D4 CASE PORT FOLIO
LAKSHMI HARINI MALLAVARAPU
15563
Clinical question
Is oral health related quality of life better in population wearing removable partial dentures compared to population not wearing removable partial dentures?
Background
Losing teeth can be due to various factors such as caries, periodontal disease, trauma and oral cancer. It may result in masticatory difficulties affecting the quality of life of an individual. The treatment options for these missing teeth can be implant, fixed prosthesis or conventional removable prosthesis. Removable prosthesis is still being used currently due to its quick and affordability. Oral health-related quality of life (OHRQoL) should be emphasized when providing dental care to elderly people; as it plays a major role in well-being of an individual.1In current days, the average life span of an individual is increasing. So the population of individuals with removable dentures is also increasing.
The paper mainly focuses on how the oral health quality is affecting elderly individuals. In elderly individuals, the quality of life associated with oral health influences the social and emotional aspects of life. In addition, they also influence the dental health such as masticatory ability. The factors influencing the Oral healthy related quality of life include denture status, denture satisfaction, perceived loose denture, the presence of oral pain, the presence of oral ulcer, perceived halitosis and perceived dry mouth.3
One of the most common oral health ailments in seniors is dry mouth. The problem is so widespread that many seniors
Overall, the argument the author makes regarding the ineffectiveness of dental care in preventing tooth decay is flawed because of differences between the two groups he had chosen to compare and arrive at his conclusion. It can be even argued that considering the diet habits and environmental factors in the United States without dental care the level of tooth decay could be much worse than that of children in
When a permanent tooth is lost, there may be ramifications that interfere with a person's health, as well as their quality of life.
In a study of 34 patients aged 75 years or over who depended on assistance for daily living activities, patients were randomly assigned to receive two mandibular implants to support an overdenture or a relined conventional mandibular denture. In the patients who received the mandibular implant overdenture treatment, an increased oral health-related quality of life was reported; however, chewing efficiency was no different between the groups. The insertion of the mandibular implant overdenture was noted as problematic for some patients and their caregivers due to the nature of the Locator attachments, and in two cases the attachments were replaced by attachments that permitted easier insertion . This is an important consideration for
4% of people over 65, and 25% of people over 85, are living in institutions. I will identify and assess factors which affect the oral health of older institutionalised patients and explore ways to target these risk factors and explore possible ways of improving the oral health in these patients. To investigate the oral care needs of elderly institutionalised patients I looked for studies on this group of patients in online journal databases. I found several enlightening studies on PubMed via the University library catalogue. I also searched using the Web of Science tool; this ranks results by the number of times they have been cited by other articles.
The economy plays an important factor of what people want to spend their money on. Dental/ oral health care is important to most people in today’s today world. Since the dental/ oral health industry is very big there are many trends that are arising such as the cost of dental care increase or decreasing, market of the industry and lastly global dental industry.
Recent surveys about retention procedures, done by (Renkema, et al. 2009) and (Lai, et al. 2014), showed some similarities among orthodontists practicing in various countries, such as a frequent use of fixed retainers on mandibular teeth, and an increased popularity of removable vacuum-formed retainers..
In an attempt to compare the status of oral health between the African American, American-Indian communities and the white population, the researchers carried out their research in the rural counties of North Carolina. The participant pool consisted of 635 people who were aged 60 and above. They carried out their research using different methods like oral examination, cross sectional studies and self reports from the participants. Through their findings, the researchers came into the conclusion that the participants from ethnic minority groups showed significantly poor oral health as compared to the white population. This included results from the oral examinations that the researchers conducted as long as the self reports from the participants. They also concluded that although most of the oral health conditions were related to the socioeconomic status of the participants, the oral health deficits in these populations were also related to the chronic diseases and their risk factors.
Placement of a removable prosthesis in the oral cavity produces significant changes in the oral
Dentition and Oral Health: Majority of the elderly lose their teeth, which helps break down food mechanically. The pain and discomfort that comes with such loss and also poorly fitted dentures leads
Limited Support Insurance of oral wellbeing is a vital variable of healthy aging in many ways, influencing the ability to communicate and personal satisfaction with presence, for instance (Sahyoun, 2004). The status of an individual’s nutritional health is determined by dietary intakes and lifestyles choices (Sahyoun, 2004). Oral health is important to reach good nutrition goals (Sahyoun, 2004). Oral health problems constrains a person’s food choices (which affect’s social association, a vital part of overall health) (Sahyoun, 2004). There is limited experimental evidence discovered to support the association concerning oral health, nutritional decisions, and the ranking of health (as earlier choices affects them later) (Sahyoun, 2004, 18). Food is not the only thing that harms an elder’s teeth. Dental wellbeing is often influenced by various professionally prescribed medications, taking note of that reactions would harm their teeth later on (Sahyoun, 2004).
In most situations the dentist is not the one in charge of the dental care provided to the elderly. The dentists however should be the ones to come up with the daily oral care for patients such as: supervised tooth brushing twice a day with fluoride toothpaste, daily fluoride applications if needed, and lastly regular professional cleanings.
Oral health is an important determinant of general health and quality of life. Oral health can affect people physically and psychologically. It can have adverse effects on growth, ability to taste food, eating habits, sleep, self-esteem, socialisation and enjoyment of life. Oral diseases have also been found to influence other chronic diseases due to common behavioural and biological pathways
Whereas medically necessary health services as espoused by the Canada Health Act remains a nebulous concept, its basic underlying principle of fostering good health, as well as, removing barriers to the attainment of this goal cannot be ignored. Oral health has been argued to be relevant for overall health, well-being and quality of life (Petersen, Bourgeois, Ogawa, Estupinan-Day, & Ndiaye, 2005; Petersen, 2003). Oral diseases have been acknowledged as one of the most common chronic condition in global health issues. Poor oral health is not only deemed to have an adverse pathological effect, but also physical and psychosocial outcomes (Singhal, Correa, & Quinonez, 2013). Additionally, oral health is believed to share common biological, behavioural
Although many Americans have good oral hygiene due to fluoride and making everyday good decisions, others do not have any access at all to oral health care. Over the years, dentists have been trying to demonstrate the importance of oral care. (“Access to Dental Care”) From commercials to campaigns, dentists will continue to demonstrate to their patients as well as to the people who don't have insurance the importance of oral health care. They will teach them preventative care and some techniques on how to prevent from getting any diseases.