Complete dentures in the prosthetic rehabilitation of elderly persons: five different criteria to evaluate the need for replacement
Identifieur interne : 009E73 ( Main/Exploration ); précédent : 009E72; suivant : 009E74Complete dentures in the prosthetic rehabilitation of elderly persons: five different criteria to evaluate the need for replacement
Auteurs : M. J. Nevalainen [Finlande] ; T. Rantanen [Finlande] ; T. N Rhi [Finlande, Pays-Bas] ; A. Ainamo [Portugal, Finlande]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 1997-04.
Descripteurs français
- KwdFr :
- Besoins et demandes de services de santé (), Dimension verticale, Essayage de prothèse, Facteurs temps, Femelle, Finlande, Humains, Loi du khi-deux, Malocclusion dentaire (étiologie), Mâchoire édentée (rééducation et réadaptation), Mâle, Participation du patient, Prothèse dentaire complète (), Prothèse dentaire complète (effets indésirables), Prothèse dentaire complète (normes), Reprise du traitement (), Réparation d'appareil de prothèse dentaire, Rétention d'appareil de prothèse dentaire (), Satisfaction du patient, Soins dentaires pour personnes âgées (), Sujet âgé, Sujet âgé de 80 ans ou plus, Études d'évaluation comme sujet.
- MESH :
- effets indésirables : Prothèse dentaire complète.
- normes : Prothèse dentaire complète.
- rééducation et réadaptation : Mâchoire édentée.
- étiologie : Malocclusion dentaire.
- Besoins et demandes de services de santé, Dimension verticale, Essayage de prothèse, Facteurs temps, Femelle, Finlande, Humains, Loi du khi-deux, Mâle, Participation du patient, Prothèse dentaire complète, Reprise du traitement, Réparation d'appareil de prothèse dentaire, Rétention d'appareil de prothèse dentaire, Satisfaction du patient, Soins dentaires pour personnes âgées, Sujet âgé, Sujet âgé de 80 ans ou plus, Études d'évaluation comme sujet.
- Wicri :
- geographic : Finlande.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Articulation, Bergman, Blackwell science, Carlsson, Chi-Square Distribution, Clinical examination, Complete dentures, Dental Care for Aged (statistics & numerical data), Dentistry, Denture, Denture Repair, Denture Retention (statistics & numerical data), Denture, Complete (adverse effects), Denture, Complete (standards), Denture, Complete (statistics & numerical data), Elderly people, Elderly persons, Evaluation Studies as Topic, Female, Finland, Finnish, Functional properties, Health Services Needs and Demand (statistics & numerical data), Helsinki, Humans, Jaw, Edentulous (rehabilitation), Makila, Male, Malocclusion (etiology), Mandible, Maxilla, Maxillary dentures, Mechanical condition, Occlusion, Oral health, Oral rehabilitation, Patient Participation, Patient Satisfaction, Poor occlusion, Prosthesis Fitting, Prosthetic, Prosthetic dentistry, Prosthetic rehabilitation, Prosthetic treatment, Retreatment (statistics & numerical data), Study group, Subjective opinion, Time Factors, Vertical Dimension, Vertical dimension.
- MESH :
- geographic : Finland.
- adverse effects : Denture, Complete.
- etiology : Malocclusion.
- rehabilitation : Jaw, Edentulous.
- standards : Denture, Complete.
- statistics & numerical data : Dental Care for Aged, Denture Retention, Denture, Complete, Health Services Needs and Demand, Retreatment.
- Teeft :
- Aged, Aged, 80 and over, Articulation, Bergman, Blackwell science, Carlsson, Chi-Square Distribution, Clinical examination, Complete dentures, Dentistry, Denture, Denture Repair, Elderly people, Elderly persons, Evaluation Studies as Topic, Female, Finnish, Functional properties, Helsinki, Humans, Makila, Male, Mandible, Maxilla, Maxillary dentures, Mechanical condition, Occlusion, Oral health, Oral rehabilitation, Patient Participation, Patient Satisfaction, Poor occlusion, Prosthesis Fitting, Prosthetic, Prosthetic dentistry, Prosthetic rehabilitation, Prosthetic treatment, Study group, Subjective opinion, Time Factors, Vertical Dimension, Vertical dimension.
Abstract
summary The purpose of this study was to examine the condition and functional properties, as well as adjustment and replacement needs, of 288 complete dentures worn by 144 inhabitants of Helsinki over 75 years old. Five different criteria to evaluate the need for replacement were used: (I) criteria based on Oral Health Surveys – Basic Methods (WHO, 1987); (II) criteria based only on the clinical data collected during the examination; (III) criteria based only on examiners' subjective opinion of the condition of the dentures; (IV) criteria based on clinical data as well as examiners' experience and consultation with the patient; (V) criteria based only on patients' subjective opinion. Depending on the evaluation method used, 10–84% of the dentures were judged to be in need of replacement. Strict objective evaluation methods produced the highest figures for replacement need, and method (I) (WHO, 1987) the lowest. The most justifiable replacement percentage (26%) was achieved when the dentist assessed treatment need together with the patient. This study documents the multiple subjective and objective difficulties related to the wearing of complete dentures. The study also highlights the well‐recognized importance of regular annual re‐examinations for those wearing complete dentures and the assessment of need for adjustment of the dentures. It also demonstrates that successful treatment decisions cannot be made solely on the basis of clinical examination or a dentist's subjective opinion, but should be formulated in close consultation with the patient.
