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Brazilian Journal of Oral Sciences

versão On-line ISSN 1677-3225

Braz. J. Oral Sci. vol.9 no.1 Piracicaba Jan./Mar. 2010

 

LITERATURE REVIEW

 

Aging and the periodontium

 

 

Simone Guimarães Farias GomesI; Carolina Beraldo MelotoI; William CustodioI; Célia Marisa Rizzatti-BarbosaII

IDDS, MS, Graduate student, Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Brazil
IIDDS, MS, PhD, Professor, Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Brazil

Correspondence

 

 


ABSTRACT

The geriatric population has been growing fast over the last decades in Brazil and all over the world, changing demographics. Additionally, increased knowledge and the advances of modern dentistry have led the old population to retain more natural teeth, needing specialized dental services for a longer time. Changes in biochemical and physiological processes occur with aging in all body tissues, including the periodontium. The association between periodontal and systemic diseases has also been widely discussed, suggesting the need of a multidisciplinary care, especially in older adults, who are frequently affected by chronic systemic conditions and multiple drug therapy. These features lead to a highly complex management of the geriatric population, challenging the dental care providers. The aim of this study is to review the age-related changes and the consequences of other factors, such as systemic diseases and drugs, on the periodontium of aged patients.

Keywords: aging, periodontium, disease.


 

 

Full text available only in PDF format.

 

 

References

1. Nogueira SL, Geraldo, JM, Machado JC, Ribeiro RCL. Distribuição espacial e crescimento da população idosa nas capitais brasileiras de 1980 a 2006: um estudo ecológico. Rev Bras Estud Popul. 2008; 25: 195-8.         [ Links ]

2. Samson H, Strand GV, Haugejorden O. Change in oral health status among the institutionalized Norwegian elderly over a period of 16 years. Acta Odontol Scand. 2008; 66: 368-73.         [ Links ]

3. Locker D, Slade GD, Murray H. Epidemiology of periodontal disease among older adults: a review. Periodontol 2000. 1998; 16: 16-33.         [ Links ]

4. Qian F, Levy SM, Warren JJ, Hand JS. Incidence of periodontal attachment loss over 8 to 10 years among Iowa elders aged 71+ at baseline. J Public Health Dent. 2007; 67: 162-70.         [ Links ]

5. Thomson WM, Slade GD, Beck JD, Elter JR, Spencer AJ, Chalmers JM. Incidence of periodontal attachment loss over 5 years among older South Australians. J Clin Periodontol. 2004; 31: 119-25.         [ Links ]

6. Johnson BD, Mulligan K, Kiyak HA, Marder M. Aging or disease? Periodontal changes and treatment considerations in the older dental patient. Gerontology. 1989; 8: 109-18.         [ Links ]

7. Needleman I. Envelhecimento e o periodonto. In: Newman MG, Takei HH, Carranza FA. Periodontia clínica. 9.ed. Rio de Janeiro: Guanabara Koogan; 2004. p.51-5.         [ Links ]

8. Marsillac MWS, Mello HSA. Doença periodontal em idosos. In: Mello HSA. Odontogriatria. São Paulo: Santos; 2005. p.107-14.         [ Links ]

9. Zenóbio EG, Toledo BEC, Zuza EP. Fisiologia, patologia e tratamento das doenças do periodonto do paciente geriátrico. In: Campostrini E. Odontogeriatria. Rio de Janeiro: Revinter; 2004. p.184-98.         [ Links ]

10. Severson JA, Moffett BC, Kokich V, Selipsky H. A histologic study of age changes in the adult human periodontal joint (ligament). J Periodontol. 1978; 49: 189-200.         [ Links ]

11. Salonen LWE, Frithiof L, Wouters FR, Helld LB. Marginal alveolar bone height in an adult Swedish population: a radiographic cross-sectional epidemiologic study. J Clin Periodontol. 1991; 18: 223-32.         [ Links ]

12. Fransson C, Berglundh T, Lindhe J. The effect of age on the development of gingivitis. Clinical, microbiological and histological findings. J Clin Periodontol. 1996; 23: 379-85.         [ Links ]

13. Fransson C, Mooney J, Kinane DF, Berglundh T. Differences in the inflammatory response in young and old human subjects during the course of experimental gingivitis. J Clin Periodontol. 1999; 26: 453-60.         [ Links ]

14. Persson RE, Persson GR. The elderly at risk for periodontitis and systemic diseases. Den Clin North Am. 2005; 49: 279-92.         [ Links ]

15. De Rossi SS, Slaughter YA. Oral changes in older patients: a clinician's guide. Quintessence Int. 2007; 38: 773-80.         [ Links ]

16. Seymour GJ, Ford PJ, Cullinan MP, Leishman S, Yamazaki K. Relatioship between periodontal infections and systemic disease. Clin Microbiol Infect. 2007; 13: 3-10.         [ Links ]

