1. Frequency of complete and removable partial denture treatment in the primary health centres in three different regions of Kosovo from 2002 to 2013
- Author
-
Milan Kuhar, Dashnor Bukleta, Manushaqe Selmani Bukleta, and Mimoza Selmani
- Subjects
complete dentures ,totalne proteze ,removable partial dentures ,delne proteze ,medicine.medical_treatment ,Binomial regression ,Patient characteristics ,Dentistry ,Odds ,03 medical and health sciences ,0302 clinical medicine ,Primary health ,medicine ,030212 general & internal medicine ,Edentulism ,edentulism ,business.industry ,prosthodontic treatment ,protetična oskrba ,Public Health, Environmental and Occupational Health ,030206 dentistry ,brezzobost ,medicine.disease ,Original Scientific Article ,Public aspects of medicine ,RA1-1270 ,Dentures ,business ,Removable partial denture - Abstract
Edentulism and prosthodontic care are very common, especially in the elderly. The study investigated the treatment with complete dentures (CDs) and acrylic removable partial dentures (ARPDs) among people receiving new prosthodontic treatment in the Primary Health Centres of the three regions in Kosovo from 2002 to 2013.The data on ARPDs delivery and CDs delivery was obtained from the archives of primary health centres from three Kosovo regions (Prizren, Peje, Ferizaj) from 2002 to 2013. The data was analysed concerning year of treatment, type of dentures, jaw, age, gender and urban or rural origin of the patients. The trend of treatment was determined, and the binomial logistic regression model was used for predicting odds of ARPD versus CD treatment by year of treatment and patient characteristics.From 2002 to 2013, 9,478 patients received 11,655 CDs and 4,401 ARPDs. Delivery of CDs significantly increased by 57.45 dentures per year (R2=0.609) and delivery of ARPDs by 30.39 dentures per year (R2=0.569). Each year the odds for ARPD versus CD increased by 4.2% (95% CI: 3.0%-5.4%). Younger patients have higher odds for ARPD rather than CD and odds for ARPD are decreasing as the age of patients rises. The gender, residence, and jaw all had a significant impact on prosthodontic treatment too.In Primary Health Centres of Kosovo, there is a trend for higher frequencies of both dentures (more obvious for ARPD), and the frequency is highly dependent on the age of patients.Brezzobost in protetična oskrba sta zelo pogosti, še zlasti pri starejših osebah. V študiji so preučevali zdravljenje s totalnimi in akrilatnimi delnimi protezami pri osebah, ki so v obdobju od 2002 do 2013 prejele novo protetično oskrbo v primarnih zdravstvenih centrih v treh regijah na Kosovu.Iz arhivov primarnih zdravstvenih centrov na Kosovu (Prizren, Peje in Ferizaj) so bili iz obdobja od 2002 do 2013 zbrani podatki o vstavljenih novih totalnih in akrilatnih delnih protezah. Analizirani so bili glede na leto vstavitve, vrste protez, prisotnosti protez v zgornji in/ali spodnji čeljusti, starost, spol in prebivališče (mesto, podeželje) oskrbovancev. Od leta 2002 do 2013 so določili trend pogostosti oskrbe s protezama. Za napovedovanje verjetnosti oskrbe z delno protezo v primerjavi s totalno protezo glede na leto, ko je bila proteza vstavljena, in značilnosti bolnikov so uporabili binomsko logistično regresijo.V študiji je bilo zajetih 9.478 bolnikov, ki so jim vstavili 11.655 totalnih protez in 4.401 akrilatnih delnih protez. Število vstavitev totalnih protez se je v letih 2002–2013 pomembno povečevalo za 57,45 na leto (R2 = 0,609), vstavitev akrilatnih delnih protez pa za 30,39 na leto (R2 = 0,569). Vsako leto se je obet za vstavitev akrilatne delne proteze glede na totalno protezo povečal za 4,2 % (95 %, CI: 3, 05, 4 %). Mlajši pacienti imajo večje obete za oskrbo z akrilatno delno protezo kot za oskrbo s totalno protezo. Verjetnost zdravljenja z akrilatno delno protezo se s staranjem zmanjšuje. Statistično značilen vpliv na protetično zdravljenje so imeli tudi spol in prebivališče pacientov ter lokacija proteze v ustih.V primarnih zdravstvenih centrih na Kosovu se povečuje pogostost oskrbe z obema zobnima protezama (intenzivneje pri akrilatni delni protezi) in pogostost je močno odvisna od starosti pacientov.
- Published
- 2019