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Can tongue bolus holding be the key to the prevention from aspiration?

Research Project

Project/Area Number 16591954
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field 補綴理工系歯学
Research InstitutionHIROSHIMA UNIVERSITY

Principal Investigator

YOSHIDA Mitsuyoshi  Hiroshima University, Graduate school of Biomedical Sciences, Research Associate, 大学院・医歯学総合研究科, 助手 (50284211)

Co-Investigator(Kenkyū-buntansha) AKAGAWA Yasumasa  Hiroshima University, Graduate school of Biomedical Sciences, Professor, 大学院・医歯学総合研究科, 教授 (00127599)
TSUGA Kazuhiro  Hiroshima University, Graduate school of Biomedical Sciences, Associate Professor, 大学院・医歯学総合研究科, 助教授 (60217289)
TAJI Tsuyoshi  Hiroshima University, Hospital, Research Associate, 病院・助手 (80284214)
Project Period (FY) 2004 – 2005
Project Status Completed (Fiscal Year 2005)
Budget Amount *help
¥3,400,000 (Direct Cost: ¥3,400,000)
Fiscal Year 2005: ¥2,000,000 (Direct Cost: ¥2,000,000)
Fiscal Year 2004: ¥1,400,000 (Direct Cost: ¥1,400,000)
KeywordsTongue pressure / Swallowing
Research Abstract

We developed a device for tongue pressure (TP) measurement (Grant- in aid for scientific research (C) 14571845) and found out a deterioration of TP in the elderly (Int.J.Prosthodont, 2002). Then, an idea that the deterioration of TP would take part in the delay of swallowing by aging occurred to us.
In measuring TP by our device, central incisors gently touch the probes, and lips are closed in the same manner as when sipping with a straw. It means this is a situation of slight opened mouth. So, additional examination was started to know whether there was a possibility that data of TP during swallowing measured by our device might be different from TP during swallowing in daily life. The comparison between data under the condition of closed mouth from KAY co.'s TP device and data from our device was done. And we found out that the data quality of ours is as same as KAY's.
In addition, whether the presence of occlusal contact during the preparation stage had an influence on swallowing function in the elderly were examined by Videofluorography. Results were 1;occlusal contacts were found with a significantly greater frequency and occurrence in the elderly than young people and 2;pharyngeal close and laryngeal elevation were started earlier in the elderly who had occlusal contacts than in the elderly who had no occlusal contact.
In our past report, laryngeal penetration was significantly greater in frequency in edentulous elderly when not wearing dentures than in dentulous elderly (JAGS, 2006). Laryngeal penetration is one of risk factors for aspiration pneumonia. Accordingly, the results suggest that jaw stabilization by occlusal contact and keeping appropriate tongue pressure might work for a protection from aspiration pneumonia and laryngeal penetration in the elderly who reduced neuromuscular reserve by aging.

Report

(3 results)
  • 2005 Annual Research Report   Final Research Report Summary
  • 2004 Annual Research Report
  • Research Products

    (5 results)

All 2006 2005

All Journal Article (5 results)

  • [Journal Article] Influence of aging and denture use on liquid swallowing in healthy dentulous and edentulous older people2006

    • Author(s)
      Mineka Yoshikawa
    • Journal Title

      JAGS 54

      Pages: 444-449

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Influence of aging and denture use on liquid swallowing in healthy dentulous and edentulous older people.2006

    • Author(s)
      Mineka Yoshikawa
    • Journal Title

      JAGS 54

      Pages: 444-449

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Aspects of swallowing in healthy dentate elderly persons older than 80 years2005

    • Author(s)
      Mineka Yoshikawa
    • Journal Title

      Journal of Gerontology : MEDICAL SCIENCES 60A

      Pages: 506-509

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Aspects of swallowing in healthy dentate elderly persons older than 80 years.2005

    • Author(s)
      Mineka Yoshikawa
    • Journal Title

      Journal of Gerontology : MEDICAL SCIENCES 60A

      Pages: 506-509

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2005 Final Research Report Summary
  • [Journal Article] Aspects of swallowing in healthy dentate elderly persons older than 80 years2005

    • Author(s)
      Mineka Yoshikawa, Mitsuyoshi Yoshida, Tosgikazu Nagasaki, Keiji Tanimoto, Kazuhiro Tsuga, Yasumasa Akagawa, Teruki Komatsu
    • Journal Title

      Journal of Gerontology : MEDICAL SCIENCES 60A

      Pages: 506-509

    • Related Report
      2005 Annual Research Report

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Published: 2004-04-01   Modified: 2016-04-21  

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