Human beings adapt, age, to live longer, but this physiological capacity to adapt diminishes. A human being who does not adapt does not age and dies. Normal ageing, which every living organism undergoes, takes place gradually and in the absence of disease. The anatomical and physiological changes associated with old age begin several years before the outward signs appear. Many of these changes begin to manifest themselves progressively from the age of 40 onwards and continue until death, i.e. until the body can no longer adapt. Physiologically, the process of senescence leads to a decline in body functions and then to the ageing of tissues and the general appearance of the body. Ageing is a gradual and irreversible process of changes in the body’s structures and functions resulting from the passage of time. This general definition given by the World Health Organization (WHO) allows us to approach a subject that is both vast and complex, concerning dentistry. The tissues and organs of the oral cavity undergo profound changes during the ageing process, which alters their functions and their potential for adaptation and healing. Thus, the oral care of elderly subjects cannot be identical to that of young adults because the pathologies are expressed differently and we cannot expect the same therapeutic results. The expected benefit must be multiple, both in terms of restoration of body integrity and function and in terms of the patient’s quality of life and health. It must be confronted with the notion of risk which is, once again, multiple since we must take into account the context of several pathologies and polyvalent medication characteristic of the elderly subject and also the fact that odontologic therapeutics frequently involve numerous sessions in the chair, which are difficult to bear for the elderly. Today, more than ever, the dental surgeon has an important role to play in good ageing. Through this work, we will address the following questions: What is ageing? What are the physiological changes of aging in the dental organs? The consequences of dental organ loss -What is the contribution of the dental surgeon in improving the oral health of the elderly?
References
[1]
Eric-Nicolas, B. (2013) Santé orale, vieillissement, perte d’autonomie. La Revue de Gériatrie, 38, 7-8.
[2]
Radoi, L., Veille-Finet, A. and Folliguet, M. (2016) Buc-co-dentaire, santé bucco-dentaire et vieillissement. In: Trivalle, C., ed., Gérontologie Préventive (3éme édition), Elsevier Masson, 136-161.
[3]
Rapp, L., Sourdet, S., Vellas, B. and Lacoste-Ferre, M.-H. (2017) Oral Health and the Frail Elderly. The Journal of Frailty & Aging, 6, 154-160. https://doi.org/10.14283/cw.2017.5
[4]
Marysette, F. (2006) Prévention buc-co-dentaire chez les personnes agées. Direction générale de la santé SD2B dossier personnes agées, mai, 47 p.
[5]
Veronique, D. (2018) L’hygiène bucco-dentaire du sujet agé. Actualités Pharmaceutiques, 57, 41-45. https://doi.org/10.1016/j.actpha.2018.07.009
[6]
Abin Jaunet, C., Armengol, V., Chaussain Miller, C., Rodat, O. and Laboux, O. (2004) Maladie d’Alzheimer et odon-tologie gériatrique. Revue d’Odonto-Stomatologie, 33, 243-272.
[7]
La-coste-Ferre, M.-H., Duran, D. and Vellas, B. (2013) Maladie d’Alzheimer et odontol-ogy. Odontologie Hospitalière, 263, 8-18. https://doi.org/10.1051/aos/2013303
[8]
Alaoui, B., Chadli, A., Elghomari, H. and Farouqui, A. (2007) Le diabète du sujet agé. ESP Medical, 14, 69-74.
[9]
Scheen, A.J., Paquot, N. and Bauduceau, B. (2014) Le diabète du sujet agé du défi épidémiologique à une approche personnalisée. Revue Médicale de Li-ège, 69, 323-328.
[10]
Amad, A., Geoffroy, P.A., Vaiva, G. and Thomas, P. (2012) Personnalité normale et pathologique au cours du vieillissement: Diagnostic, évo-lution et prise en charge. L’encéphale, 39, 374-382. https://doi.org/10.1016/j.encep.2012.08.006
[11]
Morel-Kohlmeyer, S. (2019) Vieillir avec un autisme. La Revue du Praticien, 69, 595-597.
[12]
Seguier, S., Bou-dineau, A., Giacobbi, A., Tavernier, J.C. and Folliguet, M. (2009) Pathologies buc-co-dentaires du sujet agé: Répercussions sur la nutrition et la qualité de vie com-mission de santé publique. Rapport.
[13]
Ruquet, M., Hüe, O. and Tosello, A. (2012) Le sujet agé: Spécificités odonto-stomatologiques et examen clinique. Actualités Odonto-Stomatologiques, 257, 73-87.
[14]
Anagnostou, F., Sawaf, H. and Ou-hayoun, J.P. (2000) Introduction à l’odontologie gériatrique. EMC (Editions Scien-tifiques et Médicales), 4 p.
[15]
Maamari, A. (2018) Odontologie gériatrique. Revue Medicale de Bruxelles, 39, 322-324.
