Evaluation of Masticatory Function in Elderly Complete Denture Wearers under Nursing Care
The masticatory function of elderly complete denture wearers who needed care in daily life was compared with that of those who were self-supporting. The subjects in this study were complete denture wearers at least in either the upper or lower jaw, who were accommodated in special homes for the aged...
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Published in | Ronen Shika Igaku Vol. 11; no. 3; pp. 181 - 185 |
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Main Authors | , , , , |
Format | Journal Article |
Language | Japanese |
Published |
Japanese Society of Gerodontology
31.03.1997
一般社団法人 日本老年歯科医学会 |
Subjects | |
Online Access | Get full text |
ISSN | 0914-3866 1884-7323 |
DOI | 10.11259/jsg1987.11.181 |
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Abstract | The masticatory function of elderly complete denture wearers who needed care in daily life was compared with that of those who were self-supporting. The subjects in this study were complete denture wearers at least in either the upper or lower jaw, who were accommodated in special homes for the aged in Shiga Prefecture or who were either admitted or regularly recalled to affiliated clinics of the homes. These dentures had no abnormalities about the fittness and occlusion. Of these subjects, 29 who needed help in some spheres of daily life but were capable of cleaning their dentures without help were assigned to a dependent group (5 males and 24 females, mean age 80.6 years) and 25 who were physically self-supporting to a control group (1 male and 24 females, mean age 78.2 years). They were requested to fill in the food consumption table designed by Ushida (1992) to determine their dietary capabilities for calculating food-ingestion rates. In addition, the occlusal ares and occlusal force were measured using an “Dental Prescale 30H” (Fuji film). The occlusal area was 17.9±11.3mm2 (mean±1 standard deviation) in the dependent group and 19.0±11.2mm2 in the control group.The occlusal force was 104.0±65.9N in the dependent group and 104.0±55.2N in the control group.The food-ingestion rate was 61.9±17.5% in the dependent group and 61.3±13.8% in the control group.However, no significant differences were found between the two groups. In addition, no significant correlations were found between the food-ingestion rate and the occlusal area and between the food-ingestion rate and the occlusal force in the both groups. The above results suggest that the masticatory function of even elderly complete denture wearers under nursing care does not differ from that of elderly complete denture wearers who are self-supporting. |
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AbstractList | The masticatory function of elderly complete denture wearers who needed care in daily life was compared with that of those who were self-supporting.The subjects in this study were complete denture wearers at least in either the upper or lower jaw, who were accommodated in special homes for the aged in Shiga Prefecture or who were either admitted or regularly recalled to affiliated clinics of the homes. These dentures had no abnormalities about the fittness and occlusion. Of these subjects, 29 who needed help in some spheres of daily life but were capable of cleaning their dentures without help were assigned to a dependent group (5 males and 24 females, mean age 80.6 years) and 25 who were physically self-supporting to a control group (1 male and 24 females, mean age 78.2 years). They were requested to fill in the food consumption table designed by Ushida (1992) to determine their dietary capabilities for calculating food-ingestion rates. In addition, the occlusal ares and occlusal force were measured using an “Dental Prescale 30H” (Fuji film).The occlusal area was 17.9±11.3mm2 (mean±1 standard deviation) in the dependent group and 19.0±11.2mm2 in the control group.The occlusal force was 104.0±65.9N in the dependent group and 104.0±55.2N in the control group.The food-ingestion rate was 61.9±17.5% in the dependent group and 61.3±13.8% in the control group.However, no significant differences were found between the two groups. In addition, no significant correlations were found between the food-ingestion rate and the occlusal area and between the food-ingestion rate and the occlusal force in the both groups.The above results suggest that the masticatory function of even elderly complete denture wearers under nursing care does not differ from that of elderly complete denture wearers who are self-supporting.
