CLINICAL CHARACTERISTICS OF THE PERIODONTOLOGIC STATUS OF ELDERLY AND SENILE PPATIENTS LIVING IN PSYCHONEUROLOGICAL RESIDENTIAL HOMES

Despite the extensive study of periodontal diseases, their prevalence rates do not tend to decrease. At the same time, the literature resources do not sufficiently cover the issues of studying the periodontologic status of elderly and senile patients living in neuropsychiatric houses. Patients with chronic mental illnesses need various types of dental care, including periodontal care and it is relevant for each patient with age. The paper presents the frequency and structure of inflammatory periodontal diseases in elderly and senile patients living in neuropsychiatric houses. To analyze the frequency and structure of periodontal diseases and determine their need for periodontal care, the CPI index was used (1995). At the same time, the degrees of periodontal treatment need by age, types of mental illness in the examined populations of men and women in general were revealed. Thus, patients with schizophrenia, and less often dementia and mental retardation, predominated in neuropsychiatric houses in the structure of mental diseases among examined people. With age, the data on the intensity of periodontal tissue damage in elderly and senile patients is characterized by a significant increase in the “Unaccounted sextants” component, which is associated with the severity of periodontal disease and tooth loss. At the same time, the components of bleeding, supra- and subgingival stone, periodontal pocket make up the minimum value. The results of the study determine the high level of prevalence, intensity of inflammatory periodontal diseases and the need for periodontal care in the examined elderly and senile patients living in neuropsychiatric houses, who, for health reasons, show an extremely low level of compliance with periodontal treatment, which dictates the need to organize outbound dental care under the program of state guarantees within the framework of compulsory health insurance.

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