Mind your teeth—The relationship between mastication and cognition

Gerodontology - Tập 36 Số 1 - Trang 2-7 - 2019
R.A.F. Weijenberg1, Suzanne Delwel2,1, Bach Van Ho1, Claar D. van der Maarel‐Wierink3, Frank Lobbezoo1
1Oral Kinesiology, Academisch Centrum Tandheelkunde Amsterdam, Amsterdam, The Netherlands
2Clinical Neuropsychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
3Center for Special Care in Dentistry Amsterdam, Amsterdam, The Netherlands

Tóm tắt

This article explores the multifactorial relationship between mastication and cognition, with a focus on dementia. Older persons, especially those with dementia, are at great risk of suffering from oral health problems such as orofacial pain and loss of natural teeth. A possible explanation could be that the cognitive and motor impairments resulting from dementia cause a decrease in self‐care and as such, a worsening of oral health. An alternative explanation is that cognition and oral health influence each other. Animal studies show that a decrease in masticatory activity, for example, due to a soft diet or loss of teeth, causes memory loss and neuronal degeneration. The relationship between mastication and cognition has also been researched in human studies, but a cause‐effect relationship has not been proven. It is likely that multiple factors play a role in this relationship, such as self‐care, nutrition, stress and pain.

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