Research Article
Year 2023,
Issue: 21, 943 - 953, 05.01.2024
Abstract
Aim: The aim of this study was to assess the interplay between central facial paralysis and dental characteristics for impaired mastication in sub-acute or chronic-stage stroke patients.
Method: 20 stroke patients and 27 healthy individuals were included in the study. Oral health, oral hygiene, masticatory efficiency, central facial paralysis, and forward head posture of the participants were assessed by OHIP-14 questionnaire, a self-prepared questionnaire, a two-colored chewing gum test, labial commissure, and craniocervical angle measurements. Stroke characteristics and dental characteristics were also assessed.
Results: The sociodemographic and physical characteristics of both groups were similar (p>.05). The dental characteristics of the stroke patients were significantly poor compared to healthy individuals (p<.05). Masticatory efficiency of the stroke patients was nearly half that of the healthy individuals (p<.05). The forward head posture and facial paralysis values of both groups were similar (p>.05).
Conclusion: Our study showed that central facial paralysis gradually loses its effect on impaired mastication in stroke patients and gives its place to dental characteristics. Masticatory muscle activation and increasing postural adaptations like forward head posture may not be preferred by stroke patients. The preferred mastication side might be used to assess the severity or existence of central facial paralysis in stroke patients.
References
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- 2. Saitoh E, Pongpipatpaiboon K, Inamoto Y, Kagaya H. Dysphagia Evaluation and Treatment: From the Perspective of Rehabilitation Medicine. New York: Springer; 2018.
- 3. Driscoll CF, Freilich MA, Guckes AD, Knoernschild KL, McGarry TJ. The glossary of prosthodontic terms. J Prosthet Dent. 2017;117(5):1-105.
- 4. Dai R, Lam OLT, Lo ECM, Li LSW, Wen Y, McGrath C. Orofacial functional impairments among patients following stroke: a systematic review. Oral Dis. 2015;21:836-849.
- 5. Kim IS, Han TR. Influence of mastication and salivation on swallowing in stroke patients. Arch Phys Med Rehabil. 2005;86:1986-1990.
- 6. Zhu HW, McGrath C, McMillan AS, Li LSW. Can caregivers be used in assessing oral health-related quality of life among patients hospitalized for acute medical conditions? Community Dent Oral Epidemiol. 2008;36:27-33.
- 7. Uematsu H, Umezaki N, Sasaki N. Computed tomographic of masticatory muscles in the hemiplegic patients due to cerebrovascular accidents. Jpn J Gerodont. 1990;4:33-36.
- 8. Schimmel M, Leemann B, Herrmann FR, Kiliaridis S, Schnider A, Müller F. Masticatory function and bite force stroke patients. J Dent Res. 2011;90:230-234.
- 9. Kleiman CS. Assisting the stroke patient. Dent Assist. 1981;50:22-23.
- 10. Oh DW, Kang TW, Kim SJ. Effect of stomatognathic alignment exercise on temporomandibular joint function and swallowing function of stroke patients with limited mouth opening. J Phys Ther Sci. 2013;25(10):1325-1329.
- 11. Hori K, Ono T, Iwata H, Nokubi T, Kumakura I. Tongue pressure against hard palate during swallowing in post-stroke patients. Gerodontology. 2005;22:227-233.
- 12. Schimmel M, Leemann B, Schnider A, Herrmann FR, Kiliaridis S, Müller F. Changes in oro-facial function and hand-grip strength during a 2-year observation period after stroke. Clin Oral Invest. 2013;17:867-876.
- 13. Federation Dentaire Internationale. Global goals for oral health in the year 2000. Int Dent J. 1982;32(1):74-77.
- 14. Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO global oral health programme. Community Dent Oral Epidemiol. 2005;33(2):81-92.
- 15. Slagter AP, Bosman F, Van der Bilt A. Comminution of two artificial test foods by dentate and edentulous subjects. J Oral Rehabil. 1993;20:159-176.
- 16. Wiener RC. Tooth loss and stroke: results from the behavioral risk factor surveillance system, 2010. J Dent Hyg. 2014;88(5):285-291.
- 17. Yoshida M, Akagawa Y. The relationship between tooth loss and cerebral stroke. Jpn Dent Sci Rev. 2011;47:157-160.
- 18. Kayser AF. Shortened dental arches and oral function. J Oral Rehabil. 1981;8:457-462.
