Journal of oral rehabilitation最新文献

{"title":"Relationship Between Swallowing Muscle Morphology and Dysphagia in Patients Followed With Stroke.","authors":"Ayşe Merve Ata, Eda Gurcay","doi":"10.1111/joor.70207","DOIUrl":"https://doi.org/10.1111/joor.70207","url":null,"abstract":"<p><strong>Background: </strong>Dysphagia is frequently seen in stroke patients. Although various factors have been identified as negative predictors of dysphagia recovery, swallowing muscle atrophy has also been emphasized.</p><p><strong>Objective: </strong>The aim of this study was to examine the swallowing muscles in stroke patients with or without dysphagia using ultrasound (US), to determine the predictors on swallowing function and to identify independent predictors of dysphagia.</p><p><strong>Method: </strong>Patients with stroke were evaluated. Mini Nutritional Assessment-Short Form (MNA-SF), Functional Oral Intake Scale (FOIS), Eating Assessment Tool (EAT-10) and Functional Independence Measure (FIM) were assessed. The thicknesses of masseter, temporal and mylohyoid muscles, and cross-sectional areas of geniohyoid and digastric anterior muscles were measured.</p><p><strong>Results: </strong>A total of 42 stroke patients were included. The patients with dysphagia were older (p = 0.004). MNA-SF, FOIS, and FIM scores were lower in the dysphagia group (p < 0.001). Muscle measurements decreased on the hemiplegic side in the digastric anterior muscle of the dysphagia group (p = 0.032). Hemiplegic side masseter muscle thickness (p = 0.011), non-hemiplegic side masseter (p = 0.021) and mylohyoid muscle thicknesses (p = 0.005), digastric anterior cross-sectional area (p = 0.017) were lower in the dysphagia group. Multivariate logistic regression analysis showed that lower MNA-SF scores were associated with a higher probability of dysphagia (OR = 0.734, p = 0.048).</p><p><strong>Conclusions: </strong>Although swallowing muscles were affected in post-stroke dysphagia, a muscle group that predicts dysphagia has not been identified. MNA-SF was independently related to dysphagia; however, the observed association should be considered within the bidirectional framework. The assessment of swallowing muscles by US and the identification of affected muscles can improve the development of targeted rehabilitation programs.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and MRI Predictors of Successful Mandibular Manipulation Therapy in Anterior Disc Displacement Without Reduction.","authors":"Cheng-Ge Liu, Wei-Yu Mao, Jie Deng, Jie Lei, Kai-Yuan Fu","doi":"10.1111/joor.70202","DOIUrl":"10.1111/joor.70202","url":null,"abstract":"<p><strong>Objective: </strong>To identify clinical and imaging predictors influencing the success rate of disc reduction following mandibular manipulation (MM).</p><p><strong>Methods: </strong>Participants with anterior disc displacement without reduction (ADDwoR) who visited Peking University Hospital of Stomatology and underwent MM assisted by arthrocentesis were included. Demographic, clinical, and imaging data of all participants were collected. Qualitative and quantitative assessments were conducted. All statistical analyses were performed using IBM SPSS Statistics version 27.0.</p><p><strong>Results: </strong>A total of 197 patients were included in the study, with 71.6% achieving successful disc reduction (DR). The average age of all participants was 23.45 ± 8.83 years, with 89.3% being female. The multivariate logistic model revealed that angle β (OR = 1.04; 95% CI = 1.01-1.07) and disc length (OR = 1.57; 95% CI = 1.15-2.15) were significantly associated with increased odds of successful disc reduction, while duration of jaw lock (OR = 0.66; 95% CI = 0.53-0.80) and thickness of the intermediate zone (OR = 0.26; 95% CI = 0.09-0.75) were significantly associated with decreased odds.</p><p><strong>Conclusions: </strong>Shorter duration of jaw lock, milder disc deformation, and less severe disc displacement indicate higher success rates of disc reduction using MM. The established cut-off values were 2.75 months for disease duration of jaw lock, 8.39 mm for disc length and 96.7° for the intersection angle β. Future development of a multivariate prediction model may help optimize clinical management strategies for ADDwoR.