Evaluation of Oral Therapeuthical and Surgical Treatment Needs among Retirement Age Population in Different Countries

2011 ◽  
Vol 11 (1) ◽  
pp. 139-143
Author(s):  
Ingrida Krasta ◽  
Aldis Vidzis ◽  
Anda Brinkmane ◽  
Ingrida Cema
Keyword(s):  
Surgical Treatment ◽  
Oral Health ◽  
Nursing Homes ◽  
Health Indicators ◽  
Developed Countries ◽  
Retirement Age ◽  
Age Group ◽  
Treatment Needs ◽  
Oral Health Indicators

Evaluation of Oral Therapeuthical and Surgical Treatment Needs among Retirement Age Population in Different Countries Oral health in connection with quality of life is affected by such functional factors as dental decay and its complications, untreated tooth roots, oral mucosal diseases and inflammations, precancerous diseases, cancers, pain in temporomandibular joints, xerostomia and partially or fully edentulous jaws. It has been noted in literature that among retirement age population the number of remaining teeth has increased and the number of untreated decayed teeth in developed countries for the last 20 years has decreased. Despite this fact the need to improve measures of oral health remains actual in this age group due to increasing prevalence of diagnosed oral diseases and number of extracted teeth and roots. Oral health indicators among retirement age population living in nursing homes in such countries as Canada, USA, UK, Finland, Denmark, Germany, Turkey, Brazil, Australia and Lithuania differ from the same age group indicators among self-dependent old people able to take care of themself. Oral health indicators of nursing homes residents in many countries are significantly worse than oral health indicators of the corresponding age group population. The proposed evaluation data of oral hygiene, periodontal status, DMF-T index, quality of existing and needs of new prosthodontics as well as oral mucosal disorders among retirement age population provides an important insight into therapeutic and surgical treatment provision in different countries.

scholarly journals Oral health indicators in primary health care: the understanding and the information recorded by dentist-surgeons

2014 ◽  
Vol 62 (1) ◽  
pp. 37-45
Author(s):  
Patrícia Maria Costa de OLIVEIRA ◽  
Léa Maria Bezerra de MENEZES ◽  
Maria Vieira de Lima SAINTRAIN ◽  
Paulo César de ALMEIDA ◽  
Maria Eneide Leitão de ALMEIDA
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Sampling Error ◽  
Family Health ◽  
Health Indicators ◽  
Ministry Of Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Oral Health Indicators

OBJECTIVE: This study aimed to know the understanding of Oral health indicators recommended by the Ministry of Health by dentists in the family health strategy of the state of Ceará in 2008. METHODS: It is a descriptive, cross-sectional study in which it was used a questionnaire to obtain the data concerning the way information on oral health actions performed in Family Health Care Units and other social spaces are registered, as well as investigate their knowledge about oral health indicators. The calculation of the sample of dentist-surgeons adopted an absolute sampling error of 6.8% and a significance level of 5%, resulting in an initial sample of 175 dentists; however, only 159 participated in this study according to the inclusion criteria. For instance, they should have been working in the service in the period from 2001 to 2007. In all, 32 cities participated in the research, distributed in 18 Regional Health Cells selected by drawing lots. The data were processed in the program SPSS version 17.0 and considered statistically significant the inferential analyses with p < 0.05. RESULTS: it was observed that there are differences between the interpretation of the indicators objectives and the data relating to oral health actions recorded by dentist-surgeons from the Family Health Strategy. They also differ from the guidelines of the Ministry of Health. CONCLUSION: The pregnant present some knowledge about oral health that can be improved by means of educational, preventive and healing programs. This group exert big it influences in the family ambit, could act as agents multipliers and avoiding the child's precocious contamination.

scholarly journals Exploration and Analysis on Incidences of Covid-19 on the Senior Peoples and TCM Management-60 Clinical Cases

2021 ◽  
Vol 3 (1) ◽  
pp. 01-05
Author(s):  
Dan Jiang
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Nursing Homes ◽  
Developed Countries ◽  
Individual Case ◽  
The West ◽  
The Developed Countries ◽  
Made In ◽  
Clinical Cases

