LOSS OF MASTICATORY APPARATUS INTEGRITY - DISABILITY OR DISABLEMENT?

2021 ◽  
pp. 232-238
Author(s):  
Р.А. Розов ◽  
М.Ю. Кабанов ◽  
В.Н. Трезубов
Keyword(s):  
Visual Analysis ◽  
Age Groups ◽  
Health Assessment ◽  
The Elderly ◽  
Treatment Result ◽  
Adequate Treatment ◽  
Assessment Index ◽  
Chewing Efficiency ◽  
Major Alteration ◽  
Edentulous Patients

Были обследованы 408 пациентов (151 мужчина и 257 женщин) 54-85 лет (средний возраст 73,9±4,9 года) с помощью клинических (опрос, осмотр, пальпация, перкуссия, аускультация), социологических («GOHAI»), параклинических (определение эффективности жевания, чистоты речи, исследование дефицита массы тела, ортопантомография, КТ) методов. Все пожилые пациенты были с двумя патологическими состояниями - декомпенсированным зубным рядом и полной потерей зубов. У 322 человек рабочий синдромологический диагноз - декомпенсированный зубной ряд - относился к 167 нижним челюстям, 65 верхним челюстям и у 90 человек - и к верхним, и к нижним челюстям (всего 412 зубных рядов). Эффективность жевания у контингента беззубых также была невысокой, несмотря на наличие у большинства из них съемных зубных протезов. Согласно гериатрическому показателю здоровья полости рта («GOHAI»), ответы обследуемых колебались от 7 до 25 баллов (в среднем 18,23±4,19 балла), что относилось к низкому уровню. Общими синдромами пациентов оказались грубые, уродующие, старящие изменения внешнего вида лица, значительное нарушение эстетических норм. Не менее важны инвалидизирующие факторы почти полного отсутствия способности к жеванию, звукообразования, речи, затруднённого проглатывания пищи. В силу явных морфофункциональных и психосоциальных нарушений, социальной дезадаптации, сопровождающих эти заболевания, таких пациентов следовало бы считать инвалидами для повышения доступности геронтостоматологической реабилитации и включения их в программу государственных гарантий оказания стоматологической ортопедической помощи. Необходимо также ввести квотирование имплантационного зубного протезирования для пациентов пожилого и старческого возраста, которое по своей результативности и эффективности вписывается в систему адекватной реабилитации указанного контингента лиц и является мерой профилактики инвалидности. We examined 408 patients (151 male, 257 female) in an age range from 54 to 85 years (mean age 73,9±4,9) performing clinical (anamnesis, visual analysis, palpation, percussion, auscultation) sociological (GOHAI), additional (chewing efficiency evaluation, phonetic analysis, weight deficit of body calculation, OPG, CBCT) assessment. Among 322 of examined subjects working syndromological diagnosis was «decompensated dentition» related to lower jaw in 167 cases, 65 to upper jaw, 90 to both upper and lower jaws (altogether 412 dental arches). Chewing efficiency among edentulous patients was low considering that majority of patients had dentures. Score range for Geriartric General Oral Health Assessment Index (GOHAI) was from 7 to 25 points (mean 18,23±4,19) which is attributed as low level. General syndromes among patients were rough, disfiguring, ageing changes in facial appearance, major alteration of aesthetic norms. Equally important or even more was incapacitation impact of total loss of proper mastication, speech problems, phonetic alteration, problematic food swallowing. In our research we highlighted two pathological conditions among elderly and senile age groups: decompensated dentition, and fully edentulous jaws. Taking into consideration suffering of the patients due to morphological functional and psychosocial disabling conditions, accompanying these diseases, we might consider this group of patients as handicapped and that could lead to the need to introduction of setting quotas of implant prosthetics treatment of the elderly and senile patients. The result, efficacy and efficiency of such rehabilitation are considered in compliance with the system of adequate treatment result for this part of population.

scholarly journals Validity and Reliability of the Nepali Version of the General Oral Health Assessment Index (Gohai) in Nepali Population

2020 ◽  
Vol 5 (2) ◽  
pp. 1016-1021
Author(s):  
Tanuja Singh ◽  
Tika Ram Ghimire
Keyword(s):  
Oral Health ◽  
Discriminant Validity ◽  
Adult Population ◽  
Age Groups ◽  
Health Assessment ◽  
Reliability And Validity ◽  
World Health ◽  
P Value ◽  
Validity And Reliability ◽  
Assessment Index

