Dysmasema: Persistent Decline in Masticatory Function Related to Aging and Systemic Factors

Decreased masticatory function, which is termed ‘masticatory dysfunction’, has long been considered a sign and symptom of underlying oral diseases. Masticatory function usually improves when the underlying diseases are treated. However, in older patients with systemic diseases, persistent masticator...

Full description

Saved in:
Bibliographic Details
Main Authors: Chia-Shu Lin, Ta-Chung Chen
Format: Article
Language:English
Published: Elsevier 2025-10-01
Series:International Dental Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0020653925002266
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849243039208308736
author Chia-Shu Lin
Ta-Chung Chen
author_facet Chia-Shu Lin
Ta-Chung Chen
author_sort Chia-Shu Lin
collection DOAJ
description Decreased masticatory function, which is termed ‘masticatory dysfunction’, has long been considered a sign and symptom of underlying oral diseases. Masticatory function usually improves when the underlying diseases are treated. However, in older patients with systemic diseases, persistent masticatory dysfunction may occur even after individuals receive dental treatment. In this narrative review, the authors review of the current research on masticatory dysfunction associated with systemic factors, and proposed the concept of Dysmasema - a persistent condition of masticatory dysfunction refractory to dental treatment and associated with aging and systemic factors. The rationale for the need for the new concept (i.e., Dysmasema) and the elements needed to identify Dysmasema – namely, low masticatory performance, subjective eating difficulty, and poor nutritional status – are addressed. This new proposal, which is based on clinical, epidemiological, and pathological perspectives, contributes to the precise diagnosis and treatment of older adults by linking masticatory dysfunction with systemic factors.
format Article
id doaj-art-bd4da1996dcb4b298a821cfd99e1f543
institution Kabale University
issn 0020-6539
language English
publishDate 2025-10-01
publisher Elsevier
record_format Article
series International Dental Journal
spelling doaj-art-bd4da1996dcb4b298a821cfd99e1f5432025-08-20T03:59:37ZengElsevierInternational Dental Journal0020-65392025-10-0175510093910.1016/j.identj.2025.100939Dysmasema: Persistent Decline in Masticatory Function Related to Aging and Systemic FactorsChia-Shu Lin0Ta-Chung Chen1Department of Dentistry, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC; Institute of Brain Science, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC; Brain Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC; Corresponding author. Department of Dentistry, National Yang Ming Chiao Tung University, No. 155 Sec. 2 Linong Street, Taipei, 11221 Taiwan, ROC.Division of Prosthodontics, Department of Stomatology, Taipei Veterans General Hospital, Taipei, Taiwan, ROCDecreased masticatory function, which is termed ‘masticatory dysfunction’, has long been considered a sign and symptom of underlying oral diseases. Masticatory function usually improves when the underlying diseases are treated. However, in older patients with systemic diseases, persistent masticatory dysfunction may occur even after individuals receive dental treatment. In this narrative review, the authors review of the current research on masticatory dysfunction associated with systemic factors, and proposed the concept of Dysmasema - a persistent condition of masticatory dysfunction refractory to dental treatment and associated with aging and systemic factors. The rationale for the need for the new concept (i.e., Dysmasema) and the elements needed to identify Dysmasema – namely, low masticatory performance, subjective eating difficulty, and poor nutritional status – are addressed. This new proposal, which is based on clinical, epidemiological, and pathological perspectives, contributes to the precise diagnosis and treatment of older adults by linking masticatory dysfunction with systemic factors.http://www.sciencedirect.com/science/article/pii/S0020653925002266MasticationMasticatory performanceEating difficultyGeriatricsOral health
spellingShingle Chia-Shu Lin
Ta-Chung Chen
Dysmasema: Persistent Decline in Masticatory Function Related to Aging and Systemic Factors
International Dental Journal
Mastication
Masticatory performance
Eating difficulty
Geriatrics
Oral health
title Dysmasema: Persistent Decline in Masticatory Function Related to Aging and Systemic Factors
title_full Dysmasema: Persistent Decline in Masticatory Function Related to Aging and Systemic Factors
title_fullStr Dysmasema: Persistent Decline in Masticatory Function Related to Aging and Systemic Factors
title_full_unstemmed Dysmasema: Persistent Decline in Masticatory Function Related to Aging and Systemic Factors
title_short Dysmasema: Persistent Decline in Masticatory Function Related to Aging and Systemic Factors
title_sort dysmasema persistent decline in masticatory function related to aging and systemic factors
topic Mastication
Masticatory performance
Eating difficulty
Geriatrics
Oral health
url http://www.sciencedirect.com/science/article/pii/S0020653925002266
work_keys_str_mv AT chiashulin dysmasemapersistentdeclineinmasticatoryfunctionrelatedtoagingandsystemicfactors
AT tachungchen dysmasemapersistentdeclineinmasticatoryfunctionrelatedtoagingandsystemicfactors