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RESULTS OF PREVALENCE OF DENTAL CARIES AMONG THE ELDERLY
POPULATION
Jumayev Akbar Khamidovich
PhD, Associate Professor
Bukhara State Medical Institute
Uzbekistan
e-mail:
ORCID ID: 0000-0002-2504-1699
Annotation
. Human aging, like the aging of other organisms, is a biological process - the gradual -
gradual degradation of parts and systems of the div, and as a result of this process, for example,
the loss of mental ability. The loss of competence is considered to be of great importance to the
individual. In addition, psychological, socio-economic ethics play an important role.
Keywords:
caries, Aging Age, KPO index.
Log in.
People of old age and old age often need medical care, including dental care. Failure to visit
the dentist in a timely manner can lead to changes in the KPO index and, as a result, partial or
complete toothlessness. According to the definition of the International Association of
Gerontologists, the prevention of premature aging and the long-term maintenance of functional and
social activity of the population are considered a priority of medical science [4-16].
The complete loss of teeth leads to morpho-functional changes in the entire tooth jaw system and a
sharp decrease in chewing efficiency. Indicators of medical-social and somatic status are closely
related to indicators of dental status in older patients. The more important the state of the oral cavity
is in a person's chewing and eating, the more important it is for a person's overall health and quality
of life [23-310
As patients age, it becomes more difficult for them to undergo orthopedic treatment, and the time for
the patient to get used to orthopedic construction takes longer. The level of training for orthopedic
detachable prostheses depends on the condition of the treated div integrity, age, presence of side
effects, nervous system activity, and psychological state [2-7].
The dental condition of oral cavity in elderly patients is an indicator of their standard of living,
social support, lifestyle and general health of this age category of the population. During the period
of providing dental care to patients of this age, it is necessary to consider not only the age of the
patient but also his/her social, psychological and physical status [3-9].
An external sign of aging of teeth is a change in the color of the enamel and the appearance of
cracks. The shape of the teeth changes due to friction, the loss of grooves makes the enamel surface
more slippery [12].
Quality of Life, (Oral Health-Related Quality Of Life, OHRQoL) is a multidimensional concept, i.e.,
a multidimensional concept that affects the vitality of oral health or dental diseases and the overall
quality of life of a person [23–29].
The link between oral health, clinical indicators, and quality of life in older people has not been
fully studied. According to a number of authors, OHRQoL is associated with the socioeconomic
status of regular visits to the dentist [9–21].
The presence of a large number of healthy teeth and the absence of defects in tooth rows have the
most reasonable effect on tooth OHRQoL, whereas the presence of decayed teeth, the presence of
defects in tooth rows, reflects the impact on quality of life [21-32].
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Purpose of the investigation.
Determination of the degree of intensity of dental care and the state
of disease intensity of paradontic tissue in elderly patients from different social groups living in the
Bukhara region
Examination materials and methods.
This study included patients in need of orthopedic
rehabilitation with partial and complete displacement. However, the severity of paradontic disease
could only be assessed in patients with partial toothlessness, so we did not consider elderly patients
with complete toothlessness in our study (Table 1).
To assess the severity of paradontic disease, we used the CPI index in our study. It's important to
note that we didn't take healthy tissue into account in our study.
Table 1
Division of patients in the study with partial toothlessness into groups. (%)
Division of patients in the study with partial toothlessness into groups. (%)
Research Groups
Males %
Women %
Total %
Group 1 Bukhara Women's Home
for Persons with Disabilities
19
55,8%
15
44,1%
34
36,1%
Group 2 Patients living under the
care of relatives
17
47,2%
19
52,7%
36
38,2%
Group 3 Patients living alone
11
45,8%
13
54,1%
24
25,5%
Extracts.
When conducting a clinical trial at the data collection phase, high rates of dental cage
prevalence were recorded in patients. In this connection, it was decided to assess only intensity. Our
study used the KPO index, which represents a quantitative assessment, to assess the intensity of
dental cage. Indicators of caries intensity in examined patients. To study the intensity of dental
caries in detail between patients, each of the patients included in the study was analyzed in the
cross-groups and groups.
Analysis of quantitative indicators of CPU index in patients with group 1
Table 1
Index value
K
P
O
KPOt
Men
2.89±0.61
2.92±0.46
19.01±0.97
24.83±1.01
Women
2.94±0.51
2.89±1.03
18.54±0.98
25.61±1.08
Reliability
Differences in results
t=0.6
P<93.53%
t=1.2
P<94.8%
t=0.1
P<94.8%
t=0.6
P<95.5%
For this, value was determined in each group with clinical signs of carious lesions (caries, filled and
erupted teeth). The data are presented in Tables 1-4 and in Figures 1-4. For the evaluation of the
intensity indicators of cariel lesions within the group was divided by the gender of the patients.
Indicators of the intensity of the karyosis process in patients of group 1 are given in Table 1 and
Figure 1.
