Kamen P R
Division of Periodontics, Columbia University School of Dental & Oral Surgery, New York, New York, USA.
Dent Clin North Am. 1997 Oct;41(4):751-62.
Prevalence of periodontal disease increases with increasing age. Recent surveys show a decline in edentulism, resulting in an increase in the number of teeth at risk for moderate periodontal disease, with more severe disease restricted to a small portion of the population. Most evidence indicates that age associated increases in disease prevalence and severity is not caused by the process of aging, but is related to past disease history, social, and behavioral factors. Chronologic age is not a contradiction to any modality of periodontal treatment. Diagnosis and treatment of older patients may be modified by the increasing prevalence of chronic diseases, and by concomitant use of multiple medications.
牙周病的患病率随年龄增长而增加。最近的调查显示无牙症有所减少,导致患中度牙周病风险的牙齿数量增加,而更严重的疾病仅局限于一小部分人群。大多数证据表明,与年龄相关的疾病患病率和严重程度的增加并非由衰老过程引起,而是与过去的疾病史、社会和行为因素有关。实际年龄并非任何牙周治疗方式的禁忌。老年患者的诊断和治疗可能会因慢性病患病率的增加以及多种药物的同时使用而有所改变。