{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:51:58Z","timestamp":1777485118245,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T00:00:00Z","timestamp":1750982400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Thammasat University\u2019s Faculty of Dentistry"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Community Dental Health"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>Background: Dysphagia, or swallowing difficulty, is common among older adults and can pose risks during dental treatments, including aspiration and accidental ingestion. While dysphagia prevalence is well-studied in healthcare and community settings, data from clinical dental settings remain limited. This study aimed to determine the prevalence of swallowing difficulties in older adults visiting a dental clinic. Methods: A cross-sectional survey was conducted at Nong Khai General Hospital, Thailand, from November 2023 to April 2024, using completed demographic questionnaires and the Thai version of the Eating Assessment Tool (EAT-10). Swallowing difficulties were defined as an EAT-10 score \u22653. Associations with demographic and clinical factors were examined using Chi-square tests, Fisher\u2019s exact tests, and logistic regression. Results: Among 327 participants (mean age 69.2 \u00b1 6.6\u00a0years; 52.3% female), 12.5% were screened as positive for swallowing difficulties. Significant predictors included female sex, dietary texture modification, and underlying conditions such as stroke and neuromuscular disorders. Self-reported choking or coughing during dental treatment were also associated with increased risk. Conclusions: This is the first study to investigate swallowing difficulties in older adults within a dental clinic setting. The findings underscore the need for dental professionals to screen for dysphagia and consider appropriate precautions to reduce procedural complications.<\/jats:p>","DOI":"10.1177\/0265539x251355498","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T19:12:38Z","timestamp":1751051558000},"page":"74-82","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Prevalence of swallowing difficulties in a dental clinic: A case study at a general hospital in Thailand"],"prefix":"10.1177","volume":"42","author":[{"given":"Piengtong","family":"Dittasoi","sequence":"first","affiliation":[{"name":"Division of Gerodontology and Special Care Dentistry, Faculty of Dentistry, Thammasat University, Pathumthani, Thailand"},{"name":"Dental Department, Nong Khai General Hospital, Nong Khai, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8789-4080","authenticated-orcid":false,"given":"Matana","family":"Kettratad-Pruksapong","sequence":"additional","affiliation":[{"name":"Division of Gerodontology and Special Care Dentistry, Faculty of Dentistry, Thammasat University, Pathumthani, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2693-3533","authenticated-orcid":false,"given":"Sirima","family":"Kulvanich","sequence":"additional","affiliation":[{"name":"Division of Gerodontology and Special Care Dentistry, Faculty of Dentistry, Thammasat University, Pathumthani, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,27]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2019.10.029"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-022-02960-5"},{"key":"e_1_3_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811701210"},{"key":"e_1_3_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ncp.10889"},{"key":"e_1_3_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/21501327211019596"},{"key":"e_1_3_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9758-y"},{"key":"e_1_3_8_8_1","doi-asserted-by":"publisher","DOI":"10.22540\/JFSF-03-001"},{"key":"e_1_3_8_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11092605"},{"key":"e_1_3_8_10_1","doi-asserted-by":"publisher","DOI":"10.58541\/001c.117463"},{"key":"e_1_3_8_11_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v11.i11.2363"},{"key":"e_1_3_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2017.10.012"},{"key":"e_1_3_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2007.08.006"},{"key":"e_1_3_8_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-023-03285-4"},{"key":"e_1_3_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40141-013-0017-y"},{"key":"e_1_3_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12745"},{"key":"e_1_3_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-015-2067-7"},{"key":"e_1_3_8_18_1","doi-asserted-by":"publisher","DOI":"10.2209\/tdcpublication.55.55"},{"key":"e_1_3_8_19_1","doi-asserted-by":"publisher","DOI":"10.17245\/jdapm.2022.22.3.187"},{"key":"e_1_3_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2008.06.002"},{"key":"e_1_3_8_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa102"},{"key":"e_1_3_8_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022-0337.2005.69.9.tb03994.x"},{"key":"e_1_3_8_23_1","doi-asserted-by":"publisher","DOI":"10.12982\/JAMS.2023.038"},{"key":"e_1_3_8_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-020-10213-z"},{"key":"e_1_3_8_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.12104"},{"key":"e_1_3_8_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-016-0712-3"},{"key":"e_1_3_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2018.04.011"},{"key":"e_1_3_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2018.03.006"},{"key":"e_1_3_8_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/2010105819868252"},{"key":"e_1_3_8_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12967-022-03380-0"},{"key":"e_1_3_8_31_1","doi-asserted-by":"crossref","unstructured":"Rath BN Deb A (2017) Perception towards regular health check-ups. 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