A importância da reabilitação oral na qualidade de vida do idoso: relato de caso

Thaianny Rodrigues Costa, Lurdete Maria Rocha Gauch, Simone Soares Pedrosa, R. A. Esteves
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Abstract

Inadequate oral health can compromise the nutritional, physical and mental status of the elderly. The dental surgeon needs to be aware of these health conditions of the elderly and be able to rehabilitate them. The objective of this work is to report the clinical case of an elderly patient with numerous oral complications, its harm to the patient's physical health, to demonstrate the adopted rehabilitation treatment plan, the steps of the procedures performed, the challenges of reestablishing the vertical dimension of occlusion (OVD) and improvements in the patient's general health after treatment. The case is that of a 75-year-old patient who attended the Faculty of Dentistry of the Federal University of Pará, reporting a historic of edema on the face, unsatisfactory aesthetics, chew difficulty and weight loss. The treatment plan was carried out in four stages: elimination of foci of infections, with periodontal treatments and extractions; restorations; provisional prosthetic rehabilitation, with immediate total prosthesis and direct adhesive fixed prosthesis; definitive prosthetic rehabilitation, with total prosthesis and removable partial prosthesis. Concluded that the diagnosis, the treatment plan and the correct execution of the rehabilitation procedures, are of extreme importance for the restoration of the oral health of the elderly patients. Thus, it should not be seen separately from physical health, as they are correlated, since untreated oral diseases can cause infections and loss of teeth, resulting in numerous problems, therefore worsening your general health.
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口腔康复对老年人生活质量的重要性:病例报告
口腔健康不佳会影响老年人的营养、身体和精神状况。牙科医生需要了解老年人的这些健康状况,并能够使他们康复。本研究的目的是报告一位老年口腔并发症患者的临床病例,及其对患者身体健康的危害,展示所采用的康复治疗方案,所执行的步骤,重建咬合垂直尺寸(OVD)的挑战,以及治疗后患者总体健康的改善。该病例是一名75岁的患者,他在帕尔联邦大学牙科学院就读,报告面部水肿,美观不佳,咀嚼困难和体重减轻。治疗计划分四个阶段进行:消除感染病灶,进行牙周治疗和拔牙;修复;临时义肢康复,有即刻全假体和直接粘连固定假体;最终的假肢康复,包括全假体和可移动的部分假体。结论:正确诊断、制定治疗方案及正确执行康复程序,对老年患者口腔健康的恢复至关重要。因此,不应将口腔疾病与身体健康分开看待,因为它们是相关的,因为未经治疗的口腔疾病会导致感染和牙齿脱落,导致许多问题,从而恶化您的整体健康状况。
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