Evaluation of Elderly Patients Adaptation to Removable Dentures

Ershov, Kirill; Севбитов, А.В.; Shakaryants, A A; Dorofeev, A.E.

doi:10.23888/hmj20174469-476

Cited by 15 publications

(10 citation statements)

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“…However, there is still a question which therapeutic tactics aimed at eliminating the increased vomiting reflex is the most effective. 9,11,14,19,23 In this study, the authors applied three prophylactic tactics to patients aimed at reducing the severity of the vomiting reflex during dental procedures. Since previous researchers point to the positive effect of short-term pharmacotherapy for eliminating the increased vomiting reflex,9 two of the tactics we used were pharmacotherapy -using local aerosol anesthesia with 10% lidocaine solution and 0.1% Galazolin nasal solution, and the third tactic was instrumental -3Shape Trios intraoral scanner.…”

Section: Discussionmentioning

confidence: 99%

A New Concept for the Treatment and Rehabilitation of Patients with Pathologic Comorbidities Using Cutting-Edge Digital Technologies in Dental Orthopaedics

et al. 2020

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Objectives This article investigates the specific aspects of overactive or exaggerated vomiting reflexes affecting the procedure of dental examination and impression in patients with complete secondary adentia, who need orthopaedic dental treatment. Materials and Methods The prevailing manifestation degree of exaggerated vomiting reflex was diagnosed among patients with complete secondary adentia and exaggerated vomiting reflex. Statistical Analysis Exaggerated vomiting reflexes occur when a patient suffers from dentophobia, the term, which is otherwise known as the fear of dentists. The study was performed using methods of mathematical statistics, including the Pearson χ2 criterion and the statistical probability criterion (p). Results The role of an exaggerated vomiting reflex was revealed in the development of patients’ dentophobic experiences, and the nature of such experiences was established. Variations in dentophobic reactions were distinguished and management strategies were studied for patients with complete secondary adentia and exaggerated vomiting reflex. Conclusions These studies were aimed at preventing the development of vomiting reflex during dental procedures and at identifying an optimal strategy for stopping exaggerated vomiting reflex. The role of the vomiting reflex in the orthopaedic treatment of dental patients was determined.

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Section: Discussionmentioning

confidence: 99%

A New Concept for the Treatment and Rehabilitation of Patients with Pathologic Comorbidities Using Cutting-Edge Digital Technologies in Dental Orthopaedics

et al. 2020

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“…At the same time, it is necessary to note that development of conditioned refl exes becomes more diffi cult with age and their extinction is observed. This fact is associated with weakening of cortical inhibitory infl uence on subcortex centres [7,8]. Additionally, correct psychological preparation of patient and his/her understanding of the necessity to use the prosthesis as a treatment means aimed to maintain their health are of large importance for their adaptation to dentures.…”

Section: Introductionmentioning

confidence: 99%

The Problem of Patients’ Adaptation to Full Removable Dentures

et al. 2019

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One of the key modern orthopaedic dentistry problems related to rehabilitation of patients with complete edentulism is the process of their adaptation to artificial orthopaedic constructions. According to fundamental and modern scientific research, the biological factor, i.e. the complex of all reactions of the organism to the prosthesis including psychological reactions that is individual for each user, is the most important one. Development of new conditioned-reflex connections and formation of cortical inhibition of active stimulus, that a full removable denture is, depends directly on the balance and dynamics of patient’s neural processes despite having several common characteristics including chronometric ones that can be revealed in the majority of patients of this category. Furthermore, previous experience of full removable denture usage is of great importance, specifically its presence or absence and whether it was positive or negative etc., which in its entirety influences the degree and intensity of phases in patient’s adaptation to a new artificial construction. In this connection, it is important to note the role of patients’ psychological preparation, their familiarisation with corresponding illustrative material, establishment of the psychological contact aimed to form positive but at the same time realistic view on the provided prosthetic care in terms of functional and aesthetic optimum restoration, which is an essential part of successful rehabilitation for this category of patients. On the grounds of many years’ practical experience, a number of most frequent complaints and questions of patients provided with rehabilitation using full removable dentures which frequently accompany adaptation process and demand careful doctor’s attention while performing explanatory work has been developed. Thereafter, it is necessary to make a corresponding note in patient’s medical record with signature confirmation in order to prevent further conflicts associated with the process of adaptation to dentures and its peculiarities related to this specific patient.

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“…Patients differently report the localization, nature, duration, and strength of their painful sensations. [1][2][3][4] In a number of studies, the relationship between duration and strength of pain sensations with psychological factors has been revealed. Excitation, fear, and depression lead to inadequate treatment of pain: In one case, patients can exaggerate the power of pain, and others underestimate.…”

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confidence: 99%

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DOROFEEV¹

2018

AJP

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Context: Elderly patients constitute a significant proportion of the population. All of them need skilled dental care. However, a significant proportion of patients is afraid of dental appointment. Premedication before a dental treatment is shown for all patients with a high level of anxiety. However, during studying the medical records of each patient, the significant number of comorbidities is identified which limit us in the use of medications for the prevention of stress and pain at the dental appointment. Aims: The aim of this study is to improve the quality of surgical dental care for elderly patients living in a gerontological center with different levels of dentophobia. This study evaluated the perception of pain of elderly patients with middle and high level of a dentophobia on surgical dental appointment. Materials and Methods: All patients, who participated in the study, live in geriatric center. All patients before surgery tooth extraction took the advice of a psychiatrist and neurologist. Patients with a high level of a dentophobia were held premedication over-the-counter medication and local anesthesia with a solution of 4% articaine with vasoconstrictor in a dilution of 1:200000. Premedication was not conducted for patients with middle level of dentophobia, and local anesthesia for them was done using 3% mepivacaine solution without vasoconstrictor. Evaluation of pain perception was carried out by the following methods: Electroodonto diagnosis, electromyography of facial muscles, sound eyes motor scale, and the visual analog scale. All the results obtained were processed in the program Statistical 6.0. Results: The results obtained using these methods have shown a reliable correlation between each other. Conclusions: The efficiency of premedication was proven as reducing the perception of pain of patients with high level of dentophobia.

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Evaluation of Elderly Patients Adaptation to Removable Dentures

Cited by 15 publications

References 0 publications

A New Concept for the Treatment and Rehabilitation of Patients with Pathologic Comorbidities Using Cutting-Edge Digital Technologies in Dental Orthopaedics

A New Concept for the Treatment and Rehabilitation of Patients with Pathologic Comorbidities Using Cutting-Edge Digital Technologies in Dental Orthopaedics

The Problem of Patients’ Adaptation to Full Removable Dentures

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