scholarly journals Dental Implants in the Geriatric Population: Challenges in Developing Economies

Author(s):  
Agboghoroma Okeoghenemaro Gloria ◽  
Ameh Governor G. ◽  
Enabulele Joan Emien

Aging is a natural process that results in biological and physiological changes in the body. geriatric dental patients pose unique challenges that are not routinely seen in younger patients. The difference in bone size, density, shape, and quality present unique opportunities for clinicians to consider when planning for implant replacement therapies in geriatric patients. Despite these setbacks, the popularity of implants in dentistry has risen in recent times and more clinicians and patients see the potentials for oral rehabilitation among the geriatric population. This article attempts to appraise the challenges associated with the provision of dental Implants to the older age group, particularly in developing economies. The challenges of implant treatment in developing countries remain enormous but not insurmountable. As implant treatment for a dental prosthesis in developing countries gains popularity amongst geriatric patients, clinicians must balance this treatment choice on the overall desire and health of the patient, while evaluating his clinical and laboratory competence. Decision on whether or not to place an implant in the mouth of a geriatric patient should not be made on the background of age but on a cocktail of economic, local, and systemic factors.

2015 ◽  
Vol 54 (4I-II) ◽  
pp. 609-626
Author(s):  
Tetsushi Sonobe ◽  
Keijiro Otsuka

It has been increasingly recognized that entrepreneurship holds the key to industrial development in developing countries [World Bank (2012)]. Indeed, a significant number of studies find that productivity and profitability vary greatly across enterprises even in the same industry in the same country, and that a large part of the variation can be accounted for by the difference in management practices1Identifying and supporting high-potential entrepreneurs may be the key to the success of industrial development. Entrepreneurship is the capacity to introduce new ideas into practice and to manage enterprise operations efficiently. Innovation here does not necessarily mean scientific discovery or engineering invention but the Schumpeterian creation of a new combination of production resources and new ideas to increase profits. In the context of developing economies, innovation includes borrowing technology or learning from abroad. The first introduction of products and production processes from developed countries into a developing country and the first adoption of management practices that may be common in developed countries but are novel in developing countries are considered to be innovations.


2020 ◽  
Vol 10 (14) ◽  
pp. 4888 ◽  
Author(s):  
Sunho Park ◽  
Hyeran Kim ◽  
Kyoung Soon Choi ◽  
Min-Kyung Ji ◽  
Sujin Kim ◽  
...  

Dental implants are widely used tooth replacement tools owing to their good oral rehabilitation and reconstruction capacities. Since dental implants are designed as a replacement for natural teeth, multi-functional abilities are desired to achieve successful implant treatment with improved osseointegration through promotion of mammalian cell activity and prevention of bacterial cell activity. In this study, we developed a graphene–chitosan hybrid dental implant (GC hybrid implant) using various concentrations of graphene, which demonstrated the different surface properties including increased wettability and roughness. Importantly, the GC hybrid implant under the optimal condition (i.e., 1% GC hybrid implant) could significantly promote osteoblast proliferation while reducing biofilm formation and bacterial activity. Our study demonstrates the potential of using this GC hybrid implant as a new type of dental implant, which can offer an effective design for the fabrication of advanced dental implants.


2021 ◽  
Vol 68 (4) ◽  
pp. 481-493
Author(s):  
Van Bon

Digital technology is emerging as one of the suitable solutions to help developing economies catch up with advanced economies in the context of globalization. Progress in digital technology promotes economic growth in developing economies because it reduces transaction costs in economic activities and improves workers’ skills and knowledge. Meanwhile, governance is the primary cause of economic growth. Therefore, this study raises a research question of whether governance significantly contributes to the digitalization – economic growth relationship in developing countries or not. For the answer, the study uses the difference GMM Arellano-Bond estimators to empirically examine the effects of digitalization, governance, and their interaction on economic growth for a group of 35 developing countries from 2006 to 2019. Then, the study applies the FE-IV estimator to check the robustness of estimates. The results indicate that digitalization and governance boost economic growth while their interaction hinders it. Furthermore, trade openness also increases economic growth. These findings suggest some crucial policy implications that governments in developing countries should establish appropriate conditions to promote digital technology so that citizens can peacefully express their views on government policies and regulations, which contributes to the economic development of the country.


