[Gerodontic consultation service for hospitalized geriatric patients: diagnosis and therapy (II)].
Identifieur interne : 005579 ( Main/Exploration ); précédent : 005578; suivant : 005580[Gerodontic consultation service for hospitalized geriatric patients: diagnosis and therapy (II)].
Auteurs : Joannis Katsoulis [Suisse] ; Sandra Huber ; Petra Zumsteg ; Pawel Pazera ; Regina Mericske-SternSource :
- Schweizer Monatsschrift fur Zahnmedizin = Revue mensuelle suisse d'odonto-stomatologie = Rivista mensile svizzera di odontologia e stomatologia [ 0256-2855 ] ; 2009.
Descripteurs français
- KwdFr :
- Bouche édentée (), Coûts et analyse des coûts, Extraction dentaire, Femelle, Hospitalisation, Humains, Maladies parodontales (diagnostic), Malnutrition (étiologie), Mâle, Orientation vers un spécialiste, Perte dentaire (), Plaque dentaire (diagnostic), Réparation d'appareil de prothèse dentaire, Rétention d'appareil de prothèse dentaire, Service hospitalier d'odontologie, Soins dentaires pour personnes âgées, Sujet âgé, Sujet âgé de 80 ans ou plus, Évaluation gériatrique.
- MESH :
- diagnostic : Maladies parodontales, Plaque dentaire.
- étiologie : Malnutrition.
- Bouche édentée, Coûts et analyse des coûts, Extraction dentaire, Femelle, Hospitalisation, Humains, Mâle, Orientation vers un spécialiste, Perte dentaire, Réparation d'appareil de prothèse dentaire, Rétention d'appareil de prothèse dentaire, Service hospitalier d'odontologie, Soins dentaires pour personnes âgées, Sujet âgé, Sujet âgé de 80 ans ou plus, Évaluation gériatrique.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Costs and Cost Analysis, Dental Care for Aged, Dental Plaque (diagnosis), Dental Service, Hospital, Denture Repair, Denture Retention, Female, Geriatric Assessment, Hospitalization, Humans, Male, Malnutrition (etiology), Mouth, Edentulous (complications), Mouth, Edentulous (therapy), Periodontal Diseases (diagnosis), Referral and Consultation, Tooth Extraction, Tooth Loss (complications), Tooth Loss (therapy).
- MESH :
- complications : Mouth, Edentulous, Tooth Loss.
- diagnosis : Dental Plaque, Periodontal Diseases.
- etiology : Malnutrition.
- therapy : Mouth, Edentulous, Tooth Loss.
- Aged, Aged, 80 and over, Costs and Cost Analysis, Dental Care for Aged, Dental Service, Hospital, Denture Repair, Denture Retention, Female, Geriatric Assessment, Hospitalization, Humans, Male, Referral and Consultation, Tooth Extraction.
Abstract
The aim of the study was to report on oral, dental and prosthetic conditions as well as therapeutic measures for temporarily institutionalized geriatric patients. The patients were referred to the dentist since dental problems were observed by the physicians or reported by the patients themselves. This resulted in a selection among the geriatric patients; but they are considered to be representative for this segment of patients exhibiting typical signs of undertreatment. The main problem was the poor retention of the prosthesis, which was associated to insufficient masticatory function and poor nutrition status. Forty-seven percent of the patients were edentulous or had maximally two radicular rests out of function. Altogether 70% of the maxillary and 51% of the mandibular jaws exhibited no more teeth. Eighty-nine percent of the patients had a removable denture, and it was observed that maxillary dentures were regularly worn in contrast to mandibular dentures. The partially edentate patients had a mean number of ten teeth, significantly more in the manidublar than maxillary jaw. Treatment consisted mainly in the adaptation and repair of dentures, tooth extractions and fillings. Only few appointments (mostly two) were necessary to improve the dental conditions, resulting in low costs. Patients without dentures or no need for denture repair generated the lowest costs. Slightly more visits were necessary for patients with dementia and musculoskeletal problems. The present findings show that regular maintenance care of institutionalized geriatric patients would limit costs in a long-term perspective, improve the oral situation and reduce the need for invasive treatment.
