Desai Jhanvi P, Nair Rohit U
Department of Preventive and Community Dentistry, The University of Iowa College of Dentistry and Dental Clinics, Iowa City, IA 52242, USA.
J Clin Med. 2023 Apr 29;12(9):3202. doi: 10.3390/jcm12093202.
Older adults who face systemic health issues and lack adequate social support are at risk for oral health deterioration. How rapidly such changes take place depends on the severity of their medical condition and their ability to access oral health services in a timely manner. The management of dental caries and periodontal disease in this cohort is made complex by the interaction of local and host factors such as the presence of dry mouth, involvement of root surfaces, and altered wound healing. in addition to enhanced maintenance needs to avoid recurrence or progression. Tooth replacement can be beneficial in restoring oral function, allowing patients to enjoy a healthy and nutritious diet but requires careful consideration to avoid further damage to remaining dental units. Establishing a dental home for the older adult can facilitate routine surveillance, disease prevention, and patient/caregiver education to achieve oral health goals commensurate with overall health. This narrative review details oral health factors that are related to rapid oral health deterioration among older adults.
面临全身性健康问题且缺乏足够社会支持的老年人存在口腔健康恶化的风险。这些变化发生的速度取决于他们病情的严重程度以及及时获得口腔健康服务的能力。该人群中龋齿和牙周病的管理因局部和宿主因素的相互作用而变得复杂，如口干的存在、牙根表面的累及以及伤口愈合改变。此外，还需要加强维护以避免复发或进展。牙齿修复有助于恢复口腔功能，使患者能够享受健康营养的饮食，但需要谨慎考虑以避免对剩余牙体单位造成进一步损害。为老年人建立牙科之家有助于进行常规监测、疾病预防以及患者/护理人员教育，以实现与整体健康相称的口腔健康目标。这篇叙述性综述详细阐述了与老年人快速口腔健康恶化相关的口腔健康因素。
