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Diseases of Periodontal Tissues in the Elderly

Description, Epidemiology, Aetiology and Drug Therapy

  • Epidemiology
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Summary

Periodontal diseases are among the most prevalent conditions in adults, and afflict many individuals of all ages. They refer to a cluster of inflammatory conditions of the periodontium, the tissues that surround the teeth. Ultimately, periodontal diseases cause the loss of alveolar bone support and may lead to tooth loss. The clinical presentation of periodontal diseases is primarily independent of the age of a person, and successful diagnosis and treatment can be achieved in both young and old individuals. These diseases primarily include gingivitis, periodontitis and oral vesiculobullous diseases of the gingival tissues. Multiple oral, systemic and behavioural factors contribute to the occurrence and progression of these conditions. Appropriate treatment requires accurate diagnosis and the use of oral nonsurgical and surgical techniques, topical and systemic medications and an emphasis on self-applied oral hygiene practices.

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References

  1. Ellen RP. Considerations for physicians caring for older adults with periodontal disease. Clin Geriatr Med 1992; 8: 599–616

    PubMed  CAS  Google Scholar 

  2. Brown RS, Beaver WT, Bottomley WK. On the mechanism of drug-induced gingival hyperplasia. J Oral Pathol Med 1991; 20: 201–9

    Article  PubMed  CAS  Google Scholar 

  3. Baum BJ, Ship JA. The oral cavity. In: Hazzard WR, Bierman EL, Blass JP, et al., editors. Principles of geriatric medicine and gerontology. 3rd ed. New York: McGraw Hill, 1994: 431–40

    Google Scholar 

  4. Seymour RA, Heasman PA. Drugs, diseases, and the periodontium. Oxford: Oxford University Press, 1992

    Google Scholar 

  5. Wood NK, Goaz PW. Differential diagnosis of oral lesions. St Louis: Mosby Yearbook, 1991

    Google Scholar 

  6. Carranza FA. Glickman’s clinical periodontology. 6th ed. Philadelphia: WB Saunders, 1984

    Google Scholar 

  7. Burt BA. Epidemiology of dental diseases in the elderly. Clin Geriatr Med 1992; 8: 447–59

    PubMed  CAS  Google Scholar 

  8. Hugoson A, Koch G, Bergendal T, et al. Oral health of individuals aged 3-80 years in Jönköping, Sweden, in 1973 and 1983. Swed Dent J 1986; 10: 175–94

    PubMed  CAS  Google Scholar 

  9. Ship JA, Wolff A. Gingival and periodontal parameters in a population of healthy adults, 22–90 years of age. Gerodontology 1988; 7: 55–60

    Article  PubMed  CAS  Google Scholar 

  10. Miller AJ, Brunelle JA, Carlos JP, et al. Oral health of United States adults. National Institutes of Health, Public Health Services, Department of Health and Human Services, 1987. NIH Publication No 87-2868

  11. Hunt RJ, Field HM, Beck JD. The prevalence of periodontal conditions in a non-institutionalized elderly population. Gerodontics 1985; 1: 176–80

    PubMed  CAS  Google Scholar 

  12. Hansen GC. An epidemiological investigation of the effect of biologic aging on the breakdown of periodontal tissue. J Periodontol 1973; 44: 269–77

    PubMed  CAS  Google Scholar 

  13. Carlos JP, Brunelle JA, Wolfe MD. Attachment loss vs. pocket depth as indicators of periodontal disease: a methodologic note. J Periodontal Res 1987; 22: 524–5

    Article  PubMed  CAS  Google Scholar 

  14. Ship JA, Beck JD. Ten year longitudinal study: periodontal attachment loss in healthy adults. J Dent Res 1993; 72 (IADR Abstracts): 265

    Google Scholar 

  15. Hugoson A, Jordan T. Frequency distribution of individuals aged 20–70 years according to severity of periodontal disease. Community Dent Oral Epidemiol 1982; 10: 187–92

