Researchers at Hiroshima University said tooth loss doesn’t just make eating harder; it may also make thinking more challenging.
In a new study, the
researchers in animal studies found that ageing mice missing their molars
experience measurable cognitive decline, even when their nutrition remains
perfectly intact.
Published in the Archives of Oral Biology, they reported that tooth loss could predict
memory problems regardless of protein intake.Low protein intake has long been
linked to frailty, muscle loss and cognitive impairment in older adults,
leading researchers to question whether memory decline observed in people with
poor oral health stems from nutritional deficiencies or from reduced chewing
ability itself.
Rie Hatakeyama, a
postdoctoral researcher at Hiroshima University’s (HU) Graduate School of
Biomedical and Health Sciences and first author of the study, explained that
tooth loss is common in ageing populations, yet its direct neurological impact
has remained unclear.
“Our study examines whether
tooth loss itself, independent of nutritional deficiency such as a low-protein
diet, can cause cognitive decline in male mice,” said Hatakeyama.
To explore how chewing
ability and nutrition jointly influence the brain, the research team used
ageing-prone male mice and assigned them to one of four conditions: a
normal-protein diet with no tooth extraction, a low-protein diet with no
extraction, molar extraction with a normal-protein diet, and molar extraction
with a low-protein diet.
After six months, the mice underwent
behavioural tests and detailed analyses of their brain tissue for markers of
inflammation, neuronal loss, and cell death–related gene expression.
Side-by-side video showing
mice navigating the Barnes maze. The mouse on the left belongs to the control
group (normal protein diet), while the mouse on the right belongs to the tooth
loss group (normal protein diet).
At 3 months of age, mice
underwent either tooth extraction or a sham operation and were assigned to
either a normal-protein diet or a low-protein diet. Behavioural testing and
brain analyses were conducted six months later.
The results were striking:
mice that lost their molars showed significant memory decline even though they
received the same diet as the control groups. By contrast, a low-protein diet
alone had only limited effects on cognition.
Brain analyses supported these
findings. Tooth loss was associated with increased neuroinflammation and
neuronal loss in the hippocampus, particularly in the CA1 and dentate gyrus
regions, which are critical for memory formation.
This study adds to growing
evidence that links oral health to brain health and that protecting one’s
chewing ability may be a simple but powerful strategy for preserving cognitive
function with age.
The research team plans to
further investigate the biological mechanisms connecting mastication to brain
health, including changes in hippocampal activity, neurotransmitter levels, and
neurogenesis.
“Our ultimate goal is to
demonstrate, in humans, that maintaining or restoring mastication through
prosthodontic treatment can help prevent or delay cognitive decline in the
elderly,” Hatakeyama said.
Research teams around the
world are suggesting that gum disease and tooth loss involve chronic
inflammation, which could ripple out toward the brain. Another suggestion is
that the sensory input of chewing sends signals through nerves and into regions
of our brain involved in learning and memory. Remove teeth, and those signals
disappear.
Last year, researchers from
New York University urged The Lancet to formally recognise oral health as a
modifiable dementia risk factor, arguing that poor oral health may carry nearly
three times the dementia risk associated with diabetes or hypertension.

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