Development a new chewing problem directory and its validation for Korean elders.

BMC Oral Health

Department of Preventive and Social Dentistry, School of Dentistry, Seoul National University, 101 Daehak-Ro, Jongno-Gu, Seoul, 03080, Republic of Korea.

Published: June 2022

Objectives: This study aimed to develop a new chewing problem directory (CPD) and validate it with oral health indicators such as total occlusion force, number of natural and rehabilitated teeth (NRT), NRT posterior, natural teeth, natural teeth posterior, and dental status among Korean elders.

Background: Chewing problem is the main oral health problem in elders. However, there has been no validated tool using both subjective and objective assessment of chewing problem.

Subjects And Methods: A total of 537 participants aged 65 years or more were randomly assigned into 2 subsamples: developing sample (n = 260) for developing and internally validating the new CPD as the 1st stage and confirmation sample (n = 277) for confirming validation of CPD as the 2nd stage. CPD was developed using three subjective questionnaires (general eating, chewing nuts, and chewing meat problem) and objective NRT. Periodontitis, age, sex, education, smoking, alcohol drinking, metabolic syndrome, and frailty were considered as confounders. Following the development of CPD, CPD was validated using multiple multivariable logistic regression after controlling for confounders in confirmation sample and total sample.

Results: The Cronbach's alpha value for three subjective questionnaires of CPD was 0.87. Among oral health indicators, NRT (0-28) showed the highest impact association with subjective chewing problem score (partial r = - 0.276). The chewing problem from the new CPD was associated with all items of oral health indicators. The prevalence of chewing problems by CPD was 57.7% in developing sample. Elders with NRT ≤ 24, compared with those with NRT ≥ 25, showed the highest impact on chewing problems by new CPD (Odds Ratio = 7.3 in the confirmation sample and 5.04 in the total sample, p < 0.05) among oral health indicators.

Conclusion: This new CPD was developed as a valid tool to evaluate the chewing problem for Korean elders in dental clinics and community-based settings.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9233340PMC
http://dx.doi.org/10.1186/s12903-022-02290-3DOI Listing

Publication Analysis

Top Keywords

chewing problem
20
oral health
16
health indicators
12
confirmation sample
12
cpd
10
chewing
9
problem directory
8
natural teeth
8
developing sample
8
three subjective
8

Similar Publications

Background: There is a paucity of data on oral health problems among the residents of Fanteakwa districts (South and North) in the Eastern region of Ghana. Therefore, this study assessed the prevalence and factors associated with self-reported oral health problems in the Fanteakwa districts of Ghana.

Methods: This community-based cross-sectional study targeted residents of the towns of the Fanteakwa districts, who have not had any dental care visit in the past six months preceding the study.

View Article and Find Full Text PDF

Background: Postoperative ileus is a surgical complication that affects intestinal motility. There are measures to reduce this problem, but not all have conclusive current evidence.

Objective: To determine which measures such as coffee, chewing gum, electro-acupuncture, Daikenchuto (DKT) and prokinetic agents are most effective in reducing postoperative ileus in patients undergoing gastrointestinal surgeries.

View Article and Find Full Text PDF

Background: Diabetes mellitus, a chronic multi-systemic disease affecting various organs, may negatively influence health-related quality of life (HRQoL) and oral health-related quality of life (OHRQoL). This study aimed to investigate this association in a cross-sectional sample of Iraqi Kurdish diabetic patients.

Methods: Two hundred eighty-five type 2 diabetic patients participated in the survey.

View Article and Find Full Text PDF

Background: Alcohol consumption continues to be a public health problem in Ethiopia. Previous investigations have been conducted on alcohol consumption in Ethiopia; however, these investigations were limited to specific localities, which could not represent the existing alcohol consumption in different parts of Ethiopia. Besides, the spatial variation of alcohol consumption was not well investigated in the previous studies, which could hinder the implementation of effective intervention towards alcohol consumption.

View Article and Find Full Text PDF

Introduction The cushion effect of soft liners serves to distribute the mastication forces and stresses more evenly, along with absorbing energy. Instead, soft liners can act as a nidus for microbial growth, especially Candida species. An accumulation of these fungi is a problem encountered during the clinical use of them, especially in immunocompromised individuals.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!