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Lie SAN, Speksnijder CM, Kalic H, Kessler PAWH. Masticatory function in edentulous patients wearing implant overdentures after graftless maxillary sinus membrane elevation. J Oral Rehabil 2024; 51:1005-1015. [PMID: 38475939 DOI: 10.1111/joor.13675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Revised: 12/06/2023] [Accepted: 02/26/2024] [Indexed: 03/14/2024]
Abstract
BACKGROUND Graftless sinus floor augmentation shows good results in bone gain, radiology and implant survival. Clinically, this technique can be recommended as an alternative to conventional procedures using augmentation materials. OBJECTIVES This study aims to assess masticatory performance, masticatory ability and patient satisfaction after graftless sinus floor augmentation. METHODS The study group consisted of patients who had received a graftless sinus lift procedure in a split-mouth design and was compared to patients with maxillary implant-supported overdentures without augmentation and a natural dentition group. To assess objective masticatory performance, the mixing ability test was performed. Three questionnaires were used to assess patient reported outcomes related to mastication and patient satisfaction. RESULTS Each group included ten patients. Both the graftless sinus lift group and the edentulous control group had a worse masticatory performance compared to the natural dentition group. Masticatory ability, measured by patient reported outcomes, was not different between the graftless sinus floor augmentation group and implant-retained overdentures group without augmentation, but the natural dentition group showed better results. Thereby, the better the masticatory performance in patients with a graftless sinus membrane elevation the better the patient satisfaction for 'prosthesis', 'appearance of prostheses', 'speech' and 'mastication and eating'. CONCLUSIONS Patients with implant-supported overdentures show inferior masticatory function compared to those with natural dentition. There were no significant differences in masticatory performance between patients with implant-retained overdentures, with or without graftless augmentation. The decision on the preferred procedure should consider additional factors such as anatomical, surgical-technical aspects and patient's preferences.
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Affiliation(s)
- Suen A N Lie
- Maastricht University Medical Center, Department of Cranio-Maxillofacial Surgery, Maastricht, The Netherlands
- Maastricht University Medical Center, GROW Research Institute for Oncology and Reproduction, Maastricht, The Netherlands
| | - Caroline M Speksnijder
- Maastricht University Medical Center, Department of Cranio-Maxillofacial Surgery, Maastricht, The Netherlands
- University Medical Center Utrecht, Department of Oral and Maxillofacial Surgery and Special Dental Care, Utrecht University, Utrecht, The Netherlands
| | - Haris Kalic
- Maastricht University Medical Center, Department of Cranio-Maxillofacial Surgery, Maastricht, The Netherlands
| | - Peter A W H Kessler
- Maastricht University Medical Center, Department of Cranio-Maxillofacial Surgery, Maastricht, The Netherlands
- Maastricht University Medical Center, GROW Research Institute for Oncology and Reproduction, Maastricht, The Netherlands
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Lima CV, Dos Santos Noronha M, de Menezes EJM, de Oliveira Araújo VS, Mendes PHC, Ferreira RC, Martins AMEDBL, Souza JGS. Unraveling the signs and symptoms of oral conditions that affect daily life activities and oral health-related quality of life. Clin Oral Investig 2022:10.1007/s00784-022-04847-6. [PMID: 36585526 DOI: 10.1007/s00784-022-04847-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Accepted: 12/26/2022] [Indexed: 12/31/2022]
Abstract
OBJECTIVES Since oral conditions negatively affect oral health-related quality of life (OHRQoL), this study evaluated which oral clinical condition, signs, and symptoms are associated with the impact on OHRQoL, its domains, and specific daily life activities among adults. MATERIALS AND METHODS Data from a probabilistic sample of adults (35-44 years old) was used. The Oral Impacts on Daily Performance (OIDP) was used to evaluate OHRQoL, its domains (physical, psychological, and social), and nine daily life activities. Signs and symptoms of oral diseases (dental caries, periodontal disease, need for dental prothesis, and tooth loss) and oral self-perception were considered. Descriptive, bivariate, and multi-level analyses were conducted. RESULTS A total of 5,834 adults were included, of which 52.9% had some negative impact of oral conditions on OHRQoL. Difficulty in eating was the most affected daily life activity. For multiple models, dental caries lesions (cavities), filled teeth with caries, gingival bleeding, periodontal pocket, dental pain, need for upper or lower dental prosthesis, and oral health self-perception were associated (p < 0.05) with overall OHRQoL or at least one of its domains. The impact on daily life activities of each individual was associated with at least one oral condition. Dental caries lesions (cavity) and dental pain were associated (p < 0.05) with the impact on most daily life activities evaluated. CONCLUSIONS Different signs and symptoms of prevalent oral diseases are associated with the impact on specific daily life activities among adults, which may compromise the OHRQoL. CLINICAL RELEVANCE Knowledge of how signs, symptoms, and oral conditions affect OHRQoL and daily life activities can provide essential information for clinicians to establish proper disease management and preventive strategies focusing on improving patients' lives.
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Affiliation(s)
- Carolina Veloso Lima
- Restorative Dentistry Department, Federal University of Paraná, Curitiba, Paraná, Brazil
| | | | | | | | - Patrícia Helena Costa Mendes
- Dental Science School (Faculdade de Ciências Odontológicas), Montes Claros, Minas Gerais, Brazil
- State University of Montes Claros, Montes Claros, Minas Gerais, Brazil
| | | | | | - João Gabriel Silva Souza
- Dental Science School (Faculdade de Ciências Odontológicas), Montes Claros, Minas Gerais, Brazil.
- Dental Research Division, Guarulhos University, Guarulhos, São Paulo, Brazil.