今回われわれは, 介護を要する高齢総義歯装着者の咀嚼機能について自立して生活している高齢総義歯装着者との比較調査を行った。調査対象は滋賀県にある特別養護老人ホーム入居者および併設の病院に入院あるいは通院し, 少なくとも上下顎いずれかに総義歯を装着している者である。これらの義歯は適合性や咬合に明らかな異常は認あられなかった。この内, ADLで部分介助の項目があるものの義歯の清掃は自分で行っている者29名を調査群 (男性5名, 女性24名, 平均年齢80.6歳), 自立生活可能な者25名を対照群 (男性1名, 女性, 24名, 平均年齢78.2歳) とした。これら対象者に内田ら (1992) の食品摂取状況調査表に記入を行わせ, 摂取可能率を求めた。また, デンタルプレスケール30H (フジフィルム社) を用いて咬合面積および咬合力を求めた。咬合面積は調査群で17.9±11.3mm2 (平均±標準偏差), 対照群で19.0±11.2mm2であった。咬合力は調査群で104.8±65.9N, 対照群で104.0±55.2Nであった。摂取可能率は調査群で61.9±17.5%, 対照群で61.3±13.8%であった。これらの測定値は両群間で有意な差は認められなかった。また, 両群の摂取可能率と咬合面積および咬合力との相関について検討したところ, 有意な相関は認められなかった。以上の結果から, 要介護高齢総義歯装着者であっても, 自立して生活している高齢総義歯装着者の咀嚼機能と差がないことが示唆された。 The masticatory function of elderly complete denture wearers who needed care in daily life was compared with that of those who were self-supporting. The subjects in this study were complete denture wearers at least in either the upper or lower jaw, who were accommodated in special homes for the aged in Shiga Prefecture or who were either admitted or regularly recalled to affiliated clinics of the homes. These dentures had no abnormalities about the fittness and occlusion. Of these subjects, 29 who needed help in some spheres of daily life but were capable of cleaning their dentures without help were assigned to a dependent group (5 males and 24 females, mean age 80.6 years) and 25 who were physically self-supporting to a control group (1 male and 24 females, mean age 78.2 years). They were requested to fill in the food consumption table designed by Ushida (1992) to determine their dietary capabilities for calculating food-ingestion rates. In addition, the occlusal ares and occlusal force were measured using an “Dental Prescale 30H” (Fuji film). The occlusal area was 17.9±11.3mm2 (mean±1 standard deviation) in the dependent group and 19.0±11.2mm2 in the control group.The occlusal force was 104.0±65.9N in the dependent group and 104.0±55.2N in the control group.The food-ingestion rate was 61.9±17.5% in the dependent group and 61.3±13.8% in the control group.However, no significant differences were found between the two groups. In addition, no significant correlations were found between the food-ingestion rate and the occlusal area and between the food-ingestion rate and the occlusal force in the both groups. The above results suggest that the masticatory function of even elderly complete denture wearers under nursing care does not differ from that of elderly complete denture wearers who are self-supporting. |
Author | Tanahashi, Masashi Fukuda, Michiaki Yamauchi, Mutsuo Ogawa, Masayuki Kim, Seung-Hyo |
Author_FL | 金 昇孝 福田 倫明 棚橋 正志 山内 六男 小川 雅之 |
Author_FL_xml | – sequence: 1 fullname: 山内 六男 – sequence: 2 fullname: 小川 雅之 – sequence: 3 fullname: 福田 倫明 – sequence: 4 fullname: 棚橋 正志 – sequence: 5 fullname: 金 昇孝 |
