Prosthodontics Status and Treatment Needs among the Elderly in the Republic of Macedonia


  • Julijana Nikolovska Department of Prosthodontics, Faculty of Dental Medicine, Ss Cyril and Methodius University of Skopje, Skopje
  • Vesna Korunoska-Stevkovska Department of Prosthodontics, Faculty of Dental Medicine, Ss Cyril and Methodius University of Skopje, Skopje
  • Aneta Mijoska Department of Prosthodontics, Faculty of Dental Medicine, Ss Cyril and Methodius University of Skopje, Skopje
  • Lidija Popovska Department of Restorative Dentistry and Endodontics, Faculty of Dental Medicine, Ss Cyril and Methodius University of Skopje, Skopje



Prosthodontics status, Elderly, Socio-economic factors, Individual factors


BACKGROUND: Oral health care management among the elderly differs from the rest of the population, due to some specific physiological changes and general health status related to age. We know very little about the oral health in elderly in the Republic of Macedonia, because there are only a few articles published about dental health status and edentulism of this population.

AIM: The study aimed to evaluate the prosthodontic status of older adults over 65 years in the Republic of Macedonia, about their socio-economic status and individual factors.

MATERIAL AND METHODS: A cross-sectional study was conducted in 8 regions, in rural and urban areas of Macedonia and a representative sample of 432 people (age > 65 years) was examined. Statistical analyses of the data were made by chi-square tests and the corresponding C-coefficient.

RESULTS: Only 6% of all participants had not any prosthetic appliance, 9.5% had more than one bridge, 28.7% of examinees had partial dentures, both bridge(s) and partial denture(s) had 10.7% participants, and 45.1% of examinees were toothless. There was a significant difference between patients who visited the dentist more than once a year and those who did not (c2 = 14.2; df = 4, p < 0.01). From all of the participants, 40.3% used public dental care organisations.

CONCLUSIONS: We found a high prevalence of edentulousness among older adults over 65 years in Macedonia. The study confirmed the necessity for establishing healthcare educational programs for the dental treatment of elderly in Macedonia.


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Nikolovska J, Gjorgievska E, Grcev A. A preliminary study of the oral health status of the geriatric patients in the Republic of Macedonia. Macedonian Dental Review. 2010; 34(1-2):49-55.

Nikolovska J, Mindova S, Dirjanska K, Aleksova P, Kostadinova M, Bojkovska S. Prosthodonticsstatus and treatment need among elderly living in public institution. Macedonian Dental Review. 2010; 35(1-2):36-42.

Nikolovska J, Petrovski D. Oral Health-Related Quality of Life (OHRQoL) Before and After Prosthodontic Treatment with Full Removable Dentures. Balk J Stom. 2012; 16:169-172.

Nikolovska J, Kenig N. Oral Health Related Quality of Life (OHRQoL) in Patients Wearing Fixed Prosthodontic Dentures. Coll Antropol. 2014; 38(3): 987- 992. PMid:25420384

Gerritsen AE, Allen PF, Witter DJ, Bronkhorst EM, Creugers NHJ. Tooth loss and oral health-related quality of life: a systematic review and metaanalysis. Health and Quality of Life Outcomes. 2010; 8:126. PMid:21050499 PMCid:PMC2992503

Zhang Q, Witter DJ, Bronkhorst EM, Creugers NH. Dental and prosthodontic status of an over 40 year-old population in Shandong Province, China. BMC Public Health. 2011; 11(1):420. PMid:21631917 PMCid:PMC3129312

Zhang Q, Witter DJ, Bronkhorst EM, Jia M, Creugers NH. Dental functional status with and without tooth replacement in a Chinese adult population. Clinical oral investigations. 2012; 16(4):1251-9. PMid:21960301 PMCid:PMC3400026

Locker D, Slade G. Association between clinical and subjective indices of oral health status in an older adult population. Gerodontology. 1994; 11:108–114. PMid:7750964

World Health Organization. Recent advances in oral health. Report of a WHO Expert Committee. World Health Organ Tech Rep Ser. 1992; 826:16–17.

National Institute on Aging/National Institutes ofHealth/U.S. Department of Health and Human Services. Risingnumbers of the oldest old. In: Why Population Aging Matters: A Global Perspective (10-15). Bethesda, MD: NIA/NIH, 2007.

Macedonia in figures. Statistical Office of the Republic of Macedonia, 2017.

