Abstract
Periodontal disease is a chronic disease and its effects accumulate with age. It represents an important oral health issue in elderly patients. Age-related biological changes in periodontal tissues and in immune response could alter the answer to the microbiological challenge that causes periodontal diseases. The microbiota burden itself can be different. Periodontal diseases have an inflammatory nature and can play a role in the pathogenesis of no communicable chronic diseases that are particularly common among the elderly. Great care should be dedicated to a comprehensive anamnesis, where consultation with the medical doctor performs an important role. Treatment approaches follow the general rules of the treatment of periodontal diseases but modifiers are linked to the biological changes due to age, chronic diseases, medications and socio-economical issues. Besides the degree of dependence in performing normal activity, hand strength and manual dexterity must be considered in both therapy planning and in the maintenance protocol. Minimally invasive surgical approaches should be considered in periodontal and implant therapy. Great care should be dedicated to the maintenance of oral hygiene.
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References
Cesari M, Prince M, Bernabei R, Chan P, Gutierrez-Robledo LM, Michel JP, et al. Frailty—an emerging public health priority. J Am Med Dir Assoc. 2016;17(3):188–92.
Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe tooth loss: a systematic review and meta-analysis. J Dent Res. 2014;93:20S–8S.
Armitage GC. Development of a classification for periodontal diseases and conditions. Ann Periodontol. 1999;4:1–6.
Eke PI, Zhang X, Lu H, Wei L, Thornton-Evans G, Greenlund KJ, et al. Predicting periodontitis at state and local levels in the United States. J Dent Res. 2016;95(5):515–22.
Renvert S, Persson RE, Persson GR. Tooth loss and periodontitis in older individuals: results from the Swedish National Study on aging and care. J Periodontol. 2013;84:1134–44.
Ebersole J, Graves CL, Dawson D 3rd, Morford LA, Huja PE, Hartsfield JK Jr, et al. Aging, inflammation, immunity and periodontal disease. Periodontol 2000. 2016;72:54–75.
Preshaw PM, Henne K, Taylor J, Valentine R, Conrads G. Changes in immune function (immune senescence) in caries and periodontal diseases: a systematic review. J Clin Periodontol. 2017;44(S18):153–77.
Fransson C, Berglundh T, Lindhe J. The effect of age on the development of gingivitis. Clinical, microbiological and histological findings. J Clin Periodontol. 1996;23:379–85.
Greenwell H, Bissada NF. Factors influencing periodontal therapy for the geriatric patient. Dent Clin N Am. 1989;33(1):91–100. Review.
Feres M, Teles F, Teles R, Figueiredo LC, Faveri M. The subgingival periodontal microbiota ot the aging mouth. Periodontol 2000. 2016;62:30–53.
Thomson WM, Slade GD, Beck JD, Elter JR, Spencer AJ, Chalmers JM. Incidence of periodontal attachment loss over 5 years among older south Australians. J Clin Periodontol. 2004;31:119–25.
Scannapieco FA, Cantos A. Oral inflammation and infection, and chronic medical diseases: implications for the elderly. Periodontology 2000. 2016;72:153–75.
Dietrich T, Shama P, Walter C, Weston P, Beck J. The epidemiological evidence behind the association between periodontitis and incidence of atherosclerotic cardiovascular disease. J Clin Periodontol. 2013;40(suppl.14):S70–84.
Tonetti MS, Van Dyke TE, Working Group 1 of the Joint EFP/AAP. Periodontitis and atherosclerotic cardiovascular disease: consensus report of the joint EFP/AAP Workshop. on periodontitis and systemic diseases. J Periodontol. 2013;84:S24–9.
Engebretson SP, Hyman LG, Michalowicz BS, Schoenfeld ER, Gelato MC, Hou W, et al. The effect of nonsurgical periodontal therapy on hemoglobin A1c levels in persons with type 2 diabetes and chronic periodontitis: a randomized clinical trial. JAMA. 2013;310:2523–32.
Iwasaki M, Taylor GW, Nesse W, Vissink A, Yoshihara A, Miyazaki H. Periodontal disease and decreased kidney function in Japanese elderly. Am J Kidney Dis. 2012;59:202–9.
Ruscin M, Linnebur SA. Introduction to drug therapy in the elderly “the Merck manual of geriatrics”; 2014.
Ouanounou A, Haas DA. Pharmacotherapy for the elderly dental patient. J Can Dent Assoc. 2015;80:f18.
Seymour RA. Effects of medications on the periodontal tissues in health and disease. Periodontology 2000. 2006;40:120–9.
