EC Dental Science

Aim: Taking into consideration the poor oral health among the institutionalized elderly people the aim of this study was established: to determine the prosthetic status of the institutionalized elderly in the department "Mother Teresa", nursing home for long-term care in Skopje, Republic of Macedonia.

Materials and Methods: Total number of 73 patients older than 65 years were examined. Research was conducted in the period from April to July 2018. Throughout the dental history we were noting whether the examined subjects wear prosthetic devices and whether they have problems with them. Also, the examinees were asked what are their dominant dental treatment needs. A thorough examination determined the presence and need of prosthetic appliances. Oral hygiene assessment of the prosthetic devices was done.

Results: The study revealed that less than half of the participants wear prosthetic devices (exactly 42.7%). A large percentage from the participants who have prosthetic devices (64.5%) were complaining of difficulties associated with wearing dentures. Most of the examined elderly participants (53.23%) need various prosthetic treatments Total anodontia was registered in 47.95% of the surveyed elderly.

Conclusion: The need for dental interventions is high, because the use of prostheses is quite low. Numerous problems associated with the use of prosthetic devices were noted. High prevalence of bimaxillary total anodontia and absence of prosthetic devices despite their unavoidable need is characteristic of institutionalized elderly. Also, unsatisfactory hygiene of prosthetic devices was noticed in our study.

Keywords: Dental Prosthetic Status; Prosthetic Need; Geriatric Dentistry; Edentulous; Gerodontology

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