Regular Oral Health Management Improved Oral Function of Outpatients with Oral Hypofunction in Dental Hospital: A Longitudinal Study

Hatanaka, Yukiko; Furuya, Junichi; Sato, Yuji; Taue, Risako; Uchida, Yoshiki; Shichita, Toshiharu; Osawa, Tsutomu

doi:10.3390/ijerph19042154

Cited by 3 publications

(2 citation statements)

References 37 publications

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“…The present study is the first to reveal whether new outpatients diagnosed with OHF at their initial visit to the dental department can restore oral function by managing the poor oral function, although the effect of dental management on the improvement in OHF in maintenance patients has been studied. 15 Comparison of the changes in values between the OHF improved and re-diagnosed groups from the first to the second assessment revealed significant changes in occlusal force only (Table 4). We previously reported a close relationship between the diagnosis of OHF and decreased occlusal force (one of the seven items measured in the first assessment performed at their initial visit).…”

Section: Discussionmentioning

confidence: 96%

“…Moreover, the position paper defined OHF as the stage at which recovery might be expected by performing dental treatment following diagnosis 10 . Although one report demonstrated the effect of oral health management on improvement in OHF in patients receiving dental maintenance, 15 there is a need for investigations of the effect of management of OHF, especially in new patients who presented initially to the dental department.…”

Section: Introductionmentioning

confidence: 99%

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Evaluating the effect of management on patients with oral hypofunction: A longitudinal study

et al. 2022

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IntroductionDeclining oral function may affect subsequent physical frailty in the older population. The aim of this longitudinal study was to summarise data on patients who underwent functional oral examination and evaluate the impact of management on patients with oral hypofunction (OHF).MethodsDental outpatients aged over 65 years at their initial visit to the Niigata University Hospital received detailed assessment of seven oral function items to diagnose oral hypofunction using diagnostic criteria defined by the Japanese Society of Gerodontology. Patients with OHF at the first assessment received management including oral health guidance for low function and dental treatment. They were re‐evaluated approximately 6 months later and the two assessments were compared. According to the results of the second assessment, the patients were divided into two groups: OHF improved and OHF re‐diagnosed.ResultsOf the 273 patients who underwent the first assessment, 86 (31.5%) were diagnosed with OHF and received management. Of those, 42 (48.8%) completed the second assessment. Comparing the first and second assessment, significant improvement was observed in oral hygiene, occlusal force, tongue–lip motor function of /pa/, mastication and swallowing. The change in values from the first assessment demonstrated a significant difference between the OHF improved and re‐diagnosed groups only in occlusal force.ConclusionManagement for patients with OHF can contribute to the improvement of poor oral function, and an increase in occlusal force was notable in the recovery from OHF.

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Evaluating the effect of management on patients with oral hypofunction: A longitudinal study

et al. 2022

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Oral frailty: A concept analysis

Yang,

Gao,

et al. 2024

Journal of Advanced Nursing

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AimTo clarify the concept of oral frailty to provide a clear and standardized conceptual basis for further research in older people.DesignRodgers and Knafl's evolutionary concept analysis approach.MethodsThe narrative analysis detailedly extracted and synthesized the attributes of oral frailty, as well as its antecedents, consequences and related terms under the guidance of Rodgers' evolutionary method.Data SourcesMultiple databases including Pubmed, CINAHL and Cochrane were searched using selected search terms ‘oral frail*’, ‘oral health’ and ‘aged’ respectively. Articles written between 2013 and 2023 were included, and grey literature was excluded.ResultsA total of 32 articles were included for further analysis and synthesis. The attributes of oral frailty were hypofunction, predisposing in nature, non‐specific and multidimensional. Antecedents of prefrailty were classified into four categories, namely, sociodemographic characteristics, comorbidity, physical function and psychosocial factors. Consequences of oral frailty include three themes: increased risk of adverse outcomes, poor nutritional status and possibility of social withdrawal. Related terms that had shared attributes with oral frailty were oral health, functional dentition, oral hypofunction and deterioration of oral function.ConclusionsOral frailty is an age‐related phenomenon reflected in decreased oral function. The findings of this concept analysis are conducive to understanding and clarifying the oral frailty, which can help clinicians or other healthcare providers to consider how to distinguish oral frailty in older adults and further promote the development of this field.ImpactOral frailty is increasingly recognized as an age‐related phenomenon reflected in decreased oral function. As it is newly proposed, no consensus has been reached regarding the theoretical and operational concept of it. Through clarifying the concept, this paper will guide future healthcare research on oral frailty regarding the influencing factors, mechanisms and interventions, thus raising the awareness with regard to oral health among older adults.What does this paper contribute to the wider global clinical community? In the context of older adults, oral frailty is a concept that requires further research to guide future theoretical development, and the influencing factors, mechanisms and interventions need to be further studied. Raise awareness with regard to oral health among older people and more attention will be paid to the early identification and intervention of oral frailty, so as to further improve the quality of life of older adults.

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Perceptions and experience of rural older people in oral health management in China: a qualitative study

An,

Jiang,

et al. 2024

BMC Oral Health

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Background To explore the perceptions and experience of oral health management among rural older people in China. Methods Qualitative methodologies were used in this study. Face-to-face semi-structured interviews were conducted. Thirteen older adults in rural areas were purposively sampled at two metropolitan hospitals in Hunan, China. The data were transcribed and thematically analyzed, and MAXQDA software was used to assist with coding. Results Three overarching major themes and ten sub‑themes capturing the perceptions and experience of oral health management among rural older people were identified. Three themes emerged from the thematic analysis: oral health cognitive bias, poor management behaviors, and limited oral health services. Oral health management as a whole is negative, oral health behaviors are poor, oral health service utilization is limited. Conclusions Based on these findings, there is great scope here for improving the current status of oral health for rural older people around awareness, behavior, and access. Oral health education, improved oral health services and primary oral health promotion are warranted.

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Regular Oral Health Management Improved Oral Function of Outpatients with Oral Hypofunction in Dental Hospital: A Longitudinal Study

Cited by 3 publications

References 37 publications

Evaluating the effect of management on patients with oral hypofunction: A longitudinal study

Evaluating the effect of management on patients with oral hypofunction: A longitudinal study

Oral frailty: A concept analysis

Perceptions and experience of rural older people in oral health management in China: a qualitative study

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