DENTAL HEALTH OF THE ELDERLY: WAYS TO OPTIMIZE AND METHODS OF ASSESSMENT
Abstract
Relevance. Improving the dental health of elderly people, as well as the search for simple and objective criteria to assess their objectivity, is an urgent task of modern world medicine. The purpose is to improve the indicators of dental health of elderly people and to develop a methodology for assessing the effectiveness of dental care for people of this age group. Materials and methods: the dental health of 79 elderly patients was studied, 45 of whom were under the dynamic supervision of a dentist, and 34 patients visited the same health care institution on request. A semi-quantitative method developed to assess dental health was used, which made it possible to simultaneously evaluate the pathology of teeth, periodontium, oral mucosa, chewing efficiency and oral hygiene. Results. It was found that elderly people have dental health problems due to the occurrence of untreated dental caries, its complications, and periodontal diseases, and dental health can be characterized as reduced. The use of dental rehabilitation of elderly patients who are under dynamic observation allowed to achieve positive dynamics in the indicators of dental health with the effectiveness of treatment 59.6 % higher, compared to the patients who received dental treatment in the same health care institution on referral. Conclusion. It is concluded that it is advisable to take elderly patients for dynamic observation when they apply to dental health care institutions, which really allows to significantly improve their dental health indicators and keep the oral cavity in a satisfactory hygienic condition.
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