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Related Concept Videos

Assessment of the Mouth01:26

Assessment of the Mouth

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A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
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Updated: Nov 14, 2025

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Responsiveness of methods to evaluate objective masticatory function in removable partial denture treatments.

Yoko Hayashi1, Kenji Fueki1, Eiko Yoshida-Kohno1

  • 1Department of Removable Partial Prosthodontics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.

Journal of Prosthodontic Research
|March 11, 2021
PubMed
Summary

Chewing tests using peanuts and gummy jelly are more responsive to removable partial denture (RPD) treatment than gum tests. Pre-treatment masticatory function influences test responsiveness.

Keywords:
Masticatory functionRemovable partial denturesResponsiveness

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Area of Science:

  • Biomaterials Science
  • Dental Prosthetics
  • Clinical Evaluation

Background:

  • Assessing the effectiveness of removable partial denture (RPD) treatment is crucial for improving patients' quality of life.
  • Objective evaluation of masticatory function provides valuable insights into treatment outcomes.
  • Responsiveness of different chewing tests to RPD interventions requires further investigation.

Purpose of the Study:

  • To evaluate the responsiveness of objective chewing tests following removable partial denture (RPD) treatment.
  • To compare the efficacy of peanut sieving, gummy jelly, and color-changeable gum tests in detecting changes in masticatory function post-RPD.

Main Methods:

  • A prospective cohort study involving 248 patients undergoing RPD treatment.
  • Objective masticatory function was assessed using peanut sieving, gummy jelly dissolution, and color-changeable gum tests pre- and post-treatment.
  • Statistical analysis included comparing pre- and post-treatment scores and calculating the standardized response mean (SRM) as the effect size (ES).

Main Results:

  • Significant improvements in masticatory function were observed post-RPD treatment, indicated by decreased particle size (peanut test) and increased glucose concentration (gummy jelly test) (P < 0.001).
  • The peanut sieving and gummy jelly methods demonstrated larger effect sizes (|SRM| = 0.3-0.4) compared to the gum test (|SRM| = 0.1).
  • Subgroup analysis revealed that the peanut and gummy jelly tests were more responsive, especially in patients without prior dentures, and pre-treatment function correlated strongly with responsiveness (ρ = 0.93, P < 0.001).

Conclusions:

  • The peanut sieving and gummy jelly chewing tests are more responsive to removable partial denture treatment outcomes than the color-changeable gum test.
  • Pre-treatment masticatory function levels significantly impact the responsiveness of these objective chewing tests.
  • These findings support the use of peanut sieving and gummy jelly tests for robust evaluation of RPD treatment efficacy.