Petrovski, Mihajlo and Papakoca, Kiro and Carceva-Salja, Sofija and Terzieva-Petrovska, Olivera (2021) Dental caries among institutionalzed elderly. Knowledge –International Journal, 46.4.
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Abstract
Dental caries is one of the most common oral disseases in human population.The interaction of the highly prevalent xerostomia and the inability to maintain oral hygiene at a satisfactory level among institutionalized elderly leads to an increased incidence of dental plaque. Dental plaque is main etiological factor for dental cariesand periodontal diseases. Therefore, the elderly have an increased risk of caries and periodontitis. Recurrent caries around inappropriate or old deffinitive fillings and cervical or root caries are the most common types of caries among adults. Due to the process of apical migration of epithelial attachment and present gingival recession, primary site of this type of caries occurrence is cervical region.Main aim of this paper was to determine the prevalence of dental caries amonginstitutionalized elderly people over 65 yearsold.This research was conducted in the "Mother Teresa" department, within the Gerontology Institute "XIII-thof November" Skopje. All of the institutionalized persons (total number -73 subjects)older than 65 yearswere examined.Clinical examination was performed and the prevalence of coronary and root caries among subjectswas determined.The presence of dental caries during the research is detected only with the usage ofa dental mirror and a dental probe without the use of additional or auxiliary instruments and methods.The average number of present (remaining) teeth among these institutionalized elderly was 5.81 ± 7.34 (range from 0-24, with Confidence interval from 4.09 to 5.52).The mean value for the DMFTindex foundamong institutionalized eldrly examineed in this study was28.84 ± 4.71 (range 16-32, with Confidence interval from 27.74 to 29.93).The average value of untreated carious teeth among institutionalized elderly in this study was2.73 ± 3.72 (range 0-14, with Confidence interval from 1.86 to 3.59) per subject.The research indicates that the examinedinstitutionalized people older than65 years in which there werenatural teeth, prevalence of root carieswas54.05%. The average number of root caries defects in onesubject was 1,16 ± 1,4. Amongthe overall examinedpopulation the presence of root caries of teeth was26.03%.Root caries is more common in the lower jaw (the frontal teeth mostly -34.14%) than onthe upper jaw. According to the processed data in thisexaminationtooth which is usually with root cariesisleft lower canine.In only one patient (1.74% ofthe) was observed definitive restoration of the root caries.Based on the obtained data and subsequent analysis of the results, we can notice that theoral health and hygiene are unsatisfacotry among institutionalized elderly. Also, presence of a large number of extracted and carious teeth, and a low incidence of teeth with definite fillings are one most important caracteristics of the oral health among institutionalized elederly. Institutionalized elderly also have high prevalence of root caries.
| Item Type: | Article |
|---|---|
| Subjects: | Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences |
| Divisions: | Faculty of Medical Science |
| Depositing User: | Mihajlo Petrovski |
| Date Deposited: | 07 Jul 2021 16:00 |
| Last Modified: | 07 Jul 2021 16:00 |
| URI: | https://eprints.ugd.edu.mk/id/eprint/28290 |
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