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Aging and Periodontium

This document discusses the effects of aging on the periodontium. It states that as people age, the gingival epithelium thins and has less keratinization. The gingival connective tissue becomes denser with more insoluble collagen. The periodontal ligament has fewer fibroblasts and less organic matrix production, but more elastic fibers. The cementum thickness increases more apically and lingually with irregular surfaces. Plaque accumulation increases with aging, as does the role of P. gingivalis and enteric rods. The immune and inflammatory responses are generally unaffected by aging. Effective periodontal treatment is still possible in older patients.

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29 views22 pages

Aging and Periodontium

This document discusses the effects of aging on the periodontium. It states that as people age, the gingival epithelium thins and has less keratinization. The gingival connective tissue becomes denser with more insoluble collagen. The periodontal ligament has fewer fibroblasts and less organic matrix production, but more elastic fibers. The cementum thickness increases more apically and lingually with irregular surfaces. Plaque accumulation increases with aging, as does the role of P. gingivalis and enteric rods. The immune and inflammatory responses are generally unaffected by aging. Effective periodontal treatment is still possible in older patients.

Uploaded by

MINI DHABA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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AGING AND THE

PERIODONTIUM
DR ZAINAB
DEMONSTRATOR IN PERIODONTOLOGY
LEARNING OBJECTIVE

• Discuss the effects of aging on periodontium.

• Discuss aging in periodontium in response to


treatment and periodontal disease.
PERIODONTIUM

• The periodontium is the specialized tissues that both


surround and support the teeth

• It consist of 4 principle component;


• Gingiva
• Periodontal ligament
• Cementum
• Alveolar bone
EFFECTS OF AGING ON THE PERIODONTIUM

GINGIVAL EPITHELIUM:

• Thinning and decreased keratinization.


• Flattening of rete pegs.
• Altered cell density.
• Gingival recession.
• Width of attached gingiva would be expected to
decreased with age.
GINGIVAL CONNECTIVE TISSUE:

• Denser connective tissues.

• Increase conversion of soluble to insoluble


collagen.

• Increase mechanical strength.


PERIODONTAL LIGAMENT:

• Decreased fibroblast.

• Decreased organic matrix


production.

• Increase number of
Elastic fiber.
CEMENTUM:

• Increase cemental width.


(width is greater apically and lingually)

• Increase surface
irregularity.
BACTERIAL PLAQUE:

• Increase plaque accumulation.

• Increase role of P.gingivalis,enteric rods and


decrease role of A.actinomycetemcomitans.
ALVEOLAR BONE:

• More irregular surface of bone.

• Less regular insertion of collagen fibers.

• Healing of extracted socket appears to be


unaffected by aging.
IMMUNE AND INFLAMMATORY RESPONSES:

• No evidence for age related changes in host


defenses correlating with periodontitis.

• C-reactive protein may not be reliable marker in


older patient.

• Modulator of the immune and inflammatory


responses is nutrition.
EFFECTS OF AGING ON THE PROGRESSION OF
PERIODONTAL DISEASES

• Age is inevitably associated with an increased loss


of connective tissue attachment.This observation
well reflect a cumulative exposure to a number
of potentially destructive process.

• Effect of age is either nonexistent or provides a


small and clinically insignificant increased risk of
loss of periodontal support.
AGING AND THE RESPONSE TO TREATMENT OF THE
PERIODONTIUM

• Successful treatment requires both home care


plaque control and supragingival and subgingival
debridement by the therapist.

• Without effective periodontal therapy,progression


of disease might be faster with increasing age.
BCQ’s

• 1) Increase in age,keratinization of gingiva;


• A) increases
• B) decreases
• C) increase and then decreases
• D) remains the same
• 2) which of the following statement true about age
changes in peridontium
• A) decrease no. of fibroblast
• B) increase no. of elastic fibres
• C) decrease keratinization of the epithelium
• D) all of the above

• 3) Increase in thickness of cementum with aging is greater?


• A) coronally
• B) labially
• C) apically
• D) at midroot level
• 4) which of the following organism’s role is decreases
with age
• A) P.gingivalis
• B) Actinobacillus actinomycetem comitans
• C) enteric rods
• D) both A and B

• 5) In old age the gingival connective tissue becomes


• A) dense
• B) aqueous
• C) thin
• D) necrotic
KEY

• 1) B
• 2) D
• 3) C
• 4) B
• 5) A

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