Int J Stomatol ›› 2026, Vol. 53 ›› Issue (4): 601-606.doi: 10.7518/gjkq.2026622

• Review • Previous Articles    

Research progress of the impact of tooth loss on swallowing function

Wanxin Li(),Zhaoxin Zhang,Qiang Li()   

  1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi International Joint Research Center for Oral Diseases, Dept. of General Dentistry & Emergency, School of Stomatology, The Fourth Military Medical University, Xi’an 710032, China
  • Received:2025-02-23 Revised:2026-03-31 Online:2026-07-01 Published:2026-06-25
  • Contact: Qiang Li E-mail:liwanxinn@163.com;lqaq726@163.com
  • Supported by:
    Key Research and Development Program of Shaanxi Province(2024SF-YBXM-259);International Scienti-fic and Technological Cooperation and Exchange Program of Shaanxi Province(2021KW-45)

Abstract:

Normal swallowing is a crucial activity for maintaining survival and metabolic balance in the body. A complete and healthy set of teeth is critical for the proper execution of swallowing functions. However, various oral diseases such as periodontal disease, dental caries, trauma, and tumors can lead to tooth loss. In recent years, the acceleration of the aging process has rendered the issue of tooth loss among the population increasingly prominent. However, the effect of tooth loss on swallowing function is often overlooked by clinicians and patients. Previous studies have shown that tooth loss negatively affects various aspects of swallowing, including food mastication, bolus transport, mandibular positioning, and the coordination of oral muscle groups, leading to swallowing hypofunction. This article reviews existing data to clarify the correlation between tooth loss and swallowing disorders and evaluates the therapeutic effects of prosthetic restoration on swallowing function in patients with tooth loss. The synthesized evidence aims to provide a theoretical foundation for evidence-based clinical decision-making in dentistry.

Key words: tooth loss, swallowing function, prosthetic restoration

CLC Number: 

