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Dental geriatrics and periodontitis
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). Washington University, USA.ORCID iD: 0000-0002-3620-5978
2017 (English)In: Periodontology 2000, ISSN 0906-6713, E-ISSN 1600-0757, Vol. 74, no 1, 102-115 p.Article, review/survey (Refereed) Published
Abstract [en]

The present literature review is focused on two main areas: (i) periodontal conditions in older individuals; and (ii) the scientific data available on periodontal treatment outcomes in individuals ≥ 75 years of age. The population of older people is increasing but the data on periodontal therapies and their efficacy in this population are limited and need to be carefully reviewed. Although life expectancy has increased, this does not mean that older people are medically healthy. Several chronic systemic diseases are associated with periodontitis, and the prevalence of most chronic diseases increases with age. Furthermore, older people are challenged by impaired immunity (immune senescence) with a decline in the numbers of naïve T-cells in peripheral blood and lymphoid tissues. The most frequent significant correlates with successful ageing include not smoking and the absence of disability, arthritis and diabetes mellitus. Periodontal diseases in older individuals may have specific features that are not consistent with periodontal diseases. In this respect, data suggest that gingival lesions in older individuals develop differently from gingival lesions in younger adults. The progression of periodontitis may be slower in older individuals, and older individuals with periodontitis may benefit from more conservative treatment approaches. Diagnostic criteria used for the assessment and diagnosis of periodontitis in younger adults may not be fully applicable in older individuals. In summary, declining health, perception of treatment needs, dietary changes, comorbidity with other diseases and immune senescence are challenging factors to clinicians and researchers, in terms of therapies and in understanding periodontitis etiology in older individuals.

Place, publisher, year, edition, pages
2017. Vol. 74, no 1, 102-115 p.
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hkr:diva-17083DOI: 10.1111/prd.12192ISI: 000405198500006PubMedID: 28429479OAI: oai:DiVA.org:hkr-17083DiVA: diva2:1133533
Available from: 2017-08-16 Created: 2017-08-16 Last updated: 2017-08-16Bibliographically approved

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Persson, Rutger G
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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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Citation style
  • apa
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  • modern-language-association-8th-edition
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