Url:
DOI: 10.1111/j.1365-2842.1997.tb00323.x
Affiliations:
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J." last="Nevalainen">M. J. Nevalainen</name><affiliation wicri:level="4"><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki</wicri:regionArea><orgName type="university">Université d'Helsinki</orgName><placeName><settlement type="city">Helsinki</settlement><region type="région" nuts="2">Uusimaa</region></placeName></affiliation></author><author><name sortKey="Rantanen, T" sort="Rantanen, T" uniqKey="Rantanen T" first="T." last="Rantanen">T. Rantanen</name><affiliation wicri:level="1"><country xml:lang="fr">Finlande</country><wicri:regionArea>Helsinki IV College for Health Care Professionals, Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author><author><name sortKey="N Rhi, T" sort="N Rhi, T" uniqKey="N Rhi T" first="T." last="N Rhi">T. N Rhi</name><affiliation wicri:level="4"><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki</wicri:regionArea><orgName type="university">Université d'Helsinki</orgName><placeName><settlement type="city">Helsinki</settlement><region type="région" nuts="2">Uusimaa</region></placeName></affiliation><affiliation wicri:level="1"><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Correspondence address: Dr Timo Närhi, Oral Function and Prosthetic Dentistry, University of Nijmegen, P.O. Box 9101, 6500 HB Nijmegen</wicri:regionArea><wicri:noRegion>6500 HB Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Ainamo, A" sort="Ainamo, A" uniqKey="Ainamo A" first="A." last="Ainamo">A. Ainamo</name><affiliation wicri:level="1"><country xml:lang="fr">Portugal</country><wicri:regionArea>Faculty of Medical Dentistry, University of Lissabon, Lissabon</wicri:regionArea><wicri:noRegion>Lissabon</wicri:noRegion></affiliation><affiliation wicri:level="4"><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki</wicri:regionArea><orgName type="university">Université d'Helsinki</orgName><placeName><settlement type="city">Helsinki</settlement><region type="région" nuts="2">Uusimaa</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Oral Rehabilitation</title><title level="j" type="alt">JOURNAL ORAL REHABILITATION</title><idno type="ISSN">0305-182X</idno><idno type="eISSN">1365-2842</idno><imprint><biblScope unit="vol">24</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="251">251</biblScope><biblScope unit="page" to="258">258</biblScope><biblScope unit="page-count">8</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1997-04">1997-04</date></imprint><idno type="ISSN">0305-182X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0305-182X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Articulation</term><term>Bergman</term><term>Blackwell science</term><term>Carlsson</term><term>Chi-Square Distribution</term><term>Clinical examination</term><term>Complete dentures</term><term>Dental Care for Aged (statistics & numerical data)</term><term>Dentistry</term><term>Denture</term><term>Denture Repair</term><term>Denture Retention (statistics & numerical data)</term><term>Denture, Complete (adverse effects)</term><term>Denture, Complete (standards)</term><term>Denture, Complete (statistics & numerical data)</term><term>Elderly people</term><term>Elderly persons</term><term>Evaluation Studies as Topic</term><term>Female</term><term>Finland</term><term>Finnish</term><term>Functional properties</term><term>Health Services Needs and Demand (statistics & numerical data)</term><term>Helsinki</term><term>Humans</term><term>Jaw, Edentulous (rehabilitation)</term><term>Makila</term><term>Male</term><term>Malocclusion (etiology)</term><term>Mandible</term><term>Maxilla</term><term>Maxillary dentures</term><term>Mechanical condition</term><term>Occlusion</term><term>Oral health</term><term>Oral rehabilitation</term><term>Patient Participation</term><term>Patient Satisfaction</term><term>Poor occlusion</term><term>Prosthesis Fitting</term><term>Prosthetic</term><term>Prosthetic dentistry</term><term>Prosthetic rehabilitation</term><term>Prosthetic treatment</term><term>Retreatment (statistics & numerical data)</term><term>Study group</term><term>Subjective opinion</term><term>Time Factors</term><term>Vertical Dimension</term><term>Vertical dimension</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Besoins et demandes de services de santé ()</term><term>Dimension verticale</term><term>Essayage de prothèse</term><term>Facteurs temps</term><term>Femelle</term><term>Finlande</term><term>Humains</term><term>Loi du khi-deux</term><term>Malocclusion dentaire (étiologie)</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Participation du patient</term><term>Prothèse dentaire complète ()</term><term>Prothèse dentaire complète (effets indésirables)</term><term>Prothèse dentaire complète (normes)</term><term>Reprise du traitement ()</term><term>Réparation d'appareil de prothèse dentaire</term><term>Rétention d'appareil de prothèse dentaire ()</term><term>Satisfaction du patient</term><term>Soins dentaires pour personnes âgées ()</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études d'évaluation comme sujet</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Finland</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Denture, Complete</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Prothèse