Abstract
Periodontal diseases have been reported to be lifestyle-related and associated with metabolic syndrome (MetS). The introduction of dental checkups in a health checkup program may create a synergistic effect and aid the prevention of MetS. In Japan, a chewing function questionnaire has now been introduced into the national health checkup program. The purpose of this study was to investigate whether the questionnaire reflects dental and oral conditions and whether it helps improve general and oral health. A total of 6599 subjects who underwent health checkups or guidance specified by the National Health Insurance of Japan for two consecutive years were included. A single comprehensive question to evaluate masticatory function was asked. Medical and dental examinations and insurance data were collected and used for analysis. In terms of masticatory function during chewing, 82.3% of subjects experienced no problems, 17.3% experienced some difficulty, and 0.4% experienced severe problems. There was a significant relationship between the questionnaire response and dental examinations results for several items of examination. The overall dental consultation rate after health screening was 42.3%. Improvement in periodontal disease was achieved in those who reported some problems with chewing function. Improvement in blood pressure was also observed in those who reported some problem with chewing function and subsequently had a dental consultation. The results of this study indicate that questionnaires on masticatory function reflect the status of dental and oral health. In addition, the results suggested that questionnaire results are potentially linked to improvement in dental and oral health status, and improvement in MetS.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Data availability
The research data will be as it is in the repository, so no further additions will be made.
References
Bullon P, Morillo JM, Ramirez-Tortosa MC, Quiles JL, Newman HN, Battino M. Metabolic syndrome and periodontitis: is oxidative stress a common link. J Dent Res. 2009;88:503–18.
Morita T, Ogawa Y, Takada K, Nishinoue N, Sasaki Y, Motohashi M, et al. Association between periodontal disease and metabolic syndrome. J Public Health Dent. 2009;69:248–53.
Nibali L, Tatarakis N, Needleman I, Tu YK, D’Aiuto F, Rizzo M, et al. Clinical review: association between metabolic syndrome and periodontitis: a systematic review and meta-analysis. J Clin Endocrinol Metab. 2013;98:913–20.
Watanabe K, Cho YD. Periodontal disease and metabolic syndrome: a qualitative critical review of their association. Arch Oral Biol. 2014;59:855–70.
Karasawa I, Yamada SI, Sakurai A, Kurita H. A cross-sectional multivariate analysis of the relationship between dental health and metabolic syndrome. Shinshu Med J. 2019;67:167–81.
Sakurai SI, Yamada SI, Karasawa I, Sakurai A, Kurita H. A longitudinal study on the relationship between dental health and metabolic syndrome in Japan. J Periodontol. 2019;90:728–46.
Sakurai A, Yamada SI, Karasawa I, Kondo E, Kurita H. Accuracy of a salivary examination kit for the screening of periodontal disease in a group medical check-up (Japanese-specific health checkup). Medicine (Baltimore). 2021;100:e24539.
Gonçalves TMSV, Schimmel M, van der Bilt A, Chen J, van der Glas HW, Kohyama K, et al. Consensus on the terminologies and methodologies for masticatory assessment. J Oral Rehabil. 2021;48:745–61.
Fan Y, Shu X, Leung KCM, Lo ECM. Patient-reported outcome measures for masticatory function in adults: a systematic review. BMC Oral Health. 2021;21:603.
Koshino H, Hirai T, Toyoshita Y, Yokoyama Y, Tanaka M, Iwasaki K, et al. Development of new food intake questionnaire method for evaluating the ability of mastication in complete denture wearers. Prosthodont Res Prac. 2008;7:12–8.
Limpuangthip N, Somkotra T, Arksornnukit M. Subjective and objective measures for evaluating masticatory ability and associating factors of complete denture wearers: a clinical study. J Prosthet Dent. 2021;125:287–93.
Okamoto E, Hiratsuka Y, Otsubo K, Kumakawa T. Evaluation of the health checkup and guidance program through linkage with health insurance claims. J Nat Inst Public Health. 2013;62:13–30.
Tada A, Miura H. Association of mastication and factors affecting masticatory function with obesity in adults: a systematic review. BMC Oral Health. 2018;18:76.
Tada A, Tano R, Miura H. The relationship between tooth loss and hypertension: a systematic review and meta-analysis. Sci Rep. 2022;12:13311.
Zelig R, Goldstein S, Touger-Decker R, Firestone E, Golden A, Johnson Z, et al. Tooth loss and nutritional status in older adults: a systematic review and meta-analysis. JDR Clin Trans Res. 2022;7:4–15.
Motokawa K, Mikami Y, Shirobe M, Edahiro A, Ohara Y, Iwasaki M, et al. Relationship between chewing ability and nutritional status in Japanese older adults: a cross-sectional study. Int J Environ Res Public Health. 2021;18:1216.
Ainamo J, Barmes D, Beagrie G, Cutress T, Martin J, Sardo-Infirri J. Development of the world health organization (WHO) com- munity periodontal index of treatment needs (CPITN). Int Dent J. 1982;32:281–91.
Yanagisawa T, Ueno M, Shinada K, Ohara S, Kawaguchi Y. Validity of self-reported masticator function in a Japanese population. J Dent Health. 2010;60:214–23.
Ueno M, Shimazu T, Sawada N, Tsugane S, Kawaguchi Y. Validity of self-reported tooth counts and masticatory status study of a Japanese adult population. J Oral Rehabil. 2018;45:393–8.
Polak D, Shapira L. An update on the evidence for pathogenic mechanisms that may link periodontitis and diabetes. J Clin Periodontol. 2018;45:150–66.
Wu CZ, Yuan YH, Liu HH, Li SS, Zhang BW, Chen W, et al. Epidemiologic relationship between periodontitis and type 2 diabetes mellitus. BMC Oral Health. 2020;20:204.
Kaur G, Holtfreter B, Rathmann W, Schwahn C, Wallaschofski H, Schipf S, et al. Association between type 1 and type 2 diabetes with periodontal disease and tooth loss. J Clin Periodontol. 2009;36:765–74.
Acknowledgements
The authors would like to thank the 8020 Promotion Foundation for their support.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Anzai, K., Sakai, H., Kondo, E. et al. The effectiveness of a self-reported questionnaire on masticatory function in health examinations. Odontology (2024). https://doi.org/10.1007/s10266-024-00943-z
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s10266-024-00943-z