Rodríguez EN, Grau LI, Stusser BRJ, García FI

Language: Spanish
References: 12
Page: 474-483
PDF size: 89.84 Kb.

ABSTRACT

Introduction: mastication is considering an essential proceeding on digestive function, even the first phase of it.
Objective: to determine the risk factors for teeth loss and its association with disorders of the upper digestive tract due to a late prosthetic rehabilitation.
Methods: one-hundred patients aged between 40 and 65 years old, (50 edentulous patients and 50 with complete dentition), were interviewed and assessed at the Faculty of Dentistry, University of Medical Sciences Havana, 2007-2009.
Results: the occurrence of odontopathies, deficient dental health education, educational level, oral hygiene, access to dental services and advanced age were found to be risk factors for significant tooth loss, p = 0.05. Statistically and clinically significant differences (p = 0.05) favouring the edentulous patients were found with regards to digestive symptoms, more than 3 symptoms, regurgitation, dysphagia, retrosternal pain, pyrosis, repletion, and late tooth loss. Edentulous patients were 7.2 years older, showed on average 2.3 more digestive symptoms and were 12 months longer without prosthetic rehabilitation (median), as compared to patients with complete dentition (p = 0.05). In edentulous patients, a statically and clinically significant association was found between a delay of 25-144 months in starting prosthetic rehabilitation and the appearance of 3 or more symptoms (p=0.051), dysphagia, pyrosis and heartburn (p = 0.05).
Conclusions: several risk factors were confirmed and a statistical association was found between tooth loss, time without prosthetic treatment and symptoms of the upper digestive tract.

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