Mr. Keisuke Matsumoto Profile

Keisuke Matsumoto

at Meiji Univ

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Proceedings Article | 20 February 2018 Paper

Development of chair-side evaluation system of swallowing discomfort of denture wearers

Keisuke Matsumoto, Ryuhei Ikuta, Kanako Kataoka, Yumie Ono, Katsushi Tamaki

Proceedings Volume 10501, 105010K (2018) https://doi.org/10.1117/12.2287610

KEYWORDS: Hemodynamics, Teeth, Near infrared spectroscopy, Blood circulation, Sensors, Statistical analysis, Tongue, Head, Metals

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We investigated the appropriate hemodynamic parameters of functional near-infrared spectroscopy (fNIRS) to best differentiate the discomfort intensity related to swallowing in healthy subjects wearing different types of simulated dentures. Thirty-one subjects performed 4 sessions of water-swallowing task in a sitting position without or with wearing any one of the 3 simulated dentures under continuous fNIRS monitoring of the prefrontal cortex. The simulated dentures were consisted of a flat maxillary palatal bar and bilateral support attachment to the teeth and gum. The palatal bar positions were arranged along with the anterior, middle, or posterior areas of the upper jaw. The cumulative values of oxyhemoglobin and deoxyhemoglobin concentration changes were calculated for periods of 5 - 10 s from completion of swallowing. Subjective rating of swallowing-discomfort was the lowest without wearing denture and increased along with the palatal bar position placed from anterior to posterior. Cumulated deoxyhemoglobin signals calculated for 10 s post-swallowing event in the left frontopolar prefrontal cortex showed the best correlation with the subjective rating of discomfort in swallowing with dentures. These neurological signatures would be beneficial to detect swallowing discomfort in elderly denture wearers who have difficulty in communicating with dentists.

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