Vidzis Aldis, Cema Ingrida, Brinkmane Anda, Krasta Ingrida, Broka Kristine
Department of Prosthodontics, Riga Stradins University, Riga, Latvia.
Stomatologija. 2012;14(1):23-7.
The quality of life is closely related with condition of oral health, influence of subjective factors on the whole human body and patients perception of their oral health. In spite of the fact that the most part of Latvian retirement age residents use low-quality dentures and assess them satisfactory, these patients often have problems associated with quality of dentures. The aim of the present study was to evaluate oral health status, prosthodontics indicators and patients satisfaction with oral health among Latvian retirement age residents.
There were examined 465 retirement age volunteers (170 men and 295 women), 116 of them in dental clinic Sandent (Riga, 24.9% - control group), 137 (29.5%) in nursing homes in Zemgale and 212 (45.6%) in nursing homes in Kurzeme (Zemgale and Kurzeme are districts of Latvia). There were assessed quantity of prosthodontics among patients with partial defects of dental arches, there were estimated quality of dentures and patients satisfaction with existing prosthodontics.
Oral health indicators among Latvian retirement age population are better than the same indicators among elderly residents of nursing homes. Among nursing homes residents with partial edentulousness in most of cases in oral cavities remained only few residual teeth which needed treatment. Removable and fixed dental prostheses used by nursing homes residents do not meet denture's quality criteria. Self-evaluation of dentures quality among retirement age residents of nursing homes is better and not correspond with existing dentures quality.
In Latvia the quantity of prosthodontics in respect of partial removable dentures among the retired who regularly visit a dentist does not significantly differ from European retirement age population's dental prosthodontics quantity. Dental prosthodontics indicators of residents of nursing homes in Latvia are unsatisfactory (p<0.001). In retirement age population self-evaluation with quality of dentures is higher than actually existing.
生活质量与口腔健康状况、主观因素对整个人体的影响以及患者对自身口腔健康的认知密切相关。尽管拉脱维亚退休年龄居民大多使用质量欠佳的假牙且对其评价满意，但这些患者常面临与假牙质量相关的问题。本研究旨在评估拉脱维亚退休年龄居民的口腔健康状况、口腔修复学指标以及患者对口腔健康的满意度。
对465名退休年龄志愿者（170名男性和295名女性）进行了检查，其中116人在桑登特牙科诊所（里加，24.9%，为对照组），137人（29.5%）在泽姆加莱的养老院，212人（45.6%）在库尔泽梅的养老院（泽姆加莱和库尔泽梅是拉脱维亚的地区）。对牙弓部分缺损患者的口腔修复体数量进行了评估，对假牙质量以及患者对现有口腔修复体的满意度进行了估计。
拉脱维亚退休年龄人群的口腔健康指标优于养老院老年居民的相应指标。在养老院部分无牙居民中，大多数情况下口腔内仅残留少数需要治疗的牙齿。养老院居民使用的可摘局部义齿和固定义齿不符合假牙质量标准。养老院退休年龄居民对假牙质量的自我评价较好，但与现有假牙质量不符。
在拉脱维亚，定期看牙医的退休人员中可摘局部义齿的口腔修复数量与欧洲退休年龄人群的口腔修复数量相比无显著差异。拉脱维亚养老院居民的口腔修复指标不令人满意（p<0.001）。退休年龄人群对假牙质量的自我评价高于实际情况。
