MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN TÌNH TRẠNG PHỤC HÌNH RĂNG Ở NGƯỜI CAO TUỔI TẠI PHƯỜNG PHƯƠNG LIÊN, QUẬN ĐỐNG ĐA, HÀ NỘI

Abstract

Objective: To examine factors associated with prosthetic status—type, provider setting, completeness, quality, and selected quality indicators—among older adults in Phuong Lien Ward, Hanoi,2022. Methods: Cross-sectional study of 180 persons aged ≥60 years (March–September 2022). Standardized interviews and intra-oral examinations recorded prosthesis type (fixed/removable/combined), provider setting (hospital/private clinic/polyclinic), completeness (complete/incomplete), duration of use, and technical indicators (e.g., food impaction). Chi-square tests were used with a significance level of p<0.05. Results: Prosthesis type differed by age (p<0.05): ages 60–69 most commonly used fixed prostheses (52.8%); ages 70–79 predominantly used removable prostheses (55.2%); combined prostheses peaked in ages 70–79 (66.7%) and were least frequent in ≥80 (11.1%). No differences were observed by sex (p=0.206) or by household economy for type (p=0.299). Provider setting was associated with household economy (p<0.05): near-poor individuals more often used polyclinics (63.3%), whereas better-off individuals used hospitals (75.0%) and private clinics (48.5%). Completeness was associated with household economy (p<0.05): the near-poor were mainly “incomplete” (89.3%), while the better-off were mostly “complete” (76.2%). In fixed prostheses, most cases had no food impaction (67.5%); saddle-type pontics accounted for 82.8%. Longer duration of use was linked to higher frequencies of food impaction, porcelain chipping, mobility, and inflammatory signs (all p<0.05). Conclusions: Age and household economic status are key correlates of prosthesis type, provider choice, and completeness among older adults. Strengthened counseling with periodic recall/maintenance and financial support for the near-poor are recommended.