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Jiang CP, Hentihu MFR, Lee SY, Lin R. Multiresin Additive Manufacturing Process for Printing a Complete Denture and an Analysis of Accuracy. 3D PRINTING AND ADDITIVE MANUFACTURING 2022; 9:511-519. [PMID: 36660744 PMCID: PMC9831566 DOI: 10.1089/3dp.2021.0007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
A complete denture, consisting of teeth and a gum base, is a standard device used to restore masticatory and esthetic functions in patients with complete edentulism. The different colors and mechanical properties for teeth and the gum base mean a complete denture is manufactured using two materials with different mechanical properties. This study proposes a method to make a complete denture using a laboratory-developed, multiresin additive manufacturing (MRAM) system with two resins and different mechanical properties. A tenon joint is used to create the bottom of the teeth that fit into the gum base, ensuring automatic alignment and higher bending strength. The mechanical properties, material waste, fabrication time, and effect of the tenon joint on the bending strength of a complete denture printed using the MRAM system are compared with the values for a computer-aided design and computer-aided manufacturing (CAD/CAM) system. Experimental results show that the printed denture is manufactured 3 times faster and produces 14 times less material waste, but is 35.08% less inaccurate than one produced using a CAD/CAM system. The proposed tenon joint increases the bending strength by 31.94%. The MRAM system is applicable for printing a complete denture.
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Affiliation(s)
- Cho-Pei Jiang
- Department of Mechanical Engineering, National Taipei University of Technology, Taipei, Taiwan
- Additive Manufacturing Center for Mass Customized Production, National Taipei University of Technology, Taipei, Taiwan
| | - M. Fahrur Rozy Hentihu
- Graduate Institute of Manufacturing Technology, National Taipei University of Technology, Taipei, Taiwan
| | - Shyh-Yuan Lee
- School of Dentistry, National Yang-Ming University, Taipei, Taiwan
| | - Richard Lin
- Department of Mechanical Engineering, The University of Auckland, Auckland, New Zealand
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Elsonbaty MA, Alshimy AM, Abdul-Monem MM, Neena AF. Evaluation of retention and wear of a titanium-formed stud overdenture attachment with different interimplant angulations after simulated clinical use: An in vitro study. J Prosthet Dent 2022; 128:205.e1-205.e10. [PMID: 35842280 DOI: 10.1016/j.prosdent.2022.06.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Revised: 06/23/2022] [Accepted: 06/23/2022] [Indexed: 10/17/2022]
Abstract
STATEMENT OF PROBLEM How implant alignment impacts stud attachment retention and wear-induced alterations, notably when the attachment exhibits metal-to-metal frictional interlocking, is unclear. PURPOSE The purpose of this in vitro study was to evaluate the effect of the interimplant angulation on retention forces and wear changes before and after 2 years of simulated clinical use of implant overdentures retained by titanium stud overdenture attachments. MATERIAL AND METHODS The canine regions of 3 identical edentulous mandibular models were used to receive 2 dental implants analogs with TiTach attachments (Dental Evolutions, Inc) at interimplant angulations of 0, 30, and 60 degrees. Six identical overdentures were constructed over each model (n=6). A universal testing machine was used to determine overdenture retention forces at 0, after 1440, and after 2880 insertion and removal cycles to simulate the average insertion and removal cycles in 12 and 24 months. A stereomicroscope, a laser microscope, and a scanning electron microscope were used to evaluate the wear in the attachments. A linear regression model, ANOVA, and the Kruskal-Wallis tests were used to analyze the data (α=.05). RESULTS All groups demonstrated reduced retention over the study duration (P<.001). The retention forces of the 0- and 30-degree groups were not significantly different after 2880 insertion and removal cycles, but both were significantly higher than those of the 60-degree group (P=.002). Within each group, the wear pattern of the matrix cap was more noticeable than that of the patrix abutment, with increased wear changes as interimplant angulation increased (P<.001). CONCLUSIONS TiTach attachments could retain overdentures on parallel and divergent implants with a 30-degree angle of interimplant angulation. However, at a 60-degree angle of interimplant angulation, considerable reduction in retention forces and increased wear changes were observed after 2 years of simulated clinical use.
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Affiliation(s)
- Moustafa A Elsonbaty
- Postgraduate student, Department of Prosthodontics, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt
| | - Ahmed M Alshimy
- Professor of Prosthodontics, Department of Prosthodontics, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt
| | - Mohamed M Abdul-Monem
- Lecturer of Dental Biomaterials, Department of Dental Biomaterials, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt
| | - Akram F Neena
- Lecturer of Prosthodontics, Department of Prosthodontics, Faculty of Dentistry, University of Alexandria, Alexandria, Egypt.
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Du S, Cheng M, Zhang C, Xu M, Wang S, Wang W, Wang X, Feng X, Tai B, Hu D, Lin H, Wang B, Wang C, Zheng S, Liu X, Rong W, Wang W, Xu T, Si Y. Income-related inequality and decomposition of edentulism among aged people in China. BMC Oral Health 2022; 22:215. [PMID: 35641983 PMCID: PMC9153164 DOI: 10.1186/s12903-022-02246-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 05/18/2022] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
The aim of this study was to assess the income-related inequality of edentulism among the aged in China and identify the contributing factors.
Methods
A secondary analysis of data from the 4th National Oral Health Epidemiology Survey in China was conducted, and 65–74 years old were selected for the analysis of income-related inequality of edentulism. The concentration curve, Concentration index (CI) and Erreygers-corrected concentration index (EI) were used to represent inequality and its degree qualitatively and quantitatively, respectively. A decomposition method based on probit model was employed to determine the contributors of inequality, including demographic factors, income status, oral health-related knowledge, attitude and practices and self-perceived general health status.