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147690677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association of NT-proBNP With Maximum Tongue Pressure After Cardiac Surgery: A Cross-Sectional Study.","authors":"Aimin Shao, Yilei Zhu, Haiou Xia, Tingting Zhang","doi":"10.1111/joor.70204","DOIUrl":"https://doi.org/10.1111/joor.70204","url":null,"abstract":"<p><strong>Background: </strong>N-terminal pro-B-type natriuretic peptide (NT-proBNP) is an established biomarker for cardiac stress and is strongly linked to systemic skeletal muscle wasting. While maximum tongue pressure (MTP) serves as a critical indicator of oral functional reserve, the specific relationship between cardiac dysfunction and lingual motor function remains underexplored. This study aimed to investigate the association between NT-proBNP levels and maximum tongue pressure in patients after cardiac surgery.</p><p><strong>Methods: </strong>In this cross-sectional study, we enrolled 488 patients who had undergone cardiac surgery. Maximum tongue pressure was measured using the TPS-100 device between 8 h and 24 h after endotracheal extubation. The association between log-transformed NT-proBNP and maximum tongue pressure was assessed using multivariable linear regression analysis adjusting for potential confounders, and subgroup analyses were performed.</p><p><strong>Results: </strong>The mean age was 56.7 ± 14.1 years. Multivariable analysis indicated that higher log-transformed NT-proBNP levels were significantly associated with lower maximum tongue pressure (B = -3.091, 95% CI: -5.174 to -1.008, p = 0.004). Subgroup analyses revealed significant interactions for age (p for interaction = 0.024) and intubation duration (p for interaction = 0.036); specifically, this inverse association was more pronounced in patients aged ≥ 60 years and those with prolonged endotracheal intubation.</p><p><strong>Conclusions: </strong>Elevated postoperative NT-proBNP is independently associated with decreased maximum tongue pressure, particularly in older patients and those subject to prolonged intubation. Postoperative NT-proBNP monitoring may facilitate early identification of patients at risk for reduced tongue muscle strength.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Simultaneous Guided Bone Regeneration on Postoperative Pain Three Days After Dental Implant Surgery: A Prospective Cohort Study.","authors":"Xu Gao, Xuejian Zhang, Yan Wang, Yue Deng, Meijie Wang","doi":"10.1111/joor.70199","DOIUrl":"https://doi.org/10.1111/joor.70199","url":null,"abstract":"<p><strong>Objective: </strong>Guided bone regeneration (GBR) is the most frequently used method for bone augmentation during dental implant surgery. This study was meant to explore the effect of simultaneous GBR on postoperative pain after dental implant surgery.</p><p><strong>Material and methods: </strong>This prospective cohort study included 72 patients who were divided into the following two groups based on whether GBR was performed: Group A (single dental implant placement) and Group B (single dental implant placement with GBR simultaneously). Before the surgery, patients' anxiety status and pain sensitivity were assessed via the State-trait anxiety inventory (STAI) and pain sensitivity questionnaire (PSQ), respectively. The pain values at 2 h, 4 h, 6 h, 24 h, 48 h and 72 h post-operation were recorded using a numerical rating scale. The independent samples t-test was performed to evaluate the difference, and p-values < 0.05 were considered statistically significant.</p><p><strong>Results: </strong>A total of 60 patients completed follow-up, with 30 patients remaining in each group. Patients in Group B experienced moderate pain after the implant surgery, with the peak of pain occurring at 4 h post-operation. And the average pain score in Group B was 4.77, which was higher than that in Group A (2.93). Furthermore, the difference in pain scores between the two groups at 4, 6 and 24 h after surgery was statistically significant (p = 0.002, 0.001 and 0.003, 95% CI = [-2.98, -0.69], [-2.40, -0.67] and [-1.05, -0.22], respectively).</p><p><strong>Conclusion: </strong>Patients undergoing simultaneous GBR during dental implant surgery tend to experience more postoperative pain, reaching up to or exceeding a moderate level. Therefore, we suggest to pay more attention on pain management after dental implant surgery with GBR to improve postoperative comfort.</p><p><strong>Trial registration: </strong>ChiCTR2000041136, https://www.chictr.org.cn/).