Introduction: Oral health problems are more chronic and severe. Various instruments have been developed to measure Oral Health Quality of Life. General Oral Health Assessment Index (GOHAI) is a well-established, frequently used questionnaire for measuring OHQoL for geriatric and general population.  Objectives: The objective of the study is to translate the GOHAI in Nepali and to assess its reliability and validity.  Methodology: This study was conducted on the patient attending department of Prosthodontics, Kathmandu University School of Medical Sciences from March 2017 to February 2018. The GOHAI questionnaire was translated into Nepali version from English and back translated. Nepali version of GOHAI was pilot tested on 50 adult population to test the comprehensibility of the questionnaire, and then required alterations were done. The final Nepali version of GOHAI was administered to 301 (aged 20-70 years) adults along with the self-informed questionnaire. Clinical examination was done on the same day by a single examiner using World Health Organization (WHO) criteria. Reliability was analyzed using test-retest, cronbach alpha and split half reliability. For validity, discriminant validity and construct validity were calculated.  Results: Cronbach's alpha was 0.749, which indicated good overall internal consistency and homogeneity. For test-retest, the spearman's rho correlation coefficient between visits ranged from 0.641-0.952 for all twelve questionnaires indicating strong correlation with p-value< 0.001.  Conclusion Nepali version of the GOHAI exhibited acceptable reliability and validity in the people of Kathmandu valley, Nepal. This instrument can be applied to evaluate OHRQoL of different age groups as it was carried out in all the age groups.

scholarly journals Prevalence and factors associated with alterations of the temporomandibular joint in institutionalized elderly

2019 ◽  
Vol 24 (1) ◽  
pp. 159-168 ◽  
Author(s):  
Annie Karoline Bezerra de Medeiros ◽  
Fernanda Pinheiro Barbosa ◽  
Grasiela Piuvezam ◽  
Adriana da Fonte Porto Carreiro ◽  
Kenio Costa Lima
Keyword(s):  
Oral Health ◽  
Demographic Data ◽  
Health Assessment ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Self Perception ◽  
Cross Sectional ◽  
Assessment Index ◽  
Chi Squared ◽  
Level Of Significance

Abstract This article aims to analyze the prevalence and associated factors of TMJ alterations in elderly institutionalized. An cross-sectional study of 1192 elderly institutionalized in Brazil was undertaken. Intra and extra-oral exams were performed and the TMJ was evaluated based on the Oral Health Assessment Form of the WHO (1997). Demographic data and elderly dependence were also collected. The self-perception of the elderly regarding oral health was measured using the Geriatric Oral Health Assessment Index - GOHAI. Data analysis was performed using the Chi-squared test and robust Poisson regression (level of significance of 5%). The prevalence of TMJ alteration was low compared to adults and was only associated with the state of dependence of the elderly individual (independent had 45.4% more alterations than dependent individuals), gender (women had 47.4% more alterations), self-perception of oral health (who evaluated negatively had 65.6% more alterations) and the need of upper dentures (who needed some kind of upper dentures had 45.8% more alterations than those who did not). Despite being low, the presence of alterations in the TMJ was more frequent in elderly independent, women, who evaluated negatively oral health and need some kind of upper dentures.

scholarly journals Evaluation Of The Elderly On Oral Health In The Basic Attention

10.3823/2338 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Carmem Silvia Laureano Dalle Piagge ◽  
Karoline De Lima Alves ◽  
Luípa Michele Silva ◽  
Adriana Maria Moreira Alexandre ◽  
Mariana De Lacerda Siqueira Brasileiro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Health Assessment ◽  
Family Health ◽  
The Elderly ◽  
Psychological Pain ◽  
Assessment Index ◽  
The Face ◽  
The Individual

Background: For aging healthy, the prevention and maintenance of oral health is essential in the general health of the individual. Objective: Thus, we sought to evaluate the elderly's perception of themselves, associating this information with their reported quality of life. Methods: This is an exploratory descriptive study with a quantitative approach. It was held in the Family Health Units in the city of João Pessoa-Paraiba-Brazil, in 2015. The Geriatric Oral Health Assessment Index questionnaire was used to assess the Socio Dental Indicator. Results: Were 258 elderly, mostly female, married, who perceive their oral health positively, although they report having suffered limitations, being them physical, psychological, pain or discomfort. Conclusion: In the face of the evidence, measures are suggested to minimize the gaps, adopting more public policies aimed at the health of the elderly. These measures will ensure better conditions of service and development of projects with the aim of providing ageing with quality of life, to this age group. The results of this study may contribute to educational actions aimed at improving the care of the elderly.