Incidence and prevalence of infected Covid-19 are still rampant in the West and the most countries throughout world from 2020 to 2021. Although the incidence of infected Covid-19 in the developed countries has decreased down by the popular vaccination, it is still anxiety and worry to make more serious widespread from the variated coronavirus. It is a rigorous fact that there still are higher on the mortality to the seniors, special seniors who are resided at nursing homes. For seniors, the infected Coronavirus may product them a disastrous attack according to their pre-existing diseases, complication accompanied with Covid-19, and post-syndromes caused by Covid-19. Their Covid-19 may be more complex, more serious, harder to find a fast and effective therapies and easier to become to the post-syndromes which will make a bad influence to the quality of life in the rest of their life. TCM focuses to individual case, and pay attention more for their pre-existing diseases, complication with Covid-19, and possibility of post-syndrome’s production while some anti-coronavirus herbs are prescribed, so a more fixed prescription is made. In this clinical trial, the author classified 60 cases into two groups: over 45 years old as the observing group and under of 44 years old as the contrasted group, incidences on pre-existing diseases, complication and post-syndromes are observed separately; their results after treated by Chinese medical herbs are also observed. We recognize from these observation and analysis TCM treatment can significantly stabilized pre-existing diseases, treat complication together and prevent the post-syndromes’ occurrence while is treating to Coronavirus. TCM is a suitable treating choice to Senior with Covid-19.

scholarly journals A fogászati ellátás finanszírozása Németországban, az Egyesült Királyságban, Magyarországon és Lengyelországban

2016 ◽  
Vol 157 (14) ◽  
pp. 547-553
Author(s):  
Gyula Marada ◽  
Ákos Nagy ◽  
Andor Sebestyén ◽  
Dóra Endrei ◽  
Márta Radnai ◽  
...  
Keyword(s):  
Oral Health ◽  
Oral Surgery ◽  
Health Indicators ◽  
The Other ◽  
European Countries ◽  
Dental Services ◽  
East European ◽  
Insurance Funds ◽  
Health Insurance Funds ◽  
Oral Health Indicators

Introduction: Dental treatments have the highest rate among medical interventions and their reimbursement is also significant. Aim: The aim of the study was to compare the outcome of the reformed healthcare system process on public dental services in four European countries. Method: Assessment base for the comparison of reimbursement of dental treatments and dental fee schedules provided by the health insurance funds were used. The following indicators were examined: the ratio of public dental services and the main oral health indicators. Among dental fee schedules, reimbursement of general dental activity, prevention, operative dentistry, endodontic and oral surgery were selected. Results: The lowest value of population to active dentist ratio was found in Germany (population to active dentist ratio: 1247) and the highest in Hungary (population to active dentist ratio: 2020). Oral health indicators showed significant differences between the West-European and East-European countries. On the other hand, the ratio of completely edentulous people at the age of 65yrs did not show great variations. Reimbursement of public dental treatments indicated significantly higher value in Germany and the United Kingdom compared to the other countries. Conclusions: Reimbursement of public dental services varies considerably in the selected European countries. Orv. Hetil., 2016, 157(14), 547–553.

A Comparison between Independently Living Elderly Individuals and Residents in 25 German Nursing Homes Following the Group-Living Principle

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Simon A ◽  
Keyword(s):  
Quality Of Life ◽  
Nursing Homes ◽  
Older People ◽  
Care Setting ◽  
Group Living ◽  
Subjective Quality ◽  
Age Group ◽  
Subjective Quality Of Life ◽  
Elderly Individuals

Objective: The purpose of this study was to analyses the subjective Quality of Life (QoL) perceived by older people in German nursing homes following the group-living principle. Methods: The Nottingham Health Profile (NHP), a health-related QoL measuring instrument, was employed in 25 nursing homes (n=404 participants). A comparison with a national German representative subsample of independently living elderly individuals (age group over 75) was conducted. Psychometric properties and appropriateness were analyzed. Results: Our findings indicate an acceptable perception of residents’ QoL. The mean NHP scale scores show that except for the NHP subscale physical ability, the perceived QoL of residents in group-living nursing homes reached nearly the same level as that of independently living elderly individuals (national German reference values, age group over 75 years). QoL-related results on life satisfaction and feeling of happiness confirm the NHP findings. The protocol from a preliminary pilot study could be replicated according to good scientific practice. Conclusions and Implications: The report presents the first major investigation in the field of subjective quality of life in group-living nursing homes. The study focused on people over 75 years of age with age-specific reduced physical and mental abilities. The NHP should also be considered a reliable, valid and appropriate instrument for older people. Due to the lack of research on residents’ perspectives, further studies should establish age-specific and care setting specific reference data for nursing home residents. In particular, more research is needed to answer the question of which care setting best meets people’s essential needs in older age.

