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Prevention and management of periodontal diseases and dental caries in the older adults.
Periodontology 2000 ( IF 18.6 ) Pub Date : 2020-08-25 , DOI: 10.1111/prd.12338
Lubna Al-Nasser 1, 2 , Ira B Lamster 3, 4
Affiliation  

As a result of aging populations, in the future, dental practitioners will be caring for more older adults than ever before. These older adults, especially in developed countries, will demand a greater number of dental services, driven by increased tooth retention and an expectation of excellent oral healthcare throughout the life course. Further, the global rise in the prevalence and incidence of chronic diseases will increase the risk and/or severity of oral diseases and add a layer of complexity to the management of oral diseases in older adults. More older adults will be at a higher risk of periodontal disease and root caries as a result of reduced tooth loss and edentulism. This article reviews information on periodontitis and root caries, oral diseases which reflect the cumulative risk of the individual, and which are best addressed through prevention. Oral healthcare providers must embrace the concept of lifelong emphasis on prevention, as well as participation as active members of a healthcare team which provides healthcare for older adults in various settings (eg, hospital/clinic‐based care, community‐based settings, and long‐term care facilities). National guidelines that address oral health are being considered by some countries, and if these are implemented they will increase the accessibility to oral health for older adults. In parallel to this, revisions of existing older adult insurance schemes (eg, the inclusion of routine oral healthcare in the US Medicare program) would promote the maintenance of a functional dentition that is pain‐free and conducive to general health. The opportunity exists to implement a holistic approach to oral health that will align oral health with general health and emphasize that true health can only be achieved with the inclusion of oral health.

中文翻译:

预防和管理老年人的牙周疾病和龋齿。

由于人口老龄化,未来,牙科医生将比以往更多地照顾老年人。由于增加了牙齿的固位力并期望在整个生命过程中提供出色的口腔保健,这些老年人,尤其是在发达国家,将需要更多的牙科服务。此外,全球慢性病患病率和发病率的上升将增加口腔疾病的风险和/或严重程度,并给老年人口腔疾病的管理增加一层复杂性。由于减少了牙齿脱落和牙齿缺失,更多的老年人患牙周疾病和龋齿的风险更高。本文回顾了有关牙周炎和根龋,口腔疾病的信息,这些信息反映了个体的累积风险,最好通过预防来解决。口腔保健服务提供者必须接受终身强调预防的概念,并积极参与医疗保健团队的工作,该团队为各种环境(例如,医院/诊所式护理,社区环境和长期护理)中的老年人提供医疗保健定期护理设施)。一些国家正在考虑有关口腔健康的国家准则,如果实施这些准则,将会增加老年人获得口腔健康的机会。与此同时,修订现有的老年成人保险计划(例如,在美国医疗保险计划中纳入常规口腔保健)将促进维持无痛且有利于整体健康的功能性牙列。
更新日期:2020-08-25
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