Impact of Morbid Obesity on Chewing Ability

Veyrune, Jean-Luc; Miller, Catherine; Czernichow, Sébastien; Ciangura, C.; Naline, Emmanuel; Hennequin, Martine

doi:10.1007/s11695-008-9443-9

Cited by 29 publications

(40 citation statements)

References 25 publications

(33 reference statements)

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“…Six of these articles support the argument that obese adults have fewer teeth compared to normal weight individuals 24,26,27,29,30,31 , however a case control study found no significant difference between the number of teeth in normal weight and obese individuals 23 . Two of the articles quote the significance of having less than 21 teeth which obesity.…”

Section: Reduced Number Of Teethmentioning

confidence: 86%

A scoping review of the implications of adult obesity in the delivery and acceptance of dental care

Marshall

Loescher²,

Marshman³

2016

Br Dent J

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Section: Reduced Number Of Teethmentioning

confidence: 86%

A scoping review of the implications of adult obesity in the delivery and acceptance of dental care

Marshall

Loescher²,

Marshman³

2016

Br Dent J

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“…Furthermore, many studies have established that problems in oral function are more frequent in elderly who have fewer than four FUs; they report difficulties in chewing or swallowing and they tend to avoid hard foods, including meat, vegetables and bread. They can consequently be at risk of malnutrition, which may affect their general health and reduce their life expectancy [30,34-37]. Previous studies have found significant associations between dental status (numbers of teeth, absence of dentures) and nutritional status among the elderly [38,39].…”

Section: Discussionmentioning

confidence: 99%

Comparison of the OHIP-14 and GOHAI as measures of oral health among elderly in Lebanon

Osta

Tubert‐Jeannin

Hennequin

et al. 2012

Health Qual Life Outcomes

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BackgroundThe respective abilities of the GOHAI and OHIP-14 to discriminate between aged patients with different levels of oral diseases have rarely been studied in developing countries. The aim of this study was to compare the discriminative abilities of the OHIP-14 and the GOHAI in an elderly Lebanese population, and particularly to identify persons with different masticatory function.MethodsA sample of elderly, aged 65 years or more, living independently was recruited in two primary care offices in Beirut, Lebanon. Data were collected by means of personal interview and clinical examination. The Arabic OHIP-14 and GOHAI questionnaires were used after cultural adaptation for use in Lebanon. The internal consistency, reproducibility and concurrent validity were verified. To test their discriminative abilities, the ADD (GOHAI and OHIP) and SC (GOHAI and OHIP) scores were dichotomized according to the 25th and 75th percentile respectively and logistic regressions were conducted using socio-demographic, clinical and subjective explanatory variables.ResultsTwo hundred and six participants were included; mean age was 72 years and 60% were women. Good psychometric properties were observed for both questionnaires for internal consistency (Cronbach’s alpha>0.88), reproducibility (ICC>0.86) and concurrent validity. Strong correlations were found between GOHAI and OHIP-14 scores but a high prevalence of subjects with no impact was observed using the OHIP-14. Both questionnaires were able to discriminate between participants according to age, perception of temporomandibular joint (TMJ) pain or functional status as represented by the number of dental Functional Units (FU). GOHAI was more discriminant since it identified participants with high dental care needs: high numbers of decayed teeth, low numbers of teeth and socially deprived status.ConclusionsLebanese elderly with high dental care needs and impaired oral health were identified more easily with the GOHAI. These results may guide the choice of dental indicators to use in a national geriatric survey.

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“…The mean chewing frequency is slowed down in subjects with chewing deficiencies while eating any type of resistant food. Previous studies on the chewing ability of dentally impaired subjects showed that a decrease in the number of functionally paired teeth and oral rehabilitation with removable dentures were linked to a decrease in CT and CC values and to an increased D50 value 9,14 . Nevertheless, the physiological impact of RPDM rehabilitation has been seldom studied.…”

Section: Introductionmentioning

confidence: 97%

Impact of removable partial denture prosthesis on chewing efficiency

et al. 2013

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Removable partial denture prostheses are still being used for anatomic, medical and economic reasons. However, the impact on chewing parameters is poorly described.ObjectivesThe objective of this study was to estimate the impact of removable partial denture prosthesis on masticatory parameters.Material and MethodsNineteen removable partial denture prosthesis (RPDP) wearers participated in the study. Among them, 10 subjects were Kennedy Class III partially edentulous and 9 with posterior edentulism (Class I). All presented a complete and full dentate opposing arch. The subjects chewed samples of carrots and peanuts with and without their prosthesis. The granulometry of the expectorated boluses from carrot and peanuts was characterized by median particle size (D50), determined at the natural point of swallowing. Number of chewing cycles (CC), chewing time (CT) and chewing frequency (CF=CC/CT) were video recorded.ResultsWith RPDP, the mean D50 values for carrot and peanuts were lower [Repeated Model Procedures (RMP), F=15, p<0.001] regardless of the type of Kennedy Class. For each food, mean CC, CT and CF values recorded decreased (RMP, F=18, F=9, and F=20 respectively, p<0.01). With or without RPD, the boluses' granulometry values were above the masticatory normative index (MNI) determined as 4,000 µm.ConclusionRPDP rehabilitation improves the ability to reduce the bolus particle size, but does not reestablish fully the masticatory function.Clinical relevanceThis study encourages the clinical improvement of oral rehabilitation procedure.

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Impact of Morbid Obesity on Chewing Ability

Abstract: The chewing parameters were affected in fully dentate patients with morbid obesity compared with controls, emphasizing the need for a systematic evaluation of both dental status and chewing ability in patients scheduled for bariatric surgery.

Cited by 29 publications

References 25 publications

A scoping review of the implications of adult obesity in the delivery and acceptance of dental care

A scoping review of the implications of adult obesity in the delivery and acceptance of dental care

Comparison of the OHIP-14 and GOHAI as measures of oral health among elderly in Lebanon

Impact of removable partial denture prosthesis on chewing efficiency

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