Bourdiol Pierre, Hennequin Martine, Peyron Marie-Agnes, Woda Alain
CROC EA 4847, Faculty of Dentistry, Université Clermont Auvergne, Clermont-Ferrand, France.
CHU Clermont-Ferrand, Clermont-Ferrand, France.
Front Physiol. 2020 Apr 3;11:263. doi: 10.3389/fphys.2020.00263. eCollection 2020.
This review deals with the frequent wide variability of masticatory capacity/incapacity. Neither researchers nor clinicians have taken sufficient account of this variability despite its implications for nutrition. Mastication in normal healthy oral conditions is first described, followed by a short presentation of the mechanisms of masticatory adaptation in the nervous system. Capacity, incapacity, and successful compensatory adaptation of mastication are then defined, along with the different methods used for their evaluation. Examples of adaptation needs are given, such as those concomitant with dental wear or occlusal changes. Finally, given its vital importance for deeply impaired mastication/deglutition function, the impact of masticatory adaptation processes on nutrition is examined.
本综述探讨了咀嚼能力/无能力的频繁广泛变异性。尽管这种变异性对营养有影响，但研究人员和临床医生都没有充分考虑到这一点。首先描述了正常健康口腔条件下的咀嚼情况，随后简要介绍了神经系统中咀嚼适应的机制。然后定义了咀嚼的能力、无能力和成功的代偿性适应，以及用于评估它们的不同方法。给出了适应需求的例子，比如与牙齿磨损或咬合变化相关的需求。最后，鉴于咀嚼适应过程对严重受损的咀嚼/吞咽功能至关重要，因此对其对营养的影响进行了研究。