2019 ◽  
Vol 4 (8) ◽  
pp. 110-115
Author(s):  
Maia Grigolia

EU Home(current) About Us Services Blog ვაჟა კილაძე Create Posts Title Body The article discusses how fiscal stability affects macroeconomic sustainability and whether stability means strong economic growth in Georgia.The results of the analysis conducted in the article is supported by those numerous studies which indicate that fiscal stabilization reduces output volatility. Based on the existing analysis, we can say that fiscal policy can make a significant contribution to stabilizing output. Fiscal Stability Indicator (FISCO) for Georgia has been calculated and cross-country analysis has been performed. It has been found that fiscal policy contributes more to stabilization of output in developed economies than in transitional markets and developing countries. The fiscal stabilization indicator for Georgia is 0.42 and is statistically significant, which indicates that one percentage point change in output causes 0.42 percentage point change in the total budget balance (as a share of GDP). The FISCO indicator is 0.41 for developed countries and 0.24 for transitional markets and emerging economies. Based on the correlation analysis, it has been revealed that higher fiscal stability is associated with lower output volatility. However, here also, the difference between the groups of developed and transition and developing countries is significant: in developed countries- the relationship between fiscal stabilization and output fluctuation is stronger and sharply negative than in transition and developing economies. More often, fiscal policy is used as a stabilization mechanism when the economy lags behind the desired pace of growth; And are less likely to resort to policy mechanisms when booming. Due to the proven importance of the fiscal stabilization in economic sustainability it can be concluded that the use of fiscal stabilization as a mechanism only in the «black days» can greatly worsen the sustainability of government debt, as governments appear to lack the advantage that they can reduce deficits and create fiscal buffers to better address future negative shocks in times of growth.


2019 ◽  
Vol 23 (4) ◽  
pp. 389-394 ◽  
Author(s):  
Bruno Ramos Chrcanovic ◽  
Ricardo Santiago Gomez

Abstract Purpose To integrate the available data published on patients with epidermolysis bullosa (EB) rehabilitated with dental implants, as well as to review the recommendations for EB patients receiving implants. Methods An electronic search was undertaken in February 2019 in five databases. Results Sixteen publications were included, reporting 28 patients with EB, rehabilitated with 161 dental implants. The mean ± SD patients’ age at implant surgery was 34.7 ± 12.1 years (range, 13–56). Only one implant was placed in the molar region, all other implants were placed in the incisor, canine, and premolar regions. Patients received a mean ± SD of 5.8 ± 2.8 implants (range, 2–11). Most of the patients received implant-supported fixed prostheses (fixed partial 14.3%, fixed full-arch 60.7%, overdenture 25%). Implant and prosthesis failure rates were 1.3% and 0%, respectively. The two implant failures were detected before or at the abutment connection. The mean ± SD follow-up time was of 39.2 ± 24.5 months (range, 6–111). The EB patient quality-of-life improved considerably as a result of treatment with dental implants. There is a series of dental care considerations that should be followed to smooth the implant treatment in EB patients. Conclusions The dental implant failure rate in EB patients seems to be very low, although the few cases reported in the literature were followed up for a short mean period, i.e., just a little bit longer than 3 years. More cases followed up for a long period are needed in order to be able to make a more reliable prognosis for the long-term oral rehabilitation of EB patients with dental implants.


2009 ◽  
Vol 62 (11-12) ◽  
pp. 513-516 ◽  
Author(s):  
Bojana Potic ◽  
Mladen Davidovic ◽  
Dragoslav Milosevic ◽  
Predrag Erceg

Introduction. Human aging is characterized by progressive decrease of the homeostatic reserves of every organ system with a possible impairment of cognitive functions. The study was aimed at examing and proving the correlations between cognitive failure and somatic diseases in patients belonging to geriatric population as well as at following the efficiency of treatment of somatic diseases by Mini mental examination test score. Material and methods. A group of 100 geriatric patients did Mini mental examination test at the beginning of hospitalisation and after three weeks of treatment of different somatic diseases. The patients underwent many examination tests-biochemical analyses of blood and urin, ultrasound examination, X-ray examination of lungs and heart, hormons of thyroid gland, concentrations of B12 vitamin, folan acid. Results. The statistical study showed that there was a significant correlation between the recovery of somatic diseases and the score of cognitive functions of patients. MMSE score was significantly increased after three weeks of successful treatment of somatic diseases in hospital. Conclusion. The highest statistical significance in the difference of MMSE score at the beginning and after three weeks of hospital treatment was found in the group of patients with successful results of the treatment of their somatic diseases such as cardiomyopathies and disorders of respiratory system, such as pneumonia. MMSE score did not increase in patients chronic disease with malignant diseases of lungs or liver and chronic disease with frequent exacerbations. It was a group of patients without significant change in their somatic state.


