CLINICAL EVALUATION OF QUALITY OF FIXED PARTIAL DENTURES IN PATIENTS OF OLDER AGE, SEEKING DENTAL HELP IN VARIOUS MEDICAL INSTITUTIONS OF MOSCOW CITY

Abstract

Longer life expectancy is accompanied by the increase in the share of elderly and old patients in the structure of use of dental care, and improving the toothkeeping methods to increase the number of saved teeth and, as a consequence, the frequency of use of fixed dentures in such patients. The work presents the results of the assessment of the age structure of uptake of elderly patients in hospitals, Moscow of different ownership forms, the frequency of occurrence of fixed dentures in such patients, as well as conformity assessment of existing patients fixed orthopedic constructions selected functional and aesthetic criteria of clinical quality. The data obtained allow to conclude that the maximum uptake in the analyzed age groups accounted for elderly patients (70-74 years). The average number of remaining teeth in 92 patients of elderly and senile age was 16. In 93% of the examined patients had fixed dentures: 56,9% - from metal and 31,4% - forged-pressure welded. In 73,3% of the available fixed dentures required alterations due to the discrepancy functional criterion of quality «the seal of the abutment crowns, and 26,7% - one of the aesthetic criteria («the presence of uncoated metal structures in area (smile).

Keywords

gerodontology / negotiability / quality of fixed partial dentures

References

[1] Алимский А.В. Стоматологическая помощь населению пожилого возраста. Руководство по геронтологии. М.: Цитадель-трейд; 2005: 681-99.

[2] Иорданишвили А.К., Рыжак Г.А., Заборовский К.А. и др. Сто матологический статус людей пожилого и старческого возраста. Успехи геронтологии. 2010; 4: 644-51.

[3] Creugers N.H. Single and multi-teeth fixed prostheses: it is costly, but you have something in return as well! Ned. Tijdschr. Tandheelkd. 2012; 119 (12): 593.

[4] Бровко В.В., Кресникова Ю.В., Онуфриев А.Б. и соавт Результаты ортопедического лечения частичного отсутствия зубов у пожилых пациентов. Российская стоматология. 2009; 1: 55-9.

[5] Лебеденко И.Ю., Анисимова С.В., Мальгинов Н.Н. и др. Специфика ортопедического лечения цельнокерамическими мостовидными зубными протезами. Российский стоматологический журнал. 2005; 4: 43-7.

[6] Лебеденко И.Ю., Чумаченко Е.Н., Янушевич О.О. Применение информационных технологий при планировании лечения в практике ортопедической стоматологии. Российский стоматологический журнал. 2010; 3: 22-5.

[7] Andrade F.B., Lebrao M.L., Santos J.L., Duarte Y.A., Teixeira D.S. Factors related to poor self-perceived oral health among community-dwelling elderly individuals in Sao Paulo, Brazil. Cad Saude Publ. 2012; 28 (10): 1965-75.

[8] Cronin M., Meaney S., Jepson N.J., Allen P.F. A qualitative study of trends in patient preferences for the management of the partially dentate state. Gerodontology. 2009; 26 (2): 137-42.

[9] Wufman C., Tezenas du Montcel S., Jonas P., Fattouh J., Rignon-Bret C. Aesthetic demand of French seniors: a large-scale study. Gerodontology. 2010; 27 (4): 266-71.

RIGHTS & PERMISSIONS

Eco-Vector