Removable Partial Dentures for Older Adults

Improvements in oral health including increased retention of natural teeth have given rise to a partially dentate older population. Replacement of missing natural teeth is important to improve function, aesthetics and quality of life for this patient group. A variety of options are available to replace missing teeth in partially dentate older adults, including fixed, removable and implant retained prostheses. This article will discuss the provision of removable partial dentures including treatment planning and denture design. When planning removable partial dentures, careful attention must be paid to stabilising the patient prior to delivering any prosthesis. Partial dentures should be designed to minimise the potential for plaque accumulation with carefully designed metal based frameworks. Acrylic resin can also be utilised with attention to detail to minimise the risk of damage to delicate supporting tissues. Removable dentures have the advantage that they can be readily added to in the event of further tooth loss which may be particularly relevant for older adults. Partial dentures which optimise support, retention and stability can function very successfully and significantly improve patients’ oral health related quality of life.

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Impact of Seniors Centers on oral health-related quality of life of older adults

Revista de Saúde Pública ◽

10.11606/s1518-8787.2020054001648 ◽

2020 ◽

Vol 54 ◽

pp. 7

Author(s):

Fernanda W. Machado Luz ◽

Alexandre Emídio Ribeiro Silva ◽

Ana Paula Perroni ◽

Marília L. Goettems ◽

Noéli Boscato

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Oral Health ◽

Family Income ◽

Health Related Quality ◽

Clinical Factors ◽

Related Quality ◽

Health Related ◽

The Impact

OBJECTIVE: This study evaluated the oral health-related quality of life (OHRQoL) of older adults participating or not in Seniors Centers (SC). METHODS: Two independent samples were compared: older adults who participate in SC (n = 124) and older adults who visited Primary Healthcare Centers (PHC) and do not participate in SC (n = 164). The data collected consisted of sociodemographic (sex, age, educational level, marital status, family income) and psychosocial characteristics—Sense of Coherence (SOC), anxiety and depression using HADS, happiness—, and oral clinical evaluation—use and need of dental prosthesis and decayed (D), missing (M), or filled (F) teeth. The resulting OHRQoL was evaluated using the Oral Health Impact Profile (OHIP-14). The Mann-Whitney test was used to assess the associations between the independent variables and the OHIP-14. Poisson regression models were also used in the analyses (α=0.05). RESULTS: In the PHC, of the 270 individuals invited to participate in the study, 164 (60.7%) were interviewed and clinically examined; while in the SC, of the 166 individuals invited to participate in the study, 124 (74.7%) were interviewed and clinically examined. After adjustments for sociodemographic, psychosocial and clinical factors, we found that the impact on OHRQoL was 2.8 times higher (95%CI 2.0–4.2) for older adults who did not participate in SC. CONCLUSION: Older adults who participated in SC showed better perception on OHRQoL, independently of sociodemographic, psychosocial and clinical factors.

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IMMIGRATION, RESILIENCE, AND ORAL-HEALTH-RELATED QUALITY OF LIFE AMONG CHINESE AMERICAN OLDER ADULTS IN HAWAII

Innovation in Aging ◽

10.1093/geroni/igz038.2188 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S590-S590

Author(s):

Bei Wu ◽

Yaolin Pei ◽

Wei Zhang

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Health Status ◽

Oral Health ◽

Health Related Quality ◽

Immigrant Status ◽

Foreign Born ◽

Related Quality ◽

Health Related

Abstract Very few studies have compared oral health status between the US-born and foreign-born immigrant older adults. Using data collected among 430 Chinese older adults age 55+ residing in Hawai’i, we examined the association between immigrant status and oral health related quality of life (OHQoL) and the moderating role of resilience in linking the association. Controlling for some key covariates, our study results show that US-born Chinese immigrant older adults had better OHQoL than their foreign born counterparts. Factors such as higher level of education (graduate degree or higher), better self-reported health status and no significant tooth loss were related to better OHQoL. The association between immigrant status and OHQoL was moderated by resilience. Specially, resilience was positively and significantly associated with OHQoL among U.S.-born older adults but not among the foreign-born ones. Our findings indicate the importance of immigration and resilience in shaping oral health outcomes among older Chinese Americans.

