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The Effect of Complete Dentures on The Body Mass Index of Elderly Patients Andi Alifianti Puteri Asegaff; Nova Adrian
Journal of Indonesian Dental Association Vol. 2 No. 1 (2019): April
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v2i1.351

Abstract

Introduction: As people age, physical changes, such as complete tooth loss, can occur. The therapy for complete tooth loss is to wear complete dentures (CDs). However, this can affect patients’ body mass index (BMI) and overall health, especially in patients who are elderly. BMI is an indicator that is often used to determine a person’s nutritional status. Objective: The aim of this study was to analyze the effect of wearing a new set of full upper and lower dentures affects the BMI of elderly patients, one month after insertion at Dental Hospital of Dentistry Faculty, Trisakti University. Method: This was an observational analytic study with a cross-sectional design. The subjects of this study were 31 elderly patients (according to the World Health Organization [WHO] age classification). Result: Of the 31 elderly patients studied, 7 had an unstable or fluctuating BMI, 12 had a stable BMI from the beginning of CD insertion, 4 showed a consistent increase in BMI, and 2 showed a consistent decrease in BMI but remained in the normal BMI range. Using Spearman’s rank correlation coefficient, the result was shown to be significant (p=0.00), which means there was a strong correlation between CD use and change in BMI (0.76–0.99). Conclusion: It can be concluded that elderly patients at Dental Hospital of Dentistry Faculty, Trisakti University who are wearing CDs encounter a significant change in BMI. Most of the subjects reached a normal BMI by one month after CD insertion, caused by an increased ability to masticate effectively.
Rehabilitation of Vertical Dimension Decreased Cases in Elderly Patients Nova Adrian
Journal of Indonesian Dental Association Vol. 2 No. 2 (2019): October
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v2i2.418

Abstract

Introduction: An elderly person is considered elderly when he or she reaches 60 years or more. Among the problems that occur in the elderly is the loss of teeth. Elderly patients who lose several teeth might decrease the vertical dimension; additional tooth migration causes extensive loss contact. Obtaining an ideal occlusal schema was challenging for dental practitioners. A suitable and efficient preprosthetic plan might be essential to acquire comfortable and good dentures for patients. Our objective is to organize a suitable and efficient preprosthetic, planning to acquire comfortable for patient. Case Report: A 69 year old man who had lost several teeth due to caries on teeth 15, 14, 13, 12, 11, 21, 24, 25, 26, 34, 37, 44, 46 and 47. He had used dentures over the last 15 years and needed a new one because the previous dentures was impaired. We determined the tentative vertical dimension and position to the articulator. Preprosthetic planning fixed the prosthesis on 36 and 27 with extraction on 18. A second impression was made and placed on the articulator, arranging the teeth and try in wax dentures continously. We used a definitive dentures and suggest a periodic control. Conclusion: The loss of several teeth decreased vertical dimensions, and existing tooth migration caused extensive loss contact. The systematic preprosthetic planning might be arranged on behalf of success prosthesis.