Functional tooth units and masticatory ability in elderly population

Introduction: The elders are the ones that most often experience tooth loss which affects masticatory function. Masticatory function can be evaluated subjectively through masticatory ability assessment. The masticatory function is influenced by the number of posterior occluding pairs; this also may be called as functional tooth units (FTUs). The purpose of this study was to describe FTUs and masticatory ability in the elderly. Methods: This research was a descriptive study with a cross-sectional study design. Subjects were taken by purposive sampling technique. The study was conducted in the Lebakgede Sub-district, Bandung City. Data mentioned were obtained by conducting interviews regarding data on subject characteristics and questionnaires of masticatory ability, as well as examining the oral cavity to obtain FTUs data. Results: Subjects obtained were 74 people consisting of 63 women (85.14%) and 11 men (14.86%). Based on the results, the average age of the research subjects was 68.49 years, and those with good masticatory ability status were 26 elderly (35.14%) with an average FTU value of 5.9 while 48 elderly (64.86%) had poor masticatory ability status with an average FTU score of 1.5, even 31 subjects (41.89%) had a zero FTU score. Conclusion: The majority of the elderly in this research mostly had a low total FTUs score which means that the masticatory ability status in the elderly tended to be poor.

Associations between the composition of Functional Tooth Units and nutrient intake in older men: The Concord Health and Ageing in Men Project

Objective: Inadequate nutrient intakes have been linked with poor dentition in older adults. The aim of this study was to investigate the associations between composition of Functional Tooth Units (FTUs) and nutrient intakes in older men. Design: A cross-sectional study with a standardized validated diet history assessment and comprehensive oral health assessments. FTUs were categorised by dentition type; (i) Group A (Natural FTUs Only) (ii) Group B (Natural and Replaced FTUs) and (iii) Group C (No Natural FTUs). Attainment of Nutrient Reference Values (NRVs) for 16 micronutrients was incorporated into a Micronutrient Risk variable, dichotomised 'good’ (≥12) or 'poor’ (≤11), and for 7 macronutrients into a Macronutrient Risk variable, dichotomised 'good’ (≥5) or 'poor’ (≤4). Setting: Subjects selected from the local Sydney geographical areas. Participants: Community dwelling older men (n=608). Results: 32% (n=197) of participants were categorized as Group A, 27% (n=167) as Group B and 40% (n=244) as Group C. In adjusted logistic regression analysis being in Group C, compared to Group A, was associated with intakes below NRV recommendations for fibre (OR:2.30, 95%CI 1.30 - 4.05). Adjusted analysis also showed that men in Group C, compared to Group A, were more likely to have poor intake of macronutrients (OR:2.00, 95%CI 1.01 – 3.94). Conclusions: Our study shows statistically significant associations between composition of FTUs and poor macronutrient intakes. Maintaining natural pairs of occluding FTUs may be important for attaining adequate nutrient intakes in older men.

Hubungan Kehilangan Gigi Sebagian Terhadap Status Gizi dan Kualitas Hidup di UPT Pelayanan Sosial Lanjut Usia Binjai Tahun 2020

Kehilangan gigi sebagian pada lansia dalam waktu yang lama dan tidak digantikan dengan gigi palsuakan menyebabkan penurunan fungsi mastikasi yang akan menyebabkan penurunan pada status gizi dankualitas hidupnya. Penelitian ini bertujuan untuk mengetahui hubungan antara kehilangan gigi sebagianterhadap status gizi dan kualitas hidup lansia yang tinggal di UPT Pelayanan Sosial Lanjut Usia Binjaipada tahun 2020. Jenis penelitiannya adalah deskriptif analitik dengan rancangan cross sectional. Sampelpenelitian adalah 67 lansia. Penelitian dilakukan dengan melakukan pemeriksaan rongga mulut,pengukuran berat dan tinggi badan dan pengisian kuesioner GOHAI. Analisis data menggunakan uji Chi-Square. Hasil penelitian menunjukkan terdapat hubungan antara kehilangan gigi sebagian terhadap statusgizi dan kualitas hidup lansia di UPT Pelayanan Sosial Lanjut Usia Binjai Tahun 2020 berdasarkanjumlah gigi yang ada dan jumlah functional tooth units (FTUs) di rongga mulut p=0,0001 (p0,05).Jumlah gigi yang ada dan jumlah functional tooth units (FTUs) di rongga mulut berhubungan penurunankemampuan mastikasi dan menyebabkan status gizi dan kualitas hidup pada lansia.

The influence of functional tooth units on body mass index in the elderly of the Jember Regency

Background: Tooth loss can disrupt the mastication process. Mastication disorders limit the amount of food a person consumes, affecting nutrition. The number of functional tooth units (FTUs) can affect nutritional status, measured using the body mass index (BMI). Purpose: The purpose of this study is to analyse the effect of the number of FTUs on the BMI in the elderly. Methods: This research was conducted in four villages in the Jember Regency. The number of subjects was 189, aged 45 years and over. The number of FTUs was calculated based on the anterior and posterior teeth that have contact with the antagonist and the BMI using the BMI formula. The data was analysed using a linear regression test; the level of significance is 0.005. Results: A simple linear regression test showed that there was significant correlation between FTU and BMI (p=0.366). Conclusion: The number of FTUs affects BMI; the higher the number of FTUs, the greater the BMI.

Masticatory satisfaction, ability, and performance in partially dentate patients after periodontal therapy

Introduction Understanding the effects of periodontal therapy is essential in performance and satisfaction of partially dentate patients. Objective To assess the effect of subgingival periodontal treatment in performance and masticatory satisfaction and ability as reported by partially dentate patients with untreated chronic periodontitis. Materials and method Patients were given nonsurgical periodontal treatment and masticatory satisfaction, ability, and performance were evaluated before and after treatment. Performance was assessed based on sieving chewed standardized chewable material, while satisfaction and ability were analyzed using a questionnaire based on OHIP-EDENT. Result Mean numbers of functional tooth units were 10.36 ± 1.43 anterior and 6.73 ± 0.79 posterior teeth. Masticatory performance did not vary significantly (p = 0.075), and mean particle sizes before and after treatment were 4.23 ± 1.84 mm and 3.90 ± 0.75 mm, respectively. Overall satisfaction and ability scores after treatment were higher (p > 0.05) compared with scores prior to the periodontal intervention. Conclusion Periodontal treatment improves masticatory satisfaction and ability with no effect on performance.