scholarly journals Dental treatment of the elderly people with disabilities

2018 ◽  
Vol 71 (11-12) ◽  
pp. 383-388
Author(s):  
Aleksandra Popovac ◽  
Ivica Stancic ◽  
Ana Vukovic ◽  
Nebojsa Despotovic

Introduction. The growing population of the elderly people and a proportional increase in the number of the elderly with different types of disabilities, necessitates a multidisciplinary approach to the assessment of their oral health and dental treatment. The ultimate aim is to retain a pain-free functional dentition and decrease the risk of future disease. Material and Methods. A PubMed search was performed and the authors contributed their experience in implementing preventive and therapeutic measures. Oral health problems of the elderly with disabilities. Two main factors influence the oral health: multimorbidity and polypharmacy. Oral health problems expected in this population are teeth abrasion, teeth fractures, root caries, periodontitis and problems with wearing dentures due to stomatitis caused by Candida albicans. Oral health assessment and treatment guidelines. This article provides guidelines for assessment and treatment planning, taking into consideration multimorbidity, polypharmacy, dementia and capacity of caregivers. Preventive measures. Preventive measures are crucial for long-term oral health of this population, and this paper provides guidelines for preventive treatment depending on the degree of functional dependence. Prosthetic treatment. Although some elderly with disabilities are suitable for conventional prosthetic treatment, often there are contraindications and specific considerations that must be taken into account. Conclusion. Oral health needs of the elderly people with disabilities should not be neglected and the success of treatment depends on the education of dental professionals and cooperation with other health professionals of the medical team.

2021 ◽  
Author(s):  
Ranjeet Ajit Bapat ◽  
Abhishek Parolia ◽  
Tanay Chaubal ◽  
Suyog Dharamadhikari ◽  
Anshad Mohamed Abdulla ◽  
...  

Dental treatment is provided for a wide variety of oral health problems like dental caries, periodontal diseases, periapical infections, replacement of missing teeth and orthodontic problems.


2020 ◽  
Vol 2020 ◽  
pp. 1-17
Author(s):  
Saulo V. da Rosa ◽  
Samuel J. Moysés ◽  
Laís C. Theis ◽  
Renata C. Soares ◽  
Simone T. Moysés ◽  
...  

Background. People with disabilities tend to have greater oral health problems compared to those without disabilities. This may be due to barriers they come across in accessing dental services. Objectives. The objective of this systematic review was to provide a critical digest of the scientific literature concerning barriers and facilitators of access to oral health services for people with disabilities. Methods. The electronic databases PubMed, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature (LILACS), and Brazilian Library of Dentistry (BBO) were searched using keywords relevant to the subject. The search was not restricted to specific languages or years of publication; all relevant studies were translated and reviewed. Results. Sixteen studies including 14 articles, a doctoral thesis, and a monograph were selected, and their quality was analysed using the Downs and Black assessment tool. Barriers to dental services were divided into physical or nonphysical based on the dentist’s perspective, as per the perception of parents/guardians or by the persons with disabilities. The barriers that emerged included the dentist’s lack of preparation to assist people with disabilities, structural problems of access to dental offices, communication difficulties, and lack of awareness regarding the need for dental treatment for the disabled person. Conclusion. It is concluded that people with disabilities continue to run into complex physical, behavioural, or multidimensional barriers in accessing dental services. Improved training of dentists for the care of this population is hereby emphasized. The legal framework enabling access to dental care for people with disabilities must also be respected in each country.


2012 ◽  
Vol 24 (9) ◽  
pp. 1393-1401 ◽  
Author(s):  
Ildri Kjølseth ◽  
Øivind Ekeberg

ABSTRACTBackground: The study has a dual objective: (1) to investigate the extent to which, and how and to whom, elderly people gave warning (according to the definition of the term given by the American Association of Suicidology) prior to suicide; (2) to investigate how these warnings were perceived by the recipients of them, and what reactions the recipients had to the warnings.Methods: This is a psychological autopsy study based on qualitative interviews. Sixty-three informants were interviewed about 23 suicides by individuals aged over 65 in Norway. The informants comprised relatives, general practitioners (GPs) and home-based care nurses. In general, the analysis of the interviews follows the systematic text condensation method.Results: The interviews contained four main themes regarding reactions to the warnings: “not taken seriously,” “helplessness,” “exhaustion,” and “acceptance.” A total of 14 of the 23 elderly people gave warning before the suicides occurred. The warnings were given to relatives (11), home-based care nurses (5), and GPs (2).Conclusions: Even though more than half of the elderly people had given warning (most frequently to relatives) before the suicide, the warnings did not initiate preventive measures. Together with passive attitudes, the lack of recognition of both the risk of suicide and the opportunities for treatment prevented possible measures being implemented. The paper discusses the grounds for the reactions as well as how suicide warnings given by elderly people can be taken seriously.


