<?xml version='1.0' encoding='utf-8'?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd">
<article article-type="research-article" dtd-version="1.2" xml:lang="ru" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"><front><journal-meta><journal-id journal-id-type="issn">2687-0940</journal-id><journal-title-group><journal-title>Challenges in modern medicine</journal-title></journal-title-group><issn pub-type="epub">2687-0940</issn></journal-meta><article-meta><article-id pub-id-type="doi">10.52575/2687-0940-2025-48-3-361-369</article-id><article-id pub-id-type="publisher-id">256</article-id><article-categories><subj-group subj-group-type="heading"><subject>STOMATOLOGY</subject></subj-group></article-categories><title-group><article-title>&lt;strong&gt;Assessment of the Influence of Psychosocial Status on the Dynamics of&amp;nbsp;Tooth Loss by Patients of Older Age Groups Living in the Belgorod Agglomeration&lt;/strong&gt;</article-title><trans-title-group xml:lang="en"><trans-title>&lt;strong&gt;Assessment of the Influence of Psychosocial Status on the Dynamics of&amp;nbsp;Tooth Loss by Patients of Older Age Groups Living in the Belgorod Agglomeration&lt;/strong&gt;</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Kopytov</surname><given-names>Alexander A.</given-names></name><name xml:lang="en"><surname>Kopytov</surname><given-names>Alexander A.</given-names></name></name-alternatives><email>kopytov@bsuedu.ru</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Volobueva</surname><given-names>Elena V.</given-names></name><name xml:lang="en"><surname>Volobueva</surname><given-names>Elena V.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Borozenceva</surname><given-names>Vita A.</given-names></name><name xml:lang="en"><surname>Borozenceva</surname><given-names>Vita A.</given-names></name></name-alternatives><email>vita_borozenceva@mail.ru</email></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Girko</surname><given-names>Larisa V.</given-names></name><name xml:lang="en"><surname>Girko</surname><given-names>Larisa V.</given-names></name></name-alternatives></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="ru"><surname>Borozentsev</surname><given-names>Vladislav Yu.</given-names></name><name xml:lang="en"><surname>Borozentsev</surname><given-names>Vladislav Yu.</given-names></name></name-alternatives></contrib></contrib-group><pub-date pub-type="epub"><year>2025</year></pub-date><volume>48</volume><issue>3</issue><fpage>0</fpage><lpage>0</lpage><self-uri content-type="pdf" xlink:href="/media/journal-medicine/2025/3/АПМ_2025_Том_48__3_361-369.pdf" /><abstract xml:lang="ru"><p>The article presents data on the influence of the severity of cognitive disorders and affective manifestations on the achievement of complete secondary adentia. The purpose of the study is to investigate the dental status of patients of older age groups living in the Belgorod agglomeration. Materials and methods. The study involved 92 patients of older and senile age. The severity of cognitive disorders was assessed using the MMSE psychological status scale, and depression was assessed using the HADS scale. The dental status was studied taking into account oral hygiene violations. Results. In the group of elderly patients, moderate dementia occurs 13% more often than in the group of elderly people. The number of individuals without signs of affective disorders (t &amp;ndash; 0.10; p = 0.919766) and subclinical manifestations of affective disorders (t &amp;ndash; 0.30; p&amp;nbsp;=&amp;nbsp;0.762562) decreases significantly with age, while the number of individuals with clinically diagnosed depression notably increases (t &amp;ndash; 0.86; p = 0.393476). The assessment of dental status revealed that 22&amp;nbsp;(45.8&amp;nbsp;%) elderly and 19 (43.2&amp;nbsp;%) senile study participants use full-fledged dentures. Conclusion. It has been established that depressive conditions occurring against the background of cognitive insufficiency determine the dynamics of tooth loss, manifested in the need for the production of complete removable prostheses.