- 19. Braun BL, Amundson LR. Quantitative assessment of head and shoulder posture. Arch Phys Med Rehabil. 1989;70:322-329.
- 20. Watson DH, Trott PH. Cervical headache: an investigation of natural head posture and upper cervical flexor muscle performance. Cephalalgia. 1993;13(4):272-284.
- 21. Amaral FA, Dall’Agnol SM, Socolovski G, Kich C, Franco GCN, Bortoluzzi MC. Cervical spine range of motion, posture and electromyographic activity of masticatory muscles in temporomandibular disorders. Fisioter Mov. 2020;33:e003325.
- 22. Mani S, Sharma S, Singh DKA. Web plot digitizer software: can it be used to measures neck posture in clinical practice? Asian J Pharm Clin Res. 2018;11(2):86-87.
- 23. Tessitore A, Magna LA, Paschoal JR. Angular measurement for determining muscle tonus in facial paralysis. Pro Fono. 2010;22(2):119-124.
- 24. Schimmel M, Christou P, Miyazaki H, Halazonetis D, Herrmann FR, Müller F. A novel colourimetric technique to assess chewing function using two-coloured specimens: validation and application. J Dent. 2015;43:955-964.
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- 26. Oral Health. World Health Organization. November 18, 2022. Accessed August 10, 2023. https://www.who.int/health-topics/oral-health/.
- 27. Yoshida M, Murakami T, Yoshimura O, Akagawa Y. The evaluation of oral health in stroke patients. Gerodontology. 2012;29(2):489-493.
- 28. Jain R, Roy P, Thomas AM, Kaur P, Pandian JD. Periodontal disease and oral hygiene practices in patients with ischemic stroke. J Health Res. 2015;2(3):203-207.
- 29. Kwok C, Mclntyre A, Janzen S, Mays R, Teasell R. Oral care post stroke: a scoping review. J Oral Rehabil. 2015;42:65-74.
- 30. Manly RS, Braley LC. Masticatory performance and efficiency. J Dent Res. 1949;27:448-462.
- 31. Aras K, Hasanreisoğlu U, Shinogaya T. Masticatory performance, maximum occlusal force, and occlusal contact area in patients with bilaterally missing molars and distal extension removable partial dentures. Int J Prosthodont. 2009;22:204-209.
- 32. Paphangkorakit J, Chaiyapanya N, Sriladloa P, Pimsupa S. Determination of chewing efficiency using muscle work. Arch Oral Biol. 2008;53:533-537.
- 33. Takada K, Yashiro K, Sorihashi Y, Morimoto T, Sakuda M. Tongue, jaw, and lip muscle activity and jaw movement during experimental chewing efforts in man. J Dent Res. 1996;75:1598-1606.
- 34. Konency P, Elfmark M, Horak S, et al. Central facial paresis and its impact on mimicry, psyche and quality of life in patients after stroke. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2014;158(1):133-137.
- 35. Schimmel M, Ono T, Lam OLT, Müller F. Oro-facial impairment in stroke patients. J Oral Rehabil. 2017;44(4):313-326.
- 36. Dursun Ö, Çankaya T. Assessment of temporomandibular joint dysfunction in patients with stroke. J Stroke Cerebrovasc Dis. 2018;27(8):2141-2146.
- 37. Sharma AJ, Nagrath R, Lahori M. Comparative evaluation of chewing efficiency, masticatory bite force, and patient satisfaction between conventional denture and implant-supported mandibular overdenture: An in vivo study. J Indian Prosthodont Soc. 2017;17:361-372.
- 38. Ohmure H, Miyawaki S, Nagata J, Ikeda K, Yamasaki K, Al-Kalaly A. Influence of forward head posture on condylar position. J Oral Rehabil. 2008;35(11):795-800.
Year 2023,
Issue: 21, 943 - 953, 05.01.2024
Abstract
Amaç: Bu çalışmanın amacı subakut ve kronik inme hastalarındaki yetersiz çiğnemede rol oynayan santral fasiyal paralizi ve dental karakteristik arasındaki dinamik ilişkiyi değerlendirmektir.
