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Ignatova-Mishutina T, Khoury-Ribas L, Flores-Orozco EI, Rovira-Lastra B, Martinez-Gomis J. Influence of masticatory side switch frequency on masticatory mixing ability and sensory perception in adults with healthy dentitions: A randomized crossover trial. J Prosthet Dent 2024; 131:1093-1103. [PMID: 37062609 DOI: 10.1016/j.prosdent.2023.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 03/06/2023] [Accepted: 03/07/2023] [Indexed: 04/18/2023]
Abstract
STATEMENT OF PROBLEM The advantages and disadvantages of frequently changing sides while masticating remain unclear. PURPOSE The purpose of this clinical study was to determine the effect of varying the frequency of masticatory side switches on masticatory mixing ability and sensory perception in dentate adults. MATERIAL AND METHODS This nonblinded, randomized 12-period crossover study, conducted at Barcelona Dental School from January to March 2022, included 36 healthy adults with natural dentitions (median age, 23.5 years; 26 women). Participants were randomly allocated to 12 sequences and performed 12 masticatory assays masticating a 2-colored gum for 40 cycles each using the following masticatory styles as interventions: freestyle, unilateral right, unilateral left, and switching sides 5%, 15%, and 25%. The primary outcome was the mixing ability index (MAI), defined as the standard deviation of the red channel intensity of the masticated gum in the color-histogram plugin of the ImageJ software program. Participants also rated the perceived flavor intensity and salivary flow on a visual analog scale. Data were analyzed by repeated measures analysis of variance (α=.05). RESULTS The MAI was similar for all masticatory styles (P=.63). Participants perceived greater flavor intensity (mean difference: 8%, 95% CI: 1% to 15%) and salivary flow (mean difference: 11%, 95% CI: 0% to 21%) with 25% side switching compared with freestyle or unilateral mastication. CONCLUSIONS Frequently switching the masticatory side while masticating gum does not alter the mixing ability, but it appears to enhance salivary flow and flavor intensity.
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Affiliation(s)
- Tatiana Ignatova-Mishutina
- PhD Student, Department of Odontostomatology, Faculty of Medicine and Health Sciences, University of Barcelona, Catalonia, Spain
| | - Laura Khoury-Ribas
- Assistant Professor, Department of Odontostomatology, Faculty of Medicine and Health Sciences, University of Barcelona, Catalonia, Spain
| | - Elan Ignacio Flores-Orozco
- Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, Autonomous University of Nayarit, Tepic, Mexico
| | - Bernat Rovira-Lastra
- Assistant Professor, Department of Odontostomatology, Faculty of Medicine and Health Sciences, University of Barcelona, Catalonia, Spain
| | - Jordi Martinez-Gomis
- Associate Professor, Serra Hunter Fellow, Department of Odontostomatology, Faculty of Medicine and Health Sciences, University of Barcelona, Catalonia, Spain; and Researcher, Oral Health and Masticatory System Group (Bellvitge Biomedical Research Institute) IDIBELL, L'Hospitalet de Llobregat, Barcelona, Catalonia, Spain.
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Rius-Bonet O, Roca-Obis P, Zamora-Olave C, Willaert E, Martinez-Gomis J. Diagnostic accuracy of clinical signs to detect erosive tooth wear in its early phase. J Oral Rehabil 2024; 51:861-869. [PMID: 38186266 DOI: 10.1111/joor.13653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 08/19/2023] [Accepted: 12/28/2023] [Indexed: 01/09/2024]
Abstract
BACKGROUND Agreement exists about most of the clinical features of erosive tooth wear, though no evidence supports their validity in diagnosing the condition. OBJECTIVE This study aimed to determine the accuracy of clinical signs for diagnosing erosive tooth wear in a young adult general population. METHODS We conducted a cross-sectional study of dental students. In the first session, two examiners independently determined the presence of erosive tooth wear based on glazed enamel surfaces, morphological changes on non-occlusal surfaces, flattening of convex areas, or any type of concavity. In the second session, one examiner recorded the presence of clinical signs according to the Tooth Wear Evaluation System. The diagnostic accuracy of each clinical sign, both alone and combined, was assessed by calculating their sensitivity and specificity for detecting erosive tooth wear and performing multivariate logistic regression models. RESULTS Of the 147 participants (78 women and 69 men; median age, 22 years) we included, 76.2% had erosive tooth wear. The single clinical signs with greatest balance between the sensitivity and specificity were 'convex areas flatten' (63% and 71%, respectively) and 'dull surface' (47% and 89%, respectively). Multivariate logistic regression revealed that 'preservation of the enamel cuff' (odds ratio, 22) and the combination of 'smooth silky shining, silky glazed appearance, and dull surface' (odds ratio, 68) had the best predictive values. CONCLUSIONS The most accurate clinical signs for detecting early erosive tooth wear were dull surface, flattened convex areas and preservation of the enamel cuff.