[16]
Mulligan, R. and Durall, P.S. (2021) Geri-atric Phenotypes and Their Impact on Oral Health. Dental Clinics of North America, 65, 285-305. https://doi.org/10.1016/j.cden.2020.11.005
[17]
Nebot, D. and Dupas, C. (2007) Les soins dentaires conservateurs de nos aînés. Réalités Cliniques, 18, 129-144.
[18]
Lamy, M. (2014) La santé bucco-dentaire des personnes agées. Revue Médicale de Liège, 69, 357-360.
[19]
Cherruau, M. and Buch, D. (2001) Problématiques liées aux modifications de l’appareil manducateur avec l’age in-fluence sur les traitements prothétiques. AOS, 214, 177-188.
[20]
Schimmel, M., Katsoulis, J. and Müller, F. (2015) Masticatory Function and Nutrition in Old Age. Swiss Dental Journal SSO, 125, 449-454. https://doi.org/10.61872/sdj-2015-04-04
[21]
Revol, P., Devoize, L., Des-chaumes, C. and Barthelemy. (2008) Stomatologie gériatrique. EMC (Elsevier Mas-son SAS, Paris), Stomatologie, 22-052-A-10, 2006, Médecine buccale, 28-870-B. 10, 16 p.
[22]
Thompson, L.A. and Brennan, L.J. (2014) Geriatric Dentistry. Dental Clinics of North America, 58, 11-13. https://doi.org/10.1016/j.cden.2014.07.007
[23]
Anagnostou, F., Sawaf, H., Feghali, M. and Ouhayoun, J.P. (2000) Cavité buccale te sénescence: Odontologie conservatrice, endodontique et restauratrice chez le sujet agé. EMC, 4 p.
[24]
Dupuis, V. and Leonard, A. (2010) Chapitre 5. Les soins conservateurs chez les seniors. In: Dupuis, V. and Leonard, A., Eds., Odontologie du sujet agé, Elsevier, Amsterdam, 85-109. https://doi.org/10.1016/B978-2-294-70878-7.50005-6
[25]
Lorimier, S. and Kemoun, P. (2012) Histologie du parodonte. EMC, médecine buccale, décembre, vol. 7, n° 6, 23 p.
[26]
Rakic, M., Vojvodic, D. and Sculean, A. (2018) Periodontolo-gy for Geriatric Patients. Current Oral Health Reports, 5, 39-49. https://doi.org/10.1007/s40496-018-0169-z
[27]
Kebir, M. (1998) Sénescence et problèmes parodontaux. Revue d’Odonto-Stomatologie, 27, 39-47.
[28]
Chen, S., Zhou, D., Liu, O.S., Chen, H. and Zhou, A. (2022) Cellular Senescence and Periodonti-tis: Mechanisms and Therapeutics. Biology, 11, Article No. 1419. https://doi.org/10.3390/biology11101419
[29]
Bettinelli, D. and Deblock, L. (2004) Effets du vieillissement sur les arcades dentaires adultes. L’Orthodontie Française, 75, 77e. https://doi.org/10.1051/orthodfr/200475179
[30]
Jourde, M. (2001) Modifications des tissus parodontaux liées à l’age, conséquences thérapeu-tiques. Actualités Odonto-Stomatologiques, No. 214, 209-223.
[31]
Soumia, B., Sara, H., Meriem, K. and Souad, L. (2017) Parodontie Gériatrique. Université Mou-loud Mammeri Faculté de Médecine Tizi-Ouzou, Juillet.
[32]
Seguier, S., Bodineau, A. and Folliguet, M. (2010) Vieillissement des muqueuses buccales: Aspects fon-damentaux et cliniques. Elsevier, Amsterdam. https://doi.org/10.1016/j.npg.2010.10.003
[33]
Karami, M. and Sidqui, M. (2005) Le vieillissement et l’état parodontal chez la personne agée. ESP Medical, 12, 13-22.
Touzi, S., Cavelier, S., Chantereau, C. and Tavernier, B. (2011) Vieillissement des structures dentaires et péridentaires. EMC (Elsevier Masson SAS, Paris), Médecine buccale, 28-105-M-10, 10 p.
[36]
Ebersole, J.L., Dawson III, D.A., Emecen Huja, P. and Gonzalez, O.A. (2018) Age and Periodontal Health—Immunological View. Current Oral Health Reports, 5, 229-241. https://doi.org/10.1007/s40496-018-0202-2
[37]
Anagnostou, F., Etienne, D., Sawaf, H. and Ouhayoun, J.P. (2000) Cavité buccale et sénescence: Parodontie. EMC, odontologie, 23-432-A-10, 4 p.
[38]
Johnsson, D. (2013) Tissue Senescence and Periodontal Disease—A Reciprocal Association? Archives of Oral Biology, 58, 753-754. https://doi.org/10.1016/j.archoralbio.2013.01.001
[39]
Fleury, J. and Ferrey, G. (1998) Problèmes stomatologiques courants chez la personne agée. EMC, Médecine, 3-1130, 4 p.