    Article  PubMed  CAS  Google Scholar 

  16. Burt BA, Ismail AI, Eklund SA. Periodontal disease, tooth loss, and oral hygiene among older Americans. Community Dent Oral Epidemiol 1985; 13: 93–6

    Article  PubMed  CAS  Google Scholar 

  17. Beck JD, Hunt RJ. Oral health status in the United States: problems of special patients. J Dent Educ 1985; 49(6): 407–25

    PubMed  CAS  Google Scholar 

  18. Levy SM, Heckert DA, Beck JD, et al. Multivariate correlates of periodontally healthy teeth in an elderly population. Gerodontics 1987; 3: 85–8

    PubMed  CAS  Google Scholar 

  19. Ismail AI, Eklund SA, Burt BA, et al. Prevalence of deep periodontal pockets in New Mexico adults aged 27 to 84 years. J Public Health Dent 1986; 46: 199–206

    Article  PubMed  CAS  Google Scholar 

  20. Kelly JE, Harvey CR. Basic data on dental examination findings of persons 1–74 years, United States, 1971–1974. Washington, D.C.: National Center for Health Statistics, Public Health Services, 1979. Vital and Health Statistics. DHEW Publication No. (PHS) 79-1662, Series 11, No 214

  21. Douglass C, Gillings D, Sollecito W, et al. The potential for increase in the periodontal diseases of the aged population. J Periodontol 1983; 54: 721–30

    Article  PubMed  CAS  Google Scholar 

  22. Sastrowijoto SH, van der Velden U, van Steenbergen TJM, et al. Improved metabolic control, clinical periodontal status, and subgingival microbiology in insulin-dependent diabetes. J Clin Periodontol 1990; 17: 233–42

    Article  PubMed  CAS  Google Scholar 

  23. Ismail AI, Eklund SA, Striffler DF, et al. The prevalence of advanced loss of periodontal attachment in two New Mexico populations. J Periodontal Res 1987; 22: 119–24

    Article  PubMed  CAS  Google Scholar 

  24. Löe H, Anerud A, Boysen H, Smith M. The natural history of periodontal disease in man. J Periodontol 1978; 49: 607–21

    Article  PubMed  Google Scholar 

  25. Kleinman DV, Swango PA, Niessen LC. Epidemiologic studies of oral mucosal conditions —methodologie issues. Community Dent Oral Epidemiol 1991; 19: 129–40

    Article  PubMed  CAS  Google Scholar 

  26. Williams DM. Vesiculobullous mucocutaneous disease: pemphigus vulgaris. J Oral Pathol Med 1989; 18: 544–53

    Article  PubMed  CAS  Google Scholar 

  27. Wilton JMA, Griffiths GS, Curtis MA, et al. Detection of highrisk groups and individuals for periodontal diseases. J Clin Periodontol 1988; 15: 339–46

    Article  PubMed  CAS  Google Scholar 

  28. Seymour RA, Heasman PA. Drugs, diseases, and the periodontium. Oxford: Oxford University Press, 1992: 19–76

    Google Scholar 

  29. Dongari A, McDonnell HT, Langlais RP. Drug-induced gingival overgrowth. Oral Surg Oral Med Oral Pathol 1993; 76: 543–8

    Article  PubMed  CAS  Google Scholar 

  30. Butler RT, Kalkwarf KL, Kaldahl WB. Drug-induced gingival hyperplasia: phenytoin, cyclosporine, and nifedipine. J Am Dent Assoc 1987; 114: 56–60

    PubMed  CAS  Google Scholar 

  31. Wynn RL. Calcium channel blockers and gingival hyperplasia. Gen Dent 1991; 39: 240–3

    PubMed  CAS  Google Scholar 

  32. Wysocki GP, Gretzinger HA, Laupacis A, et al. Fibrous hyperplasia of the gingiva: a side effect of cyclosporin A therapy. Oral Surg Oral Med Oral Pathol 1983; 55(3): 274–8

