Systemic Diseases and Their Treatments in the Elderly: Impact on Oral Health

Abstract

The lifespan of the US population is increasing, with the elderly desiring successful aging. This goal is jeopardized as multiple systemic conditions and their treatments become more prevalent with age, causing impaired systemic and oral health and influencing an older person's quality of life. To obtain successful aging, a compression of morbidity must be obtained through prevention and management of disease. This paper describes the most common systemic diseases causing morbidity and mortality in persons aged 65+ years: diseases of the heart, malignant neoplasms, cerebrovascular diseases, chronic obstructive pulmonary disease, pneumonia, influenza, diabetes mellitus, trauma, Alzheimer's disease, renal diseases, septicemia, and liver diseases. Disease prevalence and the impact of medications and other therapeutic measures used to treat these conditions are discussed. Oral sequelae are reviewed with guidelines for early detection of these deleterious consequences, considerations for oral treatment, and patient management. An understanding of the impact of systemic diseases and treatment on oral health is imperative for dental practitioners to appropriately treat and manage older patients with these conditions. With a focus on early detection and prevention, oral health care providers can improve the quality of life of this population and aid in the attainment of successful aging.

Total Protez Olgularinda Si̇stemi̇k Hastaliklarin Önemi̇

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“…Ainsi, il a été montré que l'Indice de Masse Corporelle (IMC) est plus faible chez les sujets atteints de parodontite sévère [21] . [15,22] , indépendamment des thérapeutiques psychotropes qui leur sont souvent associées.…”

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“…Desde el punto de vista estético puede generar vergüenza por su aspecto físico, a la par que se generaran otros problemas en el contexto social, cultural y en ciertas ocasiones religioso. 17,18 Existe una gran variedad de patologías que se pueden encontrar en la cavidad bucal, entre estas la caries dental y la enfermedad periodontal; 19,20 es muy importante comprender todos los factores, que hacen del individuo un objeto vulnerable, con frecuencia estos riesgos pueden dificultar una terapéu-tica preventiva ideal y emperorar el diagnóstico o prolongar su duración, por lo que se debe tener en cuenta que el proceso de envejecimiento produce en la cavidad bucal una serie de cambios graduales, irreversibles y acumulativos.…”