Wennström J L
Department of Periodontology, Faculty of Odontology, Göteborg University, Sweden.
Periodontol 2000. 1998 Feb;16:106-12. doi: 10.1111/j.1600-0757.1998.tb00118.x.
The literature does not indicate that older adults differ from younger individuals in their response to periodontal treatment. However, in older adults, it is more common to find compromised general conditions that may negatively affect the patient's ability to maintain an adequate standard of self-performed plaque control. Although this can be compensated for partly by a carefully designed program for supportive therapy, the prevention and/or elimination of clinical signs of periodontal inflammation may not always be a reachable goal of periodontal therapy in older adults, particularly in those who are frail and functionally dependent. For many patients, a more realistic goal may be the control of disease progression in order to preserve a functional and comfortable dentition throughout life and hence, the decision making process regarding therapeutic levels for the individual patient must include factors such as the amount of remaining periodontal support, the risk for disease progression, demands for oral health and life expectancy.
文献并未表明老年人在对牙周治疗的反应上与年轻人有所不同。然而，在老年人中，更常见的情况是存在一些健康状况不佳的问题，这些问题可能会对患者自我进行充分菌斑控制的能力产生负面影响。尽管通过精心设计的支持性治疗方案可以部分弥补这一点，但预防和/或消除牙周炎症的临床体征在老年人中可能并不总是牙周治疗能够实现的目标，尤其是在那些身体虚弱且功能依赖他人的老年人中。对于许多患者来说，一个更现实的目标可能是控制疾病进展，以便在一生中保持功能性且舒适的牙列，因此，针对个体患者治疗水平的决策过程必须考虑诸如剩余牙周支持量、疾病进展风险、口腔健康需求和预期寿命等因素。