Yöntem: Çalışmaya 20 inme hastası ve 27 sağlıklı birey dahil edildi. Katılımcıların oral sağlık, oral hijyen, çiğneme etkinliği, santral fasiyal paralizi ve baş anterior tilti OHIP-14 anketi, birey odaklı anket, iki renkli sakız çiğneme testi, labial kommissür ve kranioservikal açı ölçümüyle değerlendirildi. İnme karakteristiği ve dental karakteristik de değerlendirildi.
Bulgular: Her iki grubunda sosyodemografik ve fiziksel karakteristiği benzerdi (p>0,05). Sağlıklı bireylere oranla inme hastalarının dental karakteristiği anlamlı derecede kötüydü (p<0,05). İnme hastalarının çiğneme etkinliği sağlıklı bireylerin neredeyse yarısı kadardı (p<0,05). Her iki grubun da baş postürü ve fasiyal paralizi değerleri benzerdi (p<0,05)
Sonuç: Çalışma, santral fasiyal paralizinin inme hastalarında yetersiz çiğnemedeki etkisini kademeli olarak kaybettiğini ve yerini dental karakteristiğe bıraktığını gösterdi. Baş anterior tilti gibi çiğneme kas aktivasyonunu arttırıcı postüral adaptasyonlar inme hastaları tarafından tercih edilmeyebilir. İnme hastalarında tercih edilen çiğneme tarafı santral fasiyal paralizinin varlığının ve şiddetinin değerlendirilmesinde kullanılabilir.
References
- 1. Okeson JP. Management of Temporomandibular Disorders and Occlusion. 7th ed. Missouri: Mosby/Elsevier; 2013.
- 2. Saitoh E, Pongpipatpaiboon K, Inamoto Y, Kagaya H. Dysphagia Evaluation and Treatment: From the Perspective of Rehabilitation Medicine. New York: Springer; 2018.
- 3. Driscoll CF, Freilich MA, Guckes AD, Knoernschild KL, McGarry TJ. The glossary of prosthodontic terms. J Prosthet Dent. 2017;117(5):1-105.
- 4. Dai R, Lam OLT, Lo ECM, Li LSW, Wen Y, McGrath C. Orofacial functional impairments among patients following stroke: a systematic review. Oral Dis. 2015;21:836-849.
- 5. Kim IS, Han TR. Influence of mastication and salivation on swallowing in stroke patients. Arch Phys Med Rehabil. 2005;86:1986-1990.
- 6. Zhu HW, McGrath C, McMillan AS, Li LSW. Can caregivers be used in assessing oral health-related quality of life among patients hospitalized for acute medical conditions? Community Dent Oral Epidemiol. 2008;36:27-33.
- 7. Uematsu H, Umezaki N, Sasaki N. Computed tomographic of masticatory muscles in the hemiplegic patients due to cerebrovascular accidents. Jpn J Gerodont. 1990;4:33-36.
- 8. Schimmel M, Leemann B, Herrmann FR, Kiliaridis S, Schnider A, Müller F. Masticatory function and bite force stroke patients. J Dent Res. 2011;90:230-234.
- 9. Kleiman CS. Assisting the stroke patient. Dent Assist. 1981;50:22-23.
- 10. Oh DW, Kang TW, Kim SJ. Effect of stomatognathic alignment exercise on temporomandibular joint function and swallowing function of stroke patients with limited mouth opening. J Phys Ther Sci. 2013;25(10):1325-1329.
- 11. Hori K, Ono T, Iwata H, Nokubi T, Kumakura I. Tongue pressure against hard palate during swallowing in post-stroke patients. Gerodontology. 2005;22:227-233.
- 12. Schimmel M, Leemann B, Schnider A, Herrmann FR, Kiliaridis S, Müller F. Changes in oro-facial function and hand-grip strength during a 2-year observation period after stroke. Clin Oral Invest. 2013;17:867-876.
- 13. Federation Dentaire Internationale. Global goals for oral health in the year 2000. Int Dent J. 1982;32(1):74-77.
- 14. Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO global oral health programme. Community Dent Oral Epidemiol. 2005;33(2):81-92.
- 15. Slagter AP, Bosman F, Van der Bilt A. Comminution of two artificial test foods by dentate and edentulous subjects. J Oral Rehabil. 1993;20:159-176.
- 16. Wiener RC. Tooth loss and stroke: results from the behavioral risk factor surveillance system, 2010. J Dent Hyg. 2014;88(5):285-291.