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Affiliation(s)
- Ona Rius-Bonet
- Department of Prosthodontics, School of Dentistry, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Catalonia, Spain
| | - Paula Roca-Obis
- Department of Oral Medicine, School of Dentistry, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Catalonia, Spain
| | - Carla Zamora-Olave
- Department of Prosthodontics, School of Dentistry, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Catalonia, Spain
- Oral Health and Masticatory System Group (Bellvitge Biomedical Research Institute) IDIBELL, Barcelona, Catalonia, Spain
| | - Eva Willaert
- Department of Prosthodontics, School of Dentistry, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Catalonia, Spain
- Oral Health and Masticatory System Group (Bellvitge Biomedical Research Institute) IDIBELL, Barcelona, Catalonia, Spain
| | - Jordi Martinez-Gomis
- Department of Prosthodontics, School of Dentistry, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Catalonia, Spain
- Oral Health and Masticatory System Group (Bellvitge Biomedical Research Institute) IDIBELL, Barcelona, Catalonia, Spain
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Flores-Orozco EI, Ignatova-Mishutina T, Hernandez-Zamora MO, De-Haro-López C, Osuna-Hernández MG, Escobedo-Jiménez XP, Flores-Hernández FL, Rodríguez-Correa L, Rovira-Lastra B, Martinez-Gomis J. Side switch frequency while masticating different chewing materials, and its relationship with other masticatory behaviors and sensory perceptions. Arch Oral Biol 2023; 155:105804. [PMID: 37722154 DOI: 10.1016/j.archoralbio.2023.105804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Revised: 08/26/2023] [Accepted: 09/10/2023] [Indexed: 09/20/2023]
Abstract
OBJECTIVE This cross-sectional study aimed to establish normative values for masticatory side switch (MSS) frequency in young Mexican adults and to assess the relationship between various indices and MSS frequency when masticating different chewing materials. DESIGN We enrolled 101 dentate adults and performed four masticatory assays that involved masticating different chewing materials (i.e., two-colored chewing gum, sweet cracker, salty cracker, and bread). Participants were asked to eat and swallow these foods and to chew the gum for 40 cycles and the following indices were determined: MSS index (MSSI), unilateral chewing index, chewing cycle duration, and number of cycles before terminal swallowing. The participants then rated perceived flavor intensity, salivary flow, and muscle fatigue during each trial. RESULTS The MSSI ranged from 0.03-0.06 (10th percentile) to 0.48-0.54 (90th percentile). A repeated-measures general linear model revealed a mean MSSI value of 0.28 (95 %CI, 0.25-0.30) adjusted by several factors. Male sex, soft food, and the last chewing period were associated with lower MSS frequency. Spearman's test showed a high correlation for the MSSI among the different foods. MSSI correlated negatively with the unilateral chewing index for each chewing material and with number of cycles for the sweet cracker. However, no significant correlation was detected between MSSI and sensory perception. CONCLUSIONS In healthy dentate individuals, the mean MSS relative frequency is 25-30 % with an 80-central percentile of 5-50 % of the maximum possible side changes. Lower MSS frequencies were detected in men, when chewing soft food, and during the final chewing period.
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Affiliation(s)
- Elan Ignacio Flores-Orozco
- Department of Prosthodontics, Faculty of Dentistry, Autonomous University of Nayarit, Edificio de la Unidad Académica de Odontología, Ciudad de la Cultura Amado Nervo, Tepic, C.P. 63155, Nayarit, Mexico
| | - Tatiana Ignatova-Mishutina
- Department of Odontostomatology, Faculty of Medicine and Health Sciences, University of Barcelona, Campus de Bellvitge, Pavelló de govern, C/Feixa llarga, s/n 08907 L'Hospitalet de Llobregat, Barcelona, Catalonia, Spain
| | - Miranda Oryana Hernandez-Zamora
- Department of Prosthodontics, Faculty of Dentistry, Autonomous University of Nayarit, Edificio de la Unidad Académica de Odontología, Ciudad de la Cultura Amado Nervo, Tepic, C.P. 63155, Nayarit, Mexico
| | - Cristina De-Haro-López
- Department of Prosthodontics, Faculty of Dentistry, Autonomous University of Nayarit, Edificio de la Unidad Académica de Odontología, Ciudad de la Cultura Amado Nervo, Tepic, C.P. 63155, Nayarit, Mexico
| | - Mireya Guadalupe Osuna-Hernández
- Department of Prosthodontics, Faculty of Dentistry, Autonomous University of Nayarit, Edificio de la Unidad Académica de Odontología, Ciudad de la Cultura Amado Nervo, Tepic, C.P. 63155, Nayarit, Mexico
| | - Ximena Paola Escobedo-Jiménez
- Department of Prosthodontics, Faculty of Dentistry, Autonomous University of Nayarit, Edificio de la Unidad Académica de Odontología, Ciudad de la Cultura Amado Nervo, Tepic, C.P. 63155, Nayarit, Mexico
| | - Frida Livier Flores-Hernández
- Department of Prosthodontics, Faculty of Dentistry, Autonomous University of Nayarit, Edificio de la Unidad Académica de Odontología, Ciudad de la Cultura Amado Nervo, Tepic, C.P. 63155, Nayarit, Mexico
| | - Lizbeth Rodríguez-Correa
- Department of Prosthodontics, Faculty of Dentistry, Autonomous University of Nayarit, Edificio de la Unidad Académica de Odontología, Ciudad de la Cultura Amado Nervo, Tepic, C.P. 63155, Nayarit, Mexico
| | - Bernat Rovira-Lastra
- Department of Odontostomatology, Faculty of Medicine and Health Sciences, University of Barcelona, Campus de Bellvitge, Pavelló de govern, C/Feixa llarga, s/n 08907 L'Hospitalet de Llobregat, Barcelona, Catalonia, Spain; Oral Health and Masticatory System Group (Bellvitge Biomedical Research Institute) IDIBELL, Campus de Bellvitge, C/Feixa llarga, s/n 08907 L'Hospitalet de Llobregat, Barcelona, Catalonia, Spain
| | - Jordi Martinez-Gomis
- Department of Odontostomatology, Faculty of Medicine and Health Sciences, University of Barcelona, Campus de Bellvitge, Pavelló de govern, C/Feixa llarga, s/n 08907 L'Hospitalet de Llobregat, Barcelona, Catalonia, Spain; Oral Health and Masticatory System Group (Bellvitge Biomedical Research Institute) IDIBELL, Campus de Bellvitge, C/Feixa llarga, s/n 08907 L'Hospitalet de Llobregat, Barcelona, Catalonia, Spain.
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