</p></abstract><trans-abstract xml:lang="en"><p>The article presents data on the influence of the severity of cognitive disorders and affective manifestations on the achievement of complete secondary adentia. The purpose of the study is to investigate the dental status of patients of older age groups living in the Belgorod agglomeration. Materials and methods. The study involved 92 patients of older and senile age. The severity of cognitive disorders was assessed using the MMSE psychological status scale, and depression was assessed using the HADS scale. The dental status was studied taking into account oral hygiene violations. Results. In the group of elderly patients, moderate dementia occurs 13% more often than in the group of elderly people. The number of individuals without signs of affective disorders (t &amp;ndash; 0.10; p = 0.919766) and subclinical manifestations of affective disorders (t &amp;ndash; 0.30; p&amp;nbsp;=&amp;nbsp;0.762562) decreases significantly with age, while the number of individuals with clinically diagnosed depression notably increases (t &amp;ndash; 0.86; p = 0.393476). The assessment of dental status revealed that 22&amp;nbsp;(45.8&amp;nbsp;%) elderly and 19 (43.2&amp;nbsp;%) senile study participants use full-fledged dentures. Conclusion. It has been established that depressive conditions occurring against the background of cognitive insufficiency determine the dynamics of tooth loss, manifested in the need for the production of complete removable prostheses.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>older age groups</kwd><kwd>cognitive impairment</kwd><kwd>depression</kwd><kwd>secondary adentia</kwd><kwd>removable dentures</kwd></kwd-group><kwd-group xml:lang="en"><kwd>older age groups</kwd><kwd>cognitive impairment</kwd><kwd>depression</kwd><kwd>secondary adentia</kwd><kwd>removable dentures</kwd></kwd-group></article-meta></front><back><ref-list><title>Список литературы</title><ref id="B1"><mixed-citation>Aivazov G.T., Fomina A.V. 2021. Study of the Quality of Life of Patients Based on the Introduction of Digital Technologies in Dental Practice (Literature Review). Problems of Standardization in Health Care. 3&amp;ndash;4: 22&amp;ndash;31 (in Russian). doi: 10.26347/1607-2502202103-04022-031</mixed-citation></ref><ref id="B2"><mixed-citation>Alekseeva Z.N., Loginova I.O., Sleptsov S.S. 2021. Age-Related Features of the Cognitive and Affective Status of Residents of Yakutia over 65 Years Old. Psychology. Psychophysiology. 14(2): 66&amp;ndash;77 (in Russian). doi: 10.14529/jpps210207</mixed-citation></ref><ref id="B3"><mixed-citation>Gileva O.S., Rizaev Zh.A., Bekzhanova O.E., Kozialova N.A., Libik T.V., Danilova M.A., Sivak E.Yu., Sycheva M.A., Nemova E.M. 2023. Key Dental Problems of an Elderly Patient: An Interdisciplinary Educational Platform. Perm Medical Journal. 3: 60&amp;ndash;77 (in Russian). doi: 10.17816/pmj40360%77</mixed-citation></ref><ref id="B4"><mixed-citation>Dorofeev A.E., Sevbitov A.V., Kalinovsky S.I., Emelina G.V., Emelina E.S., Zakharova K.E. 2023. Evaluation of Chewing Efficiency in Elderly Patients with Various Defects of the Dentition. VNMT. 1: 10&amp;ndash;13 (in Russian). doi: 10.24412/1609-2163-2023-1-10-13</mixed-citation></ref><ref id="B5"><mixed-citation>Ilnitskiy A.N., Masnaya M.V., Ismanova V.D. 2021. Skin Aging Morphotypes as a Selection Criterion for Somato-Cognitive Prevention Programs of Premature Aging. Modern Problems of Health Care and Medical Statistics. 2: 61&amp;ndash;72 (in Russian). doi: 10.24412/2312-2935-2021-2-61-72</mixed-citation></ref><ref id="B6"><mixed-citation>Kolsanov A.V., Trunin D.A., Khaikin M.B., Limareva L.V., Postnikov M.A., Nesterov A.M., Chistyakova&amp;nbsp;M.S., Sagirov M.R. 2024. Possibilities of Using Carboxytherapy in Periodontal Diseases: A Preclinical Experimental Study. Kuban Scientific Medical Bulletin. 1: 27&amp;ndash;38 (in Russian). doi: 10.25207/1608-6228-2024-31-1-27-38</mixed-citation></ref><ref id="B7"><mixed-citation>Konovalova E.M. 2024. Chronic Pathologies of the Oral Cavity in Elderly Patients. International Journal of Humanities and Natural Sciences. 