Group 1, the mean value of the K index in men is 2.89 ± 0.61, and in women it is 2.94±0.51. The
average number of filled teeth in women group 1 is slightly higher than in men in this group
(compared to 3.93±0.64). 2.92±0.46). The highest quantitative indicators among all components
were recorded when comparing Y index values: 18.9±1.24 and 19.05±1.34 in Men and Women,
respectively. When comparing CPOt scores in group 1, a very high intensity was recorded for both
men (25.47±0.75) and for women (26.12±0.83). All the values taken are close enough, but statistical
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processing has shown that these indicators are not (t<2). Indicators of the intensity of the karyosis
process in patients of group 2 are given in Table 2 and Figure 2.
Table 2
Quantitative indicators of CPU index in patients with group 2.
Whe
n
com
parin
g the
incid
ence
of
carie
s in
patients, the mean value of the K index in men in group 1 was 3.89±0.52 and 3.68±0.7 in women,
respectively. The average indicators of filled teeth1 in the group of women was 2.98±0.58, and in
men it was 1.49±0.48.
Figure 2. Group 1 Manifestation of quantitative indicators of the CPU index in patients.
Among the KPO indicators, the highest was the O index, which was 18.7±1.27 in women and
17.1±0.42 in men. Teeth slightly more than the number of those removed in group 2 were compared
to the CPO index in patients of group 1 when compared with the CPO index in both men
(24.49±1.64) and women (25.14±0.58) high intensity was detected. All the obtained values are very
close to each other, but statistical processing showed that these indicators showed no difference in
mutual reliability (t<2).
Quantitative indicators of CPU index in patients with group 2.
Index value
K
P
O
KPOt
Men
3.89±0.52
1.49±0.48
17.1±0.42
24.49±1.64
Women
3.68±0.7
2.98±0.58
18.7±1.27
25.14±0.58
Differences in reliability
results
t=0.6
R<95.5%
t=0.8
R<95.5%
t=0.6
R<95.5%
t=0.5
R<95.5%
Index value
K
P
O
KPOt
Men
4.01±0.51
2.59±0.48
17.19±0.42
25.45±0.98
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In
Grou
p 2,
the
mea
n
value of the K index was 4.01±0.51 in men and 3.88±0.7 in women, respectively. The quantitative
indicators of the P index were very close, 2.59±0.48 in men and 2.03±0.58 in women.The mean
values of the extracted teeth (17.76±1.27) were slightly higher than in the ratio of men (17.19±0.42).
The mean score of group 2 was 25.45±0.98 in men and 25.51±0.78 in women.
All the obtained values are very close to each other,however, statistical processing showed that these
indicators did not differ in mutual reliability (t<2).
Figure 3. Group 2 Manifestation of quantitative indicators of the CPU index in patients
Data comparing the severity of CPI quantitative readings in patients in the two groups are presented
in Table 9 and Figure 16. They show that the values of K index patients in groups 1 and 2 were
nearly identical (3.39 at 0.38 and 3.93 at 0.47, respectively) and that those with increased values
were found in patient group 3 (2.73 at 0.44). However, the obtained indicators do not provide
statistical reliability (t<2, P<95.5%).
When the number of filled teeth was measured in both groups of patients, it can be seen that it was
2.45 in group 1 and 2.43 in group 2. From these results, it can be seen that the average value content
is significantly higher in group 2. When we analyze the average value of the number of teeth
obtained, we can see that in group 1 it was 17.98±0.9, and in group 2 it was 18.16±1.09.
Quantitative indicators of the KPO index in patients in both groups.
Importance of
KPI Index
Group 1
Group 2
Confidence of result difference
t
(Studenta
Criterion)
R(%)
(probability
certainty analysis)
Women
3.88±0.7
2.03±0.58
17.76±1.27
25.51±0.78
Reliability
Differences in results
t=0.6
R<95.5%
t=0.8
R<95.5%
t=0.6
R<95.5%
t=0.5
R<95.5%
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K
2.91±0.51
3.94±0.27
0,9
<95.5%
P
2.90±0.3
2.31±0.4
0
<95.5%
O
18.77±0.7
17.47±1.07
0,6
<95.5%
KPOt
25.22±0.46
25.48 ±0.64
0,4
<95.5%
Similarly, we can see a significant difference in the quantitative indicators of the average of the CPI
results. This value was 24.81±0.56 in group 1.25.51±0.64 In group 2, the difference in reliability
between quantitative indicators is determined, when comparing the KPI values, a significant
increase in the total value of the KPO index in patients of group 2 indicates a higher confidence.
Figure 4. View of quantitative KPO index scores in patients in both groups.
Conclusions.
In identifying the specifics of adaptation to removable dentures in elderly patients, it
has been shown that their living conditions, lifestyle and environment affect the duration of the
adaptation process to removable dentures.
Based on the results obtained, it can be said that molding through a modified method of the
proposed individual spoon is relatively more beneficial than molding in the standard method, and at
the same time improves the quality of life of the dental patient, it accelerates the patient's
accustomement to removable dental prostheses. At the same time, it significantly reduces the
number of re-appeals for minor prosthetic correction. That's because these patients are a problem in
and of themselves.
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