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Biomedical subjects

C de Baat

Publications and source records attributed to C de Baat.

At least 55 records · Page 3Linked to original sources
PubMed1995

Elderly people's adaptability to complete denture therapy: usability of a geriatric behaviour-rating scale as a predictor.

Accurately predicting prognosis of complete denture therapy requires a reasonable estimation of the ability of a patient to adapt. The aim of the current study was to test the usability of a geriatric behaviour-rating scale (BOP) as a predictor of elderly people's ability to adapt after complete denture therapy. Ninety-five complete denture-wearing residents of four nursing homes for somatically handicapped patients were randomly divided into two groups, 48 test subjects for whom replacement dentures were prepared and 47 test subjects whose current dentures were improved on. The results of these treatments were evaluated by comparing the scores on the so-called 'scale of appreciation' (complaints of and (dis)satisfaction with complete dentures) prior to and at 2 and 6 months post-treatment. Univariate correlations were computed between the scores on the 'scale of appreciation' or the differences in scores at the three evaluation-moments and the foremost BOP-subscale (BOP1, infirmity) and some factors that were considered to be of influence on the process of adaptation. The BOP1 was the only factor showing a significant correlation with the 'scale of appreciation' at 2 months posttreatment; this suggests that little infirmity was connected with a low value of complaints of and dissatisfaction with complete dentures or a positive alteration of this value. It is concluded that the BOP1 can be a useful predictor of complete denture therapy in this group of elderly people. A relationship between elderly people's adaptability to complete denture therapy and the BOP or any other geriatric behaviour-rating scale could be possible.

Adaptation, Psychological↗
PubMed1995

Changes in dental attitude and behavior among Dutch adults wearing complete dentures.

In 1992 a follow-up on the Dutch National Dental Survey of 1986 (DNDS) was performed. The main objective was to detect and analyze changes in oral self care, dental attendance, and oral health status. This paper will focus on the DNDS adults wearing complete dentures. Changes over a 6-yr period will be presented of: dental attendance, denture satisfaction and wearing of the complete dentures, and denture treatments. A postal questionnaire was used: 232 persons (64%) participated in the study. Analysis of Variance (ANOVA) was used to study the effect of dental and social variables on observed changes since 1986. Risk ratios (RR) were computed to clarify the actual effects of these variables. With respect to dental attendance, a shift towards visits for denture check-ups was found, thought to reflect the respondents' concern for their complete dentures (RR = 1.6). A small shift towards more visits because of denture problems was found. This was attributed to denture treatments that had taken place between 1986 and 1992 (RR = 2.8). With respect to changes in denture satisfaction, no influence of denture treatments could be noted, but a relation was found with a variable indicating the imperfection of the complete dentures as felt by the respondents (RR = 2.8). In 31% of the respondents some denture treatment had been performed since 1986. No objective dental criteria of complete dentures and denture bearing areas had influenced these denture treatment decisions, but only respondents' subjective criteria (RR = 1.9-2.9).

Adult↗
PubMed1995

["Prosthetic condition" and satisfaction with dentures].

This study introduces the concept of 'prosthetic condition', combining the professionally assessed complete denture quality and quality of the residual alveolar ridge. In a group of 397 complete maxillary and mandibular denture wearers the prosthetic condition was assessed and the denture satisfaction recorded. The total prosthetic condition (maxillary and mandibular combined) was good in 225 (57%), moderate in 81 (20%), and poor in 91 (23%) subjects; the mandibular prosthetic condition was good in 155 (39%), moderate in 148 (38%), and poor in 94 (23%) subjects; 297 (75%) subjects were satisfied with their dentures. None of the criteria used for the prosthetic condition could explain the denture satisfaction. Furthermore, there was no significant correlation between prosthetic condition and denture satisfaction.

Adult↗
PubMed1994

[Nutrition education and oral health].

At present, reduction of the consumption of fat is the main issue in nutritional education. However, this can lead to an increased consumption of mono- and disaccharides and, as a result, to increased dental caries. Individual variations in the susceptibility of caries make it necessary to differentiate the advice for the consumption of snacks between meals. Generally, consumption of complex carbohydrates, such as bread or bread products, can be advised as an alternative for fat and sugar containing snacks. Sugar-free products can also be advised, but not unlimited because of the laxative effect of sorbitol. To prevent tooth erosion the frequent consumption of fruits and fruit juices should be discouraged.

Dental Caries↗
PubMed1994

[Xerostomia in the elderly: causes, consequences and treatment possibilities of dry mouth].

Xerostomia is in most cases caused by a decrease or discontinuity of salivation (hyposalivation). A physiological decrease in salivary gland function is not the main cause of hyposalivation. According to recent publications the general state of health plays a major role. Probably the most common cause is the use of medication with a salivary secretion inhibitory side effect. Proper patient assessment is essential to reveal the cause and to provide optimal treatment.

Aged↗
PubMed1993

Oral health care for nursing home residents in The Netherlands--a national survey.

