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Oral health is a critical factor of systemic health, although usually forgotten. A potential relation between cognitive deficits and oral diseases has been suggested. Adult cognitive dysfunctions have a high impact, not only economic, but social and in the family environment. Based on anatomical connectivity between the oral cavity and the central nervous system, the proposed study hypothesizes that masticatory function is a relevant determinant of human cognitive health. The restoration of canonical masticatory function and masticatory training could help to delay the development of such conditions. This project will also test if restoring phasic masticatory function improves the execution of cognitive tasks.
Objective 1: To determine volumetric and anatomical changes of subcortical structures and cortical areas involved in the masticatory circuit and superior cognitive functions.
Objective 2: To determine the functional and brain connectivity changes associated with malocclusion and oral health.
Objective 3: To correlate the anatomic and functional changes associated with malocclusion and oral health with the performance of cognitive tasks representative of those executed in daily life.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention 1 | Experimental | Dental occlusion restoration by placement of dental implants and prosthesis on missing teeth. |
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| Wait list control 1 | Other | Group of patients that will be evaluated until they receive the dental occlusion restoration procedure. |
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| Intervention 2 | Experimental | Orthodontic treatment of malocclusion. |
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| Wait list control 2 | Other | Group of patients that will be evaluated until they receive the orthodontic treatment of malocclusion. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dental occlusion restoration | Procedure | Placement of dental implants by surgical intervention followed, after a healing period of 2 months, by fabrication and installation of implant supported dental prosthesis |
| Measure | Description | Time Frame |
|---|---|---|
| Change of occlusion units | Number of teeth occluding with opposing teeth | Baseline, 6, 12 and 36 months |
| Change of cerebral activity | Functional MRI | Baseline, 6, 12 and 36 months |
| Change of cognitive function | Verbal fluency | Baseline, 6, 12 and 36 months |
| Change of frame of mind | Beck test | Baseline, 6, 12 and 36 months |
| Change of resting brain activity | Electroencephalographic activity | Baseline, 6, 12 and 36 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pablo Galindo-Moreno, DDS, PhD | Universidad de Granada | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Facultad de OdontologÃa | Granada | Granada | 18071 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23254518 | Background | Akazawa Y, Kitamura T, Fujihara Y, Yoshimura Y, Mitome M, Hasegawa T. Forced mastication increases survival of adult neural stem cells in the hippocampal dentate gyrus. Int J Mol Med. 2013 Feb;31(2):307-14. doi: 10.3892/ijmm.2012.1217. Epub 2012 Dec 18. | |
| 24128078 | Background | Elsig F, Schimmel M, Duvernay E, Giannelli SV, Graf CE, Carlier S, Herrmann FR, Michel JP, Gold G, Zekry D, Muller F. Tooth loss, chewing efficiency and cognitive impairment in geriatric patients. Gerodontology. 2015 Jun;32(2):149-56. doi: 10.1111/ger.12079. Epub 2013 Oct 16. |
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| ID | Term |
|---|---|
| D008310 | Malocclusion |
| D003704 | Dementia |
| D001733 | Bites and Stings |
| D000092862 | Psychological Well-Being |
| ID | Term |
|---|---|
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| Orthodontic treatment of malocclusion | Procedure | Orthodontic therapy to treat malocclusion |
|
| 23763956 | Background | Gil-Montoya JA, Ponce G, Sanchez Lara I, Barrios R, Llodra JC, Bravo M. Association of the oral health impact profile with malnutrition risk in Spanish elders. Arch Gerontol Geriatr. 2013 Nov-Dec;57(3):398-402. doi: 10.1016/j.archger.2013.05.002. Epub 2013 Jun 10. |
| D009422 |
| Nervous System Diseases |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D011041 | Poisoning |
| D064419 | Chemically-Induced Disorders |
| D014947 | Wounds and Injuries |
| D010549 | Personal Satisfaction |
| D001519 | Behavior |