Epidemiological Investigation of Atypical Swallowing in the Adult Population: Assessment of Clinical Signs
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 125
- 试验地点
- 1
- 主要终点
- Prevalence of Atypical Swallowing in Adult Periodontal Patients
研究概览
简要总结
This study aims to evaluate the prevalence of atypical (dysfunctional) swallowing in an adult population affected by periodontitis. The research investigates the correlation between dysfunctional swallowing patterns - characterized by abnormal tongue thrust-and clinical oral manifestations such as dental mobility and the worsening of periodontal conditions. By analyzing data collected through patient questionnaires and clinical evaluations, the study seeks to highlight how incorrect lingual posture and pressure can negatively influence the integrity of the tooth-supporting tissues in adults.
详细描述
The study aims to investigate whether atypical swallowing acts as a "secondary occlusal trauma," which exacerbates periodontal damage in tissues already compromised by inflammation.
Data Collection: Patients are screened using a specific questionnaire to detect "vicious habits" (e.g., thumb sucking, lip biting) and respiratory issues (e.g., mouth breathing due to deviated septum or adenoid hypertrophy) that contribute to incorrect lingual posture.
Clinical Indicators: The study monitors several oral manifestations associated with tongue thrust, including the formation of an anterior open bite, diastemas, localized calculus accumulation, and gingival recessions.Clinical Implications: The research explores how the lack of physiological palatal expansion and low tongue posture can lead to a narrow "ogival" palate and subsequent occlusal instability. The results are intended to validate the importance of a multidisciplinary diagnostic approach - involving dental hygienists, orthodontists, and speech therapists- to improve the long-term prognosis of periodontal therapy and prevent orthodontic relapses.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age over 18
- •periodontal patients
- •informed consent
排除标准
- •age under 18
- •inability to understand and want
- •the language barrier such as to prevent full understanding of the questionnaire
- •any problems with surgical resection of the tongue
- •the lack of dental elements in the frontal sectors (in particular 2° and 5° sextant) or the presence of unrehabilitated edentulous saddles in those areas
- •absence of radiographic documentation
- •non-periodontal patients
- •failure to consent to the study
研究组 & 干预措施
Patients with periodontal disease
Patients with atyipical swallowing and periodontal disease
结局指标
主要结局
Prevalence of Atypical Swallowing in Adult Periodontal Patients
时间窗: Baseline (at the time of the single clinical examination).
The primary goal is to determine the frequency of dysfunctional swallowing patterns within a selected sample of adults diagnosed with periodontitis. This is assessed through a standardized clinical evaluation of tongue posture (at rest and during deglutition) and the administration of a structured diagnostic questionnaire. The outcome is expressed as the percentage of the study population exhibiting atypical swallowing compared to physiological swallowing.
次要结局
- Presence of Associated clinical alterations(baseline)
研究者
Fabrizio Guerra
Associate professor, MD, pHd
University of Roma La Sapienza