Bedridden patients remain in bed for various reasons, such as chronic illness, old age, and disability, and they cannot perform self-care activities completely or partially. The provision of care for bedridden patients is a major issue in the aging population. Effective rehabilitation is associated with several factors such as cooperation between the patient and the medical staff, selection of effective facilities, and the financial burden. The objective of this study was to evaluate the effect on the activities of daily living (ADL) of occlusion restoration using removable dentures in bedridden older people.This case-control study comprised 32 bedridden older patients who were divided into two groups as follows: denture (n = 18) and no-denture (n = 14). No rehabilitation was provided to any of the patients. The patients were evaluated 3 months after placing the denture, and the ADLs were compared between the two groups. Of the 18 bedridden patients who received removable dentures, 55.6% demonstrated improvements in the ADLs, and the effects persisted for at least 3 months. No improvement in the ADL was observed in the no-denture group.The results of this study suggested that adequate occlusal support can improve the ADL of the elderly. Thus, it is important to take care of oral health early in life in order to maintain oral health, which could help prevent the decrease in the ADL during the later stages of life.
References
[1]
Definition of Bedridden (2020). https://www.merriam-webster.com/dictionary/bedridden
[2]
Vieira, H.F., Bezerra, A.L.D., Sobreira, M.V.S., Silva, J.B.D., Feitosa, A.D.N.A. and Paraíba, F.S.M.C. (2015) 60-Nursing Care Patient Bedridden in Household. A Systematic Review. FIEP Bulletin, 85, 253-257. https://doi.org/10.16887/85.a2.60
[3]
Forbes, D.A. (2009) Being Bedridden Was a Slow Process Influenced by Interactions with the Environment, Nurses, and Social Ties. Evidence-Based Nursing, 12, 64. https://doi.org/10.1136/ebn.12.2.64
[4]
Kane, E. (2020) How to Care for a Bedridden Elderly Person at Home. https://seniorsafetyadvice.com/how-to-care-for-a-bedridden-elderly-person-at-home/
[5]
Bains, P. and Minhas, A.S. (2011) Profile of Home-Based Caregivers of Bedridden Patients in North India. Indian Journal of Community Medicine, 36, 114-119. https://doi.org/10.4103/0970-0218.84129
[6]
Canedo, E., Nunes Velloso, V., Calejman, L. and Leidi, N. (2012) Motor and Respiratory Intensive Rehabilitation in Bedridden Patients. Critical Care, 16, Article No. 527. https://doi.org/10.1186/cc11134
[7]
Activities of Daily Living (2020). https://adlexpert.weebly.com
[8]
Fujii, Y. (2016) Two Cases of Severe Dementia Showing Dramatic Improvement after Denture Placement. Advances in Alzheimer’s Disease, 5, 46-52. https://doi.org/10.4236/aad.2016.52004
[9]
Hosoi, T., Morokuma, M., Shibuya, N. and Yoneyama, Y. (2011) Influence of Denture Treatment on Brain Function Activity. Japanese Dental Science Review, 47, 56-66. https://doi.org/10.1016/j.jdsr.2010.09.001
[10]
Fujii, Y. (2015) Orthodontic Treatment to Improve Hip Joint Mobility and Balance. Journal of Dentist, 3, 29-32. https://doi.org/10.12974/2311-8695.2015.03.01.5
[11]
Karppinen, K., Eklund, S., Suoninen, E., Eskelin, M. and Kirveskari, P. (1999) Adjustment of Dental Occlusion in Treatment of Chronic Cervicobrachial Pain and Headache. Journal of Oral Rehabilitation, 26, 715-721.
[12]
Fujii, Y. (2019) Evaluation of a Mouthguard Customized Using the Occlusal Position during Maximal Grip Strength to Improve Sports Performance. A Case Report. Case Reports in Clinical Medicine, 8, 147-151. https://doi.org/10.4236/crcm.2019.86017
[13]
Bracco, P., Deregibus, A. and Piscetta, R. (2004) Effects of Different Jaw Relations on Postural Stability in Human Subjects. Neuroscience Letters, 356, 228-230. https://doi.org/10.1016/j.neulet.2003.11.055
[14]
Gangloff, P., Louis, J.P. and Perrin, P.P. (2000) Dental Occlusion Modifies Gaze and Posture Stabilization in Human Subjects. Neuroscience Letters, 293, 203-206. https://doi.org/10.1016/S0304-3940(00)01528-7
[15]
Gelb, H., Mehta, N.R. and Forgione, A.G. (1996) The Relationship between Jaw Posture and Muscular Strength in Sports Dentistry: A Reappraisal. The Journal of Craniomandibular & Sleep Practice, 14, 320-325. https://doi.org/10.1080/08869634.1996.11745984
[16]
Smith, S.D. (1978) Muscular Strength Correlated to Jaw Posture and the Temporomandibular Joint. The New York State Dental Journal, 44, 278-285.
