The study of prosthetic needs and oral health challenges of aging population

Abstract

Background: The aim of this study was to assess oral health status and prosthetic needs of elderly
populations in Almaty, Kazakhstan, and identify gaps in geriatric dental care.
Materials and Methods: In cross‑sectional and retrospective analyses a total of 708 adults aged 45 + were examined using the World Health
Organisation‑recommended methods. Participants were grouped by age, diagnosis, and treatment.
Prosthetic status and needs were evaluated, including crowns, bridges, partial/complete dentures,
and edentulism. Data were analyzed using SPSS version 22.0 (USA). Pearson’s correlation coefficient
and Kruskal–Wallis analysis of variance were applied to assess associations between variables,
with statistical significance set at P < 0.05. This study employed a mixed design that combined
cross‑sectional and retrospective analyses. It involved both sociological surveys and clinical dental
examinations to assess prosthetic needs and oral health status.
Results: Edentulism was common (41.9% complete, 38.8% partial). Over half (52.1%) used
prostheses, mainly removable dentures, yet 42.6% were dissatisfied. Barriers included financial
hardship (68.3%), limited access, and disability, with women, older adults, and low‑income groups
most affected. Preventive care gaps were evident: 28.4% required urgent care, and 64.3% lacked
emergency records.
Conclusion: Affordable, accessible, and high‑quality dental services are urgently needed for
Kazakhstan’s elderly. Findings support the development of targeted policies and future research to
enhance geriatric oral health and promote healthy aging.
Key Words: Dental prosthesis, edentulism, geriatric dentistry, Kazakhstan, oral health, tooth loss

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 Timur Saliev: Pubmed,Google Scholar