Preview

Medical alphabet

Advanced search

Dental status of geriatric patients with disorder of cognitive functions and their medical and social characteristics

https://doi.org/10.33667/2078-5631-2021-38-67-70

Abstract

Aim: analysis of medical and social characteristics and assessment of the dental status of geriatric patients with cognitive impairment.

Materials and methods. The study was carried out at the Department of Therapeutic Dentistry. We analyzed the responses and laboratory results of 43 patients aged 60–92 years. The main methods used in the study were: questioning (Fox test), sialometry, saliva pH determination, microbiological analysis (of the upper respiratory tract) for fungal microflora.

Results obtained showed that an objective study of the secretory function of the salivary glands according to the method of M.M. Pozharitskaya found that the average rate was 0.2 ± 0.004 ml/min, and the average saliva pH was 5.7 ± 0.04. The medical and social portrait of a geriatric patient indicates that mainly patients with impaired cognitive functions seeking dental treatment and prophylaxis were women, whose average age was 76.03 ± 2.8 years, as a rule, they were representatives of the humanitarian and natural-scientific professions, 75% are married. According to the results of the Fox test, it was found that 60% of patients complained of dry mouth of a different nature. The perception of dry mouth was statistically significantly dependent on gender (P = 0.025) and the presence of chronic diseases (P = 0.004). Women (OR = 1.17, P = 0.026) with chronic diseases (OR = 2.97, P = 0.002) were more likely to suffer from dry mouth.

About the Authors

A. S. Podkhvatilina
Institute of Dentistry, Department of Therapeutic dentistry, I.M. Sechenov First Moscow State Medical University
Russian Federation

Arina S. Podkhvilina, Graduate Student of the Department of Therapeutic Dentistry

Moscow

SPIN: 3910-6585



A. S. Kozhokar
Institute of Dentistry, Department of Therapeutic dentistry, I.M. Sechenov First Moscow State Medical University
Russian Federation

Anastasia S. Kozhokar, Graduate Student of the Department of Therapeutic Dentistry

Moscow

SPIN: 1539-4350.



E. G. Margaryan
Institute of Dentistry, Department of Therapeutic dentistry, I.M. Sechenov First Moscow State Medical University
Russian Federation

Edita G. Margaryan, MD, Dr. Sci. (Med.), Professor of the Department of Therapeutic Dentistry

Moscow

eLibrary. SPIN: 8087-5254.



A. G. Kadzhoyan
Institute of Dentistry, Department of Therapeutic dentistry, I.M. Sechenov First Moscow State Medical University
Russian Federation

Armine G. Kajoyan, Graduate Student of the Department of Therapeutic Dentistry

Moscow

eLibrary. SPIN: 1801-8719.



References

1. Petersen P.E., Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme //Community dentistry and oral epidemiology. – 2005. – Т. 33. – №. 2. – С. 81–92.

2. Thomson W.M. Dental caries experience in older people over time: what can the large cohort studies tell us? //British dental journal. – 2004. – Т. 196. – № 2. – С. 89.

3. Plemons J.M., Al-Hashimi I., Marek C.L. Managing xerostomia and salivary gland hypofunction: executive summary of a report from the American Dental Association Council on Scientific Affairs //The Journal of the American Dental Association. – 2014. – Т. 145. – № 8. – С. 867–873.

4. Affoo R. H. et al. Meta-analysis of salivary flow rates in young and older adults // Journal of the American Geriatrics Society. – 2015. – Т. 63. – №. 10. – С. 2142–2151.

5. Ship J.A., Pillemer S.R., Baum B.J. Xerostomia and the geriatric patient //Journal of the American Geriatrics Society. – 2002. – Т. 50. – № 3. – С. 535–543.

6. Wyatt C.C.L., Wang D., Aleksejuniene J. Incidence of dental caries among susceptible community-dwelling older adults using fluoride toothpaste: 2-year follow-up study // Journal of the Canadian Dental Association. 2014. (80).

7. Akhunova E.R., Abrosimova M.Yu. Features of the morbidity of the elderly population of Kazan according to the data on the appealability to outpatient clinics// Kazan Medical Journal. – 2013. – T. 94. – No. 5.

8. Brennan L. J., Strauss J. Cognitive impairment in older adults and oral health considerations: treatment and management //Dental Clinics. – 2014. – Т. 58. – № 4. – С. 815-828.

9. Ewan V., Staines K. Diagnosis and management of oral mucosal lesions in older people: a review //Reviews in Clinical Gerontology. – 2008. – Т. 18. – № 2. – С. 115–128 Cicciù M., 2013)

10. Percival R.S., Challacombe S.J., Marsh P.D. Age-related microbiological changes in the salivary and plaque microflora of healthy adults //Journal of medical microbiology. – 1991. – Т. 35. – № 1. – С. 5–11.

11. Petersen P.E. et al. Global oral health of older people-call for public health action //Community dental health. – 2010. – Т. 27 – №. 4. – С. 257–67. 12. Murray Thomson W. Epidemiology of oral health conditions in older people // Gerodontology. 2014. (31). C. 9–16.


Review

For citations:


Podkhvatilina A.S., Kozhokar A.S., Margaryan E.G., Kadzhoyan A.G. Dental status of geriatric patients with disorder of cognitive functions and their medical and social characteristics. Medical alphabet. 2021;1(38):67-70. (In Russ.) https://doi.org/10.33667/2078-5631-2021-38-67-70

Views: 260


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)