Changes in the Oral Cavity with Age

  • Susan Pugliese
  • Ajay R. Kashi


Oral health and it’s implications to one’s overall health is often overlooked as insignificant or unimportant by the general population as well as the ever increasing geriatric population. The condition of the anatomical structures in the oral cavity (e.g., tongue, palate, teeth, and gums) can reflect the general health status of an individual. Although many pathologies alter the normal flora of the oral cavity in all age groups, older individuals typically present with certain changes in their oral cavity which are normal for their age [1]. Physicians and dental practitioners must be aware of pathologic findings versus normal findings in the oral cavity that are consistent with aging. Oral changes in the geriatric population have widespread implications ranging from the physical to the psychological and social well being of the individual.


Human Immunodeficiency Virus Oral Health Oral Cavity Infective Endocarditis Geriatric Patient 
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  1. 1.
    Scully C, Ettinger RL (2007) The influence of systemic diseases on oral health care in older adults. J Am Dent Assoc 138:7S–14SPubMedGoogle Scholar
  2. 2.
    Scott J, Cheah SB (1989) The prevalence of oral mucosal lesions in the elderly in a surgical biopsy population: a retrospective analysis of 4042 cases. Gerodontology 8(3):73–78PubMedCrossRefGoogle Scholar
  3. 3.
    Baum BJ, Bodner L (1983) Aging and oral motor function: evidence for altered performance among older persons. J Dent Res 62(1):2–6PubMedCrossRefGoogle Scholar
  4. 4.
    Fucile S, Wright PM, Chan I, Yee S, Langlais M-E, Gisel EG (1998) Functional oral-motor skills: do they change with age? Dysphagia 13:195–201PubMedCrossRefGoogle Scholar
  5. 5.
    Meurman JH, Pajukoski H, Snellman S, Zeiler S, Sulkava R (1997) Oral infections in home-living elderly patients admitted to an acute geriatric ward. J Dent Res 76(6):1271–1276PubMedCrossRefGoogle Scholar
  6. 6.
    Avcu N, Ozbek M, Kurtoglu D, Kurtoglu E, Kansu O, Kansu H (2005) Oral findings and health status among hospitalized patients with physical disabilities, aged 60 or above. Arch Gerontol Geriatr 41:69–79PubMedCrossRefGoogle Scholar
  7. 7.
    Otomo-Corgel J (1996) Periodontal treatment of geriatric patients. In: Carranza FA, Newman MG (eds) Clinical periodontology. W.B. Saunders, Philadelphia, pp 423–425Google Scholar
  8. 8.
    Woolf AD, Pfleger B (2003) Burden of major musculoskeletal conditions. Bull World Health Org 81(9):646–656PubMedGoogle Scholar
  9. 9.
    Kelsey JL, Lamster IB (2008) Influence of musculoskeletal conditions on oral health among older adults. Am J Public Health 98:1177–1183PubMedCrossRefGoogle Scholar
  10. 10.
    Naveau A, Naveau B (2006) Osteonecrosis of the jaw in patients taking bisphosphonates. Joint Bone Spine 73:7–9PubMedCrossRefGoogle Scholar
  11. 11.
    Ruggiero SL, Drew SJ (2007) Osteonecrosis of the jaws and bisphosphonate therapy. J Dent Res 11:1013–1021Google Scholar
  12. 12.
    Ruggiero SL, Fantasia J, Carlson E (2006) Bisphosphonate-related osteonecrosis of the jaw: background and guidelines for diagnosis, staging and management. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 4:433–441Google Scholar
  13. 13.
    Hildebrandt GH, Loesche WJ, Lin C-F, Bretz WA (1995) Comparison of the number and type of dental functional units in geriatric populations with diverse medical backgrounds. J Prosthet Dent 3:253–261CrossRefGoogle Scholar
  14. 14.
    Lockhart SR, Joly S, Vargas K, Swails-Wenger J, Enger L, Soll DR (1999) Natural defenses against Candida colonization breakdown in the oral cavities of the elderly. J Dent Res 78:857–868PubMedCrossRefGoogle Scholar
  15. 15.
    Wilson W, Taubert KA, Gewitz M et al (2008) Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. J Am Dent Assoc 139:3S–24SPubMedGoogle Scholar
  16. 16.
    Soell M, Hassan M, Miliauskaite A, Haikel Y, Selimovic D (2007) The oral cavity of elderly patients in diabetes. Diabetes Metab 33:S10–S18PubMedCrossRefGoogle Scholar
  17. 17.
    Friedlander AH, Norman DC, Mahler ME, Norman KM, Yagiela JA (2006) Alzherimer’s disease: psychopathology, medical management and dental implications. J Am Dent Assoc 137:1240–1251PubMedGoogle Scholar
  18. 18.
    Little JW, Flace DA, Miller CS, Rhodus NL (2007) Neurologic disorders. In: Dental management of the medically compromised patient, 7th edn. Mosby, St. Louis, MO, pp 464–487Google Scholar