Author_xml | – sequence: 1 fullname: Fukuda, Michiaki – sequence: 1 fullname: Yamauchi, Mutsuo organization: Dental Cinic, Post-Doctoral Institute of Clinical Dentistry, Asahi University – sequence: 1 fullname: Ogawa, Masayuki organization: Dental Cinic, Post-Doctoral Institute of Clinical Dentistry, Asahi University – sequence: 1 fullname: Tanahashi, Masashi organization: Dental Cinic, Post-Doctoral Institute of Clinical Dentistry, Asahi University – sequence: 1 fullname: Kim, Seung-Hyo organization: Dental Cinic, Post-Doctoral Institute of Clinical Dentistry, Asahi University |
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References_xml | – reference: 5) 内田達郎, 下山和弘, 長尾正憲, 小田切一浩: 全部床義歯装着者の咀嚼能力とその変化の評価を目的とした摂取状況調査表の検討, 補綴誌, 36: 766-771, 1992. – reference: 1) 渡辺郁馬: 老人歯科医療の実態調査, 日歯医学誌, 3: 39-73, 1984. – reference: 12) 鈴木哲也, 熊谷宏, 内田達郎, 吉富信幸, 渡邊竜登美, 石鍋聡, 水口俊介, 関田俊明, 平野滋三, 宮下健吾, 小林賢一, 長尾正憲: 高齢者の咬合支持状況に関する研究, 補綴誌, 3-8: 476-484, 1994 . – reference: 15) 眞木吉信, 榎智嗣, 杉原直樹, 高江州義矩: 痴呆老年者の食品摂取応答に関する研究, 老年歯学, 5: 39-43, 1991. – reference: 3) 山口雅庸, 大塚寿樹, 石山直欣, 渡辺郁馬, 大竹登志子: 老人の口腔の実態に関する調査-活発な社会活動を行っている者について-, 老年歯学, 2: 65-73, 1988. – reference: 2) 山内六男, 奥村清和, 張栄博, 安藤雅康, 有住和浩, 川野襄二: 朝日大学附属病院補綴科を受診した老齢患者の臨床統計的観察, 岐歯学誌, 12: 529-534, 1985. – reference: 13) 寺岡加代, 柴田博, 渡辺修一郎, 熊谷修, 岡田昭五郎: 高齢者の咀嚼能力と口腔内状況ならびに食生活との関連性について, 老年歯学, 10: 11-17, 1995. – reference: 14) 眞木吉信, 杉原直樹, 高江州義矩: 面接調査に基づく老年者の咀嚼能力指数スケールの開発と評価, 老年歯学, 9: 165-174, 1995. – reference: 11) 鈴木哲也, 熊谷宏, 吉富信幸, 水口俊介, 渡邊竜登美, 内田達郎, 石鍋聡, 関田俊明, 小林弘清, 小林賢一, 長尾正憲: 咬合圧測定システムの臨床応用に関する研究, 口病誌, 61: 437-445, 1994. – reference: 4) 福田倫明, 山内六男, 小川雅之, 金昇孝, 棚橋正志: 要介護高齢総義歯装着者の義歯の清掃に関する調査, 老年歯学, 11: 143-147, 1996. – reference: 8) 佐藤裕二, 石田栄作, 皆木省吾, 赤川安正, 津留宏道: 総義歯装着者の食品摂取状況, 補綴誌, 32: 774-779, 1988. – reference: 9) 杉原直樹, 池田康子, 眞木吉信, 高江州義矩: 施設居住者および在宅老年者の口腔内の自覚症状と食品摂取応答, 老年歯学, 7: 171-177, 1993. – reference: 17) 寺岡加代, 永井晴美, 柴田博, 岡田昭五郎, 竹内孝仁: 高齢者における摂食機能の身体活動への影響, 口腔衛生会誌, 42: 2-6, 1992. – reference: 6) 服部佳功, 奥川博司, 渡辺誠: Dental Prescaleを用いた歯列における咬合力測定, 補綴誌, 38: 835-841, 1994. – reference: 7) 金昇孝, 山内六男, 谷口信一, 小川雅之, 伊藤幸司, 関根一郎: デンタルプレスケールを用いた咬合力分布解析表示ソフトFPD704について, 顎頭蓋誌, 7: 31-38, 1994. – reference: 10) 石山直欣, 平野活彦, 笠原諏訪子, 渡辺郁馬, 山根瞳, 牧野正義: 地域老年者の咀嚼能力および口腔内状態に関する研究, 第1報口腔内状況のフレームワークについて, 老年歯学, 7: 1000-1005, 1993 . – reference: 16) 塩野英昭, 千葉ヒルトン貞幸, 渡邊真哉, 五十嵐孝義, 中島一憲, 武田咬合面積値の変動とプレスケール上にバイトシリコン材を塗布した場合の影響について, 補綴誌, 39: 710-716,友孝, 石上恵一, 大木一三: 「デンタルプレスケールシステム」の臨床応用に関する基礎的検討第1報 1995. |
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Snippet | The masticatory function of elderly complete denture wearers who needed care in daily life was compared with that of those who were self-supporting. The... The masticatory function of elderly complete denture wearers who needed care in daily life was compared with that of those who were self-supporting.The... |
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StartPage | 181 |
SubjectTerms | Complete denture Elderly Food-ingestion rate Nursing care Occlusal force 介護 咬合力 摂取可能率 総義歯 高齢者 |
Title | Evaluation of Masticatory Function in Elderly Complete Denture Wearers under Nursing Care |
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ispartofPNX | Ronen Shika Igaku, 1997/03/31, Vol.11(3), pp.181-185 |
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