Results
In China, aged people with edentulism were concentrated in the poor. The CI was − 0.2337 (95% CIs: − 0.3503, − 0.1170). The EI was − 0.0413 (95% CIs: − 0.0619, − 0.0207). The decomposition results showed that income (75.02%) and oral health-related knowledge, attitude and practices (15.52%) were the main contributors to the inequality.
Conclusion
This study showed that pro-poor inequality among the elderly with edentulism existed in China. Corresponding policies against the contributors could be considered to promote the health equality of the elders.
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Jacob L, Shin JI, Oh H, López-Sánchez GF, Smith L, Haro JM, Koyanagi A. Association between diabetes and edentulism and their joint effects on health status in 40 low and middle-income countries. BMJ Open Diabetes Res Care 2021; 9:9/1/e002514. [PMID: 34620622 PMCID: PMC8499266 DOI: 10.1136/bmjdrc-2021-002514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Accepted: 09/26/2021] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION Previous studies on the diabetes-edentulism relationship have yielded conflicting results. Therefore, the goal of this study was to investigate the association between diabetes and edentulism, and their joint effects on health status in adults from 40 low and middle-income countries (LMICs). RESEARCH DESIGN AND METHODS Data from the World Health Survey were used for this cross-sectional study (2002-2004). Forty countries (18 low-income and 22 middle-income countries) were included. Edentulism and diabetes were assessed using yes-no questions based on self-report. Health status was assessed in seven different domains (self-care, pain/discomfort, cognition, interpersonal activities, sleep/energy, affect, and perceived stress). The association between diabetes (exposure) and edentulism (outcome) was analyzed using multivariable logistic regression models, while their joint effects on health status were assessed using multivariable linear regression models. RESULTS There were 175 814 adults aged ≥18 years included in this study (mean (SD) age 38.4 (16.0) years; 49.3% men). Overall, the prevalence of edentulism was 6.0% and diabetes was 2.9%. There was a positive and significant association between diabetes and edentulism in the overall sample (OR=1.40, 95% CI 1.18 to 1.66), in low-income countries (OR=1.78, 95% CI 1.21 to 2.62) and in middle-income countries (OR=1.24, 95% CI 1.04 to 1.47). In addition, people with comorbid diabetes and edentulism had worse health status in the domains of cognition, sleep/energy, and perceived stress, compared with those with diabetes only. CONCLUSIONS Diabetes was positively associated with edentulism in this sample of more than 175 000 individuals living in LMICs. Providing oral care to individuals with diabetes may potentially lead to a reduction in their risk of edentulism.
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Affiliation(s)
- Louis Jacob
- Research and Development Unit, Parc Sanitari Sant Joan de Deu, Sant Boi de Llobregat, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
- Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux, France
| | - Jae Il Shin
- Department of Pediatrics, Yonsei University College of Medicine, Seoul, South Korea
| | - Hans Oh
- Suzanne Dworak Peck School of Social Work, University of Southern California, Los Angeles, California, USA
| | - Guillermo F López-Sánchez
- Vision and Eye Research Institute, School of Medicine, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University-Cambridge Campus, Cambridge, UK
| | - Lee Smith
- The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University-Cambridge Campus, Cambridge, UK
| | - Josep Maria Haro
- Research and Development Unit, Parc Sanitari Sant Joan de Deu, Sant Boi de Llobregat, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
| | - Ai Koyanagi
- Research and Development Unit, Parc Sanitari Sant Joan de Deu, Sant Boi de Llobregat, Spain
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
- ICREA, Pg. Lluis Companys 23, Barcelona, Spain
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Bastos RS, Lauris JRP, Bastos JRM, Velasco SRM, Foger-Teixera D, Sá LM. The impacts of oral health-related quality of life of elderly people living at home: a cross-sectional study. CIENCIA & SAUDE COLETIVA 2021; 26:1899-1910. [PMID: 34076130 DOI: 10.1590/1413-81232021265.11962019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2018] [Accepted: 06/10/2019] [Indexed: 11/21/2022] Open
Abstract
The scope was to verify the impact of oral and sociodemographic conditions, the dental treatment needs and dental pain, on the quality of life of the elderly. This cross-sectional study was conducted in 15 primary health care areas. A backward multivariate linear regression model was used (p<0.05) with oral health related-quality of life as dependent variable. There were 335 elderly people with predominance of women (56.72%) and aged up to 74 years (59.40%). Those who had up to 8 years of education predominated (87.46%), and those who were still working were the minority (13.43%). Multivariate linear regression (p<0.05) showed association with missing teeth (β=0,12; IC 0,00:0,04; p<0,04) and dental prosthesis needs (β=0,14; IC 0,13:0,81; p<0,01), women (β=0,18; IC 0,23:0,85; p<0,01), less aged (β=-0,12; IC -0,05:0,00; p<0,02), not working (β=-0,15; IC -1,09:-0,20; p<0,01), with dental care need (β=0,24; IC 0,25:0,63; p<0,01) and dental pain (β=0,14; IC 0,10:0,64; p<0,01). Missing teeth, sociodemographic conditions, dental treatment needs and dental pain might impact oral health-related quality of life of elders.
