Masticatory function: a proposal of clinical evaluation / Função mastigatória: proposta de protocolo de avaliação clínica

AUTOR(ES)
DATA DE PUBLICAÇÃO

2005

RESUMO

Objective: According to the divergences of informations in the evaluation of the masticatory function as for the investigated aspects and the form of evaluation of them, as well as the need of standardization for comparison of the patients masticatory function; it was necessary to elaborate a proposal of clinical evaluation of the masticatory function. Material and Method: A questionnaire was elaborated and sent by e-mail for some Speech Pathologists from several places from Brazil. This questionnaire had some questions about the formation and the professionals performance and informations about the aspects that were investigated in the clinical history of the masticatory function and in the evaluation of this function as for the morphologic and functional aspects that were investigated and the form of evaluation of the masticatory function, besides the verification of other oral functions. Seventy questionnaires were answered and analyzed and they were used for the elaboration of the proposal of evaluation besides the analysis of the literature and experience of the Speech Pathologists of the Laboratory of Physiology at HRAC/USP. Results: From the analyses it was proposed the elaboration of a protocol of evaluation of the masticatory function, contemplating the following aspects: the test foods, the amount of the test foods, the teeth that bite the food, the mandibular movement, the initial side of the masticatory function, the masticatory laterality, the participation of the perioral muscles, the labial posture, if exists tremor, the contraction of muscles masseteres, the coordination of the mandibular movements, if there is a leak of food from the mouth, the trituration of the food with the tongue, the head s movement, the place of the trituration of the food, the breathing during the mastication, the noises in ATMs, the duration of masticatory function, the number of masticatory cycles, the formation of the bolus, if there is cough or choking and pain during the mastication, besides the test of masticatory efficiency. Final considerations: It was verified the lack of standardization of the evaluation of the masticatory function related to the aspects to be investigated, as well as the form of evaluation of them. For this reason, this work proposes a protocol for the clinical evaluation of the mastication and it will contribute with the Speech Pathology to bring criteria for the evaluation of the masticatory function.

ASSUNTO(S)

masticatory system stomatognathic system avaliação sistema mastigatório sistema estomatognático evaluation masticatory function mastigação

ACESSO AO ARTIGO

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