    Article  PubMed  CAS  Google Scholar 

  33. Seymour RA, Smith DG, Rogers SR. The comparative effects of azathioprine and cyclosporin on some gingival health parameters of renal transplant patients: a longitudinal study. J Clin Periodontol 1987; 14(10): 610–3

    Article  PubMed  CAS  Google Scholar 

  34. Seymour RA, Heasman PA. Drugs and the periodontium. J Clin Periodontol 1988; 15: 1–16

    Article  PubMed  CAS  Google Scholar 

  35. Goodnik P, Gershon S. Chemotherapy of cognitive disorders in geriatric subjects. J Clin Psych 1984; 45: 196–209

    Google Scholar 

  36. Charatan FB. The geropsychiatric patient. Spec Care Dent 1985; 213–6

  37. Axelsson P, Lindhe J, Nystrom B. On the prevention of caries and periodontal disease: results of a 15-year longitudinal study in adults. J Clin Periodontol 1991; 18(3): 182–9

    Article  PubMed  CAS  Google Scholar 

  38. Holm-Pedersen P, Agerbaek N, Theilade E. Experimental gingivitis in young and elderly individuals. J Clin Periodontol 1975; 2(1): 14–24

    Article  PubMed  CAS  Google Scholar 

  39. Beiswanger BB, Mallatt ME, Mau MS, et al. The relative plaque removal effect of a prebrushing mouthrinse. J Am Dent Assoc 1990; 120: 190–2

    PubMed  CAS  Google Scholar 

  40. Persson RE, Truelove EL, LeResche L, et al. Therapeutic effects of daily or weekly chlorhexidine rinsing on oral health of a geriatric population. Oral Surg Oral Med Oral Pathol 1991; 72: 184–91

    Article  PubMed  CAS  Google Scholar 

  41. Siegrist BE, Gusberti FA, Brecx MC, et al. Efficacy of supervised rinsing with chlorhexidine digluconate in comparison to phenolic and plant alkaloid compounds. J Periodontal Res 1986; 21 Suppl. 16: 60–73

    Article  Google Scholar 

  42. Ferretti GA, Ash RC, Brown AT, et al. Chlorhexidine for prophylaxis against oral infections and associated complications in patients receiving bone marrow transplants. J Am Dent Assoc 1987; 114: 461–7

    PubMed  CAS  Google Scholar 

  43. Greenwell H, Stovsky DA, Bissada NF. Periodontics in general practice: perspectives on nonsurgical therapy. J Am Dent Assoc 1987; 115: 591–5

    PubMed  CAS  Google Scholar 

  44. Holm-Pederson P, Loe H. Wound healing in the gingiva of young and old individuals. Scand J Dent Res 1971; 79: 40–53

    Google Scholar 

  45. Lindhe J, Socransky S, Nyman S, et al. Effect of age on healing following periodontal therapy. J Clin Periodontol 1985; 12: 774–87

    Article  PubMed  CAS  Google Scholar 

  46. Tseng PW, Newcomb GM. The effect of a single episode of chlorhexidine irrigation on the gingival response to scaling and root planing. J Clin Dent 1991; 2(4): 83–6

    PubMed  CAS  Google Scholar 

  47. Krust KS, Drisko CL, Gross K, et al. The effects of subgingival irrigation with chlorhexidine and stannous fluoride: a preliminary investigation. J Dent Hyg 1991; 65(6): 289–95

    PubMed  CAS  Google Scholar 

  48. Lander PE, Newcomb GM, Seymour GJ, et al. The antimicrobial and clinical effects of a single subgingival irrigation of chlorhexidine in advanced periodontal lesions. J Clin Periodontol 1986; 13(1): 74–80

