The need for orthopedic dental services for the elderly population of Kazakhstan

Naziya Kamiyeva 1 * , Kubeisin D. Altynbekov 2, Nurmukhamet S. Ruzuddinov 3, Zuliya R. Rizabekova 4
More Detail
1 Department of Public Health, Kazakhstan’s School of Public Health, Kazakhstan Medical University, Almaty, Kazakhstan
2 Department of Prosthodontics dentistry, Kazakh National Medical University, Almaty, Kazakhstan
3 Department of Clinical Disciplines, Al Farabi Kazakh National University, Almaty, Kazakhstan
4 Department of Dentistry of children, Kazakh National Medical University, Almaty, Kazakhstan
* Corresponding Author
J CLIN MED KAZ, Volume 21, Issue 1, pp. 80-85.
OPEN ACCESS 302 Views 225 Downloads
Download Full Text (PDF)


Objective: To determine the orthopedic dental status of the elderly population of Kazakhstan using clinical and diagnostic determinants.
Methods: The dental status of 708 patients from three institutions in Almaty, Kazakhstan, was recorded using WHO dental questionnaires. The patients were divided into groups according to their age and sex, and modern statistical methods were used to process the data. Through the construction of tables and graphs, calculation of relative values, and assessment of the reliability of the differences in the data, we determined if there were any differences between the groups.
Results: The study revealed that most patients who needed orthopedic dental care were 60 years of age and older. The older the age of patients with registered diagnoses of partial and complete adentia, the greater the need for removable prosthetics. The most common type of orthopedic treatment required for these patients was removable dentures. Analysis of the quantitative relationship between the need for orthopedic dental care and patients’ gender revealed the following patterns: the critical value of Chi-square at the significance level p≤0.0001 was 23.95, the exact Fisher criterion was 0.0000 (p=0.0000), and the calculated Cramer’s V criterion and the conjugacy coefficient showed the relationship between the variables were at the levels of 0.17 and 0.18, respectively.
Conclusions: Owing to the aging population in Kazakhstan, and indeed the world, the problem of medical adaptation and social rehabilitation of older age groups is pertinent, and our findings argue that the introduction of geriatric dental services in Kazakhstan is warranted.


Kamiyeva N, Altynbekov KD, Ruzuddinov NS, Rizabekova ZR. The need for orthopedic dental services for the elderly population of Kazakhstan. J CLIN MED KAZ. 2024;21(1):80-5.


  • Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. J Dent Educ. 1990; 54: 680-687.
  • Issrani R, Ammanagi R, Keluskar V. Geriatric dentistry – meet the need. Gerodontology. 2012; 29: e1-e5.
  • León S, Giacaman RA. Proposal for a Conceptual Framework for the Development of Geriatric Dentistry. J Dent Res. 2022; 101(3): 247-252.
  • Bleiel D, Nitschke I, Noack MJ, Barbe AG. Impact of care level, setting and accommodation costs on a newly developed oral care nursing plan format for elderly patients with care needs – Results from a cross-sectional study. Int J Dent Hyg. 2022; 20: 543–552.
  • D’Addazio G, Santilli M, Sinjari B, Xhajanka E, Rexhepi I, Mangifesta R, et al. Access to Dental Care—A Survey from Dentists, People with Disabilities and Caregivers. Int J Environ Res. 2021; 18(4): 1556.
  • Ikebe K, Matsuda K, Morii K, Furuya-Yoshinaka M, Nokubi T, Renner RP. Association of masticatory performance with age, posterior occlusal contacts, occlusal force, and salivary flow in older adults. Int J Prosthodont. 2006; 19(5): 475-481.
  • Kaye EK, Valencia A, Baba N, Spiro A, III, Dietrich T, Garcia RI. Tooth Loss and Periodontal Disease Predict Poor Cognitive Function in Older Men. J Am Geriatr Soc. 2010; 58: 713-718.
  • Kenny RA, Coen RF, Frewen J, Donoghue OA, Cronin H, Savva GM. Normative Values of Cognitive and Physical Function in Older Adults: Findings from The Irish Longitudinal Study on Ageing. J Am Geriatr Soc. 2013; 61: 279-290.
  • Okada T, Ikebe K, Inomata C, Takeshita H, Uota M, Mihara Y, et al. Association of periodontal status with occlusal force and food acceptability in 70-year-old adults: from SONIC Study. J Oral Rehabil. 2014; 41: 912-919.
  • Paganini-Hill A, White SC, Atchison KA. Dentition, dental health habits, and dementia: the Leisure World Cohort Study. J Am Geriatr Soc. 2012; 60(8): 1556-1563.
  • Ibolya Czibere , Andrea Rácz , Henrietta Szilvási , Zita Szikszai , Sándor Imre. Examination of life quality, mental conditions and cognitive status of people over the age of 90: results of a hungarian local research. Cent Eur J Public Health 2019; 27 (1): 17–23
  • Kausova GK, Kamieva NA. On the issue of age-related changes in the oral cavity in the elderly. Kazakhstan’s medical university (KSPH). 2018; 98-100. Available from:
  • Walls AW, Steele JG, Sheiham A, Marcenes W, Moynihan PJ. Oral health and nutrition in older people. J Public Health Dent. 2000; 60(4): 304-307.
  • Vigild M. Denture status and need for prosthodontic treatment among institutionalized elderly in Denmark. Community Dent Oral Epidemiol. 1987; 15(3): 128-133.
  • Abbas MJ, Albaai FS, Hussein HM, Mahmood AA. Importance of preventive dentistry in the elderly: A personal approach. Dent Res J. 2022; 19; 11. Available from:
  • Rejnefelt I, Anderson P, Renvert S. Oral health status in individuals with dementia living in special facilities. Int J Dent Hyg. 2006; 4: 67-71.
  • White S, Griffiths R, Baxter M, Beanland T, Cross J, Dhesi J et al. Guidelines for the peri-operative care of people with dementia. Anaesthesia. 2019; 74: 357-372.
  • Martins AM, Guimaraes LS, Campos CH, Kuchler EC, Pereira DM, Maia LC, Antunes LS, Antunes LA. The effect of complete dentures on edentulous patients’ oral health-related quality of life in lomg-term: A systematic review and meta-analysis. Available from:
  • Tsakos G, Watt RG, Rouxel PL, de Oliveira C, Demakakos P. Tooth loss associated with physical and cognitive decline in older adults. J Am Geriatr Soc. 2015; 63 (1): 91-99.
  • Aykut Aydın, Aylin Aydın Sayılan. Attitudes toward successful aging in individuals with chronic disease aged 65 or over. Journal of clinical medicine of Kazakhstan. 2021; 18 (2): 39-43.
  • Yen Chun G. Liu, Shou-Jen Lan, Hirohiko Hirano, Li-min Lin, Kazuhiro Hori, Chia-shu Lin, Samuel Zwetchkenbaum, Shunsuke Minakuchi, Andy Yen-Tung Teng. Update and review of the gerodontology prospective for 2020's: Linking the interactions of oral (hypo)-functions to health vs. systemic diseases. Journal of Dental Sciences. 2021; 6(2): 757-773.
  • 22 Abbas, Maha Jamal1; Albaaj, Firas Saddam Oglah2; Hussein, Hashim M.3,; Mahmood, Athraa A.4 Importance of preventive dentistry in the elderly. A personal approach. Dental Research Journal. 2022; 19(1): 11.
  • 23 Gálvez JM, Vélez CD, Segura MAA, González LM, Benavides JP. Perception of the quality of life related to health of older residents in the city of Chiclayo. Acta Med Peru. 2009; 26: 230-238.
  • Wong R, Espinoza M. Mexican senior adult in the broad socioeconomic context: Health and aging. Public Health Mexico. 2007; 49: 436-447.
  • Saxena A, Nagarajappa R, Naik D, Abid M, Ramesh G. Assessing the effect of oral diseases on oral health related quality of life of institutionalized elderly using Oral Health Impact Profile (OHIP-14) questionnaire: A pilot study. Rocz Panstw Zakl Hig. 2020; 71: 349-353.