dentaire complète</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Malocclusion</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Prothèse dentaire complète</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Denture, Complete</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Dental Care for Aged</term><term>Denture Retention</term><term>Denture, Complete</term><term>Health Services Needs and Demand</term><term>Retreatment</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Malocclusion dentaire</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Articulation</term><term>Bergman</term><term>Blackwell science</term><term>Carlsson</term><term>Chi-Square Distribution</term><term>Clinical examination</term><term>Complete dentures</term><term>Dentistry</term><term>Denture</term><term>Denture Repair</term><term>Elderly people</term><term>Elderly persons</term><term>Evaluation Studies as Topic</term><term>Female</term><term>Finnish</term><term>Functional properties</term><term>Helsinki</term><term>Humans</term><term>Makila</term><term>Male</term><term>Mandible</term><term>Maxilla</term><term>Maxillary dentures</term><term>Mechanical condition</term><term>Occlusion</term><term>Oral health</term><term>Oral rehabilitation</term><term>Patient Participation</term><term>Patient Satisfaction</term><term>Poor occlusion</term><term>Prosthesis Fitting</term><term>Prosthetic</term><term>Prosthetic dentistry</term><term>Prosthetic rehabilitation</term><term>Prosthetic treatment</term><term>Study group</term><term>Subjective opinion</term><term>Time Factors</term><term>Vertical Dimension</term><term>Vertical dimension</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Besoins et demandes de services de santé</term><term>Dimension verticale</term><term>Essayage de prothèse</term><term>Facteurs temps</term><term>Femelle</term><term>Finlande</term><term>Humains</term><term>Loi du khi-deux</term><term>Mâle</term><term>Participation du patient</term><term>Prothèse dentaire complète</term><term>Reprise du traitement</term><term>Réparation d'appareil de prothèse dentaire</term><term>Rétention d'appareil de prothèse dentaire</term><term>Satisfaction du patient</term><term>Soins dentaires pour personnes âgées</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études d'évaluation comme sujet</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Finlande</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">summary The purpose of this study was to examine the condition and functional properties, as well as adjustment and replacement needs, of 288 complete dentures worn by 144 inhabitants of Helsinki over 75 years old. Five different criteria to evaluate the need for replacement were used: (I) criteria based on Oral Health Surveys – Basic Methods (WHO, 1987); (II) criteria based only on the clinical data collected during the examination; (III) criteria based only on examiners' subjective opinion of the condition of the dentures; (IV) criteria based on clinical data as well as examiners' experience and consultation with the patient; (V) criteria based only on patients' subjective opinion. Depending on the evaluation method used, 10–84% of the dentures were judged to be in need of replacement. Strict objective evaluation methods produced the highest figures for replacement need, and method (I) (WHO, 1987) the lowest. The most justifiable replacement percentage (26%) was achieved when the dentist assessed treatment need together with the patient. This study documents the multiple subjective and objective difficulties related to the wearing of complete dentures. The study also highlights the well‐recognized importance of regular annual re‐examinations for those wearing complete dentures and the assessment of need for adjustment of the dentures. It also demonstrates that successful treatment decisions cannot be made solely on the basis of clinical examination or a dentist's subjective opinion, but should be formulated in close consultation with the patient.</div></front></TEI><affiliations><list><country><li>Finlande</li><li>Pays-Bas</li><li>Portugal</li></country><region><li>Uusimaa</li></region><settlement><li>Helsinki</li></settlement><orgName><li>Université d'Helsinki</li></orgName></list><tree><country name="Finlande"><region name="Uusimaa"><name sortKey="Nevalainen, M J" sort="Nevalainen, M J" uniqKey="Nevalainen M" first="M. J." last="Nevalainen">M. J. Nevalainen</name></region><name sortKey="Ainamo, A" sort="Ainamo, A" uniqKey="Ainamo A" first="A." last="Ainamo">A. Ainamo</name><name sortKey="N Rhi, T" sort="N Rhi, T" uniqKey="N Rhi T" first="T." last="N Rhi">T. N Rhi</name><name sortKey="Rantanen, T" sort="Rantanen, T" uniqKey="Rantanen T" first="T." last="Rantanen">T. Rantanen</name></country><country name="Pays-Bas"><noRegion><name sortKey="N Rhi, T" sort="N Rhi, T" uniqKey="N Rhi T" first="T." last="N Rhi">T. N Rhi</name></noRegion></country><country name="Portugal"><noRegion><name sortKey="Ainamo, A" sort="Ainamo, A" uniqKey="Ainamo A" first="A." last="Ainamo">A. Ainamo</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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