- 17. Yoshida M, Akagawa Y. The relationship between tooth loss and cerebral stroke. Jpn Dent Sci Rev. 2011;47:157-160.
- 18. Kayser AF. Shortened dental arches and oral function. J Oral Rehabil. 1981;8:457-462.
- 19. Braun BL, Amundson LR. Quantitative assessment of head and shoulder posture. Arch Phys Med Rehabil. 1989;70:322-329.
- 20. Watson DH, Trott PH. Cervical headache: an investigation of natural head posture and upper cervical flexor muscle performance. Cephalalgia. 1993;13(4):272-284.
- 21. Amaral FA, Dall’Agnol SM, Socolovski G, Kich C, Franco GCN, Bortoluzzi MC. Cervical spine range of motion, posture and electromyographic activity of masticatory muscles in temporomandibular disorders. Fisioter Mov. 2020;33:e003325.
- 22. Mani S, Sharma S, Singh DKA. Web plot digitizer software: can it be used to measures neck posture in clinical practice? Asian J Pharm Clin Res. 2018;11(2):86-87.
- 23. Tessitore A, Magna LA, Paschoal JR. Angular measurement for determining muscle tonus in facial paralysis. Pro Fono. 2010;22(2):119-124.
- 24. Schimmel M, Christou P, Miyazaki H, Halazonetis D, Herrmann FR, Müller F. A novel colourimetric technique to assess chewing function using two-coloured specimens: validation and application. J Dent. 2015;43:955-964.
- 25. Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997;25:284-290.
- 26. Oral Health. World Health Organization. November 18, 2022. Accessed August 10, 2023. https://www.who.int/health-topics/oral-health/.
- 27. Yoshida M, Murakami T, Yoshimura O, Akagawa Y. The evaluation of oral health in stroke patients. Gerodontology. 2012;29(2):489-493.
- 28. Jain R, Roy P, Thomas AM, Kaur P, Pandian JD. Periodontal disease and oral hygiene practices in patients with ischemic stroke. J Health Res. 2015;2(3):203-207.
- 29. Kwok C, Mclntyre A, Janzen S, Mays R, Teasell R. Oral care post stroke: a scoping review. J Oral Rehabil. 2015;42:65-74.
- 30. Manly RS, Braley LC. Masticatory performance and efficiency. J Dent Res. 1949;27:448-462.
- 31. Aras K, Hasanreisoğlu U, Shinogaya T. Masticatory performance, maximum occlusal force, and occlusal contact area in patients with bilaterally missing molars and distal extension removable partial dentures. Int J Prosthodont. 2009;22:204-209.
- 32. Paphangkorakit J, Chaiyapanya N, Sriladloa P, Pimsupa S. Determination of chewing efficiency using muscle work. Arch Oral Biol. 2008;53:533-537.
- 33. Takada K, Yashiro K, Sorihashi Y, Morimoto T, Sakuda M. Tongue, jaw, and lip muscle activity and jaw movement during experimental chewing efforts in man. J Dent Res. 1996;75:1598-1606.
- 34. Konency P, Elfmark M, Horak S, et al. Central facial paresis and its impact on mimicry, psyche and quality of life in patients after stroke. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2014;158(1):133-137.
- 35. Schimmel M, Ono T, Lam OLT, Müller F. Oro-facial impairment in stroke patients. J Oral Rehabil. 2017;44(4):313-326.
- 36. Dursun Ö, Çankaya T. Assessment of temporomandibular joint dysfunction in patients with stroke. J Stroke Cerebrovasc Dis. 2018;27(8):2141-2146.
- 37. Sharma AJ, Nagrath R, Lahori M. Comparative evaluation of chewing efficiency, masticatory bite force, and patient satisfaction between conventional denture and implant-supported mandibular overdenture: An in vivo study. J Indian Prosthodont Soc. 2017;17:361-372.
- 38. Ohmure H, Miyawaki S, Nagata J, Ikeda K, Yamasaki K, Al-Kalaly A. Influence of forward head posture on condylar position. J Oral Rehabil. 2008;35(11):795-800.
There are 38 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Physiotherapy, Rehabilitation |
| Journal Section | Articles |
| Authors | |
| Early Pub Date | January 8, 2024 |
| Publication Date | January 5, 2024 |
| Acceptance Date | December 11, 2023 |
| Published in Issue | Year 2023 Issue: 21 |
Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)