In order to be able to develop adequate oral health care programs for nursing home residents in The Netherlands, currently available arrangements and problems experienced by dentists participating in this field of dentistry were evaluated in a national survey. One questionnaire was mailed to the managements of all nursing homes and a second to all dentists known to be involved in nursing home dentistry. The response rates were very high. The study indicated that, in almost every nursing home, dental care for residents was available, at least in cases of dental emergency. On average the dentists were spending only limited time on nursing home dentistry. The majority of dentists examined or treated the residents only when either the patients or others experienced or discovered an oral health problem. In delivering this kind of care the dentists experienced a lot of problems. These findings suggest that the oral health care for nursing home residents in The Netherlands must be evolved by research, special training of dentists, and through development of special care programs.

Aged↗
PubMed1993

Factors connected with alveolar bone resorption among institutionalized elderly people.

In this socio-dental investigation among 175 institutionalized somatically disabled edentulous elderly people correlations are described between the test subjects' degree of alveolar bone resorption, their gender and age, their duration of edentulousness, and the number of complete dentures worn. All test subjects were interviewed by dental students and clinically examined by dentists. The mandibular alveolar bone resorption was significantly stronger in women than in men and stronger in people who had been edentulous longer. The longer the test subjects had been edentulous and the greater their degree of mandibular alveolar bone resorption was, the more mandibular dentures they had worn. This study among institutionalized elderly people provides for the most part the same results as a previously presented study among much younger people. Obviously, in these respects there are no differences between these groups.

Age Factors↗
PubMed1993

The effectiveness of oral hygiene programmes for elderly people--a review.

Comprehensive oral health care is an essential feature of quality of life. In the near future, a greater number of elderly people will retain more natural teeth, whether or not supplemented by prosthetic provisions, and/or may be provided with implants. As a consequence, oral self-care will be much more demanding. Prevention must reduce the greater risk of oral disease for elderly people. Effective early intervention strategies are: promotion of over-all general health, obviation of stereotypes, education by dental hygienists, instruction and demonstration combined with systematic evaluation, use of a fluoride containing dentifrice, and regular professional support and use of chlorhexidine rinses for less well and confused elderly.

Aged↗
PubMed1993

[Promotion of oral health in the elderly. Use of a videotape].

In dentistry dental health promotion of elderly people will be of growing interest. General health promotion is subdivided in two components: education and structural interventions. Stereotypes, dominating both (dental) health care providers and elderly people, are barriers for manifestation of elderly people's dental information needs. A recently developed videotape can be used as a start of such a structural intervention.

Aged↗
PubMed1992

Is there a need for gerodontology?

One of the major criteria of successful ageing is maintaining a natural, healthy, functional dentition throughout life, including all the social and biological benefits such as aesthetics and comfort, and the ability to chew, taste and speak. However, the oral health of elderly people is far from optimal. The treatment needs are high due to edentulism, missing teeth, caries, periodontal diseases and tooth wear resulting in impaired oral functions. The demand for treatment is much lower than the need. In the future the elderly will retain their natural dentition and more teeth per individual will be present. Despite this there will be a rise in edentulousness due to the sharp rise in numbers of the elderly population. The 'new elderly' will be more critical and more demanding of oral health care services. The dental profession and governments in all industrialised countries must be aware of these trends which should be reflected in undergraduate and postgraduate education of dentists and in research. The European College of Gerodontology has been founded to contribute to solving all problems related to oral health and oral health care of the elderly.

Aged↗
PubMed1991

Comparison of patients' views and dentists' evaluations 5 years after complete denture treatment.

This study describes a comparison of patients' views of their dentures and dentists' technical evaluations 5 yr after complete denture treatment. Of the original sample (n = 139) a test group of 92 patients remained available for the actual study 5 yr after treatment. Firstly, the patients filled in a questionnaire regarding their complaints of and (dis)satisfaction with dentures. Secondly, they were examined independently by two experienced dentists in order to evaluate their dentures. Finally, after considering the answers to the questions in the questionnaire and their own dentures' evaluation the dentists proposed a therapy. It was found that patients and dentists agree on assessments of denture retention, but do not agree on assessment of denture aesthetical aspects. Furthermore, it appeared that generally more therapy was rendered by the dentists than could be expected on the basis of their evaluations and the patients' views.

Attitude of Health Personnel↗
PubMed1991

[Elderly people in focus: future policy in dental health care].

In order to promote the independence and social integration and participation of the elderly, three prerequisites have to be fulfilled: a reasonable income, a suitable accommodation and a good health. The dental profession may contribute to the last condition by providing adequate dental care. The profession and the authorities dealing with elderly people's health must consult each other. More attention has to be given by dental schools to gerodontology and geriatric dentistry.

Aged↗
PubMed1991

[Tertiary prevention in elderly people; a prospective view].

The expected decrease in the prevalence of edentulousness in elderly people does not guarantee a good oral health. Since the elderly will retain more natural teeth in the future, whether or not suppleted with prosthetic provisions, their oral self-care becomes more demanding. However, in elderly people oral self-care becomes also more difficult. Attention has to be given to the tertiary prevention, also (or in particular) in elderly people.

Aged↗