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Affiliation(s)
- Roosevelt Silva Bastos
- Faculdade de Odontologia de Bauru, Universidade de São Paulo. Alameda Otavio Pinheiro Brisola 9/75, Vila Universitária. 17012-901 Bauru SP Brasil
| | - José Roberto Pereira Lauris
- Faculdade de Odontologia de Bauru, Universidade de São Paulo. Alameda Otavio Pinheiro Brisola 9/75, Vila Universitária. 17012-901 Bauru SP Brasil
| | - José Roberto Magalhães Bastos
- Faculdade de Odontologia de Bauru, Universidade de São Paulo. Alameda Otavio Pinheiro Brisola 9/75, Vila Universitária. 17012-901 Bauru SP Brasil
| | - Sofia Rafaela Maito Velasco
- Faculdade de Odontologia de Bauru, Universidade de São Paulo. Alameda Otavio Pinheiro Brisola 9/75, Vila Universitária. 17012-901 Bauru SP Brasil
| | - Debora Foger-Teixera
- Faculdade de Odontologia de Bauru, Universidade de São Paulo. Alameda Otavio Pinheiro Brisola 9/75, Vila Universitária. 17012-901 Bauru SP Brasil
| | - Leticia Marques Sá
- Faculdade de Odontologia de Bauru, Universidade de São Paulo. Alameda Otavio Pinheiro Brisola 9/75, Vila Universitária. 17012-901 Bauru SP Brasil
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Sharma N, Shukla J, Sharma D, Mehta D, Kakde L, Bais K. Perceived Status and Care Practices among Complete Denture Wearers. J Pharm Bioallied Sci 2020; 12:S336-S339. [PMID: 33149482 PMCID: PMC7595450 DOI: 10.4103/jpbs.jpbs_99_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2020] [Revised: 03/10/2020] [Accepted: 03/13/2020] [Indexed: 11/23/2022] Open
Abstract
Background: Oral health is neglected even today. This can be evidently seen in the low utilization rates and poor oral health status. Conventional dentures are the most common treatment option in the restoration of lost teeth. Without appropriate denture care practices, there is an elevated risk of developing a multitude of problems. The aim of this study was to assess the perceived status and care practices among complete denture wearers in Modern Dental College and Research Centre, Indore, Madhya Pradesh, India. Materials and Methods: A cross-sectional study was conducted in the Department of Prosthodontics at the Modern Dental College and Research Centre, Indore, Madhya Pradesh, India. Patients with self-care optimum overall health who were using either single or full complete dentures for more than 1 year from the commencement of the study were requested to participate in the study. A total of 1000 study participants were given a self-administered questionnaire on their denture care practices followed by clinical examination of the denture status. Data were statistically analyzed using the Statistical Package for the Social Sciences software for Windows, version 20.0. Results: Maximum denture wearers informed that they cleaned their dentures once a day, with brush and water, and had the habit of removing the dentures before sleeping at night. Almost 90% of the participants reported their denture status to be good or fair. Clinical examination revealed that slightly more than half of the participants had poor denture status. Conclusion: This study signifies the importance for improvement in patient oral health education and counseling with respect to the maintenance of dentures and upkeep of denture hygiene. It also emphasizes the need for educating patients on how to evaluate the status of their dentures.
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Affiliation(s)
- Neeraj Sharma
- Department of Prosthodontics, Modern Dental College & Research Centre, Indore, Madhya Pradesh, India
| | - Jyotsna Shukla
- Department of Prosthodontics, Modern Dental College & Research Centre, Indore, Madhya Pradesh, India
| | - Dheeraj Sharma
- Department of Oral Pathology, Index Institute of Dental Sciences, Indore, Madhya Pradesh, India
| | - Divya Mehta
- Department of Prosthodontics, Bhabha College of Dental Sciences, Bhopal, Madhya Pradesh, India
| | - Lalita Kakde
- Department of Prosthodontics, Modern Dental College & Research Centre, Indore, Madhya Pradesh, India
| | - Krati Bais
- Department of Prosthodontics, Modern Dental College & Research Centre, Indore, Madhya Pradesh, India
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Nwakasi CC, Brown JS, Anyanwu P. What could be influencing older Ghanaians outpatient care utilization rate? Ghana Med J 2020; 53:217-225. [PMID: 31741494 PMCID: PMC6842734 DOI: 10.4314/gmj.v53i3.6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Objectives Ghana's population is rapidly aging and there may be healthcare access and utilization issues. This study investigates some of the issues that may influence outpatient care utilization rate among older Ghanaians. Methods Cross-sectional wave 1 (2007–2010) data from WHO's Study on Global Ageing and Adult Health are used, and a sample of 1408 are analyzed. After multiple imputations of missing values, a negative binomial regression model is used to identify the association between outpatient care utilization rate and lifestyle activities. Results The rate of outpatient care utilization is negatively associated with the rate of eating vegetables (β =0.0830, p < .001), fruits (β =0.0033, p < .05), moderate-exercise (β =0.4010, p < .001), moderate-work (β =0.2049, p < .001), walking/biking (β = 0.0436, p < .001), and positively associated with leisure hours ((β =0.0194, p < .001). Conclusion To promote better aging situations of older adults in Ghana, poverty and poor education should be addressed as potential barriers to healthcare access. There is a need for policies that encourage healthier lifestyles for older Ghanaian's health. Funding The study was self-funded by the authors
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Affiliation(s)
| | - J Scott Brown
- Department of Sociology and Gerontology, Miami University, Ohio, USA
| | - Phillip Anyanwu
- Faculty of Medicine, School of Public Health, Imperial College, London, United Kingdom
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Dental considerations and the role of prosthodontics and maxillofacial prosthetics in facial transplantation. J Am Dent Assoc 2019; 149:90-99. [PMID: 29389350 DOI: 10.1016/j.adaj.2017.09.008] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Revised: 09/05/2017] [Accepted: 09/07/2017] [Indexed: 11/21/2022]
Abstract
BACKGROUND Facial transplantation (FT) is a challenging reconstructive endeavor that requires the expertise of a multidisciplinary team. The specific role of maxillofacial prosthodontists has not yet been reported in detail. METHODS This review considers the contributions of prosthodontists throughout the FT process, from patient selection and dental evaluation to long-term dental rehabilitation of the transplant patient postoperatively. Moreover, considerations of dental management are evaluated. RESULTS In the almost 40 FT reported in the literature, the most consistently documented contribution by prosthodontists is the fabrication of a donor mask to maintain donor integrity. Though infrequently reported, prosthodontists have the potential to plan and perform a variety of dental procedures and follow-up plans. CONCLUSIONS When applicable, facial transplant teams are tasked with providing optimal stomatognathic function and dental occlusion to recipients with severe facial disfigurement. The maxillofacial prosthodontist's contribution is crucial to the long-term dental restoration of the edentulous facial transplant candidate, in addition to the fabrication of the donor mask which fulfills the team's ethical responsibilities. PRACTICAL IMPLICATIONS Maxillofacial prosthodontists play a pivotal role in facial transplantation, particularly when jaw segments are intended for transplantation.