2014 ◽  
Vol 12 (1) ◽  
pp. 543-556
Author(s):  
Louis Osemeke

The interest in researching corporate governance in the broader context continues unabated. The research in this area continues to be dominated by test of agency theory in advanced capitalist economies. Few researches are seen in developing countries like Nigeria. Though there have been calls for new theories to be tested in the field of corporate governance, only few have been tested, predominantly stakeholder and resource dependence theories (Barkema and Gomez-Mejia, 1998). This paper departs from previous literature in two ways. First, it tests the identity theory. Second, it uses the case study drawing empirical data from Nigeria, an emerging economy from a developing capital market to provide insights into the corporate governance mechanisms. This study explores appropriate framework and principles governing the duties and obligations of directors, auditors and secretaries. This is crucial because there is increased reliance by the stakeholders on the three actors (directors, auditors and secretaries) as it concern corporate governance both regionally and internationally. Therefore, an exploratory case study was carried out to explore the level of development of corporate governance mechanism in developing economies like Nigeria. Despite the huge challenges, issues and bottlenecks hampering good corporate governance, the study finds growth in the number of directorships, auditors and secretaries of listed companies. Also, the study reveals the code governing the responsibilities of directors; auditors and secretaries have not produced the desired result pertaining to accountability, transparency and good corporate financial reporting. Thus this adds to the body of knowledge by contributing to the corporate governance system in developing countries


2015 ◽  
Vol 61 (4) ◽  
pp. 300-303
Author(s):  
Victor Nimigean ◽  
◽  
Valentin Daniel Sîrbu ◽  
Vanda Roxana Nimigean ◽  
Lavinia Buţincu ◽  
...  

The major risk of dental implant treatment in the mandible is represented by the mandibular canal. Precise location of the mandibular canal is essential for oral rehabilitation with dental implants. The aim of this study was to analyze the topography of the mandibular canal in order to increase the long-term performance of oral rehabilitation with dental implants in „poor areas“. The topography of the mandibular canal was statistically studied on 11 human mandibles. The results obtained show similarities but also differences with data reported in other specialized references.


2016 ◽  
Vol 17 (10) ◽  
pp. 826-829 ◽  
Author(s):  
Mohammad D Al Amri ◽  
Sulieman Al-Johany ◽  
Hanan AlOtaibi ◽  
Hamad Alzoman ◽  
Mohammed Alkindi ◽  
...  

ABSTRACT Objective This study aimed to gain more information from complete denture (CD) wearers who did not receive dental implants, of the reasons preventing them from using implants to retain their CD in a selected sample of dental patients in Riyadh, Saudi Arabia. Materials and methods A paper-and-pencil questionnaire containing 20 direct questions of the possible reasons preventing CD wearers from receiving implants to retain their dentures was distributed in three different places in Riyadh, Saudi Arabia. Results A total of 270 subjects were included in this survey. The results showed that 180 (66.7%) patients indicated that the fear of pain associated with implant placement was the main reason preventing them from receiving an implant treatment, followed by fear of the surgical procedure (175, 64.8%), fear of postoperative complications (166, 61.5%), information from other people about the various problems associated with implant treatment (154, 57%), and finally cost of the implant (141, 52.2%). Conclusion Fear is the main reason preventing CD wearers from receiving implant treatment. Therefore, it is essential for dentists to be familiar with the reasons for implant refusal to overcome a common, yet an influential obstacle. How to cite this article Al-Johany S, AlOtaibi H, Al Amri MD, Alzoman H, Alkindi M, Alqahtani F, Alwadei F. Reasons for not using Implants to retain Complete Denture: Patients’ Survey. J Contemp Dent Pract 2016;17(10):826-829.


Folia Medica ◽  
2015 ◽  
Vol 57 (2) ◽  
pp. 116-121 ◽  
Author(s):  
Christina K. Lalabonova

Abstract INTRODUCTION: Dental implants are increasingly used in modern dentistry as anchors for prosthetic restorations. Anxiety is a complex phenomenon which can become a risk factor for suppression of many functions of the body. Aim: The aim of this study was to investigate the effect dental anxiety exerts on the choice of method of treatment by patients wanting to have dental implants. Materials and methods: The study included 174 patients that were referred to us for dental implants placement because of partial or total loss of teeth. Their dental anxiety was measured using the Dental Anxiety Scale (DAS) proposed by Norman Corah. The patients decided to have or refused to have treatment with dental implants either because they had dental anxiety or gave other reasons. Results: Distribution of patients by level of anxiety was as follows: 33% were anxiety free, in 34% the dental anxiety was moderate, 25% had severe anxiety, and 8% experienced an extremely severe anxiety. Dental fear was given as a reason for refusal of treatment by 24.1% of the patients wanting to have dental implants. Of the patients wanting to have dental implants, 40.8% decided to proceed with the treatment; these patients exhibited low dental anxiety. Conclusion: The decision to have dental treatment with implants is affected by the patient’s level of dental anxiety. Only those with low level of dental anxiety decide to proceed with such a treatment. The mild anxiety some patients experience is beneficial as it eliminates a risk factor that may hinder the process of osseointegration.


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