</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147654240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Exploratory Evaluation of an Interactive Smartphone-Based Telephysiotherapy Application for Temporomandibular Disorders: A Multicentre Observational Study.","authors":"Ida Marini, Sandro Palla, Alessandro Maglioni, Gianfranco Albergo, Carlo Di Paolo, Vittorio Simeon, Giacomo Asquini, Ambra Michelotti, Roberta Cimino","doi":"10.1111/joor.70201","DOIUrl":"https://doi.org/10.1111/joor.70201","url":null,"abstract":"<p><strong>Background: </strong>Telerehabilitation may support adherence to home exercise for the management of temporomandibular disorders (TMDs), yet the usability and user satisfaction with dedicated smartphone applications remain underexplored.</p><p><strong>Objective: </strong>The primary aim of this multicentre prospective, observational, and exploratory study was to assess patient-reported satisfaction, motivation/self-efficacy, adherence, usability, and user-friendliness related to a home exercise program for temporomandibular disorders delivered through a smartphone application (MedicApp). The secondary aim was to evaluate dentist-reported outcomes related to the use of the application (perceived usefulness, usability/user-friendliness, and feasibility), whereas the tertiary aim was to explore the association between educational level and application usability.</p><p><strong>Methods: </strong>The study was conducted by four dentists at three Italian universities and enrolled a total of 47 adult patients with painful TMD, diagnosed according to the Diagnostic Criteria for Temporomandibular Disorders. Patients performed a 2-month home exercise program delivered through the MedicApp. The application features a dual-feedback mechanism: patients view tutorial videos in the lower part of the screen and record their own exercises in the upper part, which are uploaded to a server for review by the dentist, who may intervene if necessary. Two study-specific questionnaires were developed to assess the patient-reported and dentist-reported outcomes.</p><p><strong>Results: </strong>Of the 47 patients, 43 (91%) followed the assigned protocol; 29 (62%) used video guidance consistently. Forty-five (96%) patients felt more confident, and 40 (85%) reported higher motivation using MedicApp. All 19 patients with previous experience with home exercises preferred MedicApp over traditional methods. Most found the smartphone application easy to use. All four dentists reviewed the recordings, intervened when needed, and perceived MedicApp as helpful for supporting adherence and communication.</p><p><strong>Conclusion: </strong>Within the limitations of this observational exploratory study, MedicApp was perceived favorably by patients with TMDs for supporting a home exercise program. Patients reported favorable perceptions of visual guidance and remote monitoring features. These findings, related to usability and implementation, require confirmation before broader implementation can be considered.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147633787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Clinical Effectiveness Comparison Between Modified Crestal Approach and Lateral Window Sinus Floor Elevation: A Prospective Study","authors":"Lujin Cheng,&nbsp;Jungang He,&nbsp;Long Mei,&nbsp;Chengchen Cai,&nbsp;Zhongcheng Gong","doi":"10.1111/joor.70159","DOIUrl":"10.1111/joor.70159","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the clinical outcomes of modified crestal and lateral approaches in maxillary sinus lift.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Fifty patients with single missing posterior maxillary teeth and severe bone deficiency (residual bone height &lt; 5 mm) requiring implant placement were selected from a tertiary hospital's dental department between January and December 2023. Patients were randomly assigned to the modified crestal sinus lift group (experimental group) or the lateral window sinus lift group (control group). Behavioural cognition was assessed using the Hospital Anxiety and Depression Scale (HADS), postoperative pain was quantified using the Visual Analog Scale (VAS). Bone gain was evaluated by Gained Bone Height (GBH), and implant success rate and complication incidence were recorded. The t-test was used for intergroup comparisons, and categorical data were analysed using the chi-square test. Statistical significance was set at <i>p</i> &lt; 0.05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Significant differences were observed between the experimental and control groups in pre- and postoperative behavioural cognition, surgical time, and VAS pain scores (<i>p</i> &lt; 0.05). No significant differences were found in bone gain, implant success rate, or complication incidence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The bone augmentation outcomes of the two surgical techniques were essentially comparable. However, the modified crestal approach demonstrated advantages over the lateral window technique in terms of minimal trauma, improved patient behavioural cognition, and reduced postoperative pain. These findings suggest that optimising minimally invasive sinus lift techniques may enhance clinical applications, particularly with patient-centred considerations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 5","pages":"1027-1035"},"PeriodicalIF":4.