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Miranda SB, Possebon APDR, Schuster AJ, Marcello‐Machado RM, Pinto L, Faot F. Relationship Between Masticatory Function Impairment and Oral Health‐Related Quality of Life of Edentulous Patients: An Interventional Study. J Prosthodont 2019; 28:634-642. [DOI: 10.1111/jopr.13070] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/27/2019] [Indexed: 12/26/2022] Open
Affiliation(s)
| | | | | | | | - Luciana Pinto
- Department of Restorative Dentistry, School of DentistryFederal University of Pelotas RS Brazil
| | - Fernanda Faot
- Department of Restorative Dentistry, School of DentistryFederal University of Pelotas RS Brazil
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Islas-Granillo H, Borges-Yañez SA, Navarrete-Hernández JDJ, Veras-Hernández MA, Casanova-Rosado JF, Minaya-Sánchez M, Casanova-Rosado AJ, Fernández-Barrera MÁ, Medina-Solís CE. Indicators of oral health in older adults with and without the presence of multimorbidity: a cross-sectional study. Clin Interv Aging 2019; 14:219-224. [PMID: 30787597 PMCID: PMC6363395 DOI: 10.2147/cia.s170470] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Purpose The aim of this study was to determine whether there are differences in the distribution of various indicators of oral health among elderly people with and without multimorbidity (ie, two or more chronic diseases). Subjects and methods A cross-sectional, comparative study was conducted using a sample of Mexican elderly individuals aged ≥60 years. The average age of the cohort was 79.06±9.78 years, and 69.1% were women. The variables indicating oral health were as follows: functional dentition, edentulism, hyposalivation, xerostomia, root caries and periodontitis. The multimorbidity variable was operationally categorized as follows: 0= subjects with no chronic disease or one chronic disease and 1= subjects with two or more chronic diseases. Questionnaires were used to collect information on various variables regarding general health. Likewise, the participants underwent a clinical oral examination. The analysis was performed using Stata 11.0. Results The overall prevalence of multimorbidity was 27.3%. The prevalences of various oral health indicators were as follows: without functional dentition 89.9%; hyposalivation 59.7%; edentulism 38.9% and self-reported xerostomia 25.2%. Dental caries were observed in 95.3% of the subjects, and the prevalence of severe periodontitis was 80%. We found a significant difference only in edentulism; its prevalence was higher among subjects with multimorbidity (55.3% vs 32.7%, P=0.015) than among those without multimorbidity. Conclusion The presence of edentulism in this sample of Mexican older adults was higher in subjects with multimorbidity. Multimorbidity and oral diseases constitute a true challenge in elderly people, because they affect quality of life and are associated with high health care costs.
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Affiliation(s)
- Horacio Islas-Granillo
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico,
| | | | | | | | | | | | | | | | - Carlo Eduardo Medina-Solís
- Academic Area of Dentistry, Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca, Mexico, .,Advanced Studies and Research Center in Dentistry "Dr Keisaburo Miyata", Faculty of Dentistry, Autonomous University State of Mexico, Toluca, Mexico
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Pengpid S, Peltzer K. The prevalence of edentulism and their related factors in Indonesia, 2014/15. BMC Oral Health 2018; 18:118. [PMID: 29970051 PMCID: PMC6029125 DOI: 10.1186/s12903-018-0582-7] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2017] [Accepted: 06/25/2018] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND Little information exists about the loss of all one's teeth (edentulism) among older adults in Indonesia. The aim of this study was to investigate the prevalence of edentulism and associated factors among older adults in Indonesia. METHOD This study examines the self-reported prevalence of edentulism and associated factors among older adults (50 years and older) in a cross-sectional national study using the Indonesia Family Life Survey IFLS-5, 2014/15. The community-based study uses a multi-stage stratified sampling design to interview and assess household members, with a household response rate of over 90%. RESULTS The overall prevalence of edentulism was 7.2, 29.8% in 80 years and older and 11.8% in those with no formal education. In adjusted Poisson regression analysis, older age, living in five major island groups and having functional disability were associated with edentulism. In addition, among men, having quit and current tobacco use and among women, having low social capital were associated with edentulism. Further, in adjusted analysis, among men, edentulism was positively associated with hypertension and negatively associated with diabetes, and among women, edentulism was associated with functional disability. CONCLUSIONS Results suggest that overall and/or among men or women that older age, living in five major island groups, having functional disability, tobacco quitters and users and those with low social capital was associated with edentulism. The identified associated factors of edentulism may be utilized in oral health programmes targeting older adults in Indonesia.