PubMed: 19694189
Affiliations:
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Zumsteg</name></author><author><name sortKey="Pazera, Pawel" sort="Pazera, Pawel" uniqKey="Pazera P" first="Pawel" last="Pazera">Pawel Pazera</name></author><author><name sortKey="Mericske Stern, Regina" sort="Mericske Stern, Regina" uniqKey="Mericske Stern R" first="Regina" last="Mericske-Stern">Regina Mericske-Stern</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="RBID">pubmed:19694189</idno><idno type="pmid">19694189</idno><idno type="wicri:Area/PubMed/Corpus">001F01</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001F01</idno><idno type="wicri:Area/PubMed/Curation">001F01</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001F01</idno><idno type="wicri:Area/PubMed/Checkpoint">001F01</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001F01</idno><idno type="wicri:Area/Ncbi/Merge">002892</idno><idno 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dentaire</term><term>Femelle</term><term>Hospitalisation</term><term>Humains</term><term>Mâle</term><term>Orientation vers un spécialiste</term><term>Perte dentaire</term><term>Réparation d'appareil de prothèse dentaire</term><term>Rétention d'appareil de prothèse dentaire</term><term>Service hospitalier d'odontologie</term><term>Soins dentaires pour personnes âgées</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Évaluation gériatrique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of the study was to report on oral, dental and prosthetic conditions as well as therapeutic measures for temporarily institutionalized geriatric patients. The patients were referred to the dentist since dental problems were observed by the physicians or reported by the patients themselves. This resulted in a selection among the geriatric patients; but they are considered to be representative for this segment of patients exhibiting typical signs of undertreatment. The main problem was the poor retention of the prosthesis, which was associated to insufficient masticatory function and poor nutrition status. Forty-seven percent of the patients were edentulous or had maximally two radicular rests out of function. Altogether 70% of the maxillary and 51% of the mandibular jaws exhibited no more teeth. Eighty-nine percent of the patients had a removable denture, and it was observed that maxillary dentures were regularly worn in contrast to mandibular dentures. The partially edentate patients had a mean number of ten teeth, significantly more in the manidublar than maxillary jaw. Treatment consisted mainly in the adaptation and repair of dentures, tooth extractions and fillings. Only few appointments (mostly two) were necessary to improve the dental conditions, resulting in low costs. Patients without dentures or no need for denture repair generated the lowest costs. Slightly more visits were necessary for patients with dementia and musculoskeletal problems. The present findings show that regular maintenance care of institutionalized geriatric patients would limit costs in a long-term perspective, improve the oral situation and reduce the need for invasive treatment.</div></front></TEI><affiliations><list><country><li>Suisse</li></country><region><li>Canton de Berne</li></region><settlement><li>Berne</li></settlement><orgName><li>Université de Berne</li></orgName></list><tree><noCountry><name sortKey="Huber, Sandra" sort="Huber, Sandra" uniqKey="Huber S" first="Sandra" last="Huber">Sandra Huber</name><name sortKey="Mericske Stern, Regina" sort="Mericske Stern, Regina" uniqKey="Mericske Stern R" first="Regina" last="Mericske-Stern">Regina Mericske-Stern</name><name sortKey="Pazera, Pawel" sort="Pazera, Pawel" uniqKey="Pazera P" first="Pawel" last="Pazera">Pawel Pazera</name><name sortKey="Zumsteg, Petra" sort="Zumsteg, Petra" uniqKey="Zumsteg P" first="Petra" last="Zumsteg">Petra Zumsteg</name></noCountry><country name="Suisse"><region name="Canton de Berne"><name sortKey="Katsoulis, Joannis" sort="Katsoulis, Joannis" uniqKey="Katsoulis J" first="Joannis" last="Katsoulis">Joannis Katsoulis</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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