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[为佩戴全口假牙的体弱老年人提供口腔护理。标准治疗方法并不适用]

[Providing oral healthcare to frail older people who wear complete dentures. No place for standard treatments].

作者信息

de Vries D, Zuidgeest T G M, de Baat C

机构信息

Uit de sectie Mondgezondheidszorg en Klinische Epidemiologie van het Universitair Medisch Centrum Groningen.

出版信息

Ned Tijdschr Tandheelkd. 2011 Dec;118(12):622-9. doi: 10.5177/ntvt.2011.12.11256.

Abstract

Frail older people who wear complete dentures may have denture-related complaints which are more pronounced due to their somatic, psychological and/or social problems. On the other hand, it often happens that serious complaints are not or cannot be expressed. In those cases, members of the individual's social network or care providers may request treatment. According to the authors' experience, managing technical denture disorders by carrying out standard treatments or inserting oral implants is not always successful. Basic principles of providing oral healthcare to frail older people are: restraint in carrying out treatments, avoiding standard treatments, taking into consideration the limited adaptability of older people, continuous awareness of one's own functioning in the decision-making process, and paying attention to the role of family members, voluntary and professional care providers, and physicians.

摘要

佩戴全口假牙的体弱老年人可能会有与假牙相关的不适,由于他们的躯体、心理和/或社会问题,这些不适会更加明显。另一方面,严重的不适往往没有表达出来或无法表达。在这些情况下,个人社交网络的成员或护理人员可能会要求进行治疗。根据作者的经验,通过进行标准治疗或植入口腔种植体来处理假牙技术问题并不总是成功的。为体弱老年人提供口腔保健的基本原则是:治疗时有所克制,避免标准治疗,考虑到老年人有限的适应能力,在决策过程中持续意识到自己的作用,并关注家庭成员、志愿和专业护理人员以及医生的作用。

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