Master of Science Program in Geriatric Dentistry, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
Department of Community Dentistry, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
Geriatr Gerontol Int. 2023 Jul;23(7):549-557. doi: 10.1111/ggi.14629. Epub 2023 Jun 20.
To evaluate the effect of a salivary gland massage program to improve salivary flow, swallowing, and oral hygiene in older type 2 diabetes patients.
This randomized control trial consisted of 73 older diabetes patients with a low salivary flow; 39 and 34 in intervention and control groups, respectively. The intervention group received a salivary gland massage from a trained dental nurse, whereas the control group received a dental education. The salivary flow rates were collected using spit methods at baseline, 1-month and 3-month follow up. All participants were examined for the objective and subjective symptoms of xerostomia, the Simplified Debris Index and the Repetitive Saliva Swallowing Test.
After 3 months, the resting (0.32 vs 0.14 mL/min, P < 0.001) and stimulating salivary flow (3.66 vs 2.83 mL/min, P = 0.025) in the intervention group was significantly higher than the control group. The objective symptoms in the intervention group were significantly lower than the control group after 3 months (1.41 vs 2.26, P = 0.001). The participants who were able to swallow least three times in the Repetitive Saliva Swallowing Test in the intervention group increased by 35.89% after 3 months, whereas the control group increased by 8.82%. Oral hygiene was improved in both groups, but the changes in the intervention were significantly greater than in the control group.
The 3-month salivary glands massage program increases the salivary flow rate, and affects swallowing, objective dry mouth symptoms and oral hygiene in older patients with type 2 diabetes. Geriatr Gerontol Int 2023; 23: 549-557.
评估唾液腺按摩方案对改善老年 2 型糖尿病患者唾液流率、吞咽和口腔卫生的效果。
本随机对照试验纳入了 73 名唾液流率较低的老年 2 型糖尿病患者，其中 39 名和 34 名患者分别纳入干预组和对照组。干预组接受由经过培训的牙科护士进行的唾液腺按摩，而对照组接受口腔健康教育。在基线、1 个月和 3 个月随访时使用唾液分泌法收集唾液流率。所有参与者均接受口干的客观和主观症状、简化牙菌斑指数和重复唾液吞咽测试的检查。
3 个月后，干预组的静止（0.32 比 0.14 ml/min，P < 0.001）和刺激（3.66 比 2.83 ml/min，P = 0.025）唾液流率明显高于对照组。3 个月后，干预组的客观症状明显低于对照组（1.41 比 2.26，P = 0.001）。在重复唾液吞咽测试中能够吞咽至少 3 次的参与者，干预组在 3 个月后增加了 35.89%，而对照组仅增加了 8.82%。两组的口腔卫生均有所改善，但干预组的变化明显大于对照组。
3 个月的唾液腺按摩方案可提高唾液流率，并影响老年 2 型糖尿病患者的吞咽、客观口干症状和口腔卫生。
