Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Osaka, Japan.
Division of Comprehensive Prosthodontics, Faculty of Dentistry and Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.
J Clin Periodontol. 2021 Sep;48(9):1208-1215. doi: 10.1111/jcpe.13515. Epub 2021 Jul 8.
We aimed to clarify the association between deterioration of periodontal status and masticatory performance in a longitudinal follow-up study of a general urban population.
This study investigated 663 participants in the Suita study with no changes in the number of functional teeth or occlusal support areas during a 5-year follow-up period. Participants were classified into three groups according to changes in periodontal status during the survey period: a recovered group; a stable group; and a deteriorated group. Rate of masticatory performance change was calculated by subtracting the value at baseline from the value at follow-up and dividing the resulting value by the baseline value.
Median rates of masticatory performance change were -11.7% in the recovered group, -19.2% in the stable group, and -30.8% in the deteriorated group, and these values were significantly different (p < .001). Multiple regression analysis revealed periodontal status group (recovered group: reference; stable group: p = .029; deteriorated group: p = .006) as an independent variable was significantly associated with the rate of masticatory performance change.
The present results suggest that deterioration of periodontal status increases the risk of age-related declines in masticatory performance.
在一项针对一般城市人群的纵向随访研究中,我们旨在阐明牙周状况恶化与咀嚼性能之间的关系。
本研究调查了 Suita 研究中的 663 名参与者,在 5 年的随访期间,他们的功能牙数或咬合支持区域没有变化。根据调查期间牙周状况的变化,参与者被分为三组:恢复组;稳定组;和恶化组。咀嚼性能变化率通过从基线值中减去随访值并将所得值除以基线值来计算。
恢复组的咀嚼性能变化率中位数为-11.7%,稳定组为-19.2%,恶化组为-30.8%,这些值差异显著(p<.001)。多元回归分析显示,牙周状况组(恢复组:参考;稳定组:p=0.029;恶化组:p=0.006)是独立变量,与咀嚼性能变化率显著相关。
本研究结果表明,牙周状况的恶化增加了与年龄相关的咀嚼性能下降的风险。