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Preventing Oral Senescence in the Elderly: Importance of Oral Health

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Entered 2024.03.15 08:38 Entered 2024.03.15 08:38 Modified 2024.03.14 16:39 Views 135

As we age, our muscles decrease, we lose weight, our limbs become thinner, and the muscles in our mouth also degenerate. The main functions of the oral cavity are chewing, swallowing, and speaking. 2017 Professor Katsuya Iijima, University of Tokyo, Japan[1]Presenting the concept of ‘oral senescence’, poor oral condition increases the risk of physical frailty, sarcopenia, disability, and death by 2.4 times, 2.2 times, 2.3 times, and 2.2 times, respectively, in elderly people living in the community, thereby contributing to healthy aging. It is said that it is essential to detect and prevent oral senescence early.

A reliable indicator of the health of the elderly known to date is that a person is said to be healthy if they have 20 or more functioning teeth remaining.

If three or more of the six questions in the picture above are answered, it is judged that ‘oral senescence’ has progressed. Interestingly, elderly people with oral senescence had a mortality rate 2.2 times higher after 4 years than those without oral senescence.

‘Diagnosis criteria and treatment for oral senility,’ a data reported by the Korean Dental Association and the Korean Society of Geriatric Dentistry together with the Korea Institute of Health and Medical Research in August 2022.[2] According to , oral senescence is a decline in physiological function due to a decline in oral and maxillofacial function due to aging, and is an important risk factor for the development and worsening of systemic senescence. For elderly people aged 65 years or older, oral senescence can be diagnosed if a decline in oral function is observed in two or more of the six items, including ➀ masticatory function ➁ bite force ➂ tongue strength ➃ dry mouth ➄ swallowing function ⑥ oral health status. there is.

So today, I asked ChatGPT about oral aging.

As expected, in ChatGPT, you can just answer that you don’t know anything about something new, but they hesitate and say obvious things. What is bedweed, and what is chicarback moss?

As the oral cavity ages, it becomes difficult to chew food well, resulting in poor digestion and poor nutritional status. In particular, as we age, we cannot eat meat, which we need to eat with care, and protein intake becomes even more insufficient, which causes not only the muscles in our limbs but also the muscles in our mouth to shrink. In addition to muscles, protein supplementation is also important for our body’s immune system, which has a negative effect on the overall function of the body and further accelerates aging.

Even as you age, you should not neglect care to maintain 20 or more functioning teeth. Let’s thoroughly clean not only the plaque in the gums but also the tongue and maintain the core functions of the oral cavity properly by exercising the tongue. If oral senescence is suspected, swallowing rehabilitation exercises are also recommended to prevent aspiration pneumonia. Swallowing rehabilitation exercises will be discussed next.

[1] Tanaka T, Takahashi K, Hirano H, Kikutani T, Watanabe Y, Ohara Y, Furuya H, Tetsuo T, Akishita M, Iijima K. Oral Frailty as a Risk Factor for Physical Frailty and Mortality in Community-Dwelling Elderly. J Gerontol A Biol Sci Med Sci. 2018 Nov 10;73(12):1661-1667.

[2] www.neca.re.kr Korea Institute of Health and Medical Research, reaches expert consensus on domestic oral senility diagnosis criteria and treatment

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2024-03-14 23:41:51

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