Evidence map›Paper›PMID 41414802›Full record

SynthesisGerodontology2026

Dental Factors Associated With Oropharyngeal Dysphagia in Institutionalised Older Adults: A Systematic Review.

Raquel Soncini de Morais, Juliana Balbinot Hilgert, Fernando Neves Hugo, Rafaela Soares Rech

Abstract readSystematic Review
In one paragraph

Synthesis in Gerodontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Raquel Soncini de MoraisDepartment of Preventive and Social Dentistry, Faculty of Dentistry, Federal University of Rio Grande Do Sul, Porto Alegre, Brazil.ORCID https://orcid.org/0009-0005-6993-0833
Juliana Balbinot HilgertDepartment of Preventive and Social Dentistry, Faculty of Dentistry, Federal University of Rio Grande Do Sul, Porto Alegre, Brazil.ORCID https://orcid.org/0000-0002-2204-1634
Fernando Neves HugoDepartment of Epidemiology and Health Promotion, College of Dentistry, New York University, New York, New York, USA.ORCID https://orcid.org/0000-0003-2222-7719
Rafaela Soares RechFederal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil.ORCID https://orcid.org/0000-0002-3207-0180

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
6 · The paper itself

Abstract

backgroundAging is associated with a decline in physiological functions. Dysphagia, a disorder among older adults, impairs feeding and is related to morphological and functional changes in the stomatognathic system, which worsen with age-related physiological decline, particularly among institutionalised older adults.

objectiveTo systematically review the association between oral health conditions, dental status, xerostomia, and dysphagia among institutionalised older adults.

methodsThis systematic review followed PRISMA guidelines and included a search of PubMed/MEDLINE and Embase for observational and randomised clinical trial studies published up to December 2024, with an update in January 2025.

resultsFrom 1761 identified articles, 44 were reviewed, and 11 met the inclusion criteria. These studies employed subjective measures such as dysphagia questionnaires, the Eating Assessment Tool-10 (EAT-10), the Dysphagia Risk Evaluation Protocol (PARD), and interviews using the Minimum Data Set for Nursing Home Resident Assessment (MDS-NH). Objective assessments included clinical evaluations, indirect and direct swallowing tests, and video analyses of feeding behaviour. Findings indicate that older individuals with fewer functional teeth, absent occlusal pairs, compromised natural teeth, gingivitis, or dental caries have a higher risk of dysphagia. In contrast, occlusal contact, natural teeth, or well-fitted dentures are associated with reduced swallowing difficulties. Neither denture use alone nor oral hygiene showed a direct association with dysphagia. However, severe xerostomia and reduced salivary flow were associated with a higher risk of dysphagia.

conclusionDysphagia is associated with poor oral health and xerostomia in institutionalised older adults, though further research is needed to clarify these relationships.

Indexed as

Deglutition DisordersOral HealthAgedAged, 80 and overHumansInstitutionalizationNursing HomesRisk FactorsXerostomiaageddeglutition disordersgeriatric dentistryoral health

Identifiers

PMID41414802
PMCPMC13140015

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.