Comparing prosthetic status and need for prosthetic treatment of tooth loss in patients aged 65–74 years in the Western Pomerania Region depending on the source of financing

Łukasz Wilczyński

Abstract


Introduction: According to demographic predictions, the number of people aged 65 years and more on a global scale will reach one billion in 2030. Understanding the epidemiology of prosthetic status and need for prosthetic treatment of tooth loss in the elderly population is essential to determine risk factors for tooth loss, prepare comprehensive dental treatment, and to develop appropriate prevention programmes.

The purpose of this study was to compare the prosthetic status and prosthetic treatment in edentulous patients depending on the source of financing of dental treatment.

Materials and methods: The study was conducted in a group of 294 people (163 women and 131 men) aged 65–74 years living in West Pomerania province in Poland. The clinical examination assessed the number of preserved teeth, the average number of DMF and its components, the number of preserved short-circuit supporting areas using a modified classification of missing teeth by Eichner, the status of prosthetic treatment, and the need for prosthetic treatment according to World Health Organization (Geneva, 1997). Findings were compared with the source of financing of dental treatment.

Results: The study found that among respondents using only dental services under the National Health Fund compared to those who use only the services of private dental offices there was: a higher percentage of edentulous people (27.4% vs. 2.06%), a lower percentage of people with preserved functional dentition (15.07% vs. 49.48%), a higher mean number of teeth removed (18.14 vs. 9.73), a higher percentage of people who do not have support zones (45.21% vs. 10.31%), a lower percentage of people using a complement fixed in the jaw (5.48% vs. 29.9%) and in the mandible (1.37% vs. 17.53%), a higher percentage of people using a full prosthesis in the jaw (34.25% vs. 4.12%) and in the mandible (23.29% vs. 3.09%), a lower percentage of people using a partial denture and prosthetic bridge or bridges in the jaw (1.37% vs. 10.31%) and in the mandible (0.00% vs. 4.12%), and a higher percentage of people who required a dental prosthesis fixed in the jaw (23.29% vs. 2.06%) and in the mandible (20.55% vs. 3.09%).

Conclusion: The study revealed a significantly lower oral health status among respondents using only services within the National Health Fund.


Keywords


dentition; old age; epidemiology; edentulousness; dental prosthetics

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DOI: https://doi.org/10.21164/pomjlifesci.253

Copyright (c) 2017 Łukasz Wilczyński

License URL: https://creativecommons.org/licenses/by-nc-nd/3.0/pl/