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Affiliation(s)
- Supa Pengpid
- ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand
- Department of Research & Innovation, University of Limpopo, Turfloop, South Africa
| | - Karl Peltzer
- Department of Research & Innovation, University of Limpopo, Turfloop, South Africa
- HIV/AIDS/STIs and TB (HAST) Research Programme, Human Sciences Research Council, Private Bag X41, Pretoria, 0001 South Africa
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Pires AC, Fleck MP, Power M, da Rocha NS. Psychometric properties of the EUROHIS-QOL 8-item index (WHOQOL-8) in a Brazilian sample. ACTA ACUST UNITED AC 2018; 40:249-255. [PMID: 29590264 PMCID: PMC6899392 DOI: 10.1590/1516-4446-2017-2297] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2017] [Accepted: 08/03/2017] [Indexed: 11/22/2022]
Abstract
Objective: To test the psychometric properties of the EUROHIS-QOL 8-item index in a Brazilian sample. Methods: The sample consisted of 151 patients and 174 healthy controls (n=325). Several psychometric properties were tested. Results: Reliability showed good internal consistency (Cronbach’s alpha = 0.81). The measure showed good discriminant validity between patients and healthy controls (mean1 = 3.32, SD1 = 0.70; mean2 = 3.77, SD2 = 0.63, t = 6.12, p < 0.001). Convergent validity showed significant correlations (p < 0.001) between the EUROHIS-QOL 8-item index and all domains of the WHOQOL-Bref (overall r = 0.47; general health r = 0.54; physical r = 0.69; psychological r = 0.62; social relationship r = 0.55; environment r = 0.55) and between the EUROHIS-QOL 8-item index and the domains of the SF-36, except for the social domain (p = 0.38). On Rasch analysis of unidimensionality, general fit measures showed adequate performance. The EUROHIS-QOL 8-item index also showed good fit on confirmatory factor analysis (CFA) (chi-square = 18.46, degrees of freedom [df] = 15; comparative fit index [CFI] = 0.99; root mean square error of approximation [RMSEA] = 0.03; goodness of fit index [gfi] = 0.99; root mean square residual [RMR] = 0.03; p = 24). Conclusion: The EUROHIS-QOL 8-item index showed good psychometric properties. It is a reliable quality of life measure that can be used in Brazilian populations.
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Affiliation(s)
- Ana Caroline Pires
- Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento, Hospital de Clínicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
| | - Marcelo P Fleck
- Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento, Hospital de Clínicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
| | - Mick Power
- National University of Singapore, Singapore
| | - Neusa S da Rocha
- Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento, Hospital de Clínicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil
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Saliba TA, Ortega MM, Goya KK, Moimaz SAS, Garbin CAS. Influence of oral health on the quality of life of institutionalized and noninstitutionalized elderly people. Dent Res J (Isfahan) 2018; 15:256-263. [PMID: 30123302 PMCID: PMC6073941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
Abstract
BACKGROUND This study aimed to determine the perception of institutionalized (G1) and noninstitutionalized (G2) elderly people on oral health and quality of life (QOL). MATERIALS AND METHODS This cross-sectional, exploratory study applied two instruments - the Geriatric Oral Health Assessment Index (GOHAI) and the World Health Organization QOL-Bref (WHOQOL-BREF) - in two cities of the state of Sao Paulo, Brazil. Among the institutionalized elderly, G1 (n = 150), 50% were not mentally able to answer the questions correctly, 12% did not answer all the questions, and 7.34% refused to take part in the research or were too frail or dependent, resulting in 31 institutionalized participants. In the noninstitutionalized group, G2 (n = 80), 52.50% refused to take part in the research, resulting in 38 noninstitutionalized participants. The elderly individuals (i) who did not respond to three or more questions of the GOHAI, (ii) those who did not answer all the questions of the WHOQOL-Bref, and (iii) those who did not consent to participate in the research study were excluded from the study population (P < 0.05 consider significant). RESULTS The oral health of both groups minimally affected the QOL of the elderly. The WHOQOL-Bref score varied between the two study groups mainly in terms of physical domain and self-perception of QOL. The study groups showed differences in some variables: self-perception of QOL (P = 0.0209), mobility (P = 0.0057), and access to health services (P = 0.0252). G2 presented the best conditions. CONCLUSION The oral health condition of both groups minimally affected the QOL of the participants; however, differences in the self-perception of QOL were significant, mainly in the physical domain.
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Affiliation(s)
- Tânia Adas Saliba
- Department of Child and Social Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil,Address for correspondence: Dr. Tânia Adas Saliba, Department of Child and Social Dentistry, School of Dentistry, São Paulo State University (UNESP), Rua José Bonifácio, 1193, Vila Mendonça, Araçatuba, SP, Brazil. E-mail:
| | - Mariana Martins Ortega
- Department of Child and Social Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - Karimy Kassem Goya
- Department of Child and Social Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - Suzely Adas Saliba Moimaz
- Department of Child and Social Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil
| | - Cléa Adas Saliba Garbin
- Department of Child and Social Dentistry, School of Dentistry, São Paulo State University (UNESP), Araçatuba, SP, Brazil
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Sanches RDCN, Teston EF, Góes HLDF, Marcon SS. O cuidado cotidiano na perspectiva de idosos independentes e de seus familiares mais próximos. AVANCES EN ENFERMERÍA 2018. [DOI: 10.15446/av.enferm.v36n1.60845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objetivo: identificar cómo el anciano independiente y el familiar más próximo vivencian la relación de cuidado.Metodología: estudio descriptivo y exploratorio, de enfoque cualitativo, realizado en Jandaia do Sul (departamento de Paraná, Brasil), con 15 ancianos independientes y sus respectivos familiares. Los datos fueron recolectados en junio de 2012 por medio de entrevista semi-estructurada y sometidos al análisis de contenido, en la modalidad temática.Resultados: el promedio de edad de los ancianos fue de 70 ± 9 años; el 85 % de los participantes (13) era del sexo femenino. El promedio de edad de los familiares fue de 45 ± 5 años, siendo el 85 % (13) del sexo femenino (9 hijas y 4 nueras); los dos familiares del sexo masculino eran hijos de los ancianos. El análisis de las informaciones posibilitó la identificación de dos categorías: La percepción del anciano independiente sobre el cuidado recibido y La percepción del familiar sobre el cuidado ofrecido.Conclusión: el cuidado ofrecido por el familiar era percibido por los ancianos independientes de modo impositivo y controlador, en desacuerdo con la intención del familiar, que era ofrecer cuidados y atención. Esta disonancia en la percepción de ambos termina por sobrecargar la relación entre ellos.
