Kazan medical journalKazan medical journal0368-48142587-9359Eco-Vector224710.17750/KMJ2015-549Research ArticleOptimizing the treatment and preventive measures in poor patients with secondary edentulismDyumeevR Malbina_bulgakova@mail.ruBulgakovaA Ialbina_bulgakova@mail.ruIslamovaD Malbina_bulgakova@mail.ruOut-patient Dental Clinic №6, Ufa, RussiaBashkir State Medical University, Ufa, Russia1508201596454955328032016Copyright © 2015, Dyumeev R.M., Bulgakova A.I., Islamova D.M.2015<p><strong>Aim.</strong> To develop an algorithm for diagnosis and integrated treatment of the poor people of the Republic of Bashkortostan, taking into account the possibility of using state support programs.</p>
<p><strong>Methods.</strong> The study sample included 296 low-income patients (women over 58 years, men over 63 years) receiving social pension supplements. As a comparison group, 300 patients of retirement age, who had paid for orthodontic treatment by themselves, were recruted.</p>
<p><strong>Results.</strong> Out of 296 patients, 211 (71.28%) had previous orthopedic treatment, the remaining 85 (28.72%) had never received orthopedic treatment. All poor patients received treatment according to the full comprehensive program of preferential dentures. Orthopedic treatment using the non-removable prosthesis was performed in 39 (13.17%) patients, removable dentures - in 27 (9.12%), combined prosthetics - in 230 (77.70%). In 300 patients who paid for orthopedic treatment from their own funds, 133 (44.33%) patients got removable prosthesis, 70 (23.33%) patients - non-removable dentures, combined prosthetics was used in the remaining 97 (32.33%). An algorithm of therapeutic and preventive measures for low-income citizens in order to improve oral health and quality of life, as well as to optimize the use of financial resources, was developed. It consists of five stages: I - examination of the anamnesis vitae and the history of the disease; II - Diagnosis and treatment of comorbidities; III - full mouth debridement; IV - selection and rational prosthetics, medical treatment; V - follow-up examination in 1 and 6 months. An integral indicator of quality of life after the conducted complex treatment has improved by 15.11 points (27.0%). Some criteria for the quality of life has improved by more than 2 points (3.51%): «Physical discomfort» - by 2.133, «physical disorders» - by 2.916, «psychological disorders» - by 2.855 points.</p>
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