scholarly journals SPECIFICS OF THERAPY FOR BACK PAIN IN PATIENTS WITH FACET SYNDROME

2021 ◽  
Vol 14 (5) ◽  
pp. 74-80
Author(s):  
TATIANA G. SAKOVETS ◽  
◽  
GULNARA R. KHUZINA ◽  
ELENA N. BARYSHEVA ◽  
◽  
...  
Keyword(s):  
Back Pain ◽  
Age Groups ◽  
The Elderly ◽  
Developed Countries ◽  
Adequate Treatment ◽  
Analytical Review ◽  
Facet Syndrome ◽  
Clinical Dilemma ◽  
Pain In The Elderly

Back and neck pain are among the most common medical complaints in developed countries, with up to 66% of the population suffering from acute nonspecific back pain. As early as 1911, Goldthwaite J.E. proved that the articular joints of the spine can serve as a source of pain impulsation, with the proportion of facet syndrome increasing in older age groups, which can cause a clinical dilemma in identifying causes of back pain in the elderly. Like other synovial joints, the bicuspid joints, which are richly innervated by nociceptors, are also at risk of developing dystrophic changes with destruction of articular cartilage and, accordingly, the development of pain, which is provoked by stretching of the bicuspid joint capsule against the background of inflammatory modulators activation. Aim. The aim of the study was to investigate the efficacy of different methods of treatment of facet syndrome. Material and methods. An analytical review of publications in the scientific medical literature was performed. Results and discussion. In facetsyndrome, both local injection therapy with glucocorticosteroids, hyaluronic acid, local anesthetics, mesenchymal stem cells, and platelet-derived autoplasma are effective. Additional application of non-pharmacological treatments such as therapeutic gymnastics, physiotherapy, and therapeutic massage potentiates the effects of conventional conservative therapy. Radiofrequency laser neurotomy has been recognized as an alternative effective treatment for facet syndrome with a long-term positive effect. The choice of drugs and cellular substances for therapeutic blocks is wide enough and provides an adequate therapeutic approach to the treatment of nonspecific back pain caused by articular joint lesions. Conclusion. The diagnosis of facet syndrome is a diagnosis of exclusion, which requires a thorough differential diagnosis to choose further adequate treatment strategy.

Oral Health Related Quality of Life among Completely Edentulous Patients using Geriatric Oral Health Assessment Index

2019 ◽  
Vol 3 (2) ◽  
pp. 47-50
Author(s):  
Lajana Shrestha ◽  
Sirjana Dahal
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Health Assessment ◽  
Health Related Quality ◽  
Assessment Index ◽  
Related Quality ◽  
Health Related ◽  
The Mean ◽  
Edentulous Patients

Introduction: Complete loss of teeth, though not life threatening, does have a significant impact on an individual, resulting in functional, psychological, and social limitations, affecting the quality of life and general health. Oral health related quality of life describes the outcomes of oral health conditions and therapy to those conditions. Objective: Geriatric Oral Health Assessment Index questionnaire (GOHAI) consists of 12 items that have an impact on quality of life of the older population, such as functional limitation, psycho-social limitation, and self-medication administered for dental pain. The study aimed to assess the effects of complete edentulousness before prosthodontic rehabilitation using GOHAI. Methods: Descriptive cross-sectional questionnaire study was done among 35 completely edentulous patients prior to prosthodontic rehabilitation using standardised GOHAI questionnaire consisting of 12 items and the twelfth item was eliminated due to its irrelevancy in the study group. Results: The mean age of the participants was 64.86±8.28 years with the mean duration of edentulousness of 4.02±5.4 years. The ability to swallow comfortably had highest mean GOHAI score (2.80±0.47) followed by use of medication to relieve pain and discomfort around the mouth. The least mean GOHAI score was found in trouble biting or chewing any kinds of food, such as firm meat or apples (1.26±0.56). However, the psychosocial impairment due to problems associated with complete edentulousness was less. Conclusion: Complete edentulousness was associated with impairment in physical functions like trouble in biting and chewing, with a need to limit the kinds and amount of food.

scholarly journals Evaluation of salivary flow, level of anxiety, and quality of life among elderly patients rehabilitated with removable prostheses

