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A review of masticatory ability and efficiency
G Boretti1, M Bickel, A H Geering
1Department of Removable Prosthodontics, School of Dentistry, University of Bern, Switzerland.
The Journal of Prosthetic Dentistry
|October 1, 1995
Summary
Assessing chewing ability involves objective tests and subjective patient interviews. Subjective reports of chewing function are often overestimated compared to actual performance, highlighting personal factors in masticatory performance.
Area of Science:
- Biomedical science
- Sociophysiology
- Dental science
Background:
- Masticatory function assessment utilizes chewing tests and subjective evaluations like interviews.
- Epidemiologic studies and literature confirm a decline in chewing ability with increased tooth loss.
- Subjective assessments of masticatory ability are frequently overestimated compared to objective functional tests.
Purpose of the Study:
- To describe and discuss scientific sociophysiologic and biomedical approaches for evaluating masticatory function.
- To explore the discrepancy between subjective patient reports and objective measures of chewing ability.
- To highlight masticatory function as a patient-dependent factor influenced by personal and subjective elements.
Main Methods:
- Review of scientific literature on masticatory function assessment.
- Comparison of objective chewing tests with subjective patient interviews and questionnaires.
- Analysis of sociophysiologic and biomedical evaluation methodologies.
Main Results:
- Chewing tests offer a more objective measure of masticatory efficiency than subjective reports.
- Subjective evaluations of chewing ability often do not align with objective functional test results.
- Masticatory function is significantly influenced by individual patient factors, not solely by prosthetic treatment.
Conclusions:
- Masticatory function is a complex patient-related attribute influenced by personal and subjective factors.
- Objective functional tests provide a more reliable assessment of masticatory efficiency than subjective self-reports.
- Practitioners have limited influence on improving masticatory function, which is primarily a patient-driven parameter.