Unilateral Mastication Evaluated Using Asymmetric Functional Tooth Units as a Risk Indicator for Hearing Loss

Background: Some previous studies reported hearing ability can be reduced by impaired masticatory ability, but there has been little evidence reported of an association between hearing loss and unilateral mastication. Therefore, this study aimed to investigate the relationship between unilateral mas...

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Main Authors: Joo-Young Lee, Eun-Song Lee, Gyung-Min Kim, Hoi-In Jung, Jeong-Woo Lee, Ho-Keun Kwon, Baek-Il Kim
Format: Article
Language:English
Published: Japan Epidemiological Association 2019-08-01
Series:Journal of Epidemiology
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jea/29/8/29_JE20180052/_pdf
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author Joo-Young Lee
Eun-Song Lee
Gyung-Min Kim
Hoi-In Jung
Jeong-Woo Lee
Ho-Keun Kwon
Baek-Il Kim
author_facet Joo-Young Lee
Eun-Song Lee
Gyung-Min Kim
Hoi-In Jung
Jeong-Woo Lee
Ho-Keun Kwon
Baek-Il Kim
author_sort Joo-Young Lee
collection DOAJ
description Background: Some previous studies reported hearing ability can be reduced by impaired masticatory ability, but there has been little evidence reported of an association between hearing loss and unilateral mastication. Therefore, this study aimed to investigate the relationship between unilateral mastication (UM), estimated from individual functional tooth units (FTUs), and hearing loss in a representative sample of Korean adults. Methods: The analyzed data were obtained from 1,773 adults aged 40–89 years who participated in Korean national survey. Hearing loss was defined as a pure-tone average of >25 dB at frequencies of 0.5, 1, 2, and 4 kHz in either ear. In each subject, UM was calculated as the difference in the sums of the FTU scores, which is an index of posterior tooth occlusion, on the two sides of the oral cavity. The scores were used to classify the UM into low, moderate, and high. The adjusted odds ratios (aORs) and their 95% confidence intervals (CIs) were calculated in multivariable logistic regression analyses. Results: When controlling for sociodemographic factors, the aOR for hearing loss was 3.12 (95% CI, 1.21–8.03) for high UM relative to low UM. This association remained in a fully-adjusted model containing factors related to noise exposure (aOR 2.88; 95% CI, 1.12–7.46). Conclusion: Adults with high UM as measured using FTUs showed a higher occurrence of hearing loss than those with low UM.
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spelling doaj.art-d99731a3206a4f41aed9beef8e506e3b2022-12-22T01:49:45ZengJapan Epidemiological AssociationJournal of Epidemiology0917-50401349-90922019-08-0129830230710.2188/jea.JE20180052Unilateral Mastication Evaluated Using Asymmetric Functional Tooth Units as a Risk Indicator for Hearing LossJoo-Young Lee0Eun-Song Lee1Gyung-Min Kim2Hoi-In Jung3Jeong-Woo Lee4Ho-Keun Kwon5Baek-Il Kim6Department of Preventive Dentistry & Public Oral Health, Brain Korea 21 PLUS Project, Yonsei University College of Dentistry, Seoul, Republic of KoreaDepartment of Preventive Dentistry & Public Oral Health, Brain Korea 21 PLUS Project, Yonsei University College of Dentistry, Seoul, Republic of KoreaDepartment of Preventive Dentistry & Public Oral Health, Brain Korea 21 PLUS Project, Yonsei University College of Dentistry, Seoul, Republic of KoreaDepartment of Preventive Dentistry & Public Oral Health, Brain Korea 21 PLUS Project, Yonsei University College of Dentistry, Seoul, Republic of KoreaDepartment of Preventive Dentistry & Public Oral Health, Brain Korea 21 PLUS Project, Yonsei University College of Dentistry, Seoul, Republic of KoreaDepartment of Preventive Dentistry & Public Oral Health, Brain Korea 21 PLUS Project, Yonsei University College of Dentistry, Seoul, Republic of KoreaDepartment of Preventive Dentistry & Public Oral Health, Brain Korea 21 PLUS Project, Yonsei University College of Dentistry, Seoul, Republic of KoreaBackground: Some previous studies reported hearing ability can be reduced by impaired masticatory ability, but there has been little evidence reported of an association between hearing loss and unilateral mastication. Therefore, this study aimed to investigate the relationship between unilateral mastication (UM), estimated from individual functional tooth units (FTUs), and hearing loss in a representative sample of Korean adults. Methods: The analyzed data were obtained from 1,773 adults aged 40–89 years who participated in Korean national survey. Hearing loss was defined as a pure-tone average of >25 dB at frequencies of 0.5, 1, 2, and 4 kHz in either ear. In each subject, UM was calculated as the difference in the sums of the FTU scores, which is an index of posterior tooth occlusion, on the two sides of the oral cavity. The scores were used to classify the UM into low, moderate, and high. The adjusted odds ratios (aORs) and their 95% confidence intervals (CIs) were calculated in multivariable logistic regression analyses. Results: When controlling for sociodemographic factors, the aOR for hearing loss was 3.12 (95% CI, 1.21–8.03) for high UM relative to low UM. This association remained in a fully-adjusted model containing factors related to noise exposure (aOR 2.88; 95% CI, 1.12–7.46). Conclusion: Adults with high UM as measured using FTUs showed a higher occurrence of hearing loss than those with low UM.https://www.jstage.jst.go.jp/article/jea/29/8/29_JE20180052/_pdfepidemiologyfunctional tooth unitshearing lossoral healthunilateral mastication
spellingShingle Joo-Young Lee
Eun-Song Lee
Gyung-Min Kim
Hoi-In Jung
Jeong-Woo Lee
Ho-Keun Kwon
Baek-Il Kim
Unilateral Mastication Evaluated Using Asymmetric Functional Tooth Units as a Risk Indicator for Hearing Loss
Journal of Epidemiology
epidemiology
functional tooth units
hearing loss
oral health
unilateral mastication
title Unilateral Mastication Evaluated Using Asymmetric Functional Tooth Units as a Risk Indicator for Hearing Loss
title_full Unilateral Mastication Evaluated Using Asymmetric Functional Tooth Units as a Risk Indicator for Hearing Loss
title_fullStr Unilateral Mastication Evaluated Using Asymmetric Functional Tooth Units as a Risk Indicator for Hearing Loss
title_full_unstemmed Unilateral Mastication Evaluated Using Asymmetric Functional Tooth Units as a Risk Indicator for Hearing Loss
title_short Unilateral Mastication Evaluated Using Asymmetric Functional Tooth Units as a Risk Indicator for Hearing Loss
title_sort unilateral mastication evaluated using asymmetric functional tooth units as a risk indicator for hearing loss
topic epidemiology
functional tooth units
hearing loss
oral health
unilateral mastication
url https://www.jstage.jst.go.jp/article/jea/29/8/29_JE20180052/_pdf
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