Treatment of Elderly Bedridden Patients with Removable Dentures to Promote Their Daily Physical Activities: A Case-Control Study

• 作者: Yoshiro Fujii
• 来源期刊: 老年问题研究(英文)
• 学科: 医学
• 关键词: Bedridden Patient Activities of Daily Living (ADL) Older Patient Occlusal Treatment DENTURE
• 年，卷（期）: 2020,（6）
• 页码范围: 116-125
• 页数: 10页
• 分类号: R73

摘要

<span style="font-family:Verdana;">Bedridden patients remain in bed for various reasons, such as chronic illness, old age, and disability, and they cannot perform self-care activities completely or partially. The provision of care for bedridden patients is a major issue in the aging population. Effective rehabilitation is associated with several factors such as cooperation between the patient and the medical staff, selection of effective facilities, and the financial burden. The objective of this study was to evaluate the effect on the activities of daily living (ADL) of occlusion restoration using removable dentures in bedridden older people.</span><span> </span><span style="font-family:Verdana;">This case</span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;">control study comprised 32 bedridden older patients who were divided into two groups as follows: denture (n </span><span style="font-family:Verdana;">=</span><span style="font-family:Verdana;"> 18) and no-denture (n </span><span style="font-family:Verdana;">=</span><span style="font-family:Verdana;"> 14). No rehabilitation was provided to any of the patients. The patients were evaluated 3 months after placing the denture, and the ADLs were compared between the two groups. Of the 18 bedridden patients who received removable dentures, 55.6% demonstrated improvements in the ADLs, and the effects persisted for </span><span style="font-family:Verdana;">at least 3 months. No improvement in the ADL was observed in the no-denture</span><span style="font-family:Verdana;"> group.</span><span> </span><span style="font-family:Verdana;">The results of this study suggested that adequate occlusal support can improve the ADL of the elderly. Thus, it is important to take care of oral health early in life in order to maintain oral health, which could help prevent the decrease in the ADL during the later stages of life.</span>