Impact of Complete Denture Use on Swallowing Function of Older Adults: A Systematic Review and Meta-Analysis.

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-05-19 DOI:10.1111/joor.14004

Juliana de Castro Godinho, Mariana Marinho Davino de Medeiros, Guilherme Almeida Borges, Marcelo Ferraz Mesquita, Lucianne Cople Maia, Renata Cunha Matheus Rodrigues Garcia

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引用次数: 0

Abstract

Background: The use of complete dentures (CDs) in edentulous individuals causes changes in the oral cavity and pharynx, potentially beneficially affecting swallowing function.

Objective: This systematic review and meta-analysis aimed to evaluate the immediate effects of CDs use on the swallowing function of older adults.

Methods: According to the PICO framework, the search strategy was applied in six databases, grey literature and trials registration databases to retrieve clinical trials comparing the swallowing function of older adults with and without CDs. Data were extracted, and the risk of bias was assessed using the Risk of Bias in Non-randomised Studies of Interventions (ROBINS-I) tool. Standard mean difference (SMD) and 95% confidence intervals (95% CI) were used in meta-analyses for hyoid, laryngeal and mandible displacements, oral (OTT) and pharyngeal transit time (PTT), posterior pharyngeal wall (PPW), upper oesophageal sphincter (UES) and tongue pressure (α = 0.05).

Results: Ten articles were included in the systematic review. Videofluorography was the swallowing assessment method most used (n = 5). Most studies (n = 4) had a low risk of bias. Meta-analyses showed higher laryngeal displacement in horizontal (SMD = 0.30; 95% CI = 0.05-0.56) and vertical (SMD = 0.38; 95% CI = 0.06-0.69) directions, mandible displacement in the horizontal direction (SMD = 0.55; 95% CI = 0.22-0.89), and PPW contraction (SMD = 0.33; 95% CI = 0.07-0.58) without CDs than with CDs (p < 0.05). No significant differences were found for mandible displacement in the vertical direction, UES opening, OTT, PTT and tongue pressure (p > 0.05).

Conclusion: The use of CDs seems to restore the swallowing function among edentulous older adults in terms of laryngeal and mandible displacement, and PPW contraction.

查看原文本刊更多论文

使用全口义齿对老年人吞咽功能的影响：一项系统综述和荟萃分析。

背景：在无牙个体中使用全口义齿会引起口腔和咽部的改变，可能对吞咽功能产生有益的影响。目的：本系统综述和荟萃分析旨在评估使用cd对老年人吞咽功能的直接影响。方法：根据PICO框架，采用检索策略在6个数据库、灰色文献和试验注册数据库中检索比较有cd和无cd老年人吞咽功能的临床试验。提取数据，并使用非随机干预研究的偏倚风险（ROBINS-I）工具评估偏倚风险。采用标准均差（SMD）和95%置信区间（95% CI）对舌骨、喉部和下颌骨位移、口腔（OTT）和咽部传递时间（PTT）、咽后壁（PPW）、上食管括约肌（UES）和舌压进行meta分析（α = 0.05）。结果：10篇文章被纳入系统评价。影像透视法是最常用的吞咽评估方法（n = 5）。大多数研究（n = 4）偏倚风险较低。meta分析显示水平方向喉部位移较大(SMD = 0.30；95% CI = 0.05-0.56)和纵向(SMD = 0.38；95% CI = 0.06-0.69)方向，下颌骨水平方向位移(SMD = 0.55；95% CI = 0.22-0.89)， PPW收缩(SMD = 0.33；95% CI = 0.07-0.58)。结论：在无牙老年人中，使用cd可以恢复吞咽功能，包括喉部和下颌骨的移位，以及PPW的收缩。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.