2020 ◽  
Author(s):  
Lisiane Bannwart ◽  
Daniela dos Santos ◽  
Cristina Aparecida ◽  
Nathaly Moreno ◽  
Clóvis Neto ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Assessment ◽  
Salivary Flow ◽  
Anxiety Level ◽  
Study Cohort ◽  
Analog Scale ◽  
Assessment Index ◽  
Time Points ◽  
Edentulous Patients

Abstract Background: Complete or partial edentulous patients have difficulties performing functional tasks such as eating, chewing, and speaking, and this may affect their quality of life. The successful rehabilitation of these patients depends on emotional and psychosocial factors and on patients’ expectation regarding rehabilitation.Objectives: To examine the effect of complete or partial removable prostheses on quality of life, salivary flow, and anxiety level of wearers. Methods: Total and partial bimaxillary edentulous patients who needed rehabilitation by complete or partial removable prostheses were selected. The quality of life, salivary flow, and level of anxiety of patients were assessed using the following questionnaires: Geriatric Oral Health Assessment Index, Visual Analog Scale for xerostomia, and Anxiety Inventory. The questionnaires were used at three time points: three months before the insertion of the prostheses, at the time of insertion, and three months after the insertion of the prostheses.Results: Our study cohort included more women (62.5%) than men (37.5%), with an average age of 65.25 years. The insertion of removable prostheses significantly influenced the quality of life, anxiety level, and salivary flow of its wearers, while decreasing the sensation of xerostomia.Conclusions: It was deduced that the insertion of complete or partial removable prostheses influences the quality of life, anxiety level, and salivary flow of its wearers.

The Effects of Significant International Sports Events on Hungarian Suicide Rates

Crisis ◽  
2016 ◽  
Vol 37 (2) ◽  
pp. 148-154 ◽  
Author(s):  
Karoly Bozsonyi ◽  
Peter Osvath ◽  
Sandor Fekete ◽  
Lajos Bálint
Keyword(s):  
Significant Relationship ◽  
Olympic Games ◽  
Arima Model ◽  
Age Groups ◽  
The Elderly ◽  
Intervention Analysis ◽  
Middle Aged ◽  
Sports Events ◽  
Sport Events ◽  
The Olympic Games

Abstract. Background: Several studies found a significant relationship between important sport events and suicidal behavior. Aims: We set out to investigate whether there is a significant relationship between the raw suicide rate and the most important international sports events (Olympic Games, FIFA World Cup, UEFA European Championship) in such an achievement-oriented society as the Hungarian one, where these sport events receive great attention. Method: We examined suicide cases occurring over 15,706 days between January 1, 1970, and December 31, 2012 (43 years), separately for each gender. Because of the age-specific characteristics of suicide, the effects of these sport events were analyzed for the middle-aged (30–59 years old) and the elderly (over 60 years old) generations as well as for gender-specific population groups. The role of international sport events was examined with the help of time-series intervention analysis after cyclical and seasonal components were removed. Intervention analysis was based on the ARIMA model. Results: Our results showed that only the Olympic Games had a significant effect in the middle-aged population. Neither in the older male nor in any of the female age groups was a relationship between suicide and Olympic Games detected. Conclusion: The Olympic Games seem to decrease the rate of suicide among middle-aged men, slightly but significantly.

Older workers in the Russian labor market: Trends in employment reallocation

2019 ◽  
pp. 5-34
Author(s):  
Anna L. Lukyanova ◽  
Rostislav I. Kapeliushnikov
Keyword(s):  
Older Workers ◽  
Service Sector ◽  
Age Groups ◽  
The Elderly ◽  
Education And Health ◽  
Job Opportunities ◽  
Intellectual Labor ◽  
Market Trends ◽  
Trade Education ◽  
The One

The paper analyzes changes in job opportunities of older workers in Russia in the period 2005—2017. The study uses the data from the Russian Labor Force Survey conducted by Rosstat. Changes in the occupational and industrial composition of elderly workers follow the trends pursued by other age groups: employment shifts from low- to high-skilled occupations, from physical to intellectual labor, and from material production to the service sector. We find a stronger polarization among older workers as their occupational structure is biased in favor of, on the one hand, the most and, on the other hand, the least qualified types of jobs. Employment of the elderly has fallen sharply in agriculture and manufacturing with a significant increase in trade, education, and health. Although the employment structure of older workers is generally more “traditionalist”, recent decades have witnessed its transformation in “progressive” directions, similarly to other age groups. These findings suggest that the legislated increase in the state retirement age is not likely to give rise to sizeable unemployment among the elderly. Most of them will be able to work in the occupations and industries previously dominated by young and prime-age workers.

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