scholarly journals Psychological assessment of the attitude to oral diseases of patients of older age groups who have applied for dental care

2021 ◽  
Vol 19 (2) ◽  
pp. 84-89
Author(s):  
A. A. Alekseeva ◽  
G. I. Lukina ◽  
I. S. Glatkov ◽  
A. V. Lukin

Aim. Determination of the psychological type of attitude to the patient's illness, depending on gender and age group, which will further improve communication between the patient and the dentist.Materials and methods. This article provides a psychological assessment of patients in relation to diseases of the oral cavity at a dental appointment using the adapted TOBOL technique. This technique is based on typing patients according to certain cognitive characteristics described in the article. For this study, 65 people of older age groups were interviewed.Results. The frst group of attitudes towards the disease included 27 patients (41.5%), the second – 24 (37%), the third – 14 (21.5%). 11 (45.8%) men were assigned to the frst group, 8 (33.3%) men – to the second and 5 (20.9%) – to the third group. Women showed a distribution: 16 (39%) women belonged to the frst group, 16 (39%) – to the second and 9 (22%) – to the third group, respectively. Negative attitude towards dental diseases, reluctance to treat them sharply increases in centenarians.Conclusions. With increasing age, there is a growing tendency towards pessimization and aggression. Sensitized attitudes toward illness, depression, refusal of treatment, or blame-shifting complicate diagnosis and subsequent treatment. To prevent unwanted emotions and improve the quality of communication, the dentist should be guided by an individual approach to these patients, which should be based on the basic principles of ethics and deontology. Only then will dental treatment be effective and complete.

Author(s):  
Anastasia S. Kozhokar ◽  
Sergey V. Kuznetsov ◽  
Arina S. Podkhvatilina ◽  
Andrey E. Bratus ◽  
Yuriy O. Paramonov ◽  
...  

BACKGROUND: The study of dental problems characteristic of geriatric patients is becoming increasingly relevant. As a person ages, the entire dental system undergoes physiological and functional changes. To eliminate the adverse effects of oral diseases, prolong the period of remission, preventive measures, constant monitoring of the level of hygiene, dispensary supervision of elderly and senile persons are necessary. AIM: This study aimed to determine the prevalence and intensity of dental diseases in the following older age groups: young elderly (6574 years old), old elderly (7584 years old), and very old elderly (85 years old and older). MATERIALS AND METHODS: A dental examination of 183 patients was carried out using a modified card for assessing the state of the dental status, according to guidelines of the World Health Organization. RESULTS: Analysis of dental morbidity in the older age group showed that the most common dental diseases in this group were extractions of lossened teeth caused by caries and periodontal diseases. Following a comprehensive dental examination of elderly patients and people with senility, the intensity of KPU and OHI-S was 19.760.52 and 2.710.12, respec-tively, and this indicates the poor hygienic state of the oral cavity of this population. CONCLUSION: Data support the untimeliness and inadequacy of dental care in elderly patients and people with senility. This necessitates the development of special treatment and prophylactic programs for this population, aimed at reducing dental morbidity.


1983 ◽  
Vol 11 (2) ◽  
pp. 59-64 ◽  
Author(s):  
Poul Erik Petersen

The purpose of the present investigation was to study the utilization of dental services, the distribution of dental diseases and treatment needs in a Danish industrial population. The study covered the male population at a Danish shipyard, and a sample of 988 workers and clerical and managerial staff was drawn by stratified random sampling. 841 persons were interviewed regarding dental visits and attitudes towards dental health services and data on dental health and treatment needs were collected. 61% of the participants aged 15–64 years made regular dental visits at least once a year. The percentages of regular visitors varied according to age and occupation, from 68 to 82% among clerical staff to 34 to 51% among workers. The mean DMF-T increased from 16.6 in the age group 15–24 to 27.0 among the 55–64-year-olds. Untreated dental decay was predominant among workers and persons never seeing a dentist, whereas there were more filled teeth and fewer missing teeth among staff and regular visitors. The periodontal status was less satisfactory in the older age groups and among workers, and most denture wearers were found in the age group 35–64 and among workers. Concordant to the findings on dental health status, dental treatment needs due to caries and periodontal disease as well as prosthetic treatment needs varied according to age, occupation and dental visits. More radical treatment types were needed in the older age groups, among workers and non-regular visitors. The present study seems to indicate that dental diseases in the adult Danish population are not under control.


2020 ◽  
Vol 16 (2) ◽  
pp. 164-171
Author(s):  
Elena Svetlakova ◽  
Yuliya Mandra ◽  
Sergey Zholudev ◽  
Marina Haritonova ◽  
Anastasiya Kotikova ◽  
...  

