Is the goal of mastication reached in young dentates, aged dentates and aged denture wearers?

Abstract

The objective of the present study was to assess the impact of age and dentition status on masticatory function. A three-arm case–control study was performed. Group 1 (n 14) was composed of young fully dentate subjects (age 35·6 ± 10·6 years), group 2 (n 14) of aged fully dentate subjects (age 68·8 ± 7·0 years) and group 3 (n 14) of aged full denture wearers (age 68·1 ± 7·2 years). Mastication adaptation was assessed in the course of chewing groundnuts and carrots to swallowing threshold. Particle size distribution of the chewed food, electromyographic (EMG) activity of the masseter and temporalis muscles during chewing, and resting and stimulated whole saliva rates were measured. Aged dentate subjects used significantly more chewing strokes to reach swallowing threshold than younger dentate subjects (P < 0·05), with increased particle size reduction, longer chewing sequence duration (P < 0·05) and greater total EMG activity (P < 0·05) for both groundnuts and carrots. In addition, aged denture wearers made significantly more chewing strokes than aged dentate subjects (P < 0·001) to reach swallowing threshold for groundnuts. Particle size reduction at time of swallowing was significantly poorer for denture wearers than for their aged dentate counterparts, despite an increase in chewing strokes, sequence duration and EMG activity per sequence. Masticatory function was thus adapted to ageing, but was impaired in denture wearers, who failed to adapt fully to their deficient masticatory apparatus.