van der Putten Gert-Jan, de Baat Cees
Orpea Dagelijks Leven, 7327 AA Apeldoorn, The Netherlands.
Department of Dentistry, Radboud University Nijmegen Medical Centre, 6525 GA Nijmegen, The Netherlands.
J Clin Med. 2023 Jun 27;12(13):4306. doi: 10.3390/jcm12134306.
The oral health of older individuals can be negatively impacted by various systemic health factors, leading to rapid oral health deterioration. This paper aims to present an overview of the published evidence on systemic health factors that contribute to rapid oral health deterioration in older individuals, and to explore the implications of these factors for both general healthcare and oral healthcare provision. Older people are at risk of experiencing adverse reactions to medications due to multimorbidity, polypharmacy, and changes in pharmacokinetics and pharmacodynamics. Hyposalivation, a significant side effect of some medications, can be induced by both the type and number of medications used. Frailty, disability, sarcopenia, care dependency, and limited access to professional oral healthcare can also compromise the oral health of older people. To prevent rapid oral health deterioration, a comprehensive approach is required that involves effective communication between oral healthcare providers, other healthcare providers, and informal caregivers. Oral healthcare providers have a responsibility to advocate for the importance of maintaining adequate oral health and to raise awareness of the serious consequences of weakened oral health. By doing so, we can prevent weakened oral health from becoming a geriatric syndrome.
老年人的口腔健康会受到多种全身健康因素的负面影响，导致口腔健康迅速恶化。本文旨在概述已发表的关于导致老年人口腔健康迅速恶化的全身健康因素的证据，并探讨这些因素对一般医疗保健和口腔医疗服务的影响。由于多种疾病共存、多种药物治疗以及药代动力学和药效学的变化，老年人有发生药物不良反应的风险。某些药物的一个重要副作用——唾液分泌减少，可能由所用药物的类型和数量引起。身体虚弱、残疾、肌肉减少症、护理依赖以及获得专业口腔医疗服务的机会有限，也会损害老年人的口腔健康。为防止口腔健康迅速恶化，需要采取一种综合方法，其中包括口腔医疗服务提供者、其他医疗服务提供者和非正式护理人员之间的有效沟通。口腔医疗服务提供者有责任倡导保持充足口腔健康的重要性，并提高对口腔健康不佳的严重后果的认识。通过这样做，我们可以防止口腔健康不佳成为一种老年综合征。