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Marchi-Alves LM, Freitas D, de Andrade D, de Godoy S, Toneti AN, Mendes IAC. Characterization of Oral Microbiota in Removable Dental Prosthesis Users: Influence of Arterial Hypertension. BIOMED RESEARCH INTERNATIONAL 2017; 2017:3838640. [PMID: 28713826 PMCID: PMC5497639 DOI: 10.1155/2017/3838640] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/17/2017] [Accepted: 05/28/2017] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Studies have described the possible relation between oral infections and atherosclerotic events. OBJECTIVE To characterize the oral microbiota of normotensive and hypertensive users of dental prostheses. METHODS The sample consisted of 41 complete dental prosthesis users, divided into groups: 21 participants with systemic arterial hypertension and 20 normotensive participants. The data collection included the characteristics of the sociodemographic variables and the determination of the microbial load in the saliva. For the descriptive analyses, Statistical Package for the Social Sciences was used. The description of the proportional differences between the groups was based on the application of Mann-Whitney's statistical test. Statistical significance was set at 5% (p < 0.05). RESULTS The analysis of the oral microbiota showed the vast growth of aerobic microorganisms in all samples from both groups. The microbial load of streptococci and staphylococci was significantly higher among hypertensive participants. Candida yeasts were detected in the saliva culture of most samples. The hypertensive participants rank in the category of very high colonization index/high risk of infection related to this microorganism. CONCLUSIONS The mouth of dental prosthesis users, especially when hypertensive, can constitute an important reservoir of pathogens, indicating an established inflammatory or infectious condition or risk for developing this condition.
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Affiliation(s)
| | - Dayana Freitas
- Clinical Hospital, Federal University of Triangulo Mineiro, Uberaba, MG, Brazil
| | - Denise de Andrade
- Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, SP, Brazil
| | - Simone de Godoy
- Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, SP, Brazil
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Haag D, Peres K, Balasubramanian M, Brennan D. Oral Conditions and Health-Related Quality of Life: A Systematic Review. J Dent Res 2017; 96:864-874. [DOI: 10.1177/0022034517709737] [Citation(s) in RCA: 143] [Impact Index Per Article: 20.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The objective of this study was to verify whether oral conditions (tooth loss, periodontal disease, dental caries) are negatively associated with health-related quality of life (HRQoL) in adults. A search was carried out on PubMed, EMBASE, Web of Science, Scopus, SciELO, and LILACS databases until the end of July 2016 with no date restrictions. Quantitative observational studies written in English were included and data extraction was performed independently by 2 reviewers. HRQoL was investigated as the outcome, and tooth loss, periodontal diseases, and dental caries were exposures. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used and the quality of the selected studies was assessed by using the Joanna Briggs Institute Meta-Analysis of Statistics assessment and review instrument (JBI-MAStARI). Twenty-one studies were included. The sample sizes ranged from 88 to 15,501 subjects; 20 studies were cross-sectional designs, while 1 was a case-control study. Case definitions of the exposures were different across the studies, mainly for tooth loss, which was defined according to 11 different criteria. Fifteen studies were of “high” and 6 of “medium” quality. Eight HRQoL instruments were identified, and the most frequent was the EuroQol ( n = 8). Ten of 16 studies reported a negative impact of tooth loss on HRQoL. Four of 7 studies reported that periodontal disease impairs HRQoL, and 1 study showed that periodontal disease is positively associated with HRQoL. All studies that assessed dental caries reported a negative association between this condition and HRQoL. Despite the different definitions and measures of tooth loss and dental caries, the majority of the available evidence reported a negative impact of these conditions on HRQoL. Mixed and inconclusive findings were observed for the association between periodontal disease and HRQoL. Longitudinal prospective studies are suggested to improve the strength of the findings.
