Background: The time from mastication to swallowing is used as an indicator of masticatory and swallowing functions. However, there have been no reports on reasonable eating times associated with eating satisfaction. Clarifying the reasonable time for eating and drinking to achieve eating satisfaction will indicate the level of mastication and swallowing functions that contributes to maintaining an individual’s quality of life. Objective: This study aimed to determine the time from food intake to the end of swallowing that is associated with eating satisfaction. Methods: A cross-sectional survey of 437 community-dwelling older people was conducted. Mastication and swallowing times (SST-MST) were measured using the Saku-Saku Test with a 2 g rice cracker. Food intake difficulty and eating satisfaction were evaluated using a questionnaire. The association between the SST-MST and the difficulty in eating food or eating satisfaction was assessed by sensitivity, specificity, Youden index, sensitivity–specificity ratio, positive likelihood ratio, negative likelihood ratio, odds ratio, and 95% confidence interval. Results: Most indices indicated that a cutoff point of 25 s on the SST-MST was associated with not having difficulty in eating food items. Moreover, when the SST-MST cutoff was set to 25 s, all indices showed a favorable association with eating satisfaction. Conclusions: In community-dwelling older people in their 70s and 80s, an SST-MST of about 25 s for 2 g of rice crackers was modestly associated with eating satisfaction.
Few studies have reported nationwide changes in dental visit patterns during the COVID-19 pandemic. This study aimed to clarify the impact of the COVID-19 pandemic on the type of dental treatment in Japan based on trends in the frequency of dental clinic visits per month and dental expenses per month or day. An interrupted time-series analysis was performed to examine changes in data from the national database before and after the first declaration of a state of emergency. Between March and April 2020, the monthly dental expenses per patient (MDEPP) increased by approximately JPY 950 (JPY) (p < 0.001) in patients aged ≤64 years and ≥65 years. Dental expenses per treatment (DEPT) increased by approximately JPY 300–400 (p < 0.001) in both age groups. After April 2020, the slope of the regression line for DEPT significantly increased in those aged ≤64 years (p < 0.001) and in those ≥65 years (p = 0.024). The number of treatments per month (NTPM) increased after the declaration of a state of emergency. However, the decreasing trend in the regression line for NTPM was stronger in those aged ≤64 years (p < 0.001). The MDEPP, DEPT, and NTPM showed an increasing trend during the first state of emergency compared to those observed in the previous year. The proportion of patients with relatively severe disease may have increased because patients with mild disease refrained from undergoing dental examinations. These results suggest changes in the type of dental treatment during the COVID-19 pandemic.