Peeran SA, Al Sanabani F, Al-Makramani BM, Elamin EI. Dental prosthetic status and treatment needs of adult population in Jizan, Saudi Arabia: A survey report. Eur J Dent. 2016; 10(4):459-463. PMid:28042258 PMCid:PMC5166299

Shigli K, Hebbal M, Angadi GS. Prosthetic status and treatment needs among patients attending the prosthodontics department in a dental institute in India. Eur J Prosthodont Restor Dent. 2009; 17(2):85-9. PMid:19645310

Moldoveanu L, Dima C, Vasile M. A Pilot Study of the Assessment of Fixed and Removable Oral Prosthetic Needs of Over 55-Year-Olds who attended the SocialCentre for Dentistry in Constanta, Romania. Oral Health and Dental Management in the Black Sea Countries. 2010; 9(4):199-206.

Damyanov N, Witter D, Bronkhorst E, Creugers N. Dental Status and Associated Factors in a Dentate AdultPopulation in Bulgaria: A Cross-Sectional Survey. International Journal of Dentistry. 2012; (11) 578- 401.

MacEntee MI, Mojon P. Discrepancy between need forprosthodontic treatment and complaints in an elderly edentulous population. Community Dentistry and Oral Epidemiology 1992; 20: 48-52.

Colussi CF, De Freitas SF, Calvo MC. The prosthetic need WHO index: a comparison between self-perception and professional assessment in an elderly population. Gerodontology. 2009; 26(3):187-92. PMid:19040428

Murariu A, Hanganu C, Bobu L. Evaluation of the reliabilityof the Geriatric Oral Health Assessment Index (GOHAI) ininstitutionalized elderly in Romania. Oral Health and Dental Management in the Black Sea Countries. 2010; 9: 11-15.

World Health Organization. Oral health surveys: basicmethods, 4th edn. World Health Organization, Geneva, 1997.

Kravitz A et al. Manualof Dental Practice. Council of European Dentists, 2015.

Akifusa S, Soh I, Ansai T, Hamasaki T, Takata Y, Yohida A, Fukuhara M, SonokiK, Takehara T.Relationship of number of remaining teeth to health-related quality of life in community-dwelling elderly. Gerodontology. 2005; 22(2):91-7. PMid:15934350

Zhang Q, Kreulen CM, Witter DJ, Creugers NHJ.Oralhealth status and prosthodontic conditions of Chinese adults: asystematic review. Int J Prosthodont. 2007; 20:567–572. PMid:18069362

Kambara M, Kawasaki K. Oral health and aging. Oral disease, tooth number, oral tissue and dietary habit,and aging. The current evidenceof dental care andoral health for achievinghealthy longevity inan aging society. Japan Dental Association, 2015.

Kulak-Ozkan Y, Kazazoglu E, ArikanA. Oral hygiene habits, denture cleanliness, presence of yeasts and stomatitis in elderly people. Journal of Oral Rehabilitation. 2002; 29(3):300–304. PMid:11896849

Yeh C, Katz M, Saunders M. Geriatric Dentistry: Integral Component to Geriatric Patient Care. Taiwan Geriatrics & Gerontology. 2008; 3(3):182-192.

Derblom C, Hagman-Gustafsson M, Gabre P. Older people's description of factors that facilitate and impede regular dental care - a qualitative interview study. International Journal of Dental Hygiene 2017; 15(4):313-320. PMid:27868346

Borreani E, Wright D, Scambler S, Gallagher J. Minimising barriers to dental care in older people. BMC Oral Health. 2008; 8: 7. PMid:18366785 PMCid:PMC2335092

Tejo H, Belén R, Velásquez C, Andrés R. Patients' perceptions about dentists A literature review. Odontoestomatología. 2016; 18(27): 15-22.

Petersen P. The World Oral Health Report 2003:continuous improvement of oral health in the 21st century the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2003; (31):3-24. PMid:15015736

Barysenka L. Oral health of the elderly people living under different conditions. OHDMBSC. 2006; 5(2): 16-20.

Ursache M, Grãdinaru I, Dascãlu C. Aspects of oral health evaluation in elderly. OHDMBSC. 2006; 5 (2):8-15.



How to Cite

Nikolovska J, Korunoska-Stevkovska V, Mijoska A, Popovska L. Prosthodontics Status and Treatment Needs among the Elderly in the Republic of Macedonia. Open Access Maced J Med Sci [Internet]. 2018 May 15 [cited 2024 Jun. 15];6(5):874-8. Available from:



D - Dental Sciences

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