  • R333.1

TrendMD: 
[1] Gomes Filho VV, Gondinho BVC, Silva-Junior MF, et al. Tooth loss in adults: factors associated with the position and number of lost teeth[J]. Rev Saude Publica, 2019, 53: 105.
[2] Al-Shammari KF, Al-Ansari JM, Al-Melh MA, et al. Reasons for tooth extraction in Kuwait[J]. Med Princ Pract, 2006, 15(6): 417-422.
[3] Caldas AF Jr, Marcenes W, Sheiham A. Reasons for tooth extraction in a Brazilian population[J]. Int Dent J, 2000, 50(5): 267-273.
[4] Wiener RC, Shen C, Findley PA, et al. The association between diabetes mellitus, sugar-sweetened be-verages, and tooth loss in adults[J]. J Am Dent Assoc, 2017, 148(7): 500-509.e4.
[5] Chalub LLFH, Ferreira RC, Vargas AMD. Influence of functional dentition on satisfaction with oral health and impacts on daily performance among Brazilian adults: a population-based cross-sectional study[J]. BMC Oral Heal, 2017, 17: 112.
[6] Lamster IB, Asadourian L, del Carmen T, et al. The aging mouth: differentiating normal aging from di-sease[J]. Periodontol 2000, 2016, 72(1): 96-107.
[7] McKenna G, Allen PF, O'Mahony D, et al. Impact of tooth replacement on the nutritional status of partially dentate elders[J]. Clin Oral Invest, 2015, 19(8): 1991-1998.
[8] Slade GD, Akinkugbe AA, Sanders AE. Projections of US edentulism prevalence following 5 decades of decline[J]. J Dent Res, 2014, 93(10): 959-965.
[9] Borg-Bartolo R, Roccuzzo A, Molinero-Mourelle P, et al. Global prevalence of edentulism and dental caries in middle-aged and elderly persons: a syste-matic review and Meta-analysis[J]. J Dent, 2022, 127: 104335.
[10] 陆海霞, 陶丹英, 卢展民, 等. 第四次全国口腔健康流行病学调查——背景和方法[C]// 2018年中华口腔医学会第十八次口腔预防医学学术年会论文汇编. 北京: 中华口腔医学会口腔预防医学专业委员会, 2018.
Lu HX, Tao DY, Lu ZM, et al. The fourth national oral health epidemiological survey—background and methodology[C]//Collection of papers from the 18th Annual Meeting of the Chinese Society of Preventive Dentistry, 2018. Beijing: the Committee of Preventive Dentistry, Chinese Stomatological Association, 2018.
[11] Lopez-Jornet P, Saura-Perez M, Llevat-Espinosa N. Effect of oral health dental state and risk of malnutrition in elderly people[J]. Geriatr Gerontol Int, 2013, 13(1): 43-49.
[12] Tanaka T, Takahashi K, Hirano H, et al. Oral frailty as a risk factor for physical frailty and mortality in community-dwelling elderly[J]. J Gerontol A Biol Sci Med Sci, 2018, 73(12): 1661-1667.
[13] Carvajal R, Miralles R, Cauvi D, et al. Superior orbicularis oris muscle activity in children with and without cleft lip and palate[J]. Cleft Palate Craniofac J, 1992, 29(1): 32-37.
[14] Palmer JB, Rudin NJ, Lara G, et al. Coordination of mastication and swallowing[J]. Dysphagia, 1992, 7(4): 187-200.
[15] Thexton AJ. Mastication and swallowing: an overview[J]. Br Dent J, 1992, 173(6): 197-206.
[16] Helkimo E, Carlsson GE, Helkimo M. Chewing efficiency and state of dentition[J]. Acta Odontol Scand, 1978, 36(1): 33-41.
[17] Naka O, Anastassiadou V, Pissiotis A. Association between functional tooth units and chewing ability in older adults: a systematic review[J]. Gerodontology, 2014, 31(3): 166-177.
[18] Furuta M, Yamashita Y. Oral health and swallowing problems[J]. Curr Phys Med Rehabil Rep, 2013, 1(4): 216-222.
[19] Miller AJ. Deglutition[J]. Physiol Rev, 1982, 62(1): 129-184.
[20] Prinz JF, Lucas PW. Swallow thresholds in human mastication[J]. Arch Oral Biol, 1995, 40(5): 401-403.
[21] Dodds WJ, Stewart ET, Logemann JA. Physiology and radiology of the normal oral and pharyngeal phases of swallowing[J]. Am J Roentgenol, 1990, 154(5): 953-963.
[22] Kahrilas PJ, Lin SZ, Logemann JA, et al. Deglutitive tongue action: volume accommodation and bolus propulsion[J]. Gastroenterology, 1993, 104(1): 152-162.
[23] Shapiro J. Evaluation and treatment of swallowing disorders[J]. Compr Ther, 2000, 26(3): 203-209.
[24] Okamoto N, Tomioka K, Saeki K, et al. Relationship between swallowing problems and tooth loss in community-dwelling independent elderly adults: the fujiwara-kyo study[J]. J Am Geriatr Soc, 2012, 60(5): 849-853.
[25] Hildebrandt GH, Dominguez B, Schork M, et al. Functional units, chewing, swallowing, and food avoidance among the elderly[J]. J Prosthet Dent, 1997, 77(6): 588-595.
[26] Saitoh E, Shibata S, Matsuo K, et al. Chewing and food consistency: effects on bolus transport and swallow initiation[J]. Dysphagia, 2007, 22(2): 100- 107.
[27] Mishellany A, Woda A, Labas R, et al. The challenge of mastication: preparing a bolus suitable for deglutition[J]. Dysphagia, 2006, 21(2): 87-94.
[28] Berzlanovich AM, Muhm M, Sim E, et al. Foreign body asphyxiation: an autopsy study[J]. Am J Med, 1999, 107(4): 351-355.
[29] Berzlanovich AM, Fazeny-Dörner B, Waldhoer T, et al. Foreign body asphyxia A preventable cause of death in the elderly[J]. Am J Prev Med, 2005, 28(1): 65-69.
[30] Okamoto N, Morikawa M, Yanagi M, et al. Association of tooth loss with development of swallowing problems in community-dwelling independent elderly population: the fujiwara-kyo study[J]. J Gerontol A Biol Sci Med Sci, 2015, 70(12): 1548-1554.
[31] Cichero JAY. Age-related changes to eating and swallowing impact frailty: aspiration, choking risk, modified food texture and autonomy of choice[J]. Geriatrics (Basel), 2018, 3(4): 69.
