Indicators of dental incidence in older populations

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Abstract

BACKGROUND: The study of dental problems characteristic of geriatric patients is becoming increasingly relevant. As a person ages, the entire dental system undergoes physiological and functional changes. To eliminate the adverse effects of oral diseases, prolong the period of remission, preventive measures, constant monitoring of the level of hygiene, dispensary supervision of elderly and senile persons are necessary.

AIM: This study aimed to determine the prevalence and intensity of dental diseases in the following older age groups: young elderly (65–74 years old), old elderly (75–84 years old), and very old elderly (85 years old and older).

MATERIALS AND METHODS: A dental examination of 183 patients was carried out using a modified card for assessing the state of the dental status, according to guidelines of the World Health Organization.

RESULTS: Analysis of dental morbidity in the older age group showed that the most common dental diseases in this group were extractions of lossened teeth caused by caries and periodontal diseases. Following a comprehensive dental examination of elderly patients and people with senility, the intensity of KPU and OHI-S was 19.76±0.52 and 2.71±0.12, respec-tively, and this indicates the poor hygienic state of the oral cavity of this population.

CONCLUSION: Data support the untimeliness and inadequacy of dental care in elderly patients and people with senility. This necessitates the development of special treatment and prophylactic programs for this population, aimed at reducing dental morbidity.

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About the authors

Anastasia S. Kozhokar

First Sechenov Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: a.kozhokar@gmail.com
Russian Federation, 2 Bolshaya Pirogovskaya str., 119991, Moscow

Sergey V. Kuznetsov

First Sechenov Moscow State Medical University (Sechenov University)

Email: 2334695@bk.ru
SPIN-code: 4906-5090

MD, Dr. Sci. (Med.)

Russian Federation, 2 Bolshaya Pirogovskaya str., 119991, Moscow

Arina S. Podkhvatilina

First Sechenov Moscow State Medical University (Sechenov University)

Email: arina.podkhvatilina@bk.ru
Russian Federation, 2 Bolshaya Pirogovskaya str., 119991, Moscow

Andrey E. Bratus

First Sechenov Moscow State Medical University (Sechenov University)

Email: bratusandrey@mail.ru
Russian Federation, 2 Bolshaya Pirogovskaya str., 119991, Moscow

Yuriy O. Paramonov

First Sechenov Moscow State Medical University (Sechenov University)

Email: paramonovy@mail.ru

MD, Cand. Sci. (Med.)

Russian Federation, 2 Bolshaya Pirogovskaya str., 119991, Moscow

Irina A. Paramonova

First Sechenov Moscow State Medical University (Sechenov University)

Email: irinasp00@mail.ru
Russian Federation, 2 Bolshaya Pirogovskaya str., 119991, Moscow

References

  1. Alimskii AV. Gerontostomatologija: (jepidemiologicheskie, social'nye i organizacionnye aspekty). Moscow: Meditsinskaya kniga; 2012. (In Russ).
  2. Grinin VM, Poltorak NA, Striukova RL. Results of the work of the "Stomatological problems of elderly subjects" school and its contribution to strengthening dental he alth. Russian Journal of Stomatology. 2010;3(2):10–13. (In Russ).
  3. Kulakov AA, Maksimovskiĭ IM, Kuznetsov SV, Markina MS. The organization of stomatological staff for elderly patients. Stomatology. 2010;89(5):43–44. (In Russ).
  4. Makeeva IM, Avdeenko OE. Peculiarities of oral health of organized collectives and professional communities. Stomatology. 2016;95(1):63–66. (In Russ).
  5. Marchini L, Hartshorn JE, Cowen H, et al. A Teaching Tool for Establishing Risk of Oral Health Deterioration in Elderly Patients: Development, Implementation, and Evaluation at a U.S. Dental School. J Dent Educ. 2017;81(11):1283–1290. doi: 10.21815/JDE.017.086

Supplementary files

Supplementary Files
Action
1. Fig. The structure of the intensity of dental caries in persons of the studied age groups.

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