Reappraising prosthodontic treatment goals for older, partially dentate people: Part II. Case for a sustainable dentition?
Identifieur interne : 001497 ( Ncbi/Curation ); précédent : 001496; suivant : 001498Reappraising prosthodontic treatment goals for older, partially dentate people: Part II. Case for a sustainable dentition?
Auteurs : Ridwaan Omar [Arabie saoudite]Source :
- SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging [ 1029-4864 ] ; 2004.
Descripteurs français
- KwdFr :
- Accessibilité des services de santé, Adaptation physiologique, Facteurs socioéconomiques, Humains, Mâchoire partiellement édentée (psychologie), Mâchoire partiellement édentée (rééducation et réadaptation), Pays en voie de développement, Planification en santé, Politique de santé, Prothèse partielle conjointe (psychologie), République d'Afrique du Sud, Soins dentaires pour personnes âgées (), Transition sanitaire, Évaluation des besoins.
- MESH :
- psychologie : Mâchoire partiellement édentée, Prothèse partielle conjointe.
- rééducation et réadaptation : Mâchoire partiellement édentée.
- Accessibilité des services de santé, Adaptation physiologique, Facteurs socioéconomiques, Humains, Pays en voie de développement, Planification en santé, Politique de santé, République d'Afrique du Sud, Soins dentaires pour personnes âgées, Transition sanitaire, Évaluation des besoins.
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- Adaptation, Physiological, Dental Care for Aged (methods), Denture, Partial (psychology), Developing Countries, Health Planning, Health Policy, Health Services Accessibility, Health Transition, Humans, Jaw, Edentulous, Partially (psychology), Jaw, Edentulous, Partially (rehabilitation), Needs Assessment, Socioeconomic Factors, South Africa.
- MESH :
- geographic : South Africa.
- methods : Dental Care for Aged.
- psychology : Denture, Partial, Jaw, Edentulous, Partially.
- rehabilitation : Jaw, Edentulous, Partially.
- Adaptation, Physiological, Developing Countries, Health Planning, Health Policy, Health Services Accessibility, Health Transition, Humans, Needs Assessment, Socioeconomic Factors.
Abstract
The second of this two-part series, on the theme of estimating prosthodontic treatment needs and goals for older, partially dentate people, examines the roles of patient-perceived functional impairment, treatment outcome and changing demographic profiles in influencing these goals. In contradistinction with the lack of compelling evidence for the basis of the traditional, morphologically-driven prosthodontic treatment strategy, the evidence that the assessment of treatment need should take greater account of individuals' felt oral functional concerns, and thereby assuming a more problem-oriented, outcomes-based approach to prosthodontic decision-making, is gaining strength. Furthermore, the current blueprint guiding prosthodontic planning and procedures cannot be exempt from the far-reaching changes in society brought about by new economic and social realities, and will need to transform itself in the light of new evidence. How these realities translate in a developing country context is not certain, but it is known that inequalities in access to, and the provision of healthcare are related to socio-economic factors, be they prevailing or of residual nature from past structural conditions. Such conditions adversely affect peoples' health status and add urgency to the pursuit of viable and appropriate management strategies. In the context of a reappraisal of current prosthodontic paradigms, the shortened dental arch concept is presented as a potentially compelling strategy for the appropriate management of the ageing, partially dentate patients in South Africa, whose access to healthcare is inequitable. Since dental and oral health status is variable, the management strategy highlighted here should be seen as one, albeit an important one, within a range of available options.
PubMed: 15457908
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pubmed:15457908Le document en format XML
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<term>Pays en voie de développement</term>
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<front><div type="abstract" xml:lang="en">The second of this two-part series, on the theme of estimating prosthodontic treatment needs and goals for older, partially dentate people, examines the roles of patient-perceived functional impairment, treatment outcome and changing demographic profiles in influencing these goals. In contradistinction with the lack of compelling evidence for the basis of the traditional, morphologically-driven prosthodontic treatment strategy, the evidence that the assessment of treatment need should take greater account of individuals' felt oral functional concerns, and thereby assuming a more problem-oriented, outcomes-based approach to prosthodontic decision-making, is gaining strength. Furthermore, the current blueprint guiding prosthodontic planning and procedures cannot be exempt from the far-reaching changes in society brought about by new economic and social realities, and will need to transform itself in the light of new evidence. How these realities translate in a developing country context is not certain, but it is known that inequalities in access to, and the provision of healthcare are related to socio-economic factors, be they prevailing or of residual nature from past structural conditions. Such conditions adversely affect peoples' health status and add urgency to the pursuit of viable and appropriate management strategies. In the context of a reappraisal of current prosthodontic paradigms, the shortened dental arch concept is presented as a potentially compelling strategy for the appropriate management of the ageing, partially dentate patients in South Africa, whose access to healthcare is inequitable. Since dental and oral health status is variable, the management strategy highlighted here should be seen as one, albeit an important one, within a range of available options.</div>
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