Prosthetic Approaches in Geriatrics

Yıl 2012, Cilt: 6 Sayı: 3, 1267 - 1275, 01.10.2012

Ayşe Vayısoğlu Özcan Levent Nalbant Asude Dilek Nalbant

Öz

Number of the elderly patients in Turkish population are increasing and most of these patients need to be treated by prosthodontists. The influence of aging may appear on the skin, temporamandibular joints, salivary glands, hard and soft tissues and psychological conditions. Also aging may negatively change the chewing ability and function. Recently, tooth loss and alveolar bone resorption are frequent problems of geriatric patients. Tooth loss in these patients has been rehabilitated by fixed or removable partial prosthesis, complete dentures, tooth or implant retained overdentures. The systemic and local factors must be under consideration when treating geriatric patients, and the easiest, most economic and useful type of prosthesis should be preferred

Anahtar Kelimeler

Geriatrics, elderly, prosthetic restorations

Geriatride Protetik Yaklaşımlar

Öz

Türkiye’de yaşlı nüfus hızla artmakta ve bu duruma bağlı olarak prostodontistler yaşlı hastaları sıklıkla görmektedirler. Yaşlanmayla beraber; deri, temporamandibular eklem, tükürük bezleri, sert ve yumuşak dokularda birtakım değişiklikler meydana gelir ve bunun sonucunda çiğneme etkinliğinde ve fonksiyonda azalma görülür. Diş kaybı ve alveolar kemik rezorpsiyonu geriatrik hastalarda sıklıkla rastlanan problemlerdir. Bu hastaların kayıpları sabit ve hareketli bölümlü protezler, tam protezler, diş üstü ve implant üstü overdenture protezler ve kantilever uzantılı sabit protezlerle restore edilebilmektedir. Geriatrik hastalar mümkün olan en basit, kullanımı en kolay, en ekonomik protez tipi ile tedavi edilmeli, tedaviye karar verirken kişinin sistemik ve kronik hastalıkları göz önüne alınmalıdır

