Department of Oral Epidemiology, Program of Oral Health Sciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima, 734-8553, Japan.
Department of Advanced Prosthodontics, Program of Dentistry, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima, 734-8553, Japan.
Odontology. 2021 Jul;109(3):710-718. doi: 10.1007/s10266-021-00594-4. Epub 2021 Feb 26.
Although the life expectancy of women is over 80 years in many countries, oral sensation has scarcely been compared between adults ≥ 80 years and younger age groups. The purpose of this study was to clarify age-related changes in oral sensation throughout adulthood. After exclusion of individuals with factors that might have confounded somatosensory performance, 123 female participants were divided into four age groups: 20-39 years, 40-59 years, 60-79 years, and 80-96 years. Perceptions of tactile and thermal sensations were examined at points on the anterior and posterior palate, anterior and posterior tongue, lower labial-attached gingiva, lower lip, and buccal mucosa; two-point discrimination was examined only on the tongue. The tactile and two-point discrimination thresholds for the anterior and posterior tongue were significantly higher in the 80-96-year-old group than in any other age group (p < 0.05). The tactile threshold for the buccal mucosa was significantly higher in the 80-96-year-old group than in the 60-79-year-old group (p < 0.05). The percentage of participants able to perceive a warm stimulus (50 °C) in the buccal mucosa was significantly lower in the 80-96-year-old group than in the 20-39-year-old group (p < 0.05). Only the topography of the warm sensation perception changed with age. This cross-sectional study suggests that oral tactile and thermal sensation for warm stimuli deteriorates with age in a site-specific manner, especially after the age of 80 years, but the same does not occur with cool stimuli.
虽然在许多国家,女性的预期寿命超过 80 岁,但很少有人将 80 岁及以上成年人与年轻年龄组的口腔感觉进行比较。本研究旨在阐明整个成年期口腔感觉的年龄相关性变化。排除可能影响体感表现的因素后,共有 123 名女性参与者被分为四个年龄组:20-39 岁、40-59 岁、60-79 岁和 80-96 岁。在 123 名女性中,分别对前腭、后腭、前舌、后舌、下唇附着龈、下唇和颊粘膜的触觉和温度感觉进行了检测;仅在舌部进行了两点辨别测试。80-96 岁组的前舌和后舌的触觉和两点辨别阈值明显高于其他年龄组(p<0.05)。80-96 岁组颊粘膜的触觉阈值明显高于 60-79 岁组(p<0.05)。80-96 岁组能感知颊粘膜 50°C 温暖刺激的参与者比例明显低于 20-39 岁组(p<0.05)。只有温热感觉的感知部位随年龄发生变化。这项横断面研究表明,口腔触觉和温热感觉随年龄的增长而呈特定部位的恶化,尤其是 80 岁以后,但冷刺激则不会出现这种情况。