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Pauletti RN, Callegari-Jacques SM, Fornari L, Moraes ID, Fornari F. Reduced mastication is a risk factor for Rome IV postprandial distress syndrome in patients investigated with upper endoscopy. Clin Res Hepatol Gastroenterol 2022; 46:102032. [PMID: 36244614 DOI: 10.1016/j.clinre.2022.102032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 09/27/2022] [Accepted: 10/10/2022] [Indexed: 02/04/2023]
Abstract
BACKGROUND AND AIMS Reduced mastication could force the stomach to do extra work on crushing food and contribute to dyspeptic symptoms. This study aimed to assess the relationship between mastication and dyspepsia. METHODS This cross-sectional study involved 209 consecutive patients referred for elective upper endoscopy. Before endoscopy, an expert dentist performed an oral examination and scored chewing function in three levels (normal, regular, and reduced), and applied questionnaires for assessment of dyspepsia (Rome IV), xerostomia, and mastication (normal, regular, and reduced). A reduced masticatory function was defined when an oral examination or mastication questionnaire rated the chewing as poor. Associations between mastication, confounders, and dyspepsia were estimated by prevalence ratio [PR (95% Confidence Interval)] using Poisson regression. RESULTS Thirty-four patients showed relevant organic conditions in the upper gastrointestinal tract (moderate to severe reflux oesophagitis, peptic ulcer, neoplasia, and surgical modification) and were excluded. Among 175 patients with non-organic diseases (aging 51.3 ± 15.7 years; 61.7% women), 50 (28.6%) had reduced mastication, and 125 (71.4%) had normal/regular mastication. After adjusting for age and xerostomia, reduced mastication was associated with postprandial distress syndrome [PR = 1.93 (95%CI 1.27 - 2.91)] but not with epigastric pain syndrome [PR = 1.09 (95%CI 0.75 - 1.60)]. CONCLUSIONS In patients referred for upper digestive endoscopy, reduced mastication was associated with postprandial distress syndrome but not with epigastric pain syndrome. An interdisciplinary approach with dentists and physicians might benefit dyspeptic patients with postprandial distress syndrome.
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Affiliation(s)
- Roberta Neuwald Pauletti
- Programa de Pós-Graduação em Odontologia, Faculdade de Odontologia, Universidade de Passo Fundo (UPF), Passo Fundo-RS, Brazil
| | | | | | | | - Fernando Fornari
- Programa de Pós-Graduação em Odontologia, Faculdade de Odontologia, Universidade de Passo Fundo (UPF), Passo Fundo-RS, Brazil; Faculdade de Medicina, UPF, Passo Fundo, Brazil; Clínica Endopasso, Passo Fundo, Brazil.
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Tian X, Li YH, Deng LZ, Han WZ, Pu D, Han XL, Du SF, Deng W. Anxiety and depression mediate the relationship between digestive tract conditions and oral health-related quality of life in orthodontic patients. Front Psychol 2022; 13:873983. [PMID: 35967641 PMCID: PMC9373922 DOI: 10.3389/fpsyg.2022.873983] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Accepted: 07/06/2022] [Indexed: 11/13/2022] Open
Abstract
Background Anxiety and depression are common psychological problems in orthodontic patients whose diet habits and oral health status change frequently during treatment. However, relationships between anxiety and depression, digestive tract condition, and impaired oral health-related quality of life remain unknown. Materials and methods In this study, clinical assessments, including anxiety, depression, digestive tract condition, and oral health-related quality of life, were collected from 769 outpatients in the orthodontic department using three self-reported questionnaires. Correlation analysis was used to investigate the relationships among different clinical assessments. A chained mediation analysis model was further conducted to explore the direct and indirect effects of these various clinical factors. Results Changes in digestive tract conditions were positively correlated with the psychological status and oral health-related quality of life. Anxiety and depression partially mediated the relationship between them, and the indirect effect was 0.68 (30%), of which the mediation effect of anxiety accounted for 56%. Conclusion Anxiety and depression mediate the relationship between gastrointestinal conditions and oral health. In particular, anxiety seems to play a significant mediating role. Our findings indicate that psychological status must be paid more attention to in future clinical practices and supervision for digestive tract symptoms of orthodontic patients.
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Affiliation(s)
- Xue Tian
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Yuan-hong Li
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Lan-zhi Deng
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Wen-ze Han
- School of Stomatology, Shanxi Medical University, Taiyuan, China
| | - Dan Pu
- Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China
| | - Xiang-long Han
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China
- Xiang-long Han,
| | - Shu-fang Du
- Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China
- Shu-fang Du,
| | - Wei Deng
- Affiliated Mental Health Center, Zhejiang University School of Medicine, Hangzhou, China
- *Correspondence: Wei Deng,
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Kamaratih A, Ohmori H, Aoyagi M, Kanno Z, Ono T. Gastric emptying rate of a solid meal in patients with anterior open bite malocclusion: A preliminary study. APOS TRENDS IN ORTHODONTICS 2022. [DOI: 10.25259/apos_167_2021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Objectives:
The objective of the study was to investigate the relationship between anterior open bite (AOB) malocclusion and digestion by evaluating mastication and gastric emptying (GE) of a solid meal.