Anahtar Kelimeler

Geriatri, yaşlılık, protetik restorasyonlar

Kaynakça

• Çalıkkocaoğlu S. Dişsiz hastaların protetik yönden değerlendirilmesi. 5. Baskı, İstanbul: Quintessence Yayıncılık, 2010, 37-50.
• Kutsal YG. Yaşlanan dünya. Türk Fiz. Tıp Rehab. Derg. 52: 6-11, 2006.
• Kinsella K., Velkoff VA. US Census Bureau, Serie P95/01-1, An aging world: 2001. U.S Government Printing Office, Washington.
• Ulusoy M., Aydın K. Diş hekimliğinde hareketli bölümlü protezler. 2. Baskı, Ankara: Ankara Üniversitesi Diş Hekimliği Fakültesi Yayınları, 2005, 1027-1033.
• Nazlıel H. Yaşlıda ağız ve diş sağlığı. Turkish Journal of Geriatrics, Geriatri 2: 14-21, 1999.
• Canay Ş., Çiftçi Y. Yaşlı bireylerde sistemik hastalıklarla birlikte izlenen ağız bulguları. Turkish Journal of Geriatrics, Geriatri 6: 104- 108, 2003.
• Christensen GJ., A. consumer’s Guide to Dentistry (Second Ed.), Mosby, Inc., 2002, 57–60.
• Güçiz Doğan B., Gökalp S. Tooth loss and edentulism in the Turkish elderly. Archives of Gerontology and Geriatrics 54: 162–166, 2012.
• Sönmez NS., Gül EB., Nalbant D. Yaşlı hastaların protetik yönden değerlendirilmesi. Atatürk Üniv. Diş Hek. Fak. Derg, suppl 1: 45-52, 2006.
• Wyatt CC. The effect of prosthodontic treatment on alveolar bone loss: A review of the literature. J. Prosthet. Dent. 80: 362-366, 1998.
• Löe H. Periodontal disease: The sixth complication of diabetes mellitus. Diabetes Care 16: 329-334, 1993.
• Guggenheimer J., Moore PA., Rossie K., Myers D., Monquelluzzo MB. Block HM., Weyant R, Orchard T. Insulin-dependent diabetes mellitus and oral soft tissue pathologies, II: Prevalence and characteristics of candida and candidal lesions. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 89: 570-576, 2000.
• Jepson N., Allen F., Moynihan P., Kelly P., Thomason M. Patient satisfaction following restoration of shortened mandibular dental arches in a randomized controlled trial. Int. J. Prosthodont. 16: 409–414, 2003.
• Kern M., Wagner B. Periodontal findings in patients 10 years after insertion of removable partial dentures. J. Oral Rehabil. 28: 991-997, 2001.
• Isidor F., Budtz-Jorgensen E. Periodontal conditions following treatment with distally extending cantilever bridges or removable partial dentures in elderly patients. A 5-year study. J. Periodontol. 61: 21-26, 1990.
• Jepson NJ., Moynihan PJ., Kelly PJ., Watson GW., Thomason JM. Caries incidence following restoration of shortened lower dental arches in a randomized controlled trial. Br. Dent. J. 191: 140–144, 2001.
• Müller F., Schimmel M. Specific care programme for the elders: Tooth loss and dental prostheses in the oldest old. European Geriatric Medicine 1: 239–243, 2010.
• Hayakawa I., Hirano S., Takahashi Y., Keh ES. Changes in the masticatory function of complete denture wearers after relining the mandibular denture with a soft denture liner. Int. J. Prosthodont. 13: 227-231, 2000.
• Devaki VN., Manonmani P., Balu K., Aravind RJ. Clinical management of highly resorbed mandibular ridge without fibrous tissue. J. Pharm. Bioallied. Sci. 4: 149-152, 2012.
• Uzun G., Keyf F. Aşırı rezorbe krete sahip geriatrik bir hastaya yumuşak astar maddesi uygulaması. Atatürk Üniv. Diş Hek. Fak. Derg. 22: 191-196, 2012.
• Caculo SP., Aras MA., Chitre V. Hollow dentures: treatment option for atrophic ridges. A clinical report. J. Prosthodont. 22: 217-222, 2013.
• O’Sullivan M., Hansen N., Cronin RJ. Cagna DR. The hollow maxillary complete denture: A modified technique. J. Prosthet. Dent. 91: 591- 594, 2004.
• of removable partial denture use with oral and
• systemic health. J. Dent. 39: 711–719, 2011.
• Crawford RWI., Walmsley AD. A review of prosthodontic management of fibrous ridges. Br. Dent. J. 199: 715-719, 2005.
• Turker SB., Sener ID., Ozkan Y. Satisfaction of the complete denture wearers related to various factors. Archives of Gerontology and Geriatrics 49: 126-129, 2009.
• Feine JS., Carlsson GE., Awad MA., Chehade A., Duncan WJ., Gizani S., Head T., Lund JP., MacEntee M., Mericske-Stern R., Mojon P., Morais J., Naert I., Payne AG., Penrod J., Stoker GT., Tawse-Smith A., Taylor TD., Thomason JM., Thomson WM., Wismeijer D. The McGill consensus statement on overdentures. Mandibular two-implant overdentures as first choice standard of care for edentulous patients. Montreal, Quebec, May 24-25, 2002. Int. J. Oral Maxillofac. Implants. 17: 601-602, 2002.
• Pan S., Dagenais M., Thomason JM., Awad M., Emami E., Kimoto S., Wollin SD., Feine JS. Does mandibular edentulous bone height affect prosthetic treatment success. J. Dent. 38: 899– 907, 2010.
• Hug S., Mantokoudis D., Mericske-Stern R. Clinical evaluation of 3 overdenture concepts with tooth roots and implants: 2-year results. Int. J. Prosthodont. 19: 236-243, 2006.
• Ikebe K., Wada M., Kagawa R., Maeda Y. Is old age a risk factor for dental implants? Jpn. Dent. Sci. Rev. 45: 59-64, 2009.
• Wood MR., Vermilyea SG. A review of selected dental literature on evidence-based treatment planning for dental implants: Report of the Committee on Research in Fixed Prosthodontics of the Academy of Fixed Prosthodontics. J. Prosthet. Dent. 92: 447-462, 2004.
• Moy PK., Medina D., Shetty V., Aghaloo TL. Dental implant failure rates and associated risk factors. Int. J. Oral Maxillofac. Implants 20: 569- 577, 2005.
• Shirota T., Ohno K., Suzuki K., Michi K. The effect of aging on the healing of hydroxylapatite implants. J. Oral Maxillofac. Surg. 51: 51-56, 1993.
• Meijer HJ., Batenburg RH., Raghoebar GM. Influence of patient age on the success rate of dental implants supporting an overdenture in an edentulous mandible: a 3-year prospective study. Int. J. Oral Maxillofac. Implants 16: 522-526, 2001.
• August M., Chung K., Chang Y., Glowacki J. Influence of estrogen status on endosseous implant osseointegration. J. Oral Maxillofac. Surg. 59: 1285-1289, 2001.
• Minsk L., Polson AM. Dental implant outcomes in postmenopausal women undergoing hormone replacement. Compend. Contin. Educ. Dent. 19: 859-862, 1998.
• Olson JW., Shernoff AF., Tarlow JL., Colwell JA., Scheetz JP., Bingham SF. Dental endosseous implant assessments in a type 2 diabetic population: A prospective study. Int. J. Oral Maxillofac. Implants 15: 811-818, 2000.