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to ‘Clinical and Psychological Profiles of Patients With Subclinical Versus Self-Reported Painful Temporomandibular Disorders’","authors":"","doi":"10.1111/joor.70184","DOIUrl":"10.1111/joor.70184","url":null,"abstract":"<p>Chattrattrai T, Jariyasakulroj S, Mitrirattanakul S. Clinical and Psychological Profiles of Patients With Subclinical Versus Self-Reported Painful Temporomandibular Disorders. <i>Journal of Oral Rehabilitation</i>. 2025. https://doi.org/10.1111/joor.70136</p><p>In paragraph 1 of the ‘Method’ section, the text ‘This study was approved by the Institutional Review Board, Faculty of Dentistry/Faculty of Pharmacy, Mahidol University (MU-DT/PY-IRB), under protocol 2024/DT092’. was incorrect. This should have read: ‘This study was approved by the Institutional Review Board, Faculty of Dentistry/Faculty of Pharmacy, Mahidol University (MU-DT/PY-IRB), COA.No.MU-DT/PY-IRB 2024/053.0609’.</p><p>We apologize for this error.</p>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 5","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/joor.70184","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147365737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive Reappraisal and Pain in Temporomandibular Disorders Patients: The Chain Mediating Role of Anxiety and Oral Behaviours—A Cross-Sectional Study","authors":"Jingjun Wang,&nbsp;Maolan Wang,&nbsp;Yanglu Tang,&nbsp;Mingjun Ren,&nbsp;Yuxia Shan,&nbsp;Yuanyan Bai","doi":"10.1111/joor.70162","DOIUrl":"10.1111/joor.70162","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Pain is the primary symptom of Temporomandibular disorders (TMD) and the main reason patients seek treatment. Cognitive reappraisal has been shown to effectively alleviate pain, but evidence regarding its impact on TMD patients' pain remains insufficient. Furthermore, the mechanism by which cognitive reappraisal affects pain in TMD patients remains unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To investigate the influence of cognitive reappraisal, anxiety, and oral behaviours on pain among TMD patients and to verify the chain mediating role of anxiety and oral behaviours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study is a cross-sectional study conducted at West China Stomatological Hospital, Sichuan University, which enrolled 360 TMD patients. The Chinese version of the Emotion Regulation Questionnaire, the brief version of the Depression-Anxiety-Stress scale, the Oral Behaviour Checklist, and the Visual Analogue Scale were used. SPSS 27.0 software and PROCESS macro 3.0 were used to analyze data and verify all the hypotheses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of three mediation pathways between cognitive reappraisal and pain: (1) cognitive reappraisal → anxiety → pain (<i>β</i> = −0.11, 95% CI: −0.15 to −0.07); (2) cognitive reappraisal → oral behaviours → pain (<i>β</i> = −0.12, 95% CI: −0.19 to −0.07); (3) cognitive reappraisal → anxiety → oral behaviours → pain (<i>β</i> = −0.06, 95% CI: −0.09 to −0.04). Direct effect was estimated as <i>β</i> = −0.40 (95% CI: −0.46 to −0.34). Total effect was estimated as <i>β</i> = −0.70 (95% CI: −0.77 to −0.63).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Cognitive reappraisal reduces pain scores in TMD patients through multiple pathways, with anxiety and oral maladaptive behaviours acting as chain mediators. Cognitive reappraisal serves as one of the protective factors against pain in TMD patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 5","pages":"1048-1058"},"PeriodicalIF":4.