Associations of Oral Health-Related Quality of Life with Age, Oral Status, and Oral Function among Psychiatric Inpatients in Japan: a cross-sectional study

2020 ◽  
Author(s):  
Satoru Haresaku ◽  
Fuyuko Nakashima ◽  
Yayoi Hara ◽  
Madoka Kuroki ◽  
Hisae Aoki ◽  
...  
Keyword(s):  
Oral Health ◽  
Tooth Loss ◽  
Psychiatric Patients ◽  
Psychiatric Inpatients ◽  
Age Group ◽  
Health Related Quality ◽  
Swallowing Function ◽  
Related Quality ◽  
Health Related

Abstract Background As the general population of Japan ages, the population of hospitalized psychiatric patients is also ageing. The purpose of this study was to investigate the associations of oral health-related quality of life (OHRQoL) with age and oral health, including oral and swallowing function, among psychiatric inpatients. Methods The subjects included 165 psychiatric inpatients in psychiatric hospitals in Japan. The General Oral Health Assessment Index (GOHAI) and the Eating Assessment Tool (EAT-10) were included in the questionnaire survey for the measurement of OHRQoL and the screening of dysphagia. A score ≥3 on the EAT-10 was defined as suspected dysphagia. Oral examinations and oral diadochokinesis (ODK) measurements for the tongue-lip motor function evaluation were conducted. The inpatients with acute psychiatric symptoms, moderate and severe dementia, and cognitive impairment that affected their ability to communicate and relate their feelings were excluded. A chi-squared test, the Mann-Whitney U test, and linear regression analysis were used for the analysis. The data were analysed at the 5% significance level. Results A total of 100 (64.5%) psychiatric inpatients (mean age, 67.3 [SD, 14.5] years, 49% males, and 51% females) participated in this study. The means±SDs for the decayed missing filled teeth (DMFT) index and GOHAI score were 20.6±6 and 49.7±7.9, respectively. The GOHAI score in the older age group (≥65 years) was significantly lower than that in the younger age group (<65 years). The mean ODK scores were less than 3 times/sec for all syllables. The percentage of the participants with suspected dysphagia was 45.0%. Tooth loss and suspected dysphagia were significantly associated with low GOHAI scores. The EAT-10 score was significantly correlated with the GOHAI score only after adjusting for age and sex (β=-0.725, 95% CI:-0.97, -0.64). Conclusions In hospitalized psychiatric patients, impaired oral health in the older subjects was more pronounced compared with that among general adults. Tooth loss and swallowing function were associated with OHRQoL. Therefore, oral care for the recovery of occlusal and swallowing functions may be needed to improve OHRQoL among psychiatric patients.

scholarly journals THE QUALITY OF DENTAL CARE IN NURSING HOMES: VARIATION BY FACILITY AND MARKET CHARACTERISTICS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S606-S607
Author(s):  
Zhiqiu Ye ◽  
Bei Wu
Keyword(s):  
Oral Health ◽  
Nursing Homes ◽  
Dental Care ◽  
Estimating Equation ◽  
Care Quality ◽  
Policy And Practice ◽  
For Profit ◽  
Low Performance ◽  
Competing Priorities

Abstract Nursing home (NH) residents are disproportionately affected by poor oral health. But little we known about the root causes. We analyzed the 2000-2016 national inspection survey data for all certified-NHs (n=248,975 facility-years). Dental care performance was measured by two designated deficiency citations. Generalized estimating equation models were used to predict if the NH facility and market characteristics were associated with low performance. The rates of deficiency citation tripled from 1.2% in 2000 to 3.4% in 2016 (p&lt;0.001) with substantial variation across states. NHs with more minority residents and poorer resources (higher share of Medicaid and lack of registered nurse), and NHs with high competing priorities (larger, for profit, chain-affiliated and urban locations) were more likely to receive deficiency citations. Residents in these facilities are at greater risks of poor oral health. This presentation will provide discussion on relevant policy and practice to improve dental care quality in nursing homes.

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