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PRACA PRZEGLĄDOWA
Najczęstsze dolegliwości w jamie ustnej u pacjentów geriatrycznych
 
Więcej
Ukryj
1
Non Public Health Care Unit ‘Dental’ Katarzyna Bijowska, Białystok, Poland
 
2
Doctoral Study, Department of Periodontal and Oral Mucosa Diseases, Faculty of Medicine, Medical University Białystok, Poland
 
3
Non Public Health Care Unit ‘Family Dentistry’, Białystok, Poland
 
4
Independent Gerostomatology Laboratory, Medical University, Białystok, Poland
 
5
Department of Plastic, Reconstructive and Aesthetic Surgery, Norbert Barlicki University Teaching Hospital No. 1, Łódź, Poland
 
 
Autor do korespondencji
Kamil Bijowski   

NZOZ Dental Katarzyna Bijowska, Bohaterów Monte Cassino 13a lok.3, 15-873, Białystok, Polska
 
 
Med Og Nauk Zdr. 2021;27(1):23-31
 
SŁOWA KLUCZOWE
DZIEDZINY
STRESZCZENIE
Wstęp:
Prognozy demograficzne dla populacji polskiej wska-zują, że w Polsce w 2030 roku około 24% populacji będą stanowiły osoby starsze. Funkcjonalne uzębienie, zapewniające korzyści fizjologiczne i socjalne, jest elementem dobrostanu fizycznego i psychicznego pacjenta w podeszłym wieku z bra-kami w uzębieniu i chorobami ogólnymi.

Cel pracy:
W niniejszej pracy omówiono najczęstsze dolegliwości spotykane u przyjmowanych przez dentystów pacjentów geriatrycznych. Uwzględniono etiologię, charakterystykę oraz możliwości leczenia opisanych dolegliwości. U leczonych stomatologicznie pacjentów po 60. roku życia najczęściej występującymi problemami były: stomatopatie, kserostomia i zespół pieczenia jamy ustnej (BMS). Stomatopatie najczęściej występowały u pacjentów chorujących na cukrzycę oraz u osób użytkujących ruchome lub stałe uzupełnienia protetyczne.

Materiał i metody:
Na podstawie dostępnego piśmiennictwa przeprowadzono analizę założonych celów pracy.

Podsumowanie:
Wszystkie ww. schorzenia dotyczące zdrowia jamy ustnej mają wpływ na dobrostan, czyli zdrowie fizycz-ne i psychiczne, pacjenta. Schorzenia o etiologii miejscowej, jak stomatopatie protetyczne, mijają głównie dzięki eliminacji przyczyny kontaktowego zapalenia. Pozostałe dolegliwości: zapalenie przyzębia, BMS czy kserostomia są ściśle powiązane ze stanem ogólnym pacjenta. Wówczas zmiany w jamie ustnej zależą od intensywności i wyrównania choroby ogólnej. Dlatego bardzo ważną rolę odgrywają lekarze prowadzący: diabetolodzy, neurolodzy czy psychiatrzy. Współpraca lekarza dentysty z lekarzem ogólnym może znacznie wpłynąć na poprawę zdrowia pacjentów geriatrycznych.


Introduction:
Demographic forecasts for the Polish population indicate that in 2030 in Poland, that the elderly will constitute approximately 24% of the population. Functional dentition and providing physiological and social benefis are part of the physical and mental well-being of an elderly patient with missing dentition and general diseases.

Objective:
The aim of the study is to discusses the most common ailments encountered in geriatric patients treated by dentists. Etiology, characteristics and treatment options for the described ailments are taken into account. In dental treated patients age over 60, the most common problems encountered are: stomatopathies, xerostomia and burning mouth syndrome (BMS). Stomatopathies werethe most common in diabetic patients, and in patients using removable or fixed prosthetic restorations.

Material and Methods:
Analysis of the assumed aims of the paper was carried out based on the available literature. Particular attention was paid to the most common complaints in elderly patients.

Conclusions:
All the above-listed oral cavity health conditions affect the well-being, i.e. physical and mental health of a patient. Local pathological states, such as prosthetic stomatopathies, pass mainly by eliminating the cause of contact inflammation. Other ailments: periodontitis, BMS or xerostomia, are closely related to the general condition of the patient. Changes in the oral cavity depend on the intensity and stabilization of the general disease. His is the reason that a very important role is played by the attending physicians: diabetologists, neurologists or psychiatrists. The cooperation of a dentist with a general practitioner can significantly improve the health of geriatric patients.

Bijowski K, Dąbrowska Zofia, Onopiuk B, Dąbrowska E, Zagajewski M. The most common oral cavity ailments in geriatric patients. Med Og Nauk Zdr. 2021; 27(1): 23–31. doi: 10.26444/monz/133399
 
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