DOI QR코드

DOI QR Code

Analysis of post-insertion denture maintenance in patient aged 65 and over

만 65세 이상 의치 환자의 장착 후 의치 유지관리 횟수 분석

  • Joosub Whang (Department of Prosthodontics, National Health Insurance Serivce Ilsan Hospital) ;
  • Jin-Joo Yoo (Department of Prosthodontics, National Health Insurance Serivce Ilsan Hospital) ;
  • Joon-Ho Yoon (Department of Prosthodontics, National Health Insurance Serivce Ilsan Hospital)
  • 황주섭 (국민건강보험 일산병원 치과보철과) ;
  • 유진주 (국민건강보험 일산병원 치과보철과) ;
  • 윤준호 (국민건강보험 일산병원 치과보철과)
  • Received : 2023.09.20
  • Accepted : 2023.11.17
  • Published : 2024.01.31

Abstract

Purpose. To investigate the differences in the frequency of post-fitting denture check-ups based on gender, age, insurance status, denture arch, and type among patients aged 65 and above. Methods. This research analyzed 988 patients from National Health Insurance Service Ilsan Hospital's Department of Prosthodontics, who had denture fittings over the last 10 years. Variables including gender, age, insurance status and type, denture arch, and denture type were assessed. Statistical analyses were performed at a 5% significance level. Results. The study incorporated 988 dentures, revealing a median of 3 check-ups post-fitting. Male patients significantly had more visits than females (P = .017), and those with full metal dentures visited significantly more than those with partial dentures (P = .005). Other variables were not significantly influential on the post-fitting check-up frequency. Conclusion. Within this study's confines, an increase in denture adjustment sessions was observed for male patients and those with full metal dentures.

목적: 의치를 장착한 환자에서 성별, 연령, 보험적용여부 및 종류, 의치를 장착한 악궁, 의치 종류에 따라 의치 장착 후 사후 점검 횟수에 차이가 있는지 분석하고자 한다. 대상 및 방법:이 연구는 10년 간 일산병원 치과보철과에서 의치를 장착한 만 65세 이상의 환자 988명을 대상으로 하였다. 성별, 연령, 보험 적용 여부 및 종류, 의치를 장착한 악궁, 의치 종류 등의 변수를 고려하여 사후 점검의 횟수와 기간을 평가하였으며, 통계 분석은 5%의 유의수준에서 진행하였다. 결과: 총 988개의 의치가 포함되었으며, 사후 점검 횟수의 중위수는 3으로 나타났다. 남성이 여성보다 유의미하게 (P = .017) 내원 횟수가 더 많았으며, 의치 종류에 따라서는 금속상 총의치가 국소의치보다 유의미하게 (P = .005) 사후 점검 횟수가 더 많았다. 그 외의 변수는 사후 점검 횟수에 영향을 미치지 않았다. 결론: 이번 연구의 한계 내에서 남성 환자와, 금속상 총의치 환자의 경우 의치의 조정 횟수가 증가하였다.

Keywords

Acknowledgement

이 논문은 국민건강보험 일산병원의 지원을 받아 연구되었음(NHIMC-2022-02-019-005).

References

  1. Sadr K, Mahboob F, Rikhtegar E. Frequency of Traumatic Ulcerations and Post-insertion Adjustment Recall Visits in Complete Denture Patients in an Iranian Faculty of Dentistry. J Dent Res Dent Clin Dent Prospects 2011;5:46-50.
  2. Kivovics P, Jahn M, Borbely J, Marton K. Frequency and location of traumatic ulcerations following placement of complete dentures. Int J Prosthodont 2007;20:397-401.
  3. Lee S, Yoon JH, Yoo JJ. Factors influencing the frequency of denture adjustments after delivery of complete denture: a retrospective study. J Korean Acad Prosthodont 2022;60:239-45. https://doi.org/10.4047/jkap.2022.60.3.239
  4. Shigli K. Aftercare of the complete denture patient. J Prosthodont 2009;18:688-93. https://doi.org/10.1111/j.1532-849X.2009.00500.x
  5. Gendreau L, Loewy ZG. Epidemiology and etiology of denture stomatitis. J Prosthodont 2011;20:251-60. https://doi.org/10.1111/j.1532-849X.2011.00698.x
  6. Jahangiri L, Devlin H, Ting K, Nishimura I. Current perspectives in residual ridge remodeling and its clinical implications: a review. J Prosthet Dent 1998;80:224-37. https://doi.org/10.1016/S0022-3913(98)70116-7
  7. Tallgren A. The continuing reduction of the residual alveolar ridges in complete denture wearers: a mixed-longitudinal study covering 25 years. J Prosthet Dent 1972;27:120-32. https://doi.org/10.1016/0022-3913(72)90188-6
  8. Kliemann C, Oliveira W. A guideline on removable partial prostheses. Sao Paulo; Santos; 1999.
  9. Porter JA Jr, Petropoulos VC, Brunski JB. Comparison of load distribution for implant overdenture attachments. Int J Oral Maxillofac Implants 2002;17:651-62.
  10. Langer Y, Langer A. Root-retained overdentures: Part I-Biomechanical and clinical aspects. J Prosthet Dent 1991;66:784-9. https://doi.org/10.1016/0022-3913(91)90416-T
  11. Ellinger CW, Rayson JH, Henderson D. Single complete dentures. J Prosthet Dent 1971;26:4-10. https://doi.org/10.1016/0022-3913(71)90023-0
  12. Yaqoob A, Shehrani IA, Al Farsi M. Assessment of the incidence and location of traumatic ulcerations subsequent to the placement of complete denture with and without the use of pressure indicating paste. Int J Med Dent 2018;8:89-95.
  13. Hirajima Y, Takahashi H, Minakuchi S. Influence of a denture strengthener on the deformation of a maxillary complete denture. Dent Mater J 2009;28:507-12. https://doi.org/10.4012/dmj.28.507
  14. Hargreaves AS. The prevalence of fractured dentures. A survey. Br Dent J 1969;126:451-5.
  15. Maqsood S, Syed A, Saleem T. Post insertion complaints of removable dental prostheses. J Islamabad Med Dent College 2015:4:99-102.