Psychologic aspects of prosthodontic treatment for geriatric patients (original) (raw)
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Prosthodontic care for elderly patients
Dental update, 2011
For older patients, clinicians should consider maintaining teeth and using functionally-orientated treatment strategies as an alternative to removable prostheses. When the remaining dentition has a poor prognosis, key teeth should be preserved as overdenture abutments and a gradual transition to edentulousness planned. Where complete dentures are provided, these can be retained using dental implants to overcome many of the problems associated with conventional replacement dentures. The elderly population of today is better informed and more demanding of oral healthcare providers than previous generations. Clinicians should be aware of all the prosthodontic treatment options available for older patients.
Gerodontology, 2007
Knowledge of prosthodontic treatment among denture-wearers and non-denture-wearers attending a dental institute in India: a survey report Objective: Knowledge of subjects regarding prosthodontic treatment may play a role in their acceptance of the prostheses. The purpose of this survey was to assess the knowledge of prosthodontic treatment among the denture-wearers and non-denture-wearers reporting to the Institute of Dental Sciences, Belgaum. Methods: A self-designed closed-ended questionnaire containing 14 questions was designed. Four-hundred and nineteen subjects aged between 25 and 65 years were surveyed over a period of 2 months. Collected data were statistically analysed using chi-squared test at a significance level of p < 0.05. Results: From the 419 subjects surveyed, 140 subjects (33.4%) were dentate and 279 subjects (66.6%) were edentulous either in the maxillary, mandibular or both arches. Among the 279 edentulous subjects, 143 (51.3%) did not use any kind of prosthesis. There was a statistically significant difference in knowledge regarding the replacement of teeth by artificial means, the number of visits required for the provision of a complete denture, problems with dentures among subjects using and not using them (p < 0.001) whereas no significant difference was found among the subjects regarding aesthetics with dentures and socializing with friends. Conclusion: Attempts should be made to raise the level of knowledge of both denture-wearers and nondenture-wearers reporting to the Institute for any dental treatment.
Geriatric Psychology and Prosthodontic Patient
International Journal of Prosthodontics and Restorative Dentistry, 2011
The problem of adjusting to old age in our modern society is becoming extremely difficult owing to the high values placed on youth, beauty and virility. For the aged themselves, these are frustrating years. They realize that they are beyond their productive peak and many of their ideas, goals, ambitions, hopes can never be attained. It is unfortunate that the geriatric patient generally needs most of the necessary dental and medical services at an age when he is least able to tolerate and afford them. The dental problems of geriatric patients present in the prosthodontic clinic differ because of the psychological factors always associated with them. The clinician should understand the psychological part of a dental problem of a geriatric patient because it always influences the decision making and treatment plan. An attempt has been made in this article to review these psychological factors and critically analyze their influence in dental treatment plan.
The Quality of Removable Prostheses in Dentate, Community-Dwelling Elderly Residing in Puerto Rico
Journal of Prosthodontics, 2013
Purpose-Edentulism has been decreasing in the US elderly population; however, due to the increasing number of elderly, the need for prostheses has been projected to rise over the next several decades. One of the aims of the Puerto Rican Elderly Dental Health Study (PREDHS) was to assess the quality of removable prostheses (RP) in the Puerto Rican (PR) elderly (> 69 years of age) population. Methods-A cross-sectional design, using a subgroup from the Puerto Rican Elderly: Health Conditions (PREHCO) study of dentate, community-dwelling older adults from the greater San Juan area was employed. Eligible participants were administered structured questionnaires and examined in their homes by three trained and calibrated dentists using National Institute of Dental and Craniofacial Research (NIDCR) criteria. Results-One hundred and eighty three (183) participants were examined (61 males, 122 females) (p < 0.001). Overall, 64% were found to have a prosthetic problem with no statistical difference between genders. Unadjusted and age-adjusted logistic models were employed. Increasing age was associated with both upper and lower clinically defined abraded prostheses, (p = 0.007; p = 0.041, respectively). Maxillary (23%) and mandibular (27%) prostheses needed replacement due to deficiencies. Conclusion-RP deficiencies were found in almost two-thirds of a representative sample of dentate 70+ year-old people residing in PR. There was no difference in the proportion of deficiencies between elderly who reported a dental visit in the preceding year or not having seen a dentist. A quarter of the prostheses required replacement. The findings from this and the NHANES studies demonstrate that an engaged and recognized prosthodontic dental school faculty continues to be as important now as it was a generation ago.
Nutritional and prosthodontic care for geriatric patients
IP Innovative Publication Pvt. Ltd., 2017
Perfect health is a prize that has been the goal of mankind throughout all ages. It must be understood that there can be no separation between good bodily health and good dental health. Oral health is not separate from general health, but maintaining oral health is definitely difficult and different in old age. For older patients, clinicians should consider maintaining teeth and using functionally-orientated treatment strategies as an alternative to removable prostheses. When the remaining dentition has a poor prognosis, key teeth should be preserved as overdenture abutments and a gradual transition to edentulousness planned. Where complete dentures are provided, these can be retained using dental implants to overcome many of the problems associated with conventional replacement dentures. The elderly population of today is better informed and more demanding of oral healthcare providers than previous generations. Clinicians should be aware of all the prosthodontic treatment options available for older patients.
Objective: To collect basic data on various prosthetic procedures performed by dentists belonging to various dental specialties in Multan. Place and Duration: Nishtar Institute of Dentistry, Multan and Dental Practitioners of Multan City for Six months duration from 1 st November 2019 to 30 th April 2020. Methodology: A total of 150 self-designed anonymous questionnaires in English were included. The questionnaire consisted of three parts that included questions about age, gender, seniority and type of dental practice, number of patients treated per month by GDP for different dentures, and questions about perceived denture change. Descriptive statistics and data analysis were performed using the Statistical Package for Social Sciences (SPSS) version 21 (SPSS, Chicago, USA). Results: A large number of respondents (84.6%) reported that the number of complete prostheses delivered to patients increased or remained unchanged. Overall, 81.4% reported activity in the RPD as "increasing" or "stable". In the case of an implant-supported prosthesis, a very small number of respondents reported that the practice is declining.