| 700 | 1 | |a Iwasaki, Masanori |e verfasserin |4 aut | |
| 700 | 1 | |a Kimura, Yumi |e verfasserin |4 aut | |
| 700 | 1 | |a Kakuta, Satoko |e verfasserin |4 aut | |
| 700 | 1 | |a Masaki, Chihiro |e verfasserin |4 aut | |
| 700 | 1 | |a Wada, Taizo |e verfasserin |4 aut | |
| 700 | 1 | |a Sakamoto, Ryota |e verfasserin |4 aut | |
| 700 | 1 | |a Ishimoto, Yasuko |e verfasserin |4 aut | |
| 700 | 1 | |a Fujisawa, Michiko |e verfasserin |4 aut | |
| 700 | 1 | |a Okumiya, Kiyohito |e verfasserin |4 aut | |
| 700 | 1 | |a Ansai, Toshihiro |e verfasserin |4 aut | |
| 700 | 1 | |a Matsubayashi, Kozo |e verfasserin |4 aut | |
| 700 | 1 | |a Hosokawa, Ryuji |e verfasserin |4 aut | |
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