加齢による形態的変化や、古くて適合しない義歯を持つ完全無歯症患者の補綴リハビリテーション

Prosthetic rehabilitation of complete edentulous patients with morphological changes induced by age and old ill fitted dentures.

• Oana Cella Andrei
• Ruxandra Mărgărit
• Livia Alice Tănăsescu
• LuminiŢa Dăguci
• Constantin Dăguci

抄録

極端に高齢の完全無歯症患者は、解剖学的にも心理学的にも治療が非常に困難です。このような状況が、社会経済的地位の低さ、一般的な健康状態の悪さ、非現実的な期待と関連している場合、治療の課題は増大している。この論文では、上顎隆起に伴う重度の骨萎縮を呈した超高齢の患者の補綴物リハビリテーションを紹介する。高齢で社会生活が乏しいにもかかわらず、試験段階で審美性を回復させたことは、患者にとって心理的に大きな影響を与え、結果をより楽観視できるようになり、新しい総入れ歯を受け入れ、機能的に統合できるようになった。

Extremely old, complete edentulous patients are very difficult to treat both because of their anatomical and psychological condition. Treatment challenges are increasing when this situation is associated with low socio-economic status, poor general health and unrealistic expectations. This article presents a prosthetic rehabilitation of a very old patient, presenting a serious bone atrophy associated with a maxillary flabby ridge, whose dentures accelerated the bone resorption because of their poor fitting, lack of retention and wrong occlusal contacts. Despite his old age and scarce social life, restoring esthetics in the trial phase had a major psychological impact for the patient, making him more optimistic about the result and helping him to accept and functionally integrate the new complete dentures.