YAŞLANMANIN ÇİĞNEME SİSTEMİNE ETKİLERİ

Abstract

Yaşlanma dişler, periodontal dokular, ağız mukozası, tükürük bezleri, nöromuskuler sistem, çene kemikleri ve temporomandibular eklemden oluşan çiğneme sistemi üzerinde fizyolojik etkiler bırakmaktadır. Ancak bu etkilerin yanısıra yaşlı bireyin ağız hijyeni, dişhekimine başvuru sıklığı, medikal durumu, beslenme alışkanlıkları ve kullandığı ilaçlar gibi faktörler de bir takım patolojik değişikliklerin oluşmasına sebep olur. Bu fizyolojik ve patolojik değişikliklerin bilinmesi dişhekiminin tedavi planlamasında büyük rol oynar. Bu derlemede yaşlı bireylerde çiğneme sisteminde yer alan dokularda gelişen fizyolojik ve pato¬ lojik değişimler değerlendirilmektedir.

Keywords

• Geriatrik dişhekimliği, yaşlı bireyler, çiğneme sistemi

References

1. Ozkan YK, Ozcan M , Kulak Y, Ka- zaoglu E, Arikan A. General health, dental status and perceived dental treatment needs of an elderly population in Istanbul. Gero- dontology, 2011; 28(1): 28-36.
2. Oral health in ageing societies. Inı tegration of oral health and general health. Centre for Health Development in Kobe, Japan, 1-3 June 2005.
3. Berg R, Morgenstern NE. Physiolo­ gic changes in the elderly. Dent Clin North Am 1994; 41(4): 651-68.
4. Katz RV, Meşkin L H . The Epidemiı Holm-Pedersen P, Löe H, editors. Geriatric dentistry. A textbook of oral gerontology.
5. Nazlıel H. Yaşlıda ağız ve diş sağlığı. Geriatri, 1999; 2(1): 14-21.
6. Mjör IA. Age Changes in The Teeth. In: Holm-Pedersen P, Löe H, editors. Geriat­ ric dentistry. A textbook of oral gerontology. Copenhagen: Munksgaard, 1986, p.94-101.
7. Betts NJ, Barber HD. The Pathoph­ ysiology of Aging. In: Fonseca RJ, Davis W H editors. Reconstructive preprosthetic oral and maxillofacial surgery. W. B. Phila­ delphia: Saunders, 1995, p.10-13.
8. Zach L. The oral cavity. In: Rossman I , editor. Clinical geriatrics. J.B. Philadeip- hia: Lippincott, 1979, p. 618-637.

9. Müller F, Naharro M , Carlsson GE. What are the prevalance and incidence of tooth in the adult and elderly population in Europe? Clin Oral Implants Res, 2008; Oral mucosal lesions among elderly in Israel. 19(3): 326-28. J Dent Res, 1985; 64(5): 831-36.
10. Fejerskov O, Nyvad B: Pathology and Treatment of Dental Caries in the Aging Individual. In: Holm-Pedersen P, Löe H , editors. Geriatric dentistry. A textbook of oral gerontology. Copenhagen: Munksgaard, 1986, p.238-62.
11. Ryan EJ, Toto PD, Gargiulo AW. aging Germans. Community Dent Oral Epiı
12. demiol, 2000; 28 (5): 390-98. lium. J Dent Res, 1974; 53(1): 74-76.
13. Ünsal B.Yaşlı bireylerdeki ağız ve diş sağlığı, GÜ Dişhek Fak Derg, 2002; 19(1) : 45-49.
14. Shay K. Identifying the needs of the elderly dental patient. The geriatric dental assesment. Dent Clin North Am, 1994; 38(3): 499-523.
15. Uzun H, Çelenligil Nazlıel H.Yaşlıda medikal ve dental hikaye ile ekstraoral, intı raoral ve dental muayene bulguları. Turkish Journal of Geriatrics, 2000; 3(1): 15-21.
16. Vigild M . Oral Hygiene and perio- dontal conditions among 201 dentate instiı tutionalise elderly. Gerodontics, 1988; 4(1): 140-14.
17. Holm-Pedersen P. Pathology and treatment of periodontal disease. In: Holm- Pedersen P, Löe H , editors. Geriatric den­ tistry. A textbook o f oral gerontology. Copenhagen: Munksgaard, 1986, p. 277-89.
18. Palmqvist S, Sjödin B. Alveoler bone levels in a geriatric Swedish population. J Clin Periodontol, 1987; 14(2): 100-104.
19. Nevalainen MJ, Narhi TO, Ainamo A. Oral mucosal lesions and oral hygiene habits in the home-living elderly. J Oral Rehabil, 1997; 24 (5): 332-37.
20. Dundar N , Kal B I . oral mucosal conditions and risk factors among elderly in a Turkish School of Dentistry. Geronto­ logy, 2007; 53(3): 165-72.
21. Fleishman R, Peles DB,Pisanti S.
22. van der Waal I , Schepman KP, van der Meij EH, Smeele LE. Oral Leukoplakia: a clinicopathological review. Oral Oncol, 1997; 33(5): 291-301.
23. Reichart PA. Oral Mucosal lesions in a representative cross-sectional study of
24. Canay Ş, Çiftçi Y. Yaşlı bireylerde sistemik hastalıklarla birlikte izlenen ağız bulguları. Geriatri, 2003; 6(3): 104-108.
25. Turner M,Ship J. Dry mouth and its effects on the oral health of elderly people, J Am Dent Assoc, 2007; 138 Suppl: 15-20.
26. Guggenheimer J, Moore PA. Xeros­ tomia: etiology, recognition and treatment. J Am Dent Assoc, 2003; 134(1): 61-69.
27. Saunders R, Friedman B. Oral health conditions of community-dwelling cognivi- tely intact elderly persons with disabilities. Gerodontology, 2007; 24(2): 67-76.
28. Sreebny L M , Schwartz SS. A refeı rence guide to drugs and dry mouth: 2nd edition. Gerodontology, 1997; 14(1): 33-47.
29. Shiboski CH, Hodgson TA, Ship JA, Schimdt M . Management of salivary hypofunction during and after radiotherapy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007; 103 suppl 1: 66-73.
30. Eisbruch A, Ten Haken RK, K i m H M , Marsh L H , Ship JA. Dose, volume, and function relationships in parotid sali­ vary glands following conformal and inten­ sity-modulated irradiation of head and neck cancer. Int J Radiat Oncol Biol Phys, 1999; 45(3): 577-87.
31. Piecuch JF. Oral and maxillofa­ cial surgery for the geriatric patients. In: Holm-Pedersen P, Löe H, editors. Geriatric dentistry. A textbook of oral gerontology. Copenhagen: Munksgaard, 1986, p.307-20.