Rehabilitation with removable dentures in adults and older people with partial or total edentulism: Chilean Public Health System Experience, 2017–2019
Statement of problem: Tooth loss is frequent among the Chilean population, particularly the poor and elderly. The Public's response is mostly via removable dentures (RDs), however there is limited evidence regarding its results. Purpose: The objective of this descriptive ecological study is to...
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Elsevier
2024-12-01
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| Series: | Archives of Gerontology and Geriatrics Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S295030782400081X |
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| author | Karen Danke, DDS, MSc Ingeborg Bevensee, DDS Ana Beatriz Silva, DDS, MSc Alicia Morales, DDS, MSc Gisela Jara, DDs, MSc Fabiola Werlinger, MSc, PhD Mauricio Baeza, DDS, MSc, PhD María Ignacia Muñoz, DDS Viviana García Ubillo, MSc Jorge Gamonal, DDS, MSc, PhD |
| author_facet | Karen Danke, DDS, MSc Ingeborg Bevensee, DDS Ana Beatriz Silva, DDS, MSc Alicia Morales, DDS, MSc Gisela Jara, DDs, MSc Fabiola Werlinger, MSc, PhD Mauricio Baeza, DDS, MSc, PhD María Ignacia Muñoz, DDS Viviana García Ubillo, MSc Jorge Gamonal, DDS, MSc, PhD |
| author_sort | Karen Danke, DDS, MSc |
| collection | DOAJ |
| description | Statement of problem: Tooth loss is frequent among the Chilean population, particularly the poor and elderly. The Public's response is mostly via removable dentures (RDs), however there is limited evidence regarding its results. Purpose: The objective of this descriptive ecological study is to monitor and characterize the production of RDs within Chile's Public Health System. Material and methods: Public records were obtained from the Department of Statistics and Health Information of Chile (DEIS) website. All records regarding RDs activities within the Public Health System for years 2017 to 2019 were retrieved and included in the analysis. Results: Between 2017 and 2019, the Public Health sector delivered an average of 342,261 RDs annually, which corresponds to 2.4 RD per 100 individuals. Overall, 70.3 % of beneficiaries were female, 63.2 % were for people between the ages of 20 to 64, and 35.3 % were for people aged 65 or older. Among RDs provided, 57 % were made at the primary level and 43 % at the secondary level of care. The program “More Smiles”, accounted for 52.3 % of primary healthcare RD delivery. At the secondary level, 14.9 % of RDs had metallic framework, while 85.1 % were acrylic. Older persons and males were more likely to receive acrylic RDs than their counterparts. Conclusions: RDs are regularly supplied in Chile's Public Healthcare System, mainly through primary care. The characterization regarding programs, type of RDs, gender and age of the recipients, may guide future hypothesis regarding the adequateness of the response to address tooth loss at a population level. Further investigation into the impact on patient satisfaction and RD quality is recommended to enhance understanding in this domain. Clinical implications: The study explores the scale and characteristics of removable prosthetic provision within Chile's Public Health System. This comprehensive overview enables the identification of areas requiring further attention to ensure the delivery of high-quality treatments and the efficient allocation of public resources. |
| format | Article |
| id | doaj-art-332a7fd9a0fe478c86edf65efbff8bea |
| institution | Kabale University |
| issn | 2950-3078 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Gerontology and Geriatrics Plus |
| spelling | doaj-art-332a7fd9a0fe478c86edf65efbff8bea2024-12-13T11:09:45ZengElsevierArchives of Gerontology and Geriatrics Plus2950-30782024-12-0114100084Rehabilitation with removable dentures in adults and older people with partial or total edentulism: Chilean Public Health System Experience, 2017–2019Karen Danke, DDS, MSc0Ingeborg Bevensee, DDS1Ana Beatriz Silva, DDS, MSc2Alicia Morales, DDS, MSc3Gisela Jara, DDs, MSc4Fabiola Werlinger, MSc, PhD5Mauricio Baeza, DDS, MSc, PhD6María Ignacia Muñoz, DDS7Viviana García Ubillo, MSc8Jorge Gamonal, DDS, MSc, PhD9Center for Epidemiology and Surveillance of Oral Diseases (CEVEO), Faculty of Dentistry, Universidad de Chile (UCh), Santiago, ChileFaculty of Medicine, School of Dentistry, Oral Rehabilitation Department, Pontificia Universidad Católica de Chile (PUC), Santiago, ChileCenter for Epidemiology and Surveillance of Oral Diseases (CEVEO), Faculty of Dentistry, Universidad de Chile (UCh), Santiago, Chile; Facultad Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián (USS), Bellavista, Santiago, Chile; Faculty of Dentistry, Universidad de Chile (UCh), Santiago, ChileCenter for Epidemiology and Surveillance of Oral Diseases (CEVEO), Faculty of Dentistry, Universidad de Chile (UCh), Santiago, Chile; Faculty of Dentistry, Department of Conservative Dentistry, Universidad de Chile (UCh), Santiago, Chile; Interuniversity Center for Healthy Aging (CIES), Consortium of State Universities (CUECH), Santiago, ChileCenter for Epidemiology and Surveillance of Oral Diseases (CEVEO), Faculty of Dentistry, Universidad de Chile (UCh), Santiago, Chile; Faculty of Dentistry, Department of Conservative Dentistry, Universidad de Chile (UCh), Santiago, Chile; Interuniversity Center for Healthy Aging (CIES), Consortium of State Universities (CUECH), Santiago, Chile; Institute