2020 ◽  
Vol 2 (3) ◽  
pp. 167
Author(s):  
Ariyanto Ariyanto ◽  
Tina Yuli Fatmawati

Along with economic progress, environmental improvement and advancement of science and technology, especially in health sciences, health promotion, disease prevention and health services have resulted in increased life expectancy for humans. Our society now sees the elderly as people who are less productive, less attractive, less energetic, easy to forget, therefore to realize healthy, productive elderly people at dusk, efforts are needed, one of which is by improving healthy lifestyles. Survey conducted by the Team, The number of elderly people in Posyandu is 79 people. There are only 2 active Posyandu cadres active, the elderly rarely visit the Posyandu, and the lack of knowledge on how to cope with problems related to elderly diseases, such as gout, stroke. Therefore it is necessary to hold counseling for the Elderly to better understand about health problems in the elderly and be more active in participating in the Posyandu for the elderly so that "Healthy Elderly People in Old Age" is realized. This activity was done in May-June 2019 at the elderly in the homes of residents of RT 11 Kelurahan Kenali Asam Bawah, with the service method using a survey approach, lecture, discussion, demonstration / simulation. The results obtained by the Posyandu officers are active and able to identify the elderly and health problems of the elderly and recognize and understand frequent diseases such as gout and stroke


Author(s):  
Gabriela Furst Vaccarezza ◽  
Raissa Lopes Fuga ◽  
Stephanie Regiane Prata Ferreira

Introduction: The Brazilian population has been aging rapidly since the early 1960s, when the age structure of the population began to change. In 1996, only 5% of the population was 60 years old or more, while today they are 9% of the population. Objective: The objective of this study is to assess oral health conditions of the elderly who live in Vila dos Idosos, collecting information about their condition of life, and trying to correlate how much oral health can compromise the quality of life and autonomy of these elderly people. Methods: Data collection was carried out through questionnaires and clinical examination; elderly people over 60 years old, of both sexes, were interviewed. All interviews were conducted in the Vila dos Idosos itself. Results: The results show that tooth loss or the use of inadequate prostheses has negative impacts on quality of life, especially with regard to worry, stress resulting from problems in the mouth and shame. It was obtained in the research that, in general, oral health in the elderly is fragile, requiring greater attention from health professionals; however, when self-perceived oral health is analyzed, the vast majority assess it as very good or good. Conclusion: The most important finding of the study was that, although the data obtained indicate a fragile oral health that reveals a commitment to quality of life, the vast majority of the elderly evaluated their own health positively. This may indicate that, for this population, health oral health is dissociated from health.


Author(s):  
Eber Paraguassu

Introduction: The Brazilian population has undergone demographic changes over the years. This increase in life expectancy has resulted in the growth of the country's elderly population, necessitating giving people a aging with quality of life. Objective: to report the oral health conditions of the Brazilian elderly, emphasizing the quality of life of the elderly, as well as the knowledge of the caregivers regarding the hygiene and maintenance of the oral health of this population. Material and method: This is a bibliographic study, covering the search for articles published in the last two years in the Scientific Electronic Library Online (SciELO) about "Oral Health Conditions of the Elderly in Brazil". The following descriptors were used: "dentistry", "elderly" and "oral health". In the screening of articles, using the inclusion criteria, nineteen articles were studied, of which six articles published in 2014, nine articles published in 2015 and four articles published in 2019. Conclusion: One can conclude with this work that there is a need for dental treatment aimed at this population, due to the pathologies from aging itself. Key Words: Geriatric Dentistry; Oral Health; Oral hygiene


2021 ◽  
Vol 27 (1) ◽  
pp. 65-86
Author(s):  
Christian Moreira Matos ◽  
Vítor Kehl Matter ◽  
Márcio Garcia Martins ◽  
João Elison da Rosa Tavares ◽  
Alexandre Sturmer Wolf ◽  
...  

People with disabilities and the elderly face difficulties to fulfill their accessibility needs in their daily life routines, mainly when they have an emergency demanding speedy and specific assistance. This article proposes the SafeFollowing, a collaborative model to help people with disabilities and the elderly in smart assistive cities. The main contribution of this work is the specification of a decentralized model of ubiquitous accessibility, which involves public agents and volunteers to attend the users’ requests. SafeFollowing also allows the use of police vehicles mapping, in order to provide a specific follow-up in adverse situations of daily life. The model was validated through experiments in real case scenarios by 14 public agents and 11 elderly and people with disabilities. The results showed that 100% of evaluators (users and agents) stated that the model was useful and 82% of users and 100% of agents considered that SafeFollowing was easy to use. The experiments also allowed the learning of 5 relevant lessons on technological and usability aspects of SafeFollowing that are recorded in this article.


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