Atraumatic dental treatment among Finnish elderly persons
Identifieur interne : 008564 ( Main/Exploration ); précédent : 008563; suivant : 008565Atraumatic dental treatment among Finnish elderly persons
Auteurs : S. Honkala [Finlande] ; E. HonkalaSource :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2002-05.
Descripteurs français
- Wicri :
- geographic : Finlande.
- topic : Soins de santé, Médecine sociale.
English descriptors
- KwdEn :
- Adult finnish population, Adult population, Ainamo, Ainamo murtomaa, Appropriate approach, Atraumatic, Blackwell science, Caries, Centre, Community dentistry, Dental, Dental care, Dental caries, Dental examination, Dental health, Dental home visits, Dental services, Dental treatment, Dental visits, Dentistry, Distal surfaces, Dolan atchison, Elderly, Elderly people, Elderly persons, Elderly population, English summary, Finland, Finnish, Frencken, Frencken holmgren, Fure zickert, Health care, Health centres, Health science centre, Helsinki, Home visit, Honkala, Kuwait university, Last year, Llings, Merelie heyman, Murtomaa, Natural teeth, Nyyssonen honkala, Older adults, Oral care, Oral epidemiology, Oral health, Oral health care, Oral health services, Oral hygiene instructions, Oral rehabilitation, Other studies, Periodontal, Public health dentistry, Root caries, Social insurance institution, Social medicine, Social welfare, Support services, Tooth loss, Whole population, World health organization, Young adults.
- Teeft :
- Adult finnish population, Adult population, Ainamo, Ainamo murtomaa, Appropriate approach, Atraumatic, Blackwell science, Caries, Centre, Community dentistry, Dental, Dental care, Dental caries, Dental examination, Dental health, Dental home visits, Dental services, Dental treatment, Dental visits, Dentistry, Distal surfaces, Dolan atchison, Elderly, Elderly people, Elderly persons, Elderly population, English summary, Finland, Finnish, Frencken, Frencken holmgren, Fure zickert, Health care, Health centres, Health science centre, Helsinki, Home visit, Honkala, Kuwait university, Last year, Llings, Merelie heyman, Murtomaa, Natural teeth, Nyyssonen honkala, Older adults, Oral care, Oral epidemiology, Oral health, Oral health care, Oral health services, Oral hygiene instructions, Oral rehabilitation, Other studies, Periodontal, Public health dentistry, Root caries, Social insurance institution, Social medicine, Social welfare, Support services, Tooth loss, Whole population, World health organization, Young adults.
Abstract
There is an increase in elderly dentate adults who will retain more of their natural teeth, and thus the demand for restorative dental services among them will be high. In Finland, systematic dental care for old people has not been organized. Health centres have mainly targeted the development of dental care for children, adolescents and young adults. With this background, atraumatic restorative treatment (ART) was seen as a complementary procedure in oral health services for the elderly. It was tested in 1997–1999 in Helsinki among 119 old people (mean age 72·5 years) living in their homes and receiving community‐based support services. Patients were satisfied with having dental examination and oral health education at home. The ART fillings (n=33) were provided for 21 persons and depuration for 56. After 1 year, 25 fillings (58%) could be evaluated: 68% of the fillings were assessed as being good, 11% as having a slight marginal detect and 16% as having unacceptable marginal defect, and one filling was totally lost. In conclusion, ART is an appropriate approach in dental care for the elderly. However, more testing should be completed to find out how the screening could be organized to make the dental home visits more cost‐effective and less time consuming.
Url:
DOI: 10.1046/j.1365-2842.2002.00903.x
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">There is an increase in elderly dentate adults who will retain more of their natural teeth, and thus the demand for restorative dental services among them will be high. In Finland, systematic dental care for old people has not been organized. Health centres have mainly targeted the development of dental care for children, adolescents and young adults. With this background, atraumatic restorative treatment (ART) was seen as a complementary procedure in oral health services for the elderly. It was tested in 1997–1999 in Helsinki among 119 old people (mean age 72·5 years) living in their homes and receiving community‐based support services. Patients were satisfied with having dental examination and oral health education at home. The ART fillings (n=33) were provided for 21 persons and depuration for 56. After 1 year, 25 fillings (58%) could be evaluated: 68% of the fillings were assessed as being good, 11% as having a slight marginal detect and 16% as having unacceptable marginal defect, and one filling was totally lost. In conclusion, ART is an appropriate approach in dental care for the elderly. However, more testing should be completed to find out how the screening could be organized to make the dental home visits more cost‐effective and less time consuming.</div>
</front>
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