Cognitive Changes and Neural Correlates After Rehabilitation of Masticatory Function in Elderly -an Intervention Study
Chewing Problem, Cognitive Decline, Magnetic Resonance Imaging
About this trial
This is an interventional treatment trial for Chewing Problem focused on measuring Magnetic resonance imaging, Chewing efficiency, Cognitive impairment, Masticatory dysfunction, Prosthetic rehabilitation
Eligibility Criteria
Inclusion Criteria:
- 65-80 years of age at start
- Impaired chewing ability (Eichner index B2-B4, C1-C4)
- Dental rehabilitation with fixed prosthodontics, implant and/or tooth supported (overdentures included) >10 occluding units
- Mini Mental State Examination (MMSE) score >25
Exclusion Criteria:
- Brain trauma or stroke <6 months
- Neurological disease (stroke, dementia, Alzheimer disease, Parkinson disease).
- Intellectual disability
- Psychological disorders
- Participants with chronic pain, depression or sleeping disorders
- Daily analgesic medication that may affect cognitive and/or executive performance of the brain
- Poor Swedish language skills, reading disabilities
- Severely reduced hearing or vision
- Prosthetic treatment with removable dentures (full or partial)
MRI exclusion criteria:
- Claustrophobia
- Difficulties in lying down in a supine position for about an hour, or any other difficulties related to the MRI head coil
- Participants with metal or medical implants in the body contraindicating MRI scan
Sites / Locations
- Eastmaninstitutet Folktandvården Stockholm ABRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Experimental group (EG), the immediate rehabilitation group
Control group (CG), the test-retest group
The experimental group will begin with the rehabilitation immediately after the first measurement of cognitive tests (pre-test). Three months after complete rehabilitation the first post-test (post-test 1) will be conducted on all participants. Participants will be recalled after about a year for a long-term follow up (post-test 2). The OHIP-14, chewing function test, saliva samples, neuropsychological assessments together with MRI assessments will also be recorded at different time points (i.e., pre-test, post-test 1 and post-test 2).
The control group will be tested with the cognitive tests two times (pre-test + post-test 1) at an interval of about three months or more inbetween tests and before the onset of the prosthodontic rehabilitation. Three months after complete rehabilitation the post-test (post-test 2) will be conducted on all participants. Further, participants will be recalled after about a year for a long-term follow up (post-test 3). The OHIP-14, chewing function test, saliva samples, neuropsychological assessments together with MRI assessments will also be recorded at these time points (i.e., pre-test, post-test 1, post-test 2 and post-test 3).