Systemic Diseases and the Elderly

Dental Update ◽  
2010 ◽  
Vol 37 (9) ◽  
pp. 604-607 ◽  
Author(s):  
Christine McCreary ◽  
Richeal Ní Ríordáin
2020 ◽  
Vol 3 (1) ◽  
pp. 47
Author(s):  
Abdul Gani Soulissa

The world’s elderly population is growing faster than other age groups. The World Health Organization states that in 2020, Indonesia’s elderly population will reach 11.34% of the total population, or around 28.8 million people. The increasing number of elderly people can be a challenge for clinicians due to the degenerative changes caused by chronic diseases, treatment of chronic diseases, systemic conditions, and oral health care accessibility. The purpose of this study was to analyze the factors that increase the risk of periodontal disease in the elderly. Over the last few years, a lot of research has focused on identifying the relationship between periodontal disease and systemic disease as well as the link between periodontal disease and aging. Increased age relates directly and proportionally with increased prevalence and severity of periodontal disease. Furthermore, an increase in age causes a decrease in motoric function and an increase in comorbidities and their treatments in the elderly. The aging process causes cementum surface irregularities, inhibition of osteoblast activity, and reduction in the number of fibroblasts. Loss of attachment and alveolar bone resorption was affected by frequent exposure to other risk factors. The risk factors that influence the development of periodontal disease in the elderly include systemic diseases, such as diabetes mellitus and osteoporosis, systemic conditions, such as obesity, metabolic syndrome, and stress, treatment of systemic diseases, and limited access to oral health care. Although the potential link between periodontal disease and systemic disease has been established, the extent of this relationship has not yet been clearly explained. Understanding the factors that influence periodontal disease in the elderly is important because it may provide a better understanding of the treatment. The multiple risk factors that cause periodontal disease in elderly patients require special attention involving multidisciplinary teams.


Author(s):  
Lori A. Blauwet ◽  
Rekha Mankad ◽  
Sabrina D. Phillips ◽  
Kyle W. Klarich

Cardiovascular manifestations of hyperthyroidism include increased heart rate, stroke volume, and cardiac output. Peripheral vascular resistance is decreased, and thus pulse pressure is widened. As a result, myocardial oxygen consumption increases, which may precipitate angina. Other symptoms include palpitations, presyncope or syncope, and exertional dyspnea. Arrhythmias may occur. Common symptoms include weight loss, weakness (especially in the elderly), and tachycardia or palpitations.


2013 ◽  
Vol 2 (1) ◽  
pp. 9-13
Author(s):  
Atul Sachdev ◽  
Manjit Talwar ◽  
Gaurav Malik ◽  
Suresh Sharma

ABSTRACT Introduction Oral health may have an impact on general health with clinical implications. Objective To assess association of oral health with systemic diseases in the elderly. Materials and methods A cross-sectional study was conducted in 232 elderly subjects (above 50 years) who visited the geriatric medicine OPD at Government Medical College and Hospital, Chandigarh. Oral examination was conducted using the WHO Oral Assessment Form (1997). Written informed consent was taken. Patients were grouped according to their systemic health into six groups: Healthy elderly (group 1), hypertension and coronary artery disease (group 2), chronic obstructive pulmonary disease (group 3), diabetes (group 4), diabetes and hypertension (group 5) and hypertension (group 6). Results Average DMFT for coronal caries in the six groups was 23.8, 21.24, 22.15, 22.58, 17.83, 22.22 respectively and root caries 22.04, 18.05, 19.46, 14.90, 14.75, 18.62. Periodontal status was assessed by recording the CPI score and attachment loss. Chi-square test was applied, a significantly (p < 0.05) higher CPI score was recorded for groups 2, 3, 6 compared to group 1 while attachment loss was significantly (p < 0.05) higher in diabetics (group 4) compared to group 1. Applying the Z-test for proportions a significantly (p < 0.05) higher number of group 1 edentulous subjects were using upper/lower complete dentures as compared to groups 4 and 5. Conclusion Findings of this study indicate an inverse relationship of periodontal health with systemic diseases in the selected sample but further research is needed with larger sample to authenticate the results. How to cite this article Talwar M, Malik G, Sharma S, Sachdev A, Chaudhry K. Association of Oral Health and Systemic Diseases in the Elderly. Int J Experiment Dent Sci 2013;2(1): 9-13.


Author(s):  
Cindel Balbinot Fornari ◽  
Daniel Bergonci ◽  
Cauane Bruna Stein ◽  
Bernardo Antonio Agostini ◽  
Lilian Rigo

2014 ◽  
Vol 13 (1) ◽  
pp. 22
Author(s):  
Riskayanty Riskayanty ◽  
Nurul Fitriani R. D ◽  
Rasmidar Samad

Elderly people are particularly vulnerable to oral disease. Decreased function of the body can affect the aging process of the organic, and anorganic content in the elderly. The aim of this study was to determine the content of organic elements (total protein level), volume and pH of saliva in the elderly. This descriptive observational study with crosssectional design was performed in Tresna Werdha Gau Mabaji Social Institution, Gowa (n=30)with a simple random sampling technique using 30% of the total population and in Werdha Theodora Makassar nursing home with saturated sampling technique (n = 13). Anorganic contents were measured using spectophotometric and organic content of the total protein level of saliva was measured using an autoanalyzer tool kyltec in BPTP Laboratory Maros. Statistical analysis was performed with t-test using SPSS version 16. There were no significant differences between the anorganic (Ca2+,Mg2+, and phosphate) and organic elements content of saliva (total protein level), the volume of saliva and salivary pH in the elderly by sex and age groups. Yet, there are significant differences in the volume of saliva of elderly who consume drugs for systemic diseases. It is concluded that gender and age do not affect the anorganic (Ca,and phosphate)and organic element content of saliva (total protein content), the volume of saliva, and saliva pH in the elderly. Drugs consumed for systemic diseases does not affect the anorganic and organic element content of saliva and the pH of saliva in the elderly.


2005 ◽  
Vol 49 (2) ◽  
pp. 279-292 ◽  
Author(s):  
Rigmor E. Persson ◽  
G. Rutger Persson

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