17. Williams RC, Barnett AH, Claffey N, Davis M, Gadsby R, Kellet M et al. The potential impact of periodontal disease on general health: a consensus view. Curr Med Res Opin. 2008; 24: 1635-43.         [ Links ]

18. Novak MJ, Potter RM, Blodgett J, Ebersole JL. Periodontal disease in Hispanic Americans with type 2 diabetes. J Periodontol. 2008; 79: 629-36.         [ Links ]

19. Nishimura F, Takahashi K, Kurihara M, Takashiba S, Murayama Y. Periodontal disease as a complication of diabetes mellitus. Ann Periodontol. 1998; 3: 20-9.         [ Links ]

20. Khader YS, Dauod AS, El-Qaderi SS, Alkafajei A, Batayha WQ. Periodontal status of diabetics compared with non-diabetics: a meta-analysis. J Diabetes Complication. 2006; 20: 59-68.         [ Links ]

21. O'Connell PA, Taba M, Nomizo A, Foss Freitas MC, Suaid FA, Uvemura SA et al. Effects of periodontal therapy on glycemic control and inflammatory markers. J Periodontol. 2008; 79: 774-83.         [ Links ]

22. Paquette DW, Brodala N, Nichols TC. Cardiovascular disease, inflammation, and periodontal infection. Periodontol 2000. 2007; 44: 113-26.         [ Links ]

23. Bahekar AA, Singh S, Saha S, Molnar J, Arora R. The prevalence and incidence of coronary heart disease is significantly increased in periodontitis: a meta-analysis. Am Heart J. 2007; 154: 830-7.         [ Links ]

24. Geerts SO, Legrand V, Charpentier J, Albert A, Rompen EH. Further evidence of the association between periodontal conditions and coronary artery disease. J Periodontol. 2004; 75: 1274-80.         [ Links ]

25. Elkaïm R, Dahan M, Kocgozlu L, Werner S, Kanter D, Kretz JG et al. Prevalence of periodontal pathogens in subgingival lesion, atherosclerotic plaques and healthy blood vessels: a preliminary study. J Periodontal Res. 2008; 43: 224-31.         [ Links ]

26. Linden GJ, McClean K, Young I, Evans A, Kee F. Persistently raised Creactive protein levels are associated with advanced periodontal disease. J Clin Periodontol. 2008; 35: 741-7.         [ Links ]

27. Ridker PM, Hennekens CH, Buring JE, Rifai N. C-reactive protein and other markers of inflammation in the prediction of cardiovascular disease in women. N Engl J Med. 2000; 342: 836-43.         [ Links ]

28. Ridker PM, Rifai N, Rose L, Buring JE, Cook NR. Comparison of C-reactive protein and low-density lipoprotein cholesterol levels in the prediction of first cardiovascular events. N Engl J Med. 2002; 347: 1557-65.         [ Links ]

29. Craig RG. Interactions between chronic renal disease and periodontal disease. Oral Dis. 2008; 14: 1-7.         [ Links ]

30. Shultis WA, Weil EJ, Looker HC, Curtis JM, Shlossman M, Genco RJ et al. Effect of periodontitis on overt nephropathy and end-stage renal disease in type 2 diabetes. Diabetes Care. 2007; 30: 306-11.         [ Links ]

31. Kshirsagar AV, Craig RG, Moss KL, Beck JD, Offenbacher S, Kotanko P et al. Periodontal disease adversely affects the survival of patients with endstage renal disease. Kidney Int. 2009; 75: 746-51.         [ Links ]

32. Rosania AE, Low KG, McCormick , Rosania DA. Stress, depression, cortisol, and periodontal disease. J Periodontol. 2009; 80: 260-6.         [ Links ]

33. Friedlander AH, Mahler ME. Major depressive disorder: psychopathology, medical management and dental implications. J Am Dent Assoc. 2001; 132: 629-38.         [ Links ]

34. Peruzzo DC, Benatti BB, Ambrosano GMB, Nogueira-Filho GR, Sallum EA, Casati MZ et al. A systematic review of stress and psychological factors as possible risk factors for periodontal disease. J Periodontol. 2007; 78: 1491-504.         [ Links ]

35. Ndiaye CF, Critchlow CW, Leggott PJ, Kiviat NB, Ndoye I, Robertson PB et al. Periodontal status of HIV-1 and HIV-2 seropositive and HIV seronegative female commercial sex workers in Senegal. J Periodontol. 1997; 68: 827-31.         [ Links ]

36. Kinane DF, Marshall GJ. Periodontitis modified by systemic factors. Ann Periodontol. 1999; 4: 54-63.         [ Links ]