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Frailty and Physical Frailty Associated With Sleep Quality in Community-Dwelling Adults: A Cross-Sectional Study","authors":"Pei-Chen Lin,&nbsp;Ai-Hua Chang,&nbsp;Shin-Ru Liao,&nbsp;Koichiro Matsuo,&nbsp;Yuji Kabasawa,&nbsp;Ju-Hui Wu,&nbsp;Pei-Chao Lin,&nbsp;Hsiao-Ling Huang","doi":"10.1111/joor.70152","DOIUrl":"10.1111/joor.70152","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Oral frailty and physical frailty are linked to adverse health outcomes in older adults, but their relationship with sleep quality is not well understood. This study examined the association between oral frailty and sleep quality, and the combined effects of oral and physical frailty on sleep in community-dwelling older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted in Kaohsiung City, Taiwan (2018–2019), including 1180 adults aged ≥ 65 years selected by multistage stratified cluster sampling. Data were collected through questionnaires and dental exams. Sleep quality was measured by the Pittsburgh Sleep Quality Index. Oral frailty was assessed using indicators such as oral diadochokinesis, swallowing difficulty, masticatory performance, dry mouth, tongue coating, and number of natural teeth. Oral health–related quality of life (OHRQoL) was evaluated with the GOHAI. Logistic regression identified factors associated with poor sleep quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Swallowing difficulty (AOR = 2.69) and dry mouth (AOR = 2.06) were significantly linked to poor sleep quality. A dose–response relationship was observed across stages of swallowing difficulty, with both suspected and confirmed cases reporting significantly poorer sleep quality compared to individuals without swallowing issues (p for trend &lt; 0.001). Higher OHRQoL scores were linked to better sleep quality (AOR = 0.97). Additionally, the combined presence of oral frailty and physical frailty was significantly associated with poor sleep quality (AOR = 2.71).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Oral and physical frailty are significantly associated with sleep quality in older adults. Interventions targeting swallowing difficulty, dry mouth, and physical frailty may improve sleep quality in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 5","pages":"999-1008"},"PeriodicalIF":4.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146041004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Characteristics of Self-Perceived Swallowing Difficulties Among Community-Dwelling Older People in South Korea","authors":"Bo-Ra Kim,&nbsp;Hee-Soon Woo,&nbsp;Kyoung-Chul Min","doi":"10.1111/joor.70151","DOIUrl":"10.1111/joor.70151","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The objective of this study was to investigate the prevalence and characteristics of self-perceived swallowing difficulties among community-dwelling older people in South Korea, as distinct from clinically diagnosed dysphagia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 489 community-dwelling, independent older adults (aged ≥ 65 years) were assessed using the Korean version of the Dysphagia Risk Assessment for the Community-dwelling Elderly (K-DRACE), a validated self-report questionnaire. We analysed the perceived frequency of difficulties across the three swallowing phases (oral, pharyngeal and oesophageal). Based on the cut-off score (4 points), the prevalence was calculated. Differences between the no perceived difficulties group and the perceived difficulties group according to participant characteristics were analysed using an independent sample <i>t</i>-test and one-way ANOVA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The prevalence of self-perceived swallowing difficulties among community-dwelling older people in South Korea was 40.7%. The total K-DRACE score increased with age; the oldest group (85+ years) showed the highest prevalence (57.0%) and mean score (4.91 ± 4.22). The highest mean score was observed in the oral phase. Significant differences were found according to gender, education level and residential area.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The high prevalence of perceived swallowing difficulties identified in this study, particularly among older adults not clinically diagnosed, underscores the critical need for community-based screening. Identifying this at-risk population through such screening is the essential first step to facilitate timely preventive interventions and ensure referral for further clinical evaluation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16605,"journal":{"name":"Journal of oral rehabilitation","volume":"53 5","pages":"981-987"},"PeriodicalIF":4.0,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146003421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}