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Demographics, social position, dental status and oral health-related quality of life in community-dwelling older adults

Quality of Life Research ◽

10.1007/s11136-015-1209-y ◽

2015 ◽

Vol 25 (7) ◽

pp. 1735-1742 ◽

Cited By ~ 13

Author(s):

Maria Augusta Bessa Rebelo ◽

Evangeline Maria Cardoso ◽

Peter G. Robinson ◽

Mario Vianna Vettore

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Oral Health ◽

Community Dwelling ◽

Dental Status ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Community Dwelling Older Adults

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Cognitive Function and Oral Health-Related Quality of Life in Older Adults

Journal of the American Geriatrics Society ◽

10.1111/jgs.12402 ◽

2013 ◽

Vol 61 (9) ◽

pp. 1602-1607 ◽

Cited By ~ 37

Author(s):

Kyung Hee Lee ◽

Bei Wu ◽

Brenda L. Plassman

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Oral Health ◽

Cognitive Function ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Estimate of Impact on the Oral Health-Related Quality of Life of Older Thai People by the Provision of Dentures through the Royal Project

International Journal of Dentistry ◽

10.1155/2016/1976013 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 4

Author(s):

Patcharawan Srisilapanan ◽

Narumanas Korwanich ◽

Sutha Jienmaneechotchai ◽

Supranee Dalodom ◽

Nontalee Veerachai ◽

...

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Older People ◽

Health Related Quality ◽

Oral Impact ◽

Related Quality ◽

Health Related ◽

Natural Teeth ◽

Oral Impacts

Purpose.To estimate the impact of the provision of dentures to Thai older people by the Royal Project on their oral health-related quality of life.Methods.A purposive cross-sectional study of a sample of 812 subjects was conducted. The Oral Impacts on Daily Performances (OIDP) measure was used to assess the oral health-related quality of life.Results.Four groups of older people with different tooth types were studied. 216 (26.6%) had natural teeth (NT). 189 (23.3%) had natural and replaced teeth (NRT). 167 (20.6%) had below the minimum number of teeth but had no dentures (Edent) and 240 were edentate with complete dentures provided by the Royal Project (ECD) (29.6%). Overall, 36.5% had at least one oral impact. Eating was the most affected oral impact. When compared to the group with natural teeth (NT), the Edent group was significantly more likely to report having impacts on eating OR = 6.5 (3.9–10.9), speaking clearly OR = 43.7 (12.7–15.07), emotional stability OR = 16.5 (6.0–45.6), and social contacts OR = 4.6 (2.2–9.5) (p<0.001).Conclusion.Those who are edentulous are much more likely to have an oral impact on their daily performances than those provided dentures. Provision of dentures may lead to improvement of considerable oral impacts.

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Impact of Wearing Two Different Types of Partial Dentures on Oral Health-related Quality of Life in Geriatric Diabetic Patients – A Crossover Study

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2020.4205 ◽

2020 ◽

Vol 8 (D) ◽

pp. 48-52

Author(s):

Eman Mostafa Ibraheem ◽

Hisham Samir ElGabry

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Elderly Patients ◽

Acrylic Resin ◽

Diabetic Patients ◽

Health Related Quality ◽

Before And After ◽

Related Quality ◽

Health Related

OBJECTIVE: This study aimed to evaluate oral health-related quality of life (OHRQoL) of partially edentulous elderly diabetic patients before and after wearing heat-cured acrylic resin and flexible partial dentures. BACKGROUND: In the past two decades, an increased concern about the effect of oral conditions on a patient’s quality of life leads to the development of a wide range of OHRQoL measurements. There is a necessity for evaluation required for setting the measurements that are recommended to be used for different needs of geriatric patients. MATERIALS AND METHODS: One hundred partially edentulous bilateral free-end saddle diabetic elderly patients have been randomly selected from the outpatient clinics of the Excellence Centre at National Research Centre. Heat-cured acrylic resin partial denture and flexible removable partial dentures were made for all patients. General oral health assessment questionnaire was completed before and after wearing the two types of partial dentures. The criteria of assessment were speech, mastication and associated pain, esthetics and physiological status, and general life satisfaction and practicing daily activity. RESULTS: The results revealed a significant improvement regarding all aspects of OHRQoL after wearing both partial dentures for diabetic elderly patients. More improvement was observed after wearing the flexible one. CONCLUSIONS: Our findings indicated that OHRQoL in diabetic elderly patients was markedly improved by restoring edentulous spaces using flexible partial dentures than using heat-cured acrylic resin partial dentures.

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