37. Lemos S, Oliveira F, Vencio E. Periodontal disease and oral hygiene benefits in HIV seropositive and AIDS patients. Med Oral Patol Oral Cir Bucal. 2010; 15: e417-21.         [ Links ]

38. Yu YH, Kuo HK. Association between cognitive function and periodontal disease in older adults. J Am Geriatr Soc. 2008; 56: 1693-7.         [ Links ]

39. Kamer AR, Craig RG, Dasanayake AP, Brys M, Glodzik-Sobanska L, de Leon MJ. Inflammation and Alzheimer's disease: Possible role of periodontal diseases. Alzheimers Dement. 2008; 4: 242-50.         [ Links ]

40. Einarsdóttir ER, Gunnsteinsdóttir H, Hallsdóttir MH, Sveinsson S, Jónsdóttir SR, Olafsson VG et al. Dental health of patients with Parkinson's disease in Iceland. Spec Care Dentist. 2009; 29: 123-7.         [ Links ]

41. Ylöstalo P, Suominen-Taipale L, Reunanen A, Knuuttila M. Association between body weight and periodontal infection. J Clin Periodontol. 2008; 35: 297-304.         [ Links ]

42. Linden G, Patterson C, Evans A, KeeF. Obesity and periodontitis in 60–70-year-old men. J Clin Periodontol. 2007; 34: 461–6.         [ Links ]

43. Al-Zahrani MS, Bissada NF, Borawskit EA. Obesity and periodontal disease in young, middle-aged, and older adults. J Periodontol. 2003; 74: 610-5.         [ Links ]

44. Dervis E. Oral implications of osteoporosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 100: 349-56.         [ Links ]

45. Brennan RM, Genco RJ, Hovey KM, Trevisan M. Clinical attachmento loss, systemic bone density, and subgingival calculus in postmenopausal women. J Periodontol. 2007; 78: 2104-11.         [ Links ]

46. Krall EA, Wehler C, Garcia RI, Harris SS, Dawson-Hughes B. Calcium and vitamin D supplements reduce tooth loss in the elderly. Am J Med. 2001; 111: 452-6.         [ Links ]

47. Montenegro FLB, Pereira CMM, Marchini L, Nascimento DFF, Brunetti RF. Efeitos colaterais bucais dos medicamentos em idosos: um ponto muito importante para discussão pela equipe interdisciplinar de cuidados em saúde; 2006. Available from: http://www.odontologia.com.br/artigos.asp?id=552. Acessed 2008 out 19.         [ Links ]

48. Sreebny LM. Salivary flow in health and disease: an appraisal and update. Int Dent J. 2000; 50: 140-61.         [ Links ]

49. Nagler RM, Hershkovic O. Relationships between age, drugs, oral sensorial complaints and salivary profile. Arch Oral Biol. 2005; 50: 7-16.         [ Links ]

50. Pajukoski H, Meurman JH, Snellman-Gröhn S, Keinänen S, Sulkava R. Salivary flow and composition in elderly patients referred to an acute geriatric ward. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997; 84: 265-71.         [ Links ]

51. Johnson GK, Hill M. Cigarette smoking and periodontal patient. J Periodontol. 2004; 75: 196-209.         [ Links ]

52. Torrungruang K, Nisapakultorn K, Sutdhibhisal S, Tamsailom S, Rojanasomsith K, Vanichjakvong O et al. The effect of cigarette smoking on the severity of periodontal disease among older Thai adults. J Periodontol. 2005; 76: 566-72.         [ Links ]

53. Genco RJ, Ho AW, Kopman J, Grossi SG, Dunford RG, Tedesco LA. Models to evaluate the role of stress in periodontal disease. Ann Periodontol. 1998; 3: 288-302.         [ Links ]

54. Deinzer R, Förster P, Fuck L, Herforth A, Stiller-Winkler R, Idel H. Increase of crevicular interleukin-1â under academic stress at experimental gingivitis sites and at sites of perfect oral hygiene. J Clin Periodontol. 1999; 26: 1-8.         [ Links ]

55. DeFronzo RA, Ferrannini E. Insulin resistance. A multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipedemia, and atherosclerotic cardiovascular disease. Diabetes Care. 1991; 14: 173-94.         [ Links ]

56. Duval X, Leport C. Prophylaxis of infective endocarditis: current tendencies, continuing controversies. Lancet Infect Dis. 2008; 8: 225-32.         [ Links ]

 

 

Correspondence to:
Simone Guimarães Farias Gomes
Faculdade de Odontologia de Piracicaba UNICAMP
Av. Limeira 901 C.P. 52, CEP 13414-903,
Piracicaba, SP, Brasil
E-mail: monegfg@hotmail.com

Received for publication: November 11, 2009
Accepted: March 20, 2010