Evaluation of the Resting Tongue Position in Partially Dentate and Completely Edentulous Patients
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Abstract
Background
The human tongue plays a critical role in various oral processes and its position can be significantly affected by dental status, particularly in partially dentate and completely edentulous patients. Understanding the relationship between tongue position and dental status is essential for optimal prosthodontic treatment and patient quality of life.
Objective
This study aimed to evaluate the differences in the resting tongue position between partially dentate and completely edentulous patients and to understand how these differences could influence prosthodontic treatment strategies.
Methods
A descriptive cross-sectional study was conducted at the Institute of Dentistry, Liaquat University of Medical and Health Sciences, Jamshoro/Hyderabad, from 02-02-2021 to 30-11-2022. The study included 400 patients, divided into partially dentate (200 patients) and completely edentulous (200 patients) groups. Patients were further classified based on gender, age, and Kennedy classification. The tongue position was categorized as normal upper, normal lower, abnormal upper, and abnormal lower. The data was analyzed using SPSS version 22.0, with a significance level set at p≤0.05.
Results
In the partially dentate group, 57% and 63% were males in Group A and B, respectively, while 43% and 37% were females. In the completely edentulous group, males constituted 50% and 43% in Group A and B, respectively, with females making up the remaining percentages. Age-wise, 63% of partially dentate patients in both groups were aged 35-45, compared to 6% and 12.1% in the completely edentulous groups. Kennedy classification showed varying distributions with Class 2 being most prevalent in partially dentate Group B (43%). Tongue position analysis revealed that normal upper position was present in 28% of partially dentate and 16% of completely edentulous patients, with a statistically significant difference (P < 0.001). Abnormal upper position was noted in 36% of partially dentate and 38% of completely edentulous patients.
Conclusion
The study concluded significant differences in tongue positions between partially dentate and completely edentulous patients. These findings underscore the importance of considering tongue position in prosthodontic treatment planning, especially for completely edentulous patients.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Bukhary DM, Bukhary D. Teeth Rehabilitation and Nutritional Influence on Diabetic Patients: A Review. Cureus. 2023;15(9).
Chalub LLFH, Ferreira RC, Vargas AMD. Influence of functional dentition on satisfaction with oral health and impacts on daily performance among Brazilian adults: a population-based cross-sectional study. BMC Oral Health. 2017;17:1-12.
de Groot RJ, Merkx MA, Hamann MN, Brand HS, de Haan AF, Rosenberg AJ, et al. Tongue function and its influence on masticatory performance in patients treated for oral cancer: a five-year prospective study. Supportive Care in Cancer. 2020;28:1491-501.
Drake RL, Vogl AW, Mitchell AW. Gray's anatomy for students flash cards e-book: Elsevier Health Sciences; 2019.
Dula LJ, Shala KS, Tmava-Dragusha A, Lila-Krasniqi Z, Pustina-Krasniqi T, Bicaj T. Evaluation of masticatory efficiency among subjects with removable partial dentures: a comparative study. Journal of International Dental and Medical Research. 2020;13(2):622-7.
Fatima F, Fida M. The assessment of resting tongue posture in different sagittal skeletal patterns. Dental press journal of orthodontics. 2019;24:55-63.
Gadonski AP, Carletti TM, de Medeiros MMD, Garcia RCMR. Effects of tongue lesions and palatal coverage on oral sensory functions. The Journal of Prosthetic Dentistry. 2023.
Lamster IB, Asadourian L, Del Carmen T, Friedman PK. The aging mouth: differentiating normal aging from disease. Periodontology 2000. 2016;72(1):96-107.
Nayar S. A Review on Occlusal Plane Analysis in Edentulous Patients. Indian Journal of Forensic Medicine & Toxicology. 2020;14(4).
Pedrinaci I, Sun TC, Sanz‐Alonso M, Sanz‐Esporrin J, Hamilton A, Gallucci GO. Implant survival in the anterior mandible: A retrospective cohort study. Clinical Oral Implants Research. 2023;34(5):463-74.
Rajeshwari K, Kohli S, Mathew XK. Evaluation of resting tongue position in recently extracted and long term completely edentulous patients: A prospective interventional study. Journal of clinical and diagnostic research: JCDR. 2017;11(4):ZC61.
Baba NZ, Goodacre BJ, Goodacre CJ, Müller F, Wagner S. CAD/CAM complete denture systems and physical properties: A review of the literature. Journal of Prosthodontics. 2021;30(S2):113-24.
Zielke M, Jasnoch J, Maciejewska I. Different approaches in determining the vertical and horizontal jaw relations during complete denture fabrication–a literature review. Journal of Stomatology. 2021;74(3):195-202.
Yoshihara A, Suwama K, Miyamoto A, Watanabe R, Ogawa H. Diet and root surface caries in a cohort of older Japanese. Community Dentistry and Oral Epidemiology. 2021;49(3):301-8.
Lippi L, D’Abrosca F, Folli A, Dal Molin A, Moalli S, Maconi A, et al. Closing the gap between inpatient and outpatient settings: Integrating pulmonary rehabilitation and technological advances in the comprehensive management of frail patients. International journal of environmental research and public health. 2022;19(15):9150.
Novitzky P, Bernstein MJ, Blok V, Braun R, Chan TT, Lamers W, et al. Improve alignment of research policy and societal values. Science. 2020;369(6499):39-41.
Lakens D. Sample size justification. Collabra: Psychology. 2022;8(1):33267.
Pace DS. Probability and non-probability sampling-an entry point for undergraduate researchers. International Journal of Quantitative and Qualitative Research Methods. 2021;9(2):1-15.
Nayyer M, Khan DA, Gul H, Aslam A, Khan NB, Aslam F. Patterns of partial edentulism according to kennedy’s classification-a cross sectional study. Pakistan Armed Forces Medical Journal. 2020;70(Suppl-1):S87-90.
Zaghi S, Shamtoob S, Peterson C, Christianson L, Valcu‐Pinkerton S, Peeran Z, et al. Assessment of posterior tongue mobility using lingual‐palatal suction: Progress towards a functional definition of ankyloglossia. Journal of oral rehabilitation. 2021;48(6):692-700.
Scoppa F, Saccomanno S, Bianco G, Pirino A. Tongue posture, tongue movements, swallowing, and cerebral areas activation: a functional magnetic resonance imaging study. Applied Sciences. 2020;10(17):6027.
Wang H, Tang H, Fang Y, Tan L, Yin J, Shen Y, et al. Morbidity and mortality of patients who underwent minimally invasive esophagectomy after neoadjuvant chemoradiotherapy vs neoadjuvant chemotherapy for locally advanced esophageal squamous cell carcinoma: a randomized clinical trial. JAMA surgery. 2021;156(5):444-51.
Sadriddinovich JT. Capabilities of SPSS Software in High Volume Data Processing Testing. American Journal of Public Diplomacy and International Studies (2993-2157). 2023;1(9):82-6.
Michalinos A, Zogana S, Kotsiomitis E, Mazarakis A, Troupis T. Anatomy of the ophthalmic artery: a review concerning its modern surgical and clinical applications. Anatomy Research International. 2015;2015.
Özkan YK, Abbasgholizadeh ZS, Akmansoy ŞC. Evaluation of the Edentulous Patient. Complete Denture Prosthodontics: Planning and Decision-Making. 2018:49-85.
Balasubramaniam MK, Chidambaranathan AS, Shanmugam G, Tah R. Rehabilitation of glossectomy cases with tongue prosthesis: a literature review. Journal of clinical and diagnostic research: JCDR. 2016;10(2):ZE01.