Subject. In 2017, the “Happy Smile” project was developed at the dental faculty of the Ural State Medical University and its active implementation began, during which teachers and students conduct preventive measures in educational institutions, shopping centers, hospitals of the city. The goal is to increase the literacy of the population in relation to the prevention of oral diseases, as well as the quality of life of the population by reducing the level of dental morbidity, the formation of professional and super-professional competencies of a modern graduate dentist. Methodology. According to WHO, the prevalence of dental diseases does not tend to decrease. An urgent task today is the development of programs and projects aimed at the health of the population. Results. In 2017, the staff of the Department of Therapeutic Dentistry and Propaedeutics of Dental Diseases of the Ural State Medical University took the initiative to create a Happy Smile preventive project at the faculty. The main objectives of the project were: the creation of a comprehensive preventive program covering all age groups of the population; carrying out activities aimed at updating the preservation and maintenance of dental health; improving the quality of medical (dental) education by involving students in medical volunteering; expansion of the territory of events to nearby cities of the Sverdlovsk region. Conclusions. Participation in the project forms significant professional and supra-professional competencies of students, which helps to improve the quality of training of future dentists. The involvement of students in the implementation of the project will increase their relevance in the labor market. Implementation of the project is a health-saving technology that reduces dental incidence in Yekaterinburg and the Sverdlovsk Region.


2011 ◽  
Vol 58 (4) ◽  
pp. 202-208 ◽  
Author(s):  
Aleksandra Zuza ◽  
Igor Radovic ◽  
Jelena Krunic ◽  
Nikola Stojanovic

Introduction. Dental caries has been one of the oldest but still one of the most common oral diseases in humans. Even though it has been almost eradicated in developed countries due to increased fluoride use, adoption of proper oral hygiene habits and systematic implementation of preventive programs, caries remained one of leading oral diseases in developing countries. Epidemiological data about the prevalence of caries is very important for prediction of need for dental care, number of dental care providers as well as financial aspect. The aim of this study was to determine dental status and indicate dental treatment need in adults of the municipality of Foca, Republika Srpska (Bosnia and Herzegovina). Material and Methods. The study included 244 randomly selected residents (131 males and 113 females) from the municipality of Foca which were divided into three age groups: 20-29, 30-39 and 40-49 years. Dental status and need for dental treatment were determined in accordance to the criteria and methodology of the World Health Organization. Results. Mean value of DMFT index was 12.7 for the first age group, 16.4 for the second and 20.5 for the third age group of respondents. Dominant components in the first group were restored and carious teeth while in the third age group number of extracted teeth dominated. Also, in the third age group of respondents need for one and two or more surfaces fillings was significantly lower (p<0.01), but need for removable dentures was significantly higher (p<0.01) as compared to other two groups. Conclusion. These results indicated high value of DMFT index in adult population of the municipality of Foca.


2012 ◽  
Vol 50 (No. 11) ◽  
pp. 496-505 ◽  
Author(s):  
M. Kyllar ◽  
K. Witter

Oral disorders of the dog represent for veterinarians a medical challenge and an important field of interest from the economical point of view. Although many epidemiological studies on dental diseases in beagles bred under controlled conditions have been realized, information on frequency of these alterations in populations of pet dogs, especially in Central Europe, is far from complete. The aim of our study was to assess the prevalence of the most common oral diseases in dogs in a Czech urban region. A total number of 408 dogs, presented at a&nbsp;private Czech urban veterinary hospital for different reasons, were analyzed. Site specificity and severity of dental diseases were assessed using modified indexing systems. Dental alterations could be found in 348 out of 408 dogs (85.3%). The most frequent diseases were (i) periodontitis (60.0% of 408 dogs), (ii) calculus (61.3%), (iii) missing teeth (33.8%), and (iv) abnormal attrition (5.9%). Furthermore, single cases of caries, tumors and enamel hypoplasia could be observed. Periodontitis occurred preferentially in the upper jaw of small dogs and increased with age. The labial/buccal side of teeth was affected more severely than the lingual/palatinal side. Differences between left and right side could not be observed. Malocclusion and insufficient oral hygiene care seem to predispose to periodontitis. As periodontitis, dental calculus occurred preferentially in small dogs and increased with age. The prevalence of calculus formation did not differ between left and right side. However, the upper jaw showed a&nbsp;higher degree of affection than the mandible. On the labial/buccal side of the teeth, a thicker calculus layer could be observed than lingually/palatinally. Interestingly, the degree of calculus formation and of periodontitis did not correlate in all cases, supporting the hypothesis that supragingival calculus per se is not an irritant. The pattern of tooth loss was the same between left and right side and between upper and lower jaw. Most commonly, the first premolars were missing followed by incisors and other premolars and molars. Tooth loss for other reasons than periodontitis and single cases of tooth agenesis has not been detected in our study. (Abnormal) tooth wear was detected only in older dogs and affected mostly canines and premolars of large breeds. Age estimation based on dental attrition should be carried out with care, because tooth wear depends on keeping conditions and feeding of the dog. Our study confirmed the high prevalence of oral diseases in dogs. Veterinarians could improve the effectiveness of treatment concentrating their diagnostic efforts on age groups and types of teeth at highest risk, as assessed in this and other reports.


