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ORIGINAL ARTICLE
Year : 2012  |  Volume : 1  |  Issue : 4  |  Page : 245-248

Dental prosthetic status and needs of adult rural population living in and around Nalgonda: A survey


1 Department of Prosthodontics, Kamineni Institute of Dental Sciences, Sreepuram, Narketpally, Nalgonda, India
2 Department of Public Health Dentistry, Sibar Dental College, Guntur, India

Date of Web Publication27-Dec-2012

Correspondence Address:
Chittaranjan Bhogisetty
Principal, Kamineni Institute of Dental Sciences, Sreepuram, Narketpally, Nalgonda (Dt), 508 254
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2277-8632.105115

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  Abstract 

Aim and Objective: The aim of the study was to assess the dental prosthetic status and needs of adult population in Nalgonda district, Andhra Pradesh. In order to promote the health of adult population, it is necessary to assess their prosthetic needs that would aid in planning oral health service programs.
Materials and Methods: The study population comprised of 625 patients who were divided into two age groups; 35-44 and 65-74 years. Prosthetic status and prosthetic needs were recorded using WHO oral health assessment form. The examination was carried out by two examiners, and inter examiner calibration was done with kappa statistics 88%. Chi-square test was used to compare proportions, and significance level was set at α = 0.05.
Results: Among 35-44 years age group, only 11.7% and 5.6% were having some kind of prosthesis in upper and lower arches and among 65-74 years age group; 12.7% and 15.9% were having some kind of prosthesis in upper and lower arches. Among 35-44 years age group, 35.1% and 30.4% require one unit prosthesis in upper and lower arches. Among 65-74 years age group, 25.1% and 24.7% require full prosthesis in upper and lower arches.
Conclusion: Most of the prosthetic need was unmet in the study population. In order to improve the oral health status, it is important to educate and motivate the patients regarding oral health care and provide free dental treatment camps in rural areas.

Keywords: Dental prosthesis, edentulousness, fixed bridges, full dentures, partial dentures


How to cite this article:
Bhogisetty C, Rao N, Narayanaraopeta S, Sanikommu S, Marri T, Reddy R. Dental prosthetic status and needs of adult rural population living in and around Nalgonda: A survey. J NTR Univ Health Sci 2012;1:245-8

How to cite this URL:
Bhogisetty C, Rao N, Narayanaraopeta S, Sanikommu S, Marri T, Reddy R. Dental prosthetic status and needs of adult rural population living in and around Nalgonda: A survey. J NTR Univ Health Sci [serial online] 2012 [cited 2020 Sep 28];1:245-8. Available from: http://www.jdrntruhs.org/text.asp?2012/1/4/245/105115


  Introduction Top


Aging is a normal biological phenomenon of life, and the changes seen in the mouth as age advances are partly the consequences of age itself, partly the result of wear and tear on the tissues and partly the consequences of the fact that certain diseases become common as age advances. [1]

Oral health can be considered as an indicator of general health and quality of life in geriatric patients. Oral diseases are progressive and cumulative in nature. [2] In this regard, loss of teeth in the elderly is a major concern, and it reflects the attitude of the patients, the dentist in a society, the availability and accessibility of dental care, as well as the prevailing philosophies of care. [3],[4] In order to improve the oral health and quality of life of adult and elderly population, it is necessary to know their prosthetic status and needs. Nalgonda district is one of the areas with endemic fluorosis, and fluoride in drinking water is more than 1.5 ppm. [5] As there is no data available till date, the present study has been carried out to collect the base line data on prosthetic status and needs of people living in rural areas of Nalgonda.


  Materials and Methods Top


In the present cross-sectional study, the target population was chosen by multistage random sampling technique from 5 rural areas of Nalgonda district, which accounted for 625 individuals who were in the age range of 35-44 and 65-74 years. In first stage, 5 rural areas have been selected from 22 rural areas of Nalgonda district, and in second stage, 125 study subjects have been selected from each of 5 rural areas, respectively. Inclusion criteria comprised of subjects who were present on the days of survey. Ethical clearance for the study was obtained from the ethical review committee, and informed consent was obtained from all participating subjects. The examiners were two dentists who had been trained and calibrated for inter examiner variability, and weighed kappa statistic was 88%. The questionnaire was framed to collect information regarding the demographic profile, educational status, income, occupation, and their oral hygiene habits. The data regarding their oral health status was obtained through intra-oral examination of the study subjects using WHO oral health assessment form (Basic Oral Health Survey, 1997). [6] The oral examination was conducted in natural day light, and findings were recorded using WHO oral health assessment form. Data processing was done using SPSS software (version 17.0). Chi-square was used to compare the significance of difference in proportions. The significance level was set at α = 0.05.


