Infectious Complications of Dental and Periodontal Diseases in the Elderly Population
Open Access
- 1 May 2002
- journal article
- Published by Oxford University Press (OUP) in Clinical Infectious Diseases
- Vol. 34 (9), 1215-1223
- https://doi.org/10.1086/339865
Abstract
Retention of teeth into advanced age makes caries and periodontitis lifelong concerns. Dental caries occurs when acidic metabolites of oral streptococci dissolve enamel and dentin. Dissolution progresses to cavitation and, if untreated, to bacterial invasion of dental pulp, whereby oral bacteria access the bloodstream. Oral organisms have been linked to infections of the endocardium, meninges, mediastinum, vertebrae, hepatobiliary system, and prosthetic joints. Periodontitis is a pathogen-specific, lytic inflammatory reaction to dental plaque that degrades the tooth attachment. Periodontal disease is more severe and less readily controlled in people with diabetes; impaired glycemic control may exacerbate host response. Aspiration of oropharyngeal (including periodontal) pathogens is the dominant cause of nursing home—acquired pneumonia; factors reflecting poor oral health strongly correlate with increased risk of developing aspiration pneumonia. Bloodborne periodontopathic organisms may play a role in atherosclerosis. Daily oral hygiene practice and receipt of regular dental care are cost-effective means for minimizing morbidity of oral infections and their nonoral sequelae.Keywords
This publication has 69 references indexed in Scilit:
- Poor Oral Health and Coronary Heart DiseaseJournal of Dental Research, 1996
- Progressive changes in the pulpo‐dentinal complex and their clinical consequencesGerodontology, 1995
- Transmission of Porphyromonas gingivalis between spousesJournal of Clinical Periodontology, 1993
- Oral Health in Patients With Type II Diabetes and Impaired Glucose ToleranceDiabetes Care, 1993
- Aspiration PneumoniaClinical Infectious Diseases, 1991
- Defective Neutrophil Function in an Insulin‐Dependent Diabetes Mellitus Patient. A Case ReportThe Journal of Periodontology, 1991
- Association between dental health and acute myocardial infarction.BMJ, 1989
- Evaluation of Submandibular Salivary Flow Rate in Different Age GroupsJournal of Dental Research, 1988
- Xerostomia. A neglected symptomArchives of Internal Medicine, 1987
- Experimental gingivitis in young and elderly individualsJournal of Clinical Periodontology, 1975