Gözde Şengül AYÇİÇEK, Güneş ARIK, Muhammet Cemal KIZILARSLANOĞLU, Büşra CAN, İhsan YIKILGAN, Mahmut DUYMUŞ, Zekeriya ÜLGER

Masseter Kas Kalınlığı ve Yutma Fonksiyonlarını Tahmin Etmede Çene Isırma Kuvvetinin Yeri

Amaç: Çiğneme kaslarında ve dişlerde yaşa bağlı değişiklikler, yaşlılarda yetersiz beslenmeden ölüme kadar geniş bir yelpazede sorunlara yol açar. Bu çalışmanın amacı çene ısırma kuvveti, çiğneme kas kalınlığı ve yutma güçlüğü arasındaki ilişkiyi incelemektir. Gereç ve Yöntem: Çalışmaya toplam 58 hasta (65 yaş üstü 47 ve 11 genç) dahil edildi. Yaşlı erişkinlerin kapsamlı geriatrik değerlendirmesinin ardından her iki grupta da çene ısırma kuvveti basınca duyarlı sensör ile değerlendirildi ve çiğneme kasları kalınlıkları ultrason ile ölçüldü. Yutma güçlüğü yeme değerlendirme aracı (EAT-10) ile belirlendi. Bulgular: Ortanca yaş 71 yıl idi (minimum-maksimum: 21-85) ve katılımcıların %48,3’ü kadındı. Bilateral çene ısırma kuvveti skorları ve masseter kas kalınlıkları yaşlı hastalarda genç hastalara göre, diş protezi olanlarda ise protezi olmayanlara göre daha düşüktü (sırasıyla p

Jaw Bite Force to Predict Masseter Muscle Thickness and Swallowing Functions

Objectives: The age-related changes in the masticatory muscles and teeth lead to large spectrum of problems from malnutrition to death in the elderly. The aim of this study is to investigate the relationship among bite strength, chewing muscle thickness, and swallowing difficulty. Materials and Methods: A total of 58 patients (47 over 65 years old and 11 young) were included in the study. After a comprehensive geriatric assessment of the older adults, the jaw bite force was assessed with pressure sensitive sensor and chewing muscles thicknesses were measured with ultrasound in both groups. The swallowing difficulty was determined by the eating assessment tool (EAT-10). Results: The median age was 71 years (minimum-maximum: 21-85) and 48.3% of the participants were women. Bilateral jaw bite force scores and masseter muscles thicknesses were lower in the elderly than in the young patients and in the patients with tooth prosthesis than in those without prosthesis (p

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1. Müller F, Hernandez M, Grütter L, et al. Masseter muscle thickness, chewing efficiency and bite force in edentulous patients with fixed and removable implant-supported prostheses: a cross-sectional multicenter study. Clin Oral Implants Res. 2012;23:144-150.
2. Kikutani T, Yoshida M, Enoki H, et al. Relationship between nutrition status and dental occlusion in community-dwelling frail elderly people. Geriatr Gerontol Int. 2013;13:50-54.
3. Bhoyar PS, Godbole SR, Thombare RU, et al. Effect of complete edentulism on masseter muscle thickness and changes after complete denture rehabilitation: an ultrasonographic study. J Investig Clin Dent. 2012;3:45- 50.
4. Newton JP, Yemm R, Abel RW, et al. Changes in human jaw muscles with age and dental state. Gerodontology. 1993;10:16-22.
5. Sahyoun NR, Lin CL, Krall E. Nutritional status of the older adult is associated with dentition status. J Am Diet Assoc. 2003;103:61-66.
6. Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48:16-31.
7. Machida N, Tohara H, Hara K, et al. Effects of aging and sarcopenia on tongue pressure and jaw-opening force. Geriatr Gerontol Int. 2017;17:295- 301.
8. Wakasugi Y, Tohara H, Machida N, et al. Can grip strength and/or walking speed be simple indicators of the deterioration in tongue pressure and jaw opening force in older individuals? Gerodontology. 2017;34:455-459.
9. Vellas B, Guigoz Y, Garry PJ, et al. The Mini Nutritional Assessment (MNA) and its use in grading the nutritional state of elderly patients. Nutrition. 1999;15:116-122.
10. Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged. The index of ADL: A standardized measure of biological and psychosocial function. JAMA. 1963;185:914-91.
11. Arik G, Varan HD, Yavuz BB, et al. Validation of Katz index of independence in activities of daily living in Turkish older adults. Arch Gerontol Geriatr. 2015;61:344-350.
12. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9:179-186.
13. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189-198.
14. Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982-1983;17:37-49.
15. Yamaguchi K, Tohara H, Hara K, et al. Relationship of aging, skeletal muscle mass, and tooth loss with masseter muscle thickness. BMC Geriatr. 2018;18:67.
16. Flanagan D, Ilies H, O’Brien B, et al. Jaw bite force measurement device. J Oral Implantol. 2012;38:361-364.
17. Pernambuco Lde A, Silva HJ, Lima LM, et al. Electrical activity of masseter muscle in young adults during swallowing of liquid. J Soc Bras Fonoaudiol. 2011;23:214-219.
18. Hiraoka K. Effect of teeth clenching on swallowing motor patterns in humans. Int J Neurosci. 2006;116:1005-1012.
19. Umay EK, Yaylaci A, Saylam G, et al. The effect of sensory level electrical stimulation of the masseter muscle in early stroke patients with dysphagia: A randomized controlled study. Neurol India. 2017;65:734-742.
20. Gaszynska E, Godala M, Szatko F, et al. Masseter muscle tension, chewing ability, and selected parameters of physical fitness in elderly care home residents in Lodz, Poland. Clin Interv Aging. 2014;9:1197-1203.