  Results Top


In the present study, total number of subjects was 625, among whom 342 and 283 belonged to 35-44 and 65-74 years age group, respectively. Among 35-44 years age group, 186 (54.4%) were males and 156 (45.6%) were females, and among 65-74 years age group, 182 (64.3%) were males and 101 (35.7%) were females [Table 1].
Table 1: Distribution of study subjects according to age and sex

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Prosthetic status of upper and lower arches [Table 2]. In upper arch, among 35-44 years age group, only 11.7% were having some kind of prosthesis and among 65-74 years age group, 12.7% were having some kind of prosthesis. In lower arch, among 35-44 years age group, only 5.6% were having some kind of prosthesis, and among 65-74 years age group, 15.9% were having some kind of prosthesis. The difference observed was statistically highly significant P= 0.00.
Table 2: Prosthetic status of upper and lower arches in 35-44 yrs and 65-74 yrs

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Prosthetic needs of upper and lower arches [Figure 1]. In upper arch, among 35-44 years age group, only 60.8% require some kind of prosthesis and 35.1% require one unit prosthesis. Among 65-74 years age group, 64.7% require some kind of prosthesis and 25.1% require full prosthesis. In lower arch, among 35-44 years age group, 57.6% require some kind of prosthesis and 30.4% require one unit prosthesis. Among 65-74 years age group, 64.7% require some kind of prosthesis and 24.7% require full prosthesis. The difference observed was statistically highly significant P = 0.00.
Figure 1: Prosthetic needs of upper and lower arches in 35-44 yrs and 65-74 yrs Patinets

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Prosthetic needs among males and females of 35-44 years age group [Table 3]. In upper arch, 61.8% of males required prosthesis and 59.6% of females required prosthesis. The difference observed was not statistically significant. In lower arch, 58.1% of males required prosthesis and 57.1% of females required prosthesis. The difference observed was not statistically significant.
Table 3: Prosthetic needs in males and females of 35-44 years old age group

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Prosthetic needs among males and females of 65-74 years age group [Table 4]. In upper arch, 62.6% of males required prosthesis and 68.3% of females required prosthesis. The difference observed was not statistically significant. In lower arch, 58.8% of males required prosthesis and 75.2% of females required prosthesis. The difference observed was statistically significant. P = 0.03.
Table 4: Prosthetic needs in males and females of 65-74 years old age group

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  Discussion Top


The present study has been carried out to assess the prosthetic status and prosthetic needs among 35-44 year and 65-74 year old rural population in Nalgonda District. Among 35-44 year old group, prevalence of partial and complete edentulism in upper and lower arches was 59.9%, 55.8% and 0.9% and 1.8%, respectively. Studies conducted by Kumar et al., [7] Nadgere J et al., [3] Bali RK et al., [5] Szymanska J et al., [8] showed less prevalence of edentulism than our study. The more prevalence of edentulism in our study may be due to their poor oral hygiene practices and neglected oral health as they give less importance to oral health. It was observed that need for one unit prosthesis was more in both upper and lower arches in this age group. Among 65-74 year old group, it has been observed that prevalence of complete edentulous increased in both upper and lower, and it has increased as age increases. The difference observed was statistically significant. Prosthetic needs in our study was less in elders when compared to other studies conducted by Bansal et al., [9] corchero et al., [10] Mersel et al., [11] Shighli K et al., [12] Vigild et al., [13] Shenoy et al., [2] Prateek et al., [14] but study conducted by kumar et al., [7] Bali RK et al., [5] showed less prosthetic need than the present study.

Among 35-44 year old group, it has been observed that there was minimum variation between sexes regarding status of upper and lower arches, which was in accordance with Mersel et al., [11] Shorff et al., [15] Nadgere J et al., [3] but among 65-74 years, prosthetic need for full prosthesis in upper and lower arches was more in females when compared to males, and this difference was statistically significant.