[40]
Gauzeran, D. and Saricassapian, B. (2013) Pa-thologies de la muqueuse buccale chez le sujet agé en perte d’autonomie. Odontol-ogie Hospitalière, 262, 13-23.
[41]
Papas, A.S., Palmer, C.A. and Rounds, M.C. (1998) The Effects of Denture Status on nutrition. Special Care in Dentistry, 18, 17-25. https://doi.org/10.1111/j.1754-4505.1998.tb01354.x
[42]
Polzer, I., Schimmel, M., Müller, F. and Biffar, R. (2010) Edentulism as Part of the General Health Problems of Elderly Adults. International Dental Journal, 60, 143-155.
[43]
Marcenes, W., Steele, J.G. and Sheiham, A. (2003) The Relationship between Dental Status, Food Selection, Nutrient Intake, Nutritional Status, and Body Mass Index in Older People. Cadernos de Saúde Pública, 19, 809-816. https://doi.org/10.1590/S0102-311X2003000300013
[44]
Koodaryan, R., Hafezeqoran, A. and Ahmadian, M. (2014) The Relationship between Dental Status, Body Mass Index and Nutrient Intake. Advances in Bioscience & Clinical Medicine, 2, 24-33.
[45]
Iwasaki, M., Hirano, H., Ohara, Y. and Motokawa, K. (2021) The As-sociation of Oral Function with Dietary Intake and Nutritional Status among Older Adults: Latest Evidence from Epidemiological Studies. Japanese Dental Science Review, 57, 128-137. https://doi.org/10.1016/j.jdsr.2021.07.002
[46]
Sullivan, D.H., Martin, W. and Flaxman, N. (1993) Oral Health Problems and Involuntary Weight Loss in a Population of Frail Elderly. Journal of the American Geriatrics So-ciety, 41, 725-731. https://doi.org/10.1111/j.1532-5415.1993.tb07461.x
[47]
Rapp, L., Sourdet, S. and Lacoste-Ferre, M.-H. (2020) Oral Health and Undernutrition in the Frail Elderly Persons. The Journal of Nutrition, Health Aging, 25, 484-491. https://doi.org/10.1007/s12603-020-1546-6
[48]
Narhi, T.O., Meurman, J.H. and Ainamo, A. (1999) Xerostomia and Hyposalivation. Drugs & Aging, 15, 103-116. https://doi.org/10.2165/00002512-199915020-00004
[49]
Turner, M.D. (2016) Hyposalivation and Xerostomia. Dental Clinics of North America, 60, 435-443. https://doi.org/10.1016/j.cden.2015.11.003
[50]
Dormenval, V. and Budtz-Jorgensen, M.P. (1998) Associations between Malnutrition, Poor General Health and Oral Dryness in Hospitalized Elderly Patients. Age & Ageing, 27, 123-128. https://doi.org/10.1093/ageing/27.2.123
[51]
Furuya, J., Suzuki, H., Hidaka, R. and Minakuchi, S. (2021) Oral Health Status and Its Association with Nu-tritional Support in Malnourished Patients Hospitalized in Acute Care. Gerodontol-ogy Association and John Wiley & Sons Ltd., Hoboken.
[52]
Appollonio, I., Cara-bellese, C. and Frattola, A. (1997) Influence of Dental Status on Dietary Intake and Survival in Community-Dwelling Elderly Subjects. Age & Ageing, 26, 445-456. https://doi.org/10.1093/ageing/26.6.445
[53]
Saksono, P., Hijryana, M. and Ari-ani, N. (2019) Relationships between Tooth Loss and Masticatory Performance, Nutrition Intake, and Nutritional Status in the Elderly. Pesquisa Brasileira em Odontopediatria e Clínica Integrada, 19, 1-8.
[54]
Joshipura, K.J., Willett, W.C. and Douglass, C.W. (1996) The Impact of Edentulousness on Food and Nutrient Intake. The Journal of the American Dental Association, 127, 459-467. https://doi.org/10.14219/jada.archive.1996.0237
[55]
Sutariya, D., Mehta, S. and Goyal, T. (2020) A Systematic Review on Impact of Edentulism on Nutritional Sta-tus of Elderly Adults as Compared to Dentulous Adults. Journal of Current Medical Research and Opinion, 3, 739-748. https://doi.org/10.15520/jcmro.v3i11.368
[56]
Bellia, E., Monagheddu, C. and Bassi, F. (2023) Relationship between Oral Rehabilitation and Nutrients Intake in the Independent Elderly: A Systematic Review of the Literature. Journal of Geron-tology and Geriatrics, 71, 187-205. https://doi.org/10.36150/2499-6564-N561
