Geriatride Protetik Yaklaşımlar

Türkiye’de yaşlı nüfus hızla artmakta ve bu duruma bağlı olarak prostodontistler yaşlı hastaları sıklıkla görmektedirler. Yaşlanmayla beraber; deri, temporamandibular eklem, tükürük bezleri, sert ve yumuşak dokularda birtakım değişiklikler meydana gelir ve bunun sonucunda çiğneme etkinliğinde ve fonksiyonda azalma görülür. Diş kaybı ve alveolar kemik rezorpsiyonu geriatrik hastalarda sıklıkla rastlanan problemlerdir. Bu hastaların kayıpları sabit ve hareketli bölümlü protezler, tam protezler, diş üstü ve implant üstü overdenture protezler ve kantilever uzantılı sabit protezlerle restore edilebilmektedir. Geriatrik hastalar mümkün olan en basit, kullanımı en kolay, en ekonomik protez tipi ile tedavi edilmeli, tedaviye karar verirken kişinin sistemik ve kronik hastalıkları göz önüne alınmalıdır

Prosthetic Approaches in Geriatrics

Number of the elderly patients in Turkish population are increasing and most of these patients need to be treated by prosthodontists. The influence of aging may appear on the skin, temporamandibular joints, salivary glands, hard and soft tissues and psychological conditions. Also aging may negatively change the chewing ability and function. Recently, tooth loss and alveolar bone resorption are frequent problems of geriatric patients. Tooth loss in these patients has been rehabilitated by fixed or removable partial prosthesis, complete dentures, tooth or implant retained overdentures. The systemic and local factors must be under consideration when treating geriatric patients, and the easiest, most economic and useful type of prosthesis should be preferred

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