  19. 19.
    Stroke: hope through research. Accessed 17 Dec 2008
  20. 20.
    MacDonald DE (2006) Principles of geriatric dentistry and their application to the older adult with a physical disability. Clin Geriatr Med 22:413–434PubMedCrossRefGoogle Scholar
  21. 21.
    Sheiham A, Steele JG, Marcenes W, Lowe C, Finch S, Bates CJ, Prentice A, Walls AWG (2001) The relationship among dental status nutrient intake and nutritional status in older people. J Dent Res 80:408–413PubMedCrossRefGoogle Scholar
  22. 22.
    Awano S, Ansai T, Takata Y, Soh I, Akifusa S, Hamasaki T, Yoshida A, Sonoki K, Fujisawa K, Takehara T (2008) Oral health and mortality risk from pneumonia in the elderly. J Dent Res 87:334–339PubMedCrossRefGoogle Scholar
  23. 23.
    Ghezzi EM, Ship JA (2003) Aging and secretory reserve capacity of major salivary glands. J Dent Res 82:844–848PubMedCrossRefGoogle Scholar
  24. 24.
    Janssens JP, Pache JC, Nicod LP (1999) Physiological changes in respiratory function associated with ageing. Eur Respir J 13:197–205PubMedCrossRefGoogle Scholar
  25. 25.
    Epstein M (1996) Aging and the kidney. J Am Soc Nephrol 7:1106–1122PubMedGoogle Scholar
  26. 26.
    Tylenda CA, Ship JA, Fox PC, Baum BJ (1988) Evaluation of submandibular salivary flow rate in different age groups. J Dent Res 67:1225–1228PubMedCrossRefGoogle Scholar
  27. 27.
    Vissink A, Spijkervet FKL, Amerongen AVN (1996) Aging and saliva: a review of the literature. Spec Care Dentist 16:95–103PubMedCrossRefGoogle Scholar
  28. 28.
    Turner M, Jahangiri L, Ship JA (2008) Hyposalivation, xerostomia and the complete denture: a systematic review. J Am Dent Assoc 139:146–150PubMedGoogle Scholar
  29. 29.
    Turner MD, Ship JA (2007) Dry mouth and its effects on the oral health of elderly people. J Am Dent Assoc 138:15S–20SPubMedGoogle Scholar
  30. 30.
    Nagler RM, Hershkovich O (2005) Relationship between age, drugs, oral sensorial complaints and salivary profile. Arch Oral Biol 50:7–16PubMedCrossRefGoogle Scholar
  31. 31.
    Ship JA, Pillemer SR, Baum BJ (2002) Xerostomia and the geriatric patient. J Am Geriatr Soc 50:535–543PubMedCrossRefGoogle Scholar
  32. 32.
    Matear DW, Locker D, Stephens M, Lawrence HP (2006) Associations between xerostomia and health status indicators in the elderly. J R Soc Promot Health 126:79–85PubMedCrossRefGoogle Scholar
  33. 33.
    Ettinger RL (2007) Oral health and the aging population. J Am Dent Assoc 138:5S–6SPubMedGoogle Scholar
  34. 34.
    Silverman S Jr (2007) Mucosal lesions in older adults. J Am Dent Assoc 138:41S–46SPubMedGoogle Scholar
  35. 35.
    Jackler RK, Kaplan MJ (1997) Ear, nose and throat. In: Tierney LM, Mcphee SJ, Papadakis MA (eds) Current medical diagnosis and treatment. Appleton and Lange, Stamford, pp 201–236Google Scholar
  36. 36.
    Oral candidiasis. Accessed 17 Dec 2008
  37. 37.
    Silverman S Jr, Migliorati CA, Lozada-Nur F, Greenspan D, Conant MA (1986) Oral findings in people with or at high risk for AIDS: a study of 375 homosexual males. J Am Dent Assoc 112:187–192PubMedGoogle Scholar
  38. 38.
    Brown JB, Rosenstein D, Mullooly J, Rosetti MO, Robinson S (2002) Chiodo G impact of intensified dental care on outcomes in human immunodeficiency virus infection. AIDS Patient Care STDS 16:479–486PubMedCrossRefGoogle Scholar
  39. 39.
    Ship JA, Wolff A (2006) AIDS and HIV-1 infection: clinical entities in geriatric dentistry. Gerodontology 8:27–32CrossRefGoogle Scholar
  40. 40.
    Gardner ID (1980) The effect of aging on susceptibility to infection. Rev Infect Dis 2:801–810PubMedCrossRefGoogle Scholar
  41. 41.
    Lauren LP (1999) Hematologic abnormalities among HIV-infected patients: associations of significance for dentistry. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88:561–567CrossRefGoogle Scholar
  42. 42.
    Rowe JW, Kahn RL (1997) Successful aging. Gerontology 37:433–440CrossRefGoogle Scholar
  43. 43.
    Lamster IB (2004) Oral health care services for older adults. Am J Public Health 94:699–702PubMedCrossRefGoogle Scholar
  44. 44.
    Little JW, FD, Miller CS, Rhodus NL (2007) Dental management of older adults. In: Dental management of the medically compromised patient, 7th edn. Mosby, St. Louis, MO, pp 534–552Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of DentistryUniversity Hospital of Brooklyn, State University of New York, Downstate Medical CenterBrooklynUSA

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