Material and Methods:
We recruited 26 female participants and divided them into two groups according to their occlusion status: The control group with normal occlusion (n = 11; age: 25.2 ± 2.8 years; and body mass index [BMI]: 21.1 ± 1.9 kg/m2) and the AOB group with AOB malocclusion (n = 15; age: 23.2 ± 5.5 years; BMI: 21.0 ± 1.6 kg/m2). GE, chewing, and occlusion were assessed simultaneously. A food questionnaire survey was also administered on the same day.
Results:
A significant positive correlation was noted between open bite and the occlusal analysis findings. Negative correlations were found between the food questionnaire score and both the open bite and occlusal analysis findings, which confirmed that AOB affects mastication. However, no significant difference in the GE rate parameters was observed between the two groups.
Conclusion:
Adaptive mechanisms may have a compensatory effect on the GE rate. However, the lack of tooth contact in the anterior occlusal region resulted in reduced masticatory ability. Orthodontic treatment should thus be considered, regardless of the presence of digestive problems, to improve mastication.
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Affiliation(s)
- Anindya Kamaratih
- Department of Orthodontic Science, Tokyo Medical and Dental University (TMDU), Tokyo, Japan,
| | - Hiroko Ohmori
- Department of Orthodontic Science, Tokyo Medical and Dental University (TMDU), Tokyo, Japan,
| | - Misaki Aoyagi
- Department of Orthodontic Science, Tokyo Medical and Dental University (TMDU), Tokyo, Japan,
| | - Zuisei Kanno
- Department of Orthodontic Science, Tokyo Medical and Dental University (TMDU), Tokyo, Japan,
| | - Takashi Ono
- Department of Orthodontic Science, Tokyo Medical and Dental University (TMDU), Tokyo, Japan,
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Neuwald Pauletti R, Callegari-Jacques SM, Fornari L, de Moraes JI, Fornari F. Reduced masticatory function predicts gastroesophageal reflux disease and esophageal dysphagia in patients referred for upper endoscopy: A cross-sectional study. Dig Liver Dis 2022; 54:331-335. [PMID: 34645595 DOI: 10.1016/j.dld.2021.09.016] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Revised: 09/13/2021] [Accepted: 09/14/2021] [Indexed: 12/11/2022]
Abstract
BACKGROUND The role of mastication on gastroesophageal reflux disease (GERD) is unknown. AIMS To assess whether reduced masticatory function predicts GERD and esophageal dysphagia in patients investigated with upper endoscopy. METHODS In this cross-sectional study, 179 adult patients referred for elective upper gastrointestinal endoscopy agreed to participate. Before endoscopy, an expert dentist performed an oral examination and scored chewing function in three levels (normal, regular, and reduced). Patients replied questionnaires for assessment of GERD (heartburn, regurgitation, and dysphagia), xerostomia, and mastication (normal, regular, and reduced). Poor chewing was defined when either oral examination or mastication questionnaire rated the chewing function as reduced. Associations of mastication with GERD and dysphagia were estimated using Poisson regression. RESULTS Eleven patients were excluded. Among 168 analyzed (aging 49.8 ± 15.5 years; 58.9% women), 46 had reduced masticatory function (27.4%), and 122 had regular/normal mastication (72.6%). Reduced mastication was associated with GERD [PR = 1.38 (95%CI 1.12 - 1.70)], adjusting for age, and with esophageal dysphagia [PR = 2.03 (95%CI 1.02 - 4.04)], adjusting for age and xerostomia. CONCLUSIONS In outpatients referred for upper gastrointestinal endoscopy, reduced masticatory function defined by an expert dentist may be a risk factor for GERD and esophageal dysphagia.
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Affiliation(s)
- Roberta Neuwald Pauletti
- Programa de Pós-Graduação em Odontologia, Faculdade de Odontologia, Universidade de Passo Fundo (UPF), Passo Fundo-RS, Brazil
| | | | | | | | - Fernando Fornari
- Programa de Pós-Graduação em Odontologia, Faculdade de Odontologia, Universidade de Passo Fundo (UPF), Passo Fundo-RS, Brazil; Faculdade de Medicina, UPF, Passo Fundo, Brazil; Clínica Endopasso, Passo Fundo, Brazil.
