Minakuchi Shunsuke, Tsuga Kazuhiro, Ikebe Kazunori, Ueda Takayuki, Tamura Fumiyo, Nagao Kan, Furuya Junichi, Matsuo Koichiro, Yamamoto Ken, Kanazawa Manabu, Watanabe Yutaka, Hirano Hirohiko, Kikutani Takeshi, Sakurai Kaoru
Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Department of Advanced Prosthodontics, Hiroshima University Institute of Biomedical and Health Sciences, Hiroshima, Japan.
Gerodontology. 2018 Dec;35(4):317-324. doi: 10.1111/ger.12347. Epub 2018 Jun 8.
There is growing international interest in identifying the effects of ageing on oral health and on appropriate strategies for managing oral disorders. The Japanese Society of Gerodontology (JSG), as the official representative of researchers and clinicians interested in geriatric dentistry in Japan, makes several recommendations on the concept of "oral hypofunction."
This study proposes diagnostic criteria and management strategies to reduce the risk of oral hypofunction among older people.
We define oral hypofunction as a presentation of 7 oral signs or symptoms: oral uncleanness; oral dryness; decline in occlusal force; decline in motor function of tongue and lips; decline in tongue pressure; decline in chewing function; and decline in swallowing function. The criteria of each symptom were determined based on the data of previous studies, and oral hypofunction was diagnosed if the criteria for 3 or more signs or symptoms were met.
We recommend that more evidence should be gathered from clinical studies and trials to clarify our diagnostic criteria and management strategies.
国际上对确定衰老对口腔健康的影响以及管理口腔疾病的适当策略的兴趣日益浓厚。日本老年牙科学会（JSG）作为日本老年牙科学领域研究人员和临床医生的官方代表，就“口腔功能减退”的概念提出了多项建议。
本研究提出诊断标准和管理策略，以降低老年人发生口腔功能减退的风险。
我们将口腔功能减退定义为出现7种口腔体征或症状：口腔清洁度差；口腔干燥；咬合力下降；舌和唇运动功能下降；舌压力下降；咀嚼功能下降；吞咽功能下降。每种症状的标准根据以往研究数据确定，如果符合3种或更多体征或症状的标准，则诊断为口腔功能减退。
我们建议应从临床研究和试验中收集更多证据，以明确我们的诊断标准和管理策略。
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