[17]
Al-Abbasi, H., Mehta, N.R., Forgione, A.G. and Clark, R.E. (1999) The Effect of Vertical Dimension and Mandibular Position on Isometric Strength of the Cervical Flexors. The Journal of Craniomandibular & Sleep Practice, 17, 85-92. https://doi.org/10.1080/08869634.1999.11746082
[18]
Watanabe, E.K., Yatani, H., Kuboki, T., Matsuka, Y., Terada, S., Orsini, M.G. and Yamashita A. (1998) The Relationship between Signs and Symptoms of Temporomandibular Disorders and Bilateral Occlusal Contact Patterns during Lateral Excursions. Journal of Oral Rehabilitation, 25, 409-415. https://doi.org/10.1046/j.1365-2842.1998.00262.x
[19]
Kobayashi, M., Yabushita, T., Zeredo, J.L., Toda, K. and Soma, K. (2007) Splenius Muscle Activities Induced by Temporomandibular Joint Stimulation in Rats. Brain Research Bulletin, 72, 44-48. https://doi.org/10.1016/j.brainresbull.2006.10.031
[20]
Matsumoto, M.A., Matsumoto, W. and Bolognese, A.M. (2002) Study of the Signs and Symptoms of Temporomandibular Dysfunction in Individuals with Normal Occlusion and Malocclusion. The Journal of Craniomandibular & Sleep Practice, 20, 274-281. https://doi.org/10.1080/08869634.2002.11746219
[21]
Ciancaglini, R., Gherlone, E.F., Redaelli, S. and Radaelli, G. (2002) The Distribution of Occlusal Contacts in the Intercuspal Position and Temporomandibular Disorder. Journal of Oral Rehabilitation, 29, 1082-1090.
[22]
Lim, P.F., Smith, S., Bhalang, K., Slade, G.D. and Maixner, W. (2010) Development of Temporomandibular Disorders Is Associated with Greater Bodily Pain Experience. The Clinical Journal of Pain, 26, 116-120. https://doi.org/10.1097/AJP.0b013e3181c507ef
[23]
Sakaguchi, K., Mehta, N.R., Abdallah, E.F., Forgione, A.G., Hirayama, H., Kawasaki, T. and Yokoyama, A. (2007) Examination of the Relationship between Mandibular Position and Body Posture. The Journal of Craniomandibular & Sleep Practice, 25, 237-249. https://doi.org/10.1179/crn.2007.037
[24]
Fujii, Y. (2020) Two Cases of Parkinson’s disease for which Dental Treatment Was Effective. Advances in Parkinson’s Disease, 9, 13-19. https://doi.org/10.4236/apd.2020.92002
[25]
Tanalka, T., Sato, T. and Yozeki, H. (2009) Dental Infection Associated with Nummular Eczema as an Overlooked Focal Infection. Journal of Dermatology, 36, 462-465.
[26]
Fujii, Y. (2019) Dental Treatment with a Gold Alloy Cast Crown for Severe Lumbago. Open Journal of Stomatology, 9, 21-27. https://doi.org/10.4236/ojst.2019.92003
[27]
Fujii, Y. (2015) Dental Stimulation to the Buccal Mucous Membrane Cases Lumbago: A Report of Two Cases. Case Reports in Clinical Medicine, 4, 289-296. https://doi.org/10.4236/crcm.2015.48058
[28]
Miyaji, S. (2020) Lower Back Pain and Forearm Tendinitis Linked to Irritation of Oral Mucosa by Teeth. Case Reports in Clinical Medicine, 9, 295-302. https://doi.org/10.4236/crcm.2020.99042
[29]
Omura, Y. (1993) Bi-Digital O-Ring Test for Imaging and Diagnosis of Internal Organs of a Patient. US Patent No. 5188107.
[30]
Bi-Digital O-Ring Test (BDORT). http://bdort.org/
[31]
YouTube Movie: The patient who had her denture removed, saw her Quality of life decline. https://www.youtube.com/watch?v=ox4NNtqM_UU
[32]
YouTube Movie: A Bedridden Person Was Able to Walk because of Wearing Dentures. https://www.youtube.com/watch?v=1vJiXlaR3M0
[33]
YouTube Movie: Dental Treatment for a Bedridden Old Person with Parkinson’s Disease and Lower Back Pain. https://www.youtube.com/watch?v=Zc-YLeVvSoI&t=1s