    Article  PubMed  CAS  Google Scholar 

  49. Jolkovsky DL, Waki MY, Newman MG, et al. Clinical and microbiological effects of subgingival and gingival marginal irrigation with chlorhexidine gluconate. J Periodontol 1990; 61(11): 663–9

    Article  PubMed  CAS  Google Scholar 

  50. Addy M, Hassan H, Moran J, et al. Use of antimicrobial containing acrylic strips in the treatment of chronic periodontal disease: a three month follow-up study. J Periodontol 1988; 59(9): 557–64

    Article  PubMed  CAS  Google Scholar 

  51. Deasy PB, Collins AE, MacCarthy DJ, et al. Use of strips containing tetracycline hydrochloride or metronidazole for the treatment of advanced periodontal disease. J Pharm Pharmacol 1989; 41(190): 694–9

    Article  PubMed  CAS  Google Scholar 

  52. Novak MJ, Poison AM, Adair SM. Tetracycline therapy in patients with early juvenile periodontitis. J Periodontol 1988; 56(6): 366–72

    Article  Google Scholar 

  53. Joyston-Bechal S, Smales FC, Duckworth R. Effect of metronidazole on chronic periodontal disease in subjects using a topically applied chlorhexidine gel. J Clin Periodontol 1984; 11(l): 53–62

    Article  PubMed  CAS  Google Scholar 

  54. Clark DC, Shenker S, Stulginski P, et al. Effectiveness of routine periodontal treatment with and without adjunctive metronidazole therapy in a sample of mentally retarded adolescents. J Periodontol 1983; 54(11): 658–65

    Article  PubMed  CAS  Google Scholar 

  55. Greenstein G. The role of metronidazole in the treatment of periodontal diseases. J Periodontol 1993; 64(1): 1–15

    Article  PubMed  CAS  Google Scholar 

  56. Loesche WJ, Giordano JR, Hujoel P, et al. Metronidazole in periodontitis: reduced need for surgery. J Clin Periodontol 1992; 19: 103–12

    Article  PubMed  CAS  Google Scholar 

  57. Lindhe J, Liljenberg B, Adielsson B. Effect of long-term tetracycline therapy on human periodontal disease. J Clin Periodontol 1983; 10(6): 590–601

    Article  PubMed  CAS  Google Scholar 

  58. Lozada-Nur F. Prednisone and azathioprine in the treatment of vesiculoerosive oral diseases. Oral Surg Oral Med Oral Pathol 1981; 52: 257–60

    Article  Google Scholar 

  59. Lever W, Schaumburg-Lever G. Treatment of pemphigus vulgaris. Arch Dermatol 1984; 120: 44–7

    Article  PubMed  CAS  Google Scholar 

  60. Murrah VA. Diabetes mellitus and associated oral manifestations: a review. J Oral Pathol 1985; 14(4): 271–81

    Article  PubMed  CAS  Google Scholar 

  61. Golub LM, Lee HM, Nemiroff A, et al. Minocycline reduces gingival collagenolytic activity during diabetes: preliminary observations and a proposed new mechanism of action. J Periodontal Res 1983; 18: 516–26

    Article  PubMed  CAS  Google Scholar 

  62. Holm-Pedersen P. Periodontal treatment and prophylaxis in the frail elderly. Int Dent J 1991; 41: 225–32

    PubMed  CAS  Google Scholar 

  63. Stabholz A, Kettering J, Aprecio R, et al. Retention of antimicrobial activity by human root surfaces after in situ subgingival irrigation with tetracycline HC1 or chlorhexidine. J Periodontol 1993; 64(2): 137–41

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Oral Medicine, Pathology, Surgery, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA

    Jonathan A. Ship (Associate Professor and Director) & Heidi C. Crow

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  1. Jonathan A. Ship
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  2. Heidi C. Crow
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Ship, J.A., Crow, H.C. Diseases of Periodontal Tissues in the Elderly. Drugs & Aging 5, 346–357 (1994). https://doi.org/10.2165/00002512-199405050-00004

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