5&amp;ndash;5 (92): 18&amp;ndash;21 (in Russian). doi: 10.24412/2500-1000-2024-5-5-18-21</mixed-citation></ref><ref id="B8"><mixed-citation>Kopytov A.A., Leontiev V.K. 2022. Violation of Hydrodynamics as an Etiological Factor of Periodontitis and Periodontal Disease. Belgorod: Publishing House &amp;quot;Belgorod&amp;quot;, 130 p.</mixed-citation></ref><ref id="B9"><mixed-citation>Kurmaev D.P., Bulgakova S.V., Treneva E.V., Batrshina L.A., Romanenko E.A., Bulgakov A.S., Tsareva&amp;nbsp;M.V., Shakhriar Sh.M.K., Fesenko E.V. 2024. Relationship Between Motor-Cognitive Risk Syndrome and Frailty Syndrome in Elderly and Senile People. Current Problems of Healthcare and Medical Statistics. 5: 455&amp;ndash;470 (in Russian). doi: 10.24412/2312-2935-2024-5-455-470</mixed-citation></ref><ref id="B10"><mixed-citation>Lunina N.A., Velikaya O.V., Oleynik O.I., Sushchenko A.V. 2024. Chronic Generalized Periodontitis in a Patient with Infiltrative Pulmonary Tuberculosis. Current Problems of Medicine. 2: 219&amp;ndash;228 (in Russian). doi: 10.52575/2687-0940-2024-47-2-219-228</mixed-citation></ref><ref id="B11"><mixed-citation>Makova S.V., Gontarev S.N., Bogdanova A.A., Koteneva Yu.N., Yasin M., Gontareva I.S., Punko D.S. 2023. Preparation for Prosthetics in the Oral Cavity with Generalized Periodontitis in the Elderly. Bulletin of New Medical Technologies. Electronic Publication. 6: 38&amp;ndash;45 (in Russian). doi: 10.24412/2075-4094-2023-6-1-6</mixed-citation></ref><ref id="B12"><mixed-citation>Miklyaev S.V., Leonova O.M., Sushchenko A.V., Novikov A.V. 2021. Study of Patients&amp;#39; Appeals for Periodontal Dental Care Based on the Results of a Questionnaire. Avicenna Bulletin. 3: 379&amp;ndash;385 (in Russian). doi: 10.25005/2074-0581-2021-23-3-379-385</mixed-citation></ref><ref id="B13"><mixed-citation>Solovieva E.Yu., Filatova I.P. 2025. Features of Clinical Manifestations and Therapy of Asthenic and Cognitive Impairment in Elderly Patients. Nervous Diseases. 1: 107&amp;ndash;115 (in Russian). doi: 10.24412/2226- 0757-2025-13245</mixed-citation></ref><ref id="B14"><mixed-citation>Stepanov E.A., Kurashvili L.V., Mikulyak N.I., Moiseev Ya.P., Kinzirsky A.S. 2021. Features of Microcirculation in the Periodontium in Various Systemic Diseases (Literature Review). News of Universities. Volga Region. Medical Sciences. 2(58): 137&amp;ndash;149 (in Russian). doi: 10.21685/2072-3032-2021-2-13</mixed-citation></ref><ref id="B15"><mixed-citation>Trukhan D.I., Sulimov A.F., Trukhan L.Yu. 2023. Comorbidity of Arterial Hypertension and Periodontitis: Dental Hypertension. Clinical Analysis in General Medicine. 6: 62&amp;ndash;68 (in Russian). doi: 10.47407/kr2023.4.5.00273</mixed-citation></ref><ref id="B16"><mixed-citation>Chekalina T.L., Vasilyeva P.V., Gafurov Yu.A., Mochalkina O.D., Kanukoeva E.Yu. 2024. Experience in the Use of Conservative Treatment of Periodontal Diseases Using a Combined Gel Based on Hyaluronic Acid and an Antioxidant: A Clinical Observation. Dentistry: Theory and Practice. 1: 9&amp;ndash;14 (in Russian). doi: 10.24412/3034-4840-2024-0020</mixed-citation></ref><ref id="B17"><mixed-citation>Shalnova S.A., Imaeva N.A., Imaeva A.E. 2022. Problems of Aging. Perceived Age &amp;ndash; A New Predictor of Life Expectancy? Rational Pharmacotherapy in Cardiology. 18(1): 85&amp;ndash;91 (in Russian). doi: 10.20996/1819-6446-2022-02-06</mixed-citation></ref><ref id="B18"><mixed-citation>Aditi P., Amit K.D., Dhrubajyoti B., Veena K., Zaghlol R., Basyal B. 2020. Periodontal Inflammation and the Risk of Cardiovascular Disease. Curr. Atheroscler. Rep. 22(7): 28. doi: 10.1007/s11883-020-00848-6</mixed-citation></ref><ref id="B19"><mixed-citation>Akila G., Banavaram A., Arjunan I. 2019. Comparative Assessment of Psychosocial Status of Elderly in Urban and Rural Areas, Karnataka, India. Journal of Family Medicine and Primary Care. 8(9): 2870&amp;ndash;2876. doi: 10.4103/jfmpc.jfmpc_536_19</mixed-citation></ref><ref id="B20"><mixed-citation>Nazir M., Al-Ansari A., Al-Khalifa K., Alhareky M., Gaffar B., Almas K. 2020. Global Prevalence of Periodontal Disease and Lack of its Surveillance. Sci World. 28, 14&amp;ndash;18. doi: 10.1155/2020/214616</mixed-citation></ref></ref-list></back></article>