RESTORATİF DİŞ HEKİMLİĞİNDE GERİATRİK YAKLAŞIMLAR

Yıl 2021, Cilt: 8 Sayı: 3, 936 - 946, 31.12.2021

Büşra Karabulut Gençer Bilge Tarçın Ayşe Aslı Şenol Pınar Yılmaz Atalı

https://doi.org/10.15311/selcukdentj.813088

Öz

Teknolojik gelişmeler, yaşam kalitesinin artması ve sağlık hizmetlerine erişimdeki kolaylıklar gibi pek çok faktör insan ömrünün uzamasını sağlamıştır. Yaşlı popülasyonda görülen artış bu grup için hayatın her alanında yapılacak düzenlemeleri kaçınılmaz hale getirmektedir. Ağız ve diş hastalıkları tüm yaş gruplarını etkilediği gibi yaşlı popülasyonu da ilgilendiren bir problem olarak karşımıza çıkmakta, gelişmekte olan geriatrik diş hekimliği ise bu popülasyon için ağız diş sağlığı ve bakımını teşvik etmeye odaklanmakla birlikte bedensel, zihinsel, ruhsal ve sosyal refah için gerekli olan ağız sağlığının korunmasına dikkat etmektedir. Yaşa rağmen ağızda kalmayı başarabilmiş diş dokularının tedavisi restoratif diş hekimliği açısından önem taşımaktadır. Diş çürükleri, fonksiyona veya alışkanlıklara bağlı ortaya çıkan diş aşınmaları ve renkleşmeler bu alanda karşımıza çıkan yaygın sorunlardır. Geriatrik hastalar için hekim koltuğunda hastayı yormayacak, var olan diş dokusunu koruyan, kanıta dayalı ve gerekiyorsa tıp doktorlarıyla iş birliği içeren tedavi seçenekleri restoratif diş tedavisi yaklaşımlarında önem arz etmektedir. Yaşlı bireylerde zamanla ortaya çıkan fizyolojik ve patolojik değişimlerin kompleks tedavilere ihtiyaç duyulacağı algısı oluşturması, diş hekimlerinin ve diş hekimliği öğrencilerinin bu gruba karşı çekingen davranmasına neden olmaktadır. Yaşlı popülasyonun genişlemesiyle restoratif diş hekimliği alanında ortaya çıkan temel tedavi prosedürü eksikliği ve bu alanda yetkin hisseden hekimlerin azlığı, özellikle eğitim aşamalarında bu meselenin daha dikkatli ele alınması gerektiğini ortaya koymaktadır. Türkiye’de artan yaşlı nüfusa daha iyi tedaviler sunabilmek adına fakültelerin müfredatlarında geriatrik hastalara tedavi yaklaşımları konusuna daha fazla yer verilmesi kaçınılmazdır.

Anahtar Kelimeler

geriatrik diş hekimliği, yaşlılarda diş bakımı, diş hekimliği eğitimi

Kaynakça

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