2012 ◽  
Vol 36 (3) ◽  
pp. 245-250 ◽  
Author(s):  
D Ram ◽  
E Amir ◽  
R Keren ◽  
J Shapira ◽  
E Davidovich

Purpose: Local anesthesia by mandibular block or maxillary infiltration is commonly administered to children receiving dental treatment of primary molars. Discomfort, when presenting, most often involves the lower lip. The purpose of this study was to investigate whether children would be more opposed to attending a dental treatment following anesthesia by mandibular block than by maxillary infiltration. Methods: Each of 102 children in two age groups: 3 to 5 years, and 6 to 9 years, received the two types of local anesthesia at dental appointments one week apart. Their opposition to attending a subsequent appointment was assessed by parent report. Results: More adverse reactions were observed during and following anesthesia with mandibular block than with maxillary infiltration. Few of the children in either age group expressed opposition to attend a dental visit after receiving mandibular block or maxillary infiltration in the previous visit. Conclusions: Though more adverse reactions were observed in children following mandibular block than maxillary infiltration, this did not result in increased opposition to attend a subsequent dental appointment.


Author(s):  
Gouri Shankar Birtia ◽  
Santosh K. Mahapatra

In the present day circumstances, it has been reported that the Dental diseases are a most important physical condition problem in all parts of the globe, general in all age groups, races and genders. The proportion of dental diseases has developed to a great extent in current years. Around 70% of inhabitants suffer from dental problems. The human population is exaggerated by foremost of oral diseases. To treat dental problems such as pain due to dental caries, periodonitis, gingivitis, and other gum infections, painkillers alongside with antibiotics and various dental paints are the generally prescribed drugs by dentists as primary mode of treatment. However the general side effects of most of the painkillers are hyperacidity and gastric annoyance upon oral administration. On the other hand, nearly all antibiotics due to measured onset of action and hepatic “first-pass” consequence fail to construct prompt and extend actions. Furthermore, most of the dental formulations are washed out by saliva inside a few hours of application. To conquer the above-mentioned problems, a soft polymeric mold containing antibiotic and anasthetics drugs and having a suitable constancy to stick to the tooth, was developed for continued drug release to endow with improved relief in dental patients. Carbopol 934, Ethyl cellulose, Gum tragacanth, Hydroxy propyl cellulose, and PEG 400 were used to organize the formulation containing Lidocaine hydrochloride and doxycycline hyclate individually and in combination, by addition and solvent evaporation technique. Dissimilar physicochemical characterization studies such as mucoadhesion test and swelling index were conceded out. In vitro drug release studies showed sustained release of Lidocaine hydrochloride and doxycycline hyclate in simulated saliva for 24 h. Additional studies are necessary to succeed with these formulations in humans. Upon accomplishment, this type of dosage form may open up new avenues towards dentistry.


2017 ◽  
Vol 7 (02) ◽  
Author(s):  
Anu Kohli ◽  
Neha Tiwari

This research paper analyses factors that impact entrepreneurial intention among graduate and postgraduate students enrolled in professional courses at government and private institutes in the state of Uttar Pradesh. The objective of this study is to analyze whether the student’s academic background, demographic profile and family background impact various factors that affect entrepreneurial intention. The study was conducted during 2015-16 on a sample of 460 student respondents across various cities of Uttar Pradesh.The results of the analysis indicate that students of male gender, belonging to higher income, in older age groups, having work experience, enrolled in government institutes, belonging to business background and enrolled at postgraduate level are more likely to consider entrepreneurship as a more attractive career option, perceive that it is easier to start and do business, have more positive perception about family and societal support they receive in entrepreneurial career choice, are more open to risks and are more confident about their entrepreneurial skills and knowledge . The students having work experience, enrolled in government institutes, and belonging to business background are more likely to find availability of capital as a constraint in entrepreneurial career. The students belonging to older age groups, having work experience and enrolled in government institutes are more likely to consider availability of land/premise and resources as a constraint in entrepreneurial choice. The findings of this study will be instrumental in understanding and in designing policy imperatives for promoting entrepreneurship in the state.Key Words: Entrepreneurial intention, Students, Demographic factors, Family background, Educational background.


Author(s):  
Paul W Turke

Abstract The severity of COVID-19 is age-related, with the advantage going to younger age groups. Five reasons are presented. The first two are well-known, are being actively researched by the broader medical community, and therefore are discussed only briefly here. The third, fourth, and fifth reasons derive from evolutionary life history theory, and potentially fill gaps in current understanding of why and how young and old age groups respond differently to infection with SARS-CoV-2. Age of onset of generalized somatic aging, and the timing of its progression, are identified as important causes of these disparities, as are specific antagonistic pleiotropic tradeoffs in immune system function.


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