Background: Aging as a physiological process has attracted the attention of many authors in publication of data about physiological and pathological changes that occur in organism. This study aims to express the latest data in literature about dental changes that occur as a result of aging, at component structures of oral cavity, associated with results in numbers of dental changes, comparing middle age and geriatric age. The study presents data recorded from the patients included in this study, about dental status and about systemic condition and systemic pathologies that patients suffer from. Data were recorded at different times, including a total of 93 patients. After clinical examination, endodontically treated teeth were initially recorded. The data about prosthetic treatment were recorded, divided into categories of partial or total prosthetic treatment. The systemic diseases from which patients suffer were recorded. Results: 78% of patients have natural teeth in oral cavity. The range of 16-25 teeth in oral cavity, i.e., 50-78% of mouth filled with natural teeth, includes 22% of patients: 5% of pre-geriatric age and 17% of geriatric age. Edentulism is present in status at level of 22%, while the lack of endo treatment is 39% even in clinical cases where deep caries was present in oral cavity. The presence in 78% of clinical cases with natural teeth is associated with 61% of these same cases of endodontic treatment. Fixed prosthesis is presented in 84% of clinical cases included in the study, while removable prosthesis, regardless of whether it is total or partial, is presented in 61% of clinical cases of the study. Conclusions: The comparison of middle age and geriatric age about collected dental data leads to results that clearly speak about the tendency for prosthetic replacements with both fixed prosthesis and removable prosthesis, placing emphasis the role of dental status at the whole organism. The significant increase in percentage of endodontically treated teeth is another value that speaks of the population’s awareness of dental care. The presence of natural teeth, expressed in numbers and percentages, is a value that reflects data on dental care over the years.
Introduction: Endo-perio lesions, beyond the clinical examination, are also assessed by means of radiographs. It is important that the radiographs used for diagnosis are accurate periapical radiographs, based on specific criteria. The study is of cross-sectional type with the collection of radiographic data on the appearance of endo-perio lesions in accurate periapical radiographs. The aim of the study is to evaluate the radiographic signs of endo-perio lesions, to enable the radiographic diagnosis of the lesions and then to divide them according to the subdivisions of the classification system of endo-perio lesions.Materials and methods: The study included 104 periapical radiographs of patients presented to a dental clinic, with objective and subjective complaints of the presence of endo-perio lesions. The radiographs were classified according to the accuracy criteria of periapical radiographs, criteria defined by Prichard. Accurate periapical radiographs were used to classify endo, perio, endo-perio lesions. Endo-perio lesions were classified based on the Simon et al classification and the Torabinejad and Trope classification.Results: The distribution of radiographs depending on the presence of endo or perio lesions varies as follows: endo lesions were presented in 32 cases or in 38% of the radiographs; perio lesions were present in 22 cases or in 26% of the radiographs and endo-perio lesions were in 30 cases or in 36% of the radiographs included in the study.According to the classification Simon etal. radiographs were divided: class a 40%, class b 20% class c 7% class d 10% and class e 23%.According to the Tobabinejad and Trope classification, endo-perio lesions were according to classes specifically: class a 60% class b 17% class c 23%.Conclusions: The main violation of the accuracy criteria of radiographs is mostly related to the displacement of the cone in the up-down direction, which is performed in support of the routine protocol in performing periapical radiographs.The values in the study showed results on the frequency of occurrence relatively the same for both endo lesions and periodontal and in cases of occurrence of endo-perio combination. This data confirms the fact that endo-perio lesions have the same possibility of occurrence, both for endo-only lesions and for perio-only lesions. Despite the different types of endo-perio lesion classification, the distribution across the classification classes shows the same values in equal percentages for true combined endo-perio lesions.
Background: Aging as a physiological process has attracted the attention of many authors in publication of data about physiological and pathological changes that occur in organism. This study aims to express the latest data in literature about dental changes that occur as a result of aging, at component structures of oral cavity, associated with results in numbers of dental changes, comparing middle age and geriatric age.The study presents data recorded from the patients included in this study, about dental status and about systemic condition and systemic pathologies that patients suffer from. Data were recorded at different times, including a total of 93 patients. After clinical examination, endodontically treated teeth were initially recorded. The data about prosthetic treatment were recorded, divided into categories of partial or total prosthetic treatment. The systemic diseases from which patients suffer were recorded.Results: 78% of patients have natural teeth in oral cavity. The range of 16-25 teeth in oral cavity, i.e. 50-78% of mouth filled with natural teeth, includes 22% of patients: 5% of pre-geriatric age and 17% of geriatric age. Edentulism is present in status at level of 22%, while the lack of endo treatment is 39% even in clinical cases where deep caries was present in oral cavity. The presence in 78% of clinical cases with natural teeth is associated with 61% of these same cases of endodontic treatment. Fixed prosthesis is presented in 84% of clinical cases included in the study, while removable prosthesis, regardless of whether it is total or partial, is presented in 61% of clinical cases of the study.Conclusions: The comparison of middle age and geriatric age about collected dental data leads to results that clearly speak about the tendency for prosthetic replacements with both fixed prosthesis and removable prosthesis, placing emphasis the role of dental status at the whole organism. The significant increase in percentage of endodontically treated teeth is another value that speaks of the population's awareness of dental care. The presence of natural teeth, expressed in numbers and percentages, is a value that reflects data on dental care over the years.
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