for Research in Dental Sciences, Public Health Area, Faculty of Dentistry, Universidad de Chile (UCh), Santiago, ChileCenter for Epidemiology and Surveillance of Oral Diseases (CEVEO), Faculty of Dentistry, Universidad de Chile (UCh), Santiago, Chile; Institute for Research in Dental Sciences (ICOD), Faculty of Dentistry, Universidad de Chile (UCh), Santiago, Chile; Department of Medical Technology, Faculty of Medicine, University of Chile (UCh), Santiago, ChileFaculty of Dentistry, Department of Conservative Dentistry, Universidad de Chile (UCh), Santiago, Chile; Center for Epidemiology and Surveillance of Oral Diseases (CEVEO), Universidad de Chile (UCh), Santiago, ChileDepartment of Prosthodontics, Faculty of Dentistry, Universidad de Chile (UCh), Santiago, ChileInteruniversity Center for Healthy Aging (CIES), Consortium of State Universities (CUECH), Santiago, Chile; Gerópolis Center, Faculty of Medicine, Universidad de Valparaíso (UV), Valparaíso, ChileFaculty of Dentistry, Department of Conservative Dentistry, Universidad de Chile (UCh), Santiago, Chile; Center for Epidemiology and Surveillance of Oral Diseases (CEVEO); Interuniversity Center for Healthy Aging (CIES), Consortium of State Universities (CUECH), Santiago, Chile; Corresponding author at: Department of Conservative Dentistry, Facultad of Dentistry, University of Chile, 943 Avenida Sergio Livingstone, Independencia, Santiago, Chile.Statement of problem: Tooth loss is frequent among the Chilean population, particularly the poor and elderly. The Public's response is mostly via removable dentures (RDs), however there is limited evidence regarding its results. Purpose: The objective of this descriptive ecological study is to monitor and characterize the production of RDs within Chile's Public Health System. Material and methods: Public records were obtained from the Department of Statistics and Health Information of Chile (DEIS) website. All records regarding RDs activities within the Public Health System for years 2017 to 2019 were retrieved and included in the analysis. Results: Between 2017 and 2019, the Public Health sector delivered an average of 342,261 RDs annually, which corresponds to 2.4 RD per 100 individuals. Overall, 70.3 % of beneficiaries were female, 63.2 % were for people between the ages of 20 to 64, and 35.3 % were for people aged 65 or older. Among RDs provided, 57 % were made at the primary level and 43 % at the secondary level of care. The program “More Smiles”, accounted for 52.3 % of primary healthcare RD delivery. At the secondary level, 14.9 % of RDs had metallic framework, while 85.1 % were acrylic. Older persons and males were more likely to receive acrylic RDs than their counterparts. Conclusions: RDs are regularly supplied in Chile's Public Healthcare System, mainly through primary care. The characterization regarding programs, type of RDs, gender and age of the recipients, may guide future hypothesis regarding the adequateness of the response to address tooth loss at a population level. Further investigation into the impact on patient satisfaction and RD quality is recommended to enhance understanding in this domain. Clinical implications: The study explores the scale and characteristics of removable prosthetic provision within Chile's Public Health System. This comprehensive overview enables the identification of areas requiring further attention to ensure the delivery of high-quality treatments and the efficient allocation of public resources.http://www.sciencedirect.com/science/article/pii/S295030782400081XProsthodonticsHealth services researchHealth public dentistryAgedEpidemiologyTooth loss |
| spellingShingle | Karen Danke, DDS, MSc Ingeborg Bevensee, DDS Ana Beatriz Silva, DDS, MSc Alicia Morales, DDS, MSc Gisela Jara, DDs, MSc Fabiola Werlinger, MSc, PhD Mauricio Baeza, DDS, MSc, PhD María Ignacia Muñoz, DDS Viviana García Ubillo, MSc Jorge Gamonal, DDS, MSc, PhD Rehabilitation with removable dentures in adults and older people with partial or total edentulism: Chilean Public Health System Experience, 2017–2019 Archives of Gerontology and Geriatrics Plus Prosthodontics Health services research Health public dentistry Aged Epidemiology Tooth loss |
| title | Rehabilitation with removable dentures in adults and older people with partial or total edentulism: Chilean Public Health System Experience, 2017–2019 |
| title_full | Rehabilitation with removable dentures in adults and older people with partial or total edentulism: Chilean Public Health System Experience, 2017–2019 |
| title_fullStr | Rehabilitation with removable dentures in adults and older people with partial or total edentulism: Chilean Public Health System Experience, 2017–2019 |
| title_full_unstemmed | Rehabilitation with removable dentures in adults and older people with partial or total edentulism: Chilean Public Health System Experience, 2017–2019 |
| title_short | Rehabilitation with removable dentures in adults and older people with partial or total edentulism: Chilean Public Health System Experience, 2017–2019 |
| title_sort | rehabilitation with removable dentures in adults and older people with partial or total edentulism chilean public health system experience 2017 2019 |
| topic | Prosthodontics Health services research Health public dentistry Aged Epidemiology Tooth loss |
| url | http://www.sciencedirect.com/science/article/pii/S295030782400081X |
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