The college is providing daily camps to villages, free transportation, and free treatment for removable partial and complete denture patients. Dental awareness among the rural population is low, and it is very important to educate and motivate patients regarding good oral health care.


  Conclusion Top


The present study has evaluated that very few percent of people were observed with prosthesis even though the prosthetic need was high. This might be because of lack of knowledge, unavailability of services in rural areas, and financial constraints. To improve the oral health status, it is important to educate and motivate the patients regarding oral health care, provide free dental treatment camps. Large-scale studies are required to know the baseline data regarding prosthetic status and needs of community and to plan prosthetic treatment to the population.

 
  References Top

1.Banasr FH. Prosthetic status and needs of Saudi geriatric edentulous patients in Jeddah. Cairo. Dent J 2008;24:537-43.  Back to cited text no. 1
    
2.Shenoy RP, Hengde V. Prosthetic status and prosthetic needs of the institutionalized elderly living in geriatric homes in Manglore: A pilot study. ISRN Dent 2011;2011:987126.  Back to cited text no. 2
    
3.Nadgere J, Doshi AG, Kishore S. An evaluation of prosthetic status and prosthetic need amongst people living in and around Panvel, Navi-Mumbai-A survey. Int J Prosthet Dent 2010;1:6-9.  Back to cited text no. 3
    
4.Burt BA, Eklund SA. Tooth loss. Dentistry, dental practice and the community. 5th ed. Philadelphia: WB Saunders Company; 2005. p. 203-11.  Back to cited text no. 4
    
5.Bali RK, Mathur VB. National oral health survey and fluoride mapping India 2002-03, New Delhi: Dental Council of India; 2003.  Back to cited text no. 5
    
6.World Health Organization, Oral Health Surveys-Basic Methods. 4th ed. Geneva, Switzerland: World Health Organization; 1997.  Back to cited text no. 6
    
7.Kumar S, Tadakamadla J, Tibdewal H, Prabu D, Kulkarni S. Dental prosthetic status and treatment needs of green marble mine laborers, Udaipur, India. Dent Res J 2011;8:123-7.  Back to cited text no. 7
[PUBMED]  Medknow Journal  
8.Szymanska J, Fetkowska-Mielnik K. Aspects of dental health in adult rural population in Poland. Ann Agric Environ Med 1998;5:103-8.  Back to cited text no. 8
    
9.Bansal V, Sogi GM, Veersha KL. Assessment of oral health status and treatment needs of elders associated with elders' homes of Ambala division, Haryana, India. Indian J Dent Res 2010;21:244-7.  Back to cited text no. 9
[PUBMED]  Medknow Journal  
10.Corchero AM, Cepeda JR. Oral Health in people over 64 years of age, institutionalized in centres for the aged in the Vigo Health District Spain, 2005. Med Oral Cir Buccal 2008;13:E523-8.  Back to cited text no. 10
    
11.Mersel A, Anaise JZ, Shem-Tov A. Prosthetic needs and demands for services of a group of elderly people in Israel. Comm Dent Oral Epidemiol 1984;12:315-8.  Back to cited text no. 11
[PUBMED]    
12.Shigli K, Hebbel M, Angadi GS. Prosthetic status and treatment needs among patients attending the prosthodontic department in a dental institute in India. Eur J Prosthodont Restor Dent 2009;17:85-9.  Back to cited text no. 12
    
13.Vigild M. Denture Status and need for prosthodontic treatment among institutionalized elderly in Denmark. Comm Dent Oral Epidemol 2006;15:128-33.  Back to cited text no. 13
    
14.Parteek S, Kashyap B, Pankaj G, Renuka S. Edentulousness and prosthetic needs of a rural population in south India. J Indian Prosth Soc 2001;1:20-4.  Back to cited text no. 14
    
15.Shorff BC. Edentulousness in India. Ind Dent Assoc. Bombay: National Workshop on Oral Health Goal; 1984. p. 17-20.  Back to cited text no. 15
    


    Figures

  [Figure 1]
 
 
    Tables

  [Table 1], [Table 2], [Table 3], [Table 4]


This article has been cited by
1 Prosthodontic Need among Adults of Hubli, Karnataka India
Kalyanpur R,Bilagi U.R,Shetty P.J
Journal of Evolution of Medical and Dental Sciences. 2019; 8(45): 3378
[Pubmed] | [DOI]



 

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