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Ruf S, Proff P, Lisson J. [Health relevance of malocclusions and their treatment]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2021; 64:918-923. [PMID: 34236450 PMCID: PMC8316184 DOI: 10.1007/s00103-021-03372-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Accepted: 06/08/2021] [Indexed: 12/02/2022]
Abstract
Zahn- und Kieferfehlstellungen gehören zu den häufigsten Mundgesundheitsbeeinträchtigungen beim Menschen. Der vorliegende Beitrag gibt eine Übersicht zu deren Ursachen, Häufigkeit und Folgen. Er zeigt die präventiven und kurativen Möglichkeiten kieferorthopädischer Behandlungen auf und gibt Informationen zu deren rechtlichen Rahmenbedingungen in Deutschland. Inanspruchnahme und Qualität der kieferorthopädischen Versorgung werden im internationalen Vergleich dargestellt. Bei den Ursachen für Zahn- und Kieferfehlstellungen spielen genetische, epigenetische, funktionelle und umweltbedingte Faktoren eine Rolle, die individuell meist nicht eindeutig feststellbar sind. Bisher zeigen nur kleinere Querschnittsstudien, dass bis zu 80 % der Kinder in Deutschland betroffen sind. Essen, Trinken, Kauen, Sprechen und Atmen können beeinträchtigt sein, die Neigung zu Parodontalerkrankungen sowie Überlastungsschäden von Kiefergelenk und Kaumuskulatur sind erhöht. Bei einer Proklination der oberen Schneidezähne steigt die Gefahr von Frontzahntraumata. Fehlstellungen können zudem negative psychosoziale Folgen oder Einschränkungen der Lebensqualität zur Folge haben. Kieferorthopädische Behandlungen leisten in Kooperation mit anderen (zahn-)medizinischen Fachdisziplinen einen wichtigen präventiven bzw. kurativen Beitrag zur Verbesserung der Mundgesundheit, der Allgemeingesundheit und der Lebensqualität. Die Kieferorthopädie bietet ein erhebliches Potenzial für die Stärkung der zahnärztlichen Prävention im Gesundheitswesen, zumal die gesetzliche Krankenversicherung (GKV) eine breitflächige Versorgung der Bevölkerung mit kieferorthopädischen Leistungen auf international anerkanntem, hohem Niveau ermöglicht. Um die Prävention weiter zu verbessern, wird die Einführung eines kieferorthopädischen Screenings im 7.–8. Lebensjahr als systematische Vorsorge empfohlen.
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Affiliation(s)
- Sabine Ruf
- Poliklinik für Kieferorthopädie, Justus-Liebig-Universität Gießen, Schlangenzahl 14, 35392, Gießen, Deutschland.
| | - Peter Proff
- Poliklinik für Kieferorthopädie, Universitätsklinikum Regensburg, Regensburg, Deutschland
| | - Jörg Lisson
- Klinik für Kieferorthopädie, Universität des Saarlandes, Homburg/Saar, Deutschland
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Sumonsiri P, Thongudomporn U, Paphangkorakit J, Premprabha T. Assessment of the relationship between masticatory performance, occlusal contact area, chewing time and cycles, and gastric emptying scintigraphy in dentate subjects. J Oral Rehabil 2019; 46:787-791. [PMID: 31046154 DOI: 10.1111/joor.12812] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Revised: 03/08/2019] [Accepted: 04/25/2019] [Indexed: 12/14/2022]
Abstract
BACKGROUND Good mastication is thought to help digestion in the stomach, hence promoting the health of the gastrointestinal system. However, the correlation between masticatory and gastric function has been controversial. This is partly explained by different food types used to assess the performance of the two organs. Recently, frankfurter sausage has been proposed to be suitable for both masticatory performance and gastric emptying tests. OBJECTIVES To examine the relationship between masticatory performance, occlusal contact area, chewing time and cycles, and gastric emptying scintigraphy parameters in healthy dentate adults. MATERIALS AND METHODS Forty healthy subjects (15 men: 25 women, age 23.9 ± 3.8 years) underwent masticatory performance tests and gastric emptying scintigraphy using frankfurter sausage as a test food. Masticatory performance was calculated as the median particle size (MPS) of chewed frankfurter sausage cubes after 30 chewing cycles. Gastric emptying scintigraphy was performed using frankfurter sausage mixed with technetium-99 m-labelled microwaved egg meal. Cumulative occlusal areas of contact-near contact (cACNC) were determined by silicone bite registration and image-analysed. Chewing time and cycles before swallowing were also recorded. RESULTS No significant differences in MPS, cACNC, chewing time and cycles, or gastric emptying parameters were observed between gender. Bivariate correlation showed masticatory performance, occlusal contact area, chewing time and cycles were not correlated with gastric emptying parameters (P > 0.05). CONCLUSION Using the same test food to assess the masticatory and gastric function in dentate subjects, the present study showed that masticatory performance, occlusal contacts, chewing time and cycles did not affect gastric emptying.
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Affiliation(s)
- Pattra Sumonsiri
- Orthodontic Section, Department of Preventive Dentistry, Faculty of Dentistry, Prince of Songkla University, Songkhla, Thailand
| | - Udom Thongudomporn
- Orthodontic Section, Department of Preventive Dentistry, Faculty of Dentistry, Prince of Songkla University, Songkhla, Thailand
| | - Jarin Paphangkorakit
- Department of Oral Biomedical Sciences, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand.,Neuroscience Research and Development Group, Khon Kaen University, Khon Kaen, Thailand
| | - Teerapon Premprabha
- Department of Radiology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand
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Mitteilungen DGKFO. J Orofac Orthop 2018. [DOI: 10.1007/s00056-018-0152-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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