Prevalence of swallowing difficulties in a dental clinic: A case study at a general hospital in Thailand.

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Community dental health Pub Date : 2025-09-01 Epub Date: 2025-06-27 DOI:10.1177/0265539X251355498

Piengtong Dittasoi, Matana Kettratad-Pruksapong, Sirima Kulvanich

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引用次数: 0

Abstract

Background: Dysphagia, or swallowing difficulty, is common among older adults and can pose risks during dental treatments, including aspiration and accidental ingestion. While dysphagia prevalence is well-studied in healthcare and community settings, data from clinical dental settings remain limited. This study aimed to determine the prevalence of swallowing difficulties in older adults visiting a dental clinic.

Methods: A cross-sectional survey was conducted at Nong Khai General Hospital, Thailand, from November 2023 to April 2024, using completed demographic questionnaires and the Thai version of the Eating Assessment Tool (EAT-10). Swallowing difficulties were defined as an EAT-10 score ≥3. Associations with demographic and clinical factors were examined using Chi-square tests, Fisher's exact tests, and logistic regression.

Results: Among 327 participants (mean age 69.2 ± 6.6 years; 52.3% female), 12.5% were screened as positive for swallowing difficulties. Significant predictors included female sex, dietary texture modification, and underlying conditions such as stroke and neuromuscular disorders. Self-reported choking or coughing during dental treatment were also associated with increased risk.

Conclusions: This is the first study to investigate swallowing difficulties in older adults within a dental clinic setting. The findings underscore the need for dental professionals to screen for dysphagia and consider appropriate precautions to reduce procedural complications.

查看原文本刊更多论文

牙科诊所中吞咽困难的普遍性：泰国一家综合医院的个案研究。

背景：吞咽困难，或吞咽困难，在老年人中很常见，在牙科治疗期间可能会造成风险，包括误吸和意外误食。虽然在医疗保健和社区环境中对吞咽困难的患病率进行了充分的研究，但临床牙科设置的数据仍然有限。本研究旨在确定在牙科诊所就诊的老年人中吞咽困难的患病率。方法：于2023年11月至2024年4月在泰国廊开总医院进行横断面调查，使用完整的人口统计问卷和泰国版饮食评估工具（EAT-10）。吞咽困难定义为EAT-10评分≥3分。使用卡方检验、Fisher精确检验和逻辑回归检验与人口统计学和临床因素的相关性。结果：在327名参与者中（平均年龄69.2±6.6岁，52.3%为女性），12.5%筛查为吞咽困难阳性。重要的预测因素包括女性、饮食结构的改变和潜在的疾病，如中风和神经肌肉疾病。在牙科治疗期间自我报告的窒息或咳嗽也与风险增加有关。结论：这是第一个在牙科诊所中调查老年人吞咽困难的研究。研究结果强调，牙科专业人员需要筛查吞咽困难，并考虑适当的预防措施，以减少手术并发症。

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

Community dental health 医学-牙科与口腔外科

CiteScore

2.20

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.