[32] Kahrilas PJ. Pharyngeal structure and function[J]. Dysphagia, 1993, 8(4): 303-307.
[33] Hattori F. The relationship between wearing complete dentures and swallowing function in elderly individuals: a videofluorographic study[J]. Kokubyo Gakkai Zasshi, 2004, 71(2): 102-111.
[34] Herring HW Jr, Akerly WB. Aid to correct tongue position in the mandibular complete denture[J]. J Prosthet Dent, 1981, 46(6): 676-677.
[35] Imaizaki T, Nishi Y, Kaji A, et al. Roles of the artificial tooth arch during swallowing in edentates[J]. J Prosthodont Res, 2010, 54(1): 14-23.
[36] Yamamoto H, Furuya J, Tamada Y, et al. Impacts of wearing complete dentures on bolus transport du-ring feeding in elderly edentulous[J]. J Oral Rehabil, 2013, 40(12): 923-931.
[37] Furuya J. Effects of wearing complete dentures on swallowing in the elderly[J]. Kokubyo Gakkai Zas-shi, 1999, 66(4): 361-369.
[38] Mituuti C, Bianco V, Bentim C, et al. Influence of oral health condition on swallowing and oral intake level for patients affected by chronic stroke[J]. Clin Interv Aging, 2014, 10: 29-35.
[39] Tamura F, Mizukami M, Ayano R, et al. Analysis of feeding function and jaw stability in bedridden elderly[J]. Dysphagia, 2002, 17(3): 235-241.
[40] Yoshikawa M, Yoshida M, Nagasaki T, et al. In-fluence of aging and denture use on liquid swallowing in healthy dentulous and edentulous older people[J]. J Am Geriatr Soc, 2006, 54(3): 444-449.
[41] Pikus L, Levine MS, Yang YX, et al. Videofluoroscopic studies of swallowing dysfunction and the relative risk of pneumonia[J]. AJR Am J Roentge-nol, 2003, 180(6): 1613-1616.
[42] Logemann JA, Curro FA, Pauloski B, et al. Aging effects on oropharyngeal swallow and the role of dental care in oropharyngeal dysphagia[J]. Oral Dis, 2013, 19(8): 733-737.
[43] Albani V, Nishio K, Ito T, et al. Associations of poor oral health with frailty and physical functioning in the oldest old: results from two studies in England and Japan[J]. BMC Geriatr, 2021, 21(1): 187.
[44] Fukai K, Takiguchi T, Ando Y, et al. Critical tooth number without subjective dysphagia[J]. Geriatr Ge-rontol Int, 2011, 11(4): 482-487.
[45] Furuta M, Komiya-Nonaka M, Akifusa S, et al. Interrelationship of oral health status, swallowing fun-ction, nutritional status, and cognitive ability with activities of daily living in Japanese elderly people receiving home care services due to physical disabi-lities[J]. Comm Dent Oral Epid, 2013, 41(2): 173- 181.
[46] Yoshida M, Masuda S, Amano J, et al. Immediate effect of denture wearing on swallowing in rehabilitation hospital inpatients[J]. J Am Geriatr Soc, 2013, 61(4): 655-657.
[47] Gokce HS, Gokce SM, Akin E, et al. Effect of complete denture wearing on deglutition time: a cine-magnetic resonance imaging study[J]. J Oral Rehabil, 2012, 39(3): 198-209.
[48] Yoshikawa M, Yoshida M, Nagasaki T, et al. Effects of tooth loss and denture wear on tongue-tip motion in elderly dentulous and edentulous people[J]. J Oral Rehabil, 2008, 35(12): 882-888.
[49] Kondoh J, Ono T, Tamine K, et al. Effect of complete denture wearing on tongue motor biomecha-nics during swallowing in edentulous older adults[J]. Geriatr Gerontol Int, 2015, 15(5): 565-571.
[50] Kodaira Y, Ishizaki K, Sakurai K. Effect of palate covering on bolus-propulsion time and its contributory factors[J]. J Oral Rehabil, 2006, 33(1): 8-16.
[51] Son DS, Seong JW, Kim Y, et al. The effects of removable denture on swallowing[J]. Ann Rehabil Med, 2013, 37(2): 247-253.
[52] Monaco A, Cattaneo R, Masci C, et al. Effect of ill-fitting dentures on the swallowing duration in patients using polygraphy[J]. Gerodontology, 2012, 29(2): e637-e644.
[53] Berretin-Felix G, Machado WM, Genaro KF, et al. Effects of mandibular fixed implant-supported prostheses on masticatory and swallowing functions in completely edentulous elderly individuals[J]. Int J Oral Maxillofac Implants, 2009, 24(1): 110-117.
[54] Ibrahim AM, Elgamal M, Abdel-Khalek EA. Hyoid displacement during swallowing function for completely edentulous subjects rehabilitated with mandibular implant retained overdenture[J]. BMC Oral Heal, 2024, 24(1): 914.
[55] Tashiro K, Soutome S, Funahara M, et al. The relationship between dental findings and tongue pressure: a survey of 745 community-dwelling adults and elderly persons in Japan[J]. Gerontology, 2021, 67(5): 517-524.
[56] Preoteasa E, Oncescu Moraru AM, Meghea D, et al. Food bolus properties in relation to dentate and prosthetic status[J]. Healthcare, 2022, 10(9): 1596.
[1] Wei Liu,Guangliang Yang,Jing Yang,Shouyan Gan,Lijuan Luo,Liu Zhang,Wei Guo,Yongyu Huang,Bao Luo. Investigation and analysis of influencing factors for adult tooth loss in Huishui County, Guizhou Province [J]. Int J Stomatol, 2026, 53(2): 216-224.
[2] Liu Wei, Chen Xiwen, Zhu Zhimin. Short-term clinical observation of anterior zirconia all-ceramic resin-bonded bridges [J]. Inter J Stomatol, 2014, 41(5): 530-535.
[3] DU Rui- tian, LI Yan. Clinical features and prosthodontics of hypohydrotic ectodermal dysplasia [J]. Inter J Stomatol, 2008, 35(1): 77-79.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!