Reinhardt RA, Payne JB, Maze CA, Paril KD, Gallagher SJ, Mattson JS. Influence of estrogen and osteopenia/osteoporosis on clinical periodontitis in postmenopausal women. J Periodontol. 1999;70:823–8.
Advisory Task Force on Bisphosphonate-Related Ostenonecrosis of the Jaws; American Association of Oral and Maxillofacial Surgeons. American Association of Oral and Maxillofacial Surgeons position paper on bisphosphonate-related osteonecrosis of the jaws. J Oral Maxillofac Surg. 2007;65(3):369–76.
Madrid C, Sanz M. What impact do systemically administrated bisphosphonates have on oral implant therapy? A systematic review. Clin Oral Impl Res. 2009;20(Suppl 4):87–95.
Trombelli L, Rizzi A, Simonelli A, Scapoli C, Carrieri A, Far-ina R. Age-related treatment response following non-surgical periodontal therapy. J Clin Periodontol. 2010;37:346–52.
Pretty IA, Ellwood RP, Lo EC, MacEntee MI, Müller F, Rooney E, et al. The Seattle care pathway for securing oral health in older patients. Gerodontology. 2014;31(Suppl 1):77–87.
Lindhe J, Socransky S, Nyman S, Westfelt E, Haffajee A. Effect of age on healing following periodontal therapy. J Clin Periodontol. 1985;12:774–87.
Cobb CM, Daubert DM, Davis K, Deming J, Flemmig TF, Pattison A, et al. Consensus conference findings on supragingival and subgingival air polishing. Compend Contin Educ Dent. 2017;38(2):e1–4.
Mesa FL, Osuna A, Aneiros J, Gonjzalez-Jaranay M, Bravo J, Junco P, et al. Antibiotic treatment of incipient drug induced gingival overgrowth in adult renal transplant patients. J Periodontal Res. 2003;38:141–6.
Ashcroft GS, Mills SJ, Ashworth JJ. Ageing and wound healing. Biogerontology. 2002;3:337–45.
Holm-Pedersen P, Löe H. Wound healing in the gingiva of young and old individuals. Scand J Dent Res. 1971;79(1):40–53.
Bowen GC, Raghoebar GM, Vissinik A, Meijer HJ. Improving masticatory performance, bite force, nutritional state and patient’s satisfaction with implant overdentures: a systematic review of the literature. J Oral Rehabil. 2015;42:220–33.
Bartold PM, Ivanovski S, Darby I. Implants for the aged patient: biological, clinical and sociological considerations. Periodontology. 2016;72:120–34.
Temmerman A, Rasmusson L, Kubler A, Thor A, Quirynen M. An open, prospective, non randomized, controlled, multicentre study to evaluate the clinical outcome of implant treatment in women over 60 years of age with osteoporosis/ osteopenia: 1-year results. Clin Oral Impl Res. 2017;28:95–102.
Ata-Ali J, Ata-Ali F, David Peñarrocha-Oltra D, Galindo-Moreno P. What is the impact of bisphosphonate therapy upon dental implant survival? A systematic review and meta-analysis. Clin Oral Impl Res. 2016;27(2):e38–46.
Zarb GA, Schmitt A. Implant therapy alternatives for geriatric edentulous patients. Gerodontology. 1993;10:28–32.
Jemt T. Implant treatment in elderly patients. Int J Prosthodont. 1993;6:679–86.
Chambrone L, Mandia J Jr, Shibli R, Romito GA, Abrahao M. Dental implants installed in irradiated jaws a systematic review. J Dent Res. 2013;92(suppl 2):119S–30S.
Watson T, Layton D. Cost satisfaction analysis: a novel patient-based approach for economic analysis of the utility of fixed dental prostheses. Int J Prostodont. 2014;27:114–8.
Schimmel M, Muller F, Sutter V, Buser D. Implants for the elderly patients. Periodontol 2007. 2017;73(1):228–40.
Renvert S, Persson RE, Persson GR. A history of frequent dental care reduces the risk of tooth loss but not periodontitis in older subjects. Swed Dent J. 2011;35:69–75.
Hopcraft MS, Morgan MV, Satur JG, Wrigth FA. Edentulism and dental caries in Victorian nursing homes. Gerodontolgy. 2012;29:e512–9.
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Grusovin, M.G. (2019). The Treatment of Periodontal Diseases in Elderly Patients. In: Mersel, A. (eds) Oral Rehabilitation for Compromised and Elderly Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-76129-9_3
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