Periodontol 2000. 2016 Oct;72(1):7-12. doi: 10.1111/prd.12157.
The world's population is aging, and it has been estimated that by 2050, the number of people 65 years of age and older will reach 1.5 billion. The aging population will be affected by noncommunicable chronic diseases, including diabetes mellitus, cardiovascular disease and cognitive impairment. This important demographic shift includes a reduction in tooth loss/edentulism, particularly in older adults of the developed countries in North America, western Europe and north-east Asia. Therefore, in the future, dental providers will be required to care for an expanded number of older adults who have retained teeth and are medically complex. As the linkage of oral disease and systemic disease has focused on the relationship of periodontitis and noncommunicable chronic diseases, a broad review of 'geriatric periodontology' is both timely and important. This volume of Periodontology 2000 covers a range of subjects under this heading. Included are the demographics of an aging world; the effect of aging on stem cell function in the periodontium; the periodontal microbiota associated with aging; the host response in the periodontium of aging individuals; an analysis of the prevalence of periodontitis in the USA on a national, state-wide and community basis; differentiation of physiologic oral aging from disease; treatment of periodontal disease in older adults; implant therapy for older patients; oral disease and the frailty syndrome; the relationship of tooth loss to longevity and life expectancy; and the relationship of periodontal disease to noncommunicable chronic diseases. Although 'geriatric dentistry' is not a recognized specialty in dentistry, and 'geriatric periodontology' is a descriptive title, the subject of this volume of Periodontology 2000 is critical to the future of clinical dentistry, dental public health and dental research. Any comprehensive focus on older patients can only be accomplished with an emphasis on interprofessional education and practice. If embraced, this shift will allow the dental profession to be more closely aligned with the larger health-care environment, and can improve both oral health and health outcomes for patients seen in the dental office.
世界人口正在老龄化，据估计，到 2050 年，65 岁及以上人口将达到 15 亿。老龄化人口将受到非传染性慢性疾病的影响，包括糖尿病、心血管疾病和认知障碍。这种重要的人口结构变化包括牙齿缺失/无牙的减少，特别是在北美、西欧和东北亚的发达国家的老年人中。因此，未来牙科服务提供者将需要照顾更多保留牙齿且身体状况复杂的老年患者。由于口腔疾病与全身疾病的联系集中在牙周炎和非传染性慢性疾病的关系上，因此广泛回顾“老年牙周病学”既及时又重要。《牙周病学 2000》涵盖了这一标题下的一系列主题。包括老龄化世界的人口统计学；衰老对牙周组织中干细胞功能的影响；与衰老相关的牙周微生物群；衰老个体牙周组织中的宿主反应；基于美国全国、州和社区的牙周炎患病率分析；生理性口腔衰老与疾病的区别；老年患者的牙周病治疗；老年患者的种植治疗；口腔疾病与虚弱综合征；牙齿缺失与长寿和预期寿命的关系；以及牙周病与非传染性慢性疾病的关系。虽然“老年牙科”不是牙科的公认专业，“老年牙周病学”是一个描述性的标题，但《牙周病学 2000》这一卷的主题对临床牙科、牙科公共卫生和牙科研究的未来至关重要。任何对老年患者的全面关注都只能通过强调跨专业教育和实践来实现。如果被接受，这种转变将使牙科专业更紧密地与更大的医疗保健环境保持一致，并可以改善牙科诊所中患者的口腔健康和健康结果。
