Prevalence and influencing factors of dysphagia in elderly patients
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The purpose of this study was to identify the risk of dysphagia among patients that visited prosthodontics department, and evaluatethe difference in risks arising from oral conditions and disease in order to preliminarily intervene the various influencing factors ofdysphagia. A questionnaire was given to patients that were aged 65 years or older who visited the prosthodontics department betweenSeptember to December 2017. The data was collected and analyzed using the t-test, x2-test and logistic regression analysis. The meanage of the patients was 75 years. Out of 300 patients, 206 patients (68.7%) had a risk of dysphagia. There were statistically significantdifferences between the –non-risk and risk groups, which included the number of natural teeth, total number of teeth includingprosthesis, denture use, denture discomfort, number of tooth brushing, oral dryness, digestive system diseases, and musculoskeletaldiseases. Among these, oral dryness was a risk factor while the total number of teeth, including natural teeth and prostheses, servedas a protective factor. More than half of the elderly patients were at risk of dysphagia. Oral dryness is influenced by many factors andit should continuously be managed. Patients should fully recover their masticatory function by preserving the remaining teeth andcompensating for the missing teeth. A dental practitioner should be fully aware of the risk of dysphagia in elderly patients and be ableto intervene and offer proper patient health care in advance through treatment guidelines and education.
Abstract
The purpose of this study was to identify the risk of dysphagia among patients that visited prosthodontics department, and evaluatethe difference in risks arising from oral conditions and disease in order to preliminarily intervene the various influencing factors ofdysphagia. A questionnaire was given to patients that were aged 65 years or older who visited the prosthodontics department betweenSeptember to December 2017. The data was collected and analyzed using the t-test, x2-test and logistic regression analysis. The meanage of the patients was 75 years. Out of 300 patients, 206 patients (68.7%) had a risk of dysphagia. There were statistically significantdifferences between the –non-risk and risk groups, which included the number of natural teeth, total number of teeth includingprosthesis, denture use, denture discomfort, number of tooth brushing, oral dryness, digestive system diseases, and musculoskeletaldiseases. Among these, oral dryness was a risk factor while the total number of teeth, including natural teeth and prostheses, servedas a protective factor. More than half of the elderly patients were at risk of dysphagia. Oral dryness is influenced by many factors andit should continuously be managed. Patients should fully recover their masticatory function by preserving the remaining teeth andcompensating for the missing teeth. A dental practitioner should be fully aware of the risk of dysphagia in elderly patients and be ableto intervene and offer proper patient health care in advance through treatment guidelines and education.
참고문헌 (26)
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