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Affiliation(s)
- D.G. Haag
- Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, South Australia, Australia
| | - K.G. Peres
- Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, South Australia, Australia
| | - M. Balasubramanian
- Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, South Australia, Australia
| | - D.S. Brennan
- Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, South Australia, Australia
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Kosuru KRV, Devi G, Grandhi V, Prasan KK, Yasangi MK, Dhanalakshmi M. Denture Care Practices and Perceived Denture Status among Complete Denture Wearers. J Int Soc Prev Community Dent 2017; 7:41-45. [PMID: 28316948 PMCID: PMC5343682 DOI: 10.4103/2231-0762.200705] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Accepted: 01/19/2017] [Indexed: 11/04/2022] Open
Abstract
AIMS AND OBJECTIVES Considerable importance to oral health care was lacking in India, and oral health neglect continues to exist, which is evident in the low utilization rates and poor oral health status. Conventional dentures are the most common alternative in restoration of lost teeth. Without proper denture care practices, there is an increased risk of developing a multitude of problems. The aim of this study is to assess the denture care practices among complete denture wearers in East Godavari district, Andhra Pradesh. MATERIALS AND METHODS A cross-sectional study was conducted in the department of Prosthodontics at the Konaseema Institute of Dental Sciences, Amalapuram, Andhra Pradesh. Patients with self-care ability and adequate overall health who were using either single or full complete dentures for more than 6 months from the time of the study were requested to participate in the study. A total of 375 study participants were given a self-administered questionnaire on denture care practices followed by clinical examination of the denture status. Statistical analysis was done using the Statistical Package for the Social Sciences software for windows, version 20.0 (Armonk, NY: IBM Corp). RESULTS The majority of participants reported cleansing their dentures once a day, with brush and water, and had the habit of removing the dentures at night. Almost 80% of the participants reported their denture status to be good/fair. Clinical examination revealed that slightly more than half of the participants had poor denture status. CONCLUSION This study highlights the need for improvement in patient education and counseling with respect to the maintenance of dentures and upkeep of denture hygiene. It also emphasizes the need for educating patients on how to evaluate the status of their dentures.
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Affiliation(s)
- Krishnam Raju V Kosuru
- Department of Prosthodontics and Implantology, Konaseema Institute of Dental Sciences, Amalapurama, Kakinada, Andhra Pradesh, India
| | - Ganji Devi
- Department of Prosthodontics and Implantology, CKS Teja Dental College, Tirupathi, Andhra Pradesh, India
| | - Vikram Grandhi
- Department of Prosthodontics and Implantology, Gitam Dental College, Vishakhapatnam, Andhra Pradesh, India
| | - Kumar K Prasan
- Department of Prosthodontics and Implantology, Rangaraya Medical College, Kakinada, Andhra Pradesh, India
| | - Manoj K Yasangi
- Department of Prosthodontics and Implantology, Priyadarshini Dental College and Hospitals, Thiruvallur, Tamil Nadu, India
| | - Mannem Dhanalakshmi
- Department of Prosthodontics and Implantology, Priyadarshini Dental College and Hospitals, Thiruvallur, Tamil Nadu, India
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Di Bernardi ER, Tsakos G, Sheiham A, Peres KG, Peres MA. Association of changes in income with self-rated oral health and chewing difficulties in adults in Southern Brazil. Community Dent Oral Epidemiol 2016; 44:450-7. [DOI: 10.1111/cdoe.12234] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2015] [Accepted: 03/29/2016] [Indexed: 12/01/2022]
Affiliation(s)
| | - Georgios Tsakos
- Department of Epidemiology and Public Health; University College London; London UK
| | - Aubrey Sheiham
- Department of Epidemiology and Public Health; University College London; London UK
| | - Karen Glazer Peres
- Australian Research Centre for Population Oral Health; School of Dentistry; University of Adelaide; Adelaide SA Australia
| | - Marco Aurélio Peres
- Australian Research Centre for Population Oral Health; School of Dentistry; University of Adelaide; Adelaide SA Australia
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Bommireddy VS, Koka KM, Pachava S, Sanikommu S, Ravoori S, Chandu VC. Dental Service Utilization: Patterns and Barriers among Rural Elderly in Guntur District, Andhra Pradesh. J Clin Diagn Res 2016; 10:ZC43-7. [PMID: 27135000 PMCID: PMC4843385 DOI: 10.7860/jcdr/2016/17834.7456] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2015] [Accepted: 01/21/2016] [Indexed: 11/24/2022]
Abstract
INTRODUCTION The biological process of ageing is outside human control and has its own dynamics. It is a known fact that elderly people have more treatment needs compared to the younger population and at the same time elderly people are facing a multitude of barriers in utilization of health care as well as oral health care. AIM To identify the utilization patterns of oral health care and barriers for utilization among rural population. MATERIALS AND METHODS A cross-sectional study was done on 621 rural elderly subjects to identify the utilization of oral health care services and the barriers for utilization. Using stratified cluster sampling study area was stratified into 13 rural clusters, fifty houses were randomly selected from each stratum. All the elderly subjects, as defined by the age criteria were considered for study. The data were analysed using SPSS 20 v and Chi-square tests were used to analyse the data. RESULTS Only 31.9% of participants reported visiting a dentist in the past while 36.7% reported experiencing a dental problem at some point in their life. There were no significant differences in utilization of dental services based on gender, socio-economic status, age groups and religion. However, significant differences were found in utilization of dental services based on the response of participants to past experience of dental problems. CONCLUSION The present study results conclude that fear was one of the most commonly reported barriers for utilisation of dental services and there is a need for oral health education and promotion among elderly population.
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Affiliation(s)
- Vikram Simha Bommireddy
- Senior Lecturer, Department of Public Health Dentistry, Sibar Institute of Dental Sciences, Guntur, India
| | - Krishna Mohan Koka
- Senior Lecturer, Department of Conservative Dentistry And Endodontics, Sree Sai Dental College and Research Institute, Chapuram, Srikakulam, India
| | - Srinivas Pachava
- Professor and Head, Department of Public Health Dentistry, Sibar Institute of Dental Sciences, Guntur, India
| | - Suresh Sanikommu
- Reader, Department of Public Health Dentistry, Sibar Institute of Dental Sciences, Guntur, India
| | - Srinivas Ravoori
- Senior Lecturer, Department of Public Health Dentistry, Sibar Institute of Dental Sciences, Guntur, India
| | - Viswa Chaitanya Chandu
- Post Graduate Student, Department of Public Health Dentistry, Sibar Institute of Dental Sciences, Guntur, India
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