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Treatment of periodontal disease in older adults
Kristianstad University, School of Health and Society, Avdelningen för Oral hälsa och folkhälsovetenskap. Kristianstad University, Research environment Oral Health - Public Health - Quality of Life (OHAL).ORCID iD: 0000-0003-0992-2362
USA.
2016 (English)In: Periodontology 2000, ISSN 0906-6713, E-ISSN 1600-0757, Vol. 72, no 1, 108-119 p.Article in journal (Refereed) Published
Abstract [en]

Within the next 40 years the number of older adults worldwide will more than double. This will impact periodontal treatment needs and presents a challenge to health-care providers and governments worldwide, as severe periodontitis has been reported to be the sixth most prevalent medical condition in the world. Older adults (≥ 80 years of age) who receive regular dental care retain more teeth than those who do not receive such care, but routine general dental care for these individuals is not sufficient to prevent the progression of periodontitis with the same degree of success as in younger individuals. There is a paucity of data on the efficacy of different periodontal therapies for older individuals. However, considering the higher prevalence of chronic medical conditions seen in older adults, it cannot be assumed that periodontal therapy will yield the same degree of success seen in younger individuals. Furthermore, medications can influence the status of the periodontium and the delivery of periodontal care. As an example, anticoagulant drugs are common among older patients and may be a contraindication to certain treatments. Newer anticoagulants will, however, facilitate surgical intervention in older patients. Furthermore, prescription medications taken for chronic conditions, such as osteoporosis and cardiovascular diseases, can affect the periodontium in a variety of ways. In summary, consideration of socio-economic factors, general health status and multiple-drug therapies will, in the future, be an important part of the management of periodontitis in older adults.

Place, publisher, year, edition, pages
2016. Vol. 72, no 1, 108-119 p.
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hkr:diva-16226DOI: 10.1111/prd.12130ISI: 000385235400008PubMedID: 27501494OAI: oai:DiVA.org:hkr-16226DiVA: diva2:1044374
Available from: 2016-11-03 Created: 2016-11-03 Last updated: 2016-11-03Bibliographically approved

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Renvert, Stefan
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Avdelningen för Oral hälsa och folkhälsovetenskapResearch environment Oral Health - Public Health - Quality of Life (OHAL)
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CiteExportLink to record
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