Dental pain in the elderly
Identifieur interne : 002333 ( Istex/Corpus ); précédent : 002332; suivant : 002334Dental pain in the elderly
Auteurs : Patrick M. Lloyd ; Kenneth ShaySource :
- AGE [ 0161-9152 ] ; 1987-04-01.
English descriptors
- KwdEn :
- Alveolar bone, Autopsy specimens, Brittle behavior, Care dent, Caries, Cementum, Cerebral cortex, Clinical consequences, Clinical crown, Clinical experience, Clinical root, Connective tissue, Cultural factors, Dent, Dental, Dental care, Dental caries, Dental health, Dental pain, Dental profession, Dental pulp, Dental restorations, Dental services, Dental treatment, Dentin, Dentinal, Dentinal tubules, Denture, Different ages, Edentulous, Enamel, Free nerve endings, Gingiva, Gingival, Gingival recession, Health professions, Health statistics, Histologic changes, Human coronal dentin, Interstitial fluid, Intraoral, Intraoral injury, Masticatory mucosa, Medial reticular formation, Mosby company, Mucosa, Mucosal ulceration, Nerve endings, Nerve supply, Neural structures, Odontoblast layer, Odontoblastic processes, Odontoblasts, Older patient, Older person, Older specimens, Older teeth, Oral biol, Oral cavity, Oral complaints, Oral disease, Oral environment, Oral health, Oral histology, Oral mucosa, Oral rehab, Oral surg, Oral tissues, Osmotic gradient, Periodontal, Periodontal ligament, Primary precipitator, Prosth, Prosthesis, Pulp, Pulp chamber, Pulp tissue, Risk factor, Secondary dentin, Sense organ, Sensory nucleus, Soft tissue, Soft tissue trauma, Soft tissues, Surface area, Trauma, Trigeminal, Trigeminal ganglion, Trigeminal nerve, Tubule, Young adult.
- Teeft :
- Alveolar bone, Autopsy specimens, Brittle behavior, Care dent, Caries, Cementum, Cerebral cortex, Clinical consequences, Clinical crown, Clinical experience, Clinical root, Connective tissue, Cultural factors, Dent, Dental, Dental care, Dental caries, Dental health, Dental pain, Dental profession, Dental pulp, Dental restorations, Dental services, Dental treatment, Dentin, Dentinal, Dentinal tubules, Denture, Different ages, Edentulous, Enamel, Free nerve endings, Gingiva, Gingival, Gingival recession, Health professions, Health statistics, Histologic changes, Human coronal dentin, Interstitial fluid, Intraoral, Intraoral injury, Masticatory mucosa, Medial reticular formation, Mosby company, Mucosa, Mucosal ulceration, Nerve endings, Nerve supply, Neural structures, Odontoblast layer, Odontoblastic processes, Odontoblasts, Older patient, Older person, Older specimens, Older teeth, Oral biol, Oral cavity, Oral complaints, Oral disease, Oral environment, Oral health, Oral histology, Oral mucosa, Oral rehab, Oral surg, Oral tissues, Osmotic gradient, Periodontal, Periodontal ligament, Primary precipitator, Prosth, Prosthesis, Pulp, Pulp chamber, Pulp tissue, Risk factor, Secondary dentin, Sense organ, Sensory nucleus, Soft tissue, Soft tissue trauma, Soft tissues, Surface area, Trauma, Trigeminal, Trigeminal ganglion, Trigeminal nerve, Tubule, Young adult.
Abstract
Abstract: Dental pain is a primary precipitator of dental treatment in the elderly population. Yet the pain in an older person is likely to represent a more severe pathosis than in a younger individual. Increased internal mineralization of the teeth with time results in increased brittleness and susceptibility to fracture. Gingival recession exposes softer, more caries-prone areas of teeth to the oral environment. Alteration in salivary volume and composition is a common side effect of many medications; this further compromises the dentition. The sense organs of older teeth are relatively insulated from the oral environment; there is diminished vascular and nervous support of the pulps of older teeth; and incipient dental caries becomes less likely to cause any discomfort. Dental caries in an older individual therefore often presents as an advanced, cavitated lesion, a fractured tooth, or a soft tissue ulceration secondary to either. Soft tissue trauma similarly may be missed until extensive damage has occurred. Innervation of intraoral soft tissue is diminished in elderly subjects, and the healing potential of mucosa may be less as well. Dentures are often responsible for intreoral trauma due to progressive maladaptation, diminished patient coordination, or salivary modification. Inasmuch as both incipient dental caries and incipient soft tissue trauma may fall to signal their presence, regular intrsoral examinations become the most effective means for avoiding advanced dental pathoses and subsequent dental pain in the elderly.
Url:
DOI: 10.1007/BF02432289
Links to Exploration step
ISTEX:480EE4EF17DB2DD77FF7D61F0F3C2E2677CB4BA1Le document en format XML
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tissue</term><term>Soft tissue trauma</term><term>Soft tissues</term><term>Surface area</term><term>Trauma</term><term>Trigeminal</term><term>Trigeminal ganglion</term><term>Trigeminal nerve</term><term>Tubule</term><term>Young adult</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Dental pain is a primary precipitator of dental treatment in the elderly population. Yet the pain in an older person is likely to represent a more severe pathosis than in a younger individual. Increased internal mineralization of the teeth with time results in increased brittleness and susceptibility to fracture. Gingival recession exposes softer, more caries-prone areas of teeth to the oral environment. Alteration in salivary volume and composition is a common side effect of many medications; this further compromises the dentition. The sense organs of older teeth are relatively insulated from the oral environment; there is diminished vascular and nervous support of the pulps of older teeth; and incipient dental caries becomes less likely to cause any discomfort. Dental caries in an older individual therefore often presents as an advanced, cavitated lesion, a fractured tooth, or a soft tissue ulceration secondary to either. Soft tissue trauma similarly may be missed until extensive damage has occurred. Innervation of intraoral soft tissue is diminished in elderly subjects, and the healing potential of mucosa may be less as well. Dentures are often responsible for intreoral trauma due to progressive maladaptation, diminished patient coordination, or salivary modification. Inasmuch as both incipient dental caries and incipient soft tissue trauma may fall to signal their presence, regular intrsoral examinations become the most effective means for avoiding advanced dental pathoses and subsequent dental pain in the elderly.</div></front></TEI><istex><corpusName>springer</corpusName><keywords><teeft><json:string>dentin</json:string><json:string>denture</json:string><json:string>tubule</json:string><json:string>caries</json:string><json:string>intraoral</json:string><json:string>dental pain</json:string><json:string>cementum</json:string><json:string>dentinal</json:string><json:string>gingival</json:string><json:string>prosth</json:string><json:string>oral mucosa</json:string><json:string>periodontal</json:string><json:string>odontoblasts</json:string><json:string>dent</json:string><json:string>gingiva</json:string><json:string>prosthesis</json:string><json:string>trigeminal</json:string><json:string>enamel</json:string><json:string>older specimens</json:string><json:string>dentinal tubules</json:string><json:string>oral environment</json:string><json:string>edentulous</json:string><json:string>older teeth</json:string><json:string>clinical crown</json:string><json:string>soft tissue</json:string><json:string>pulp chamber</json:string><json:string>free nerve endings</json:string><json:string>oral surg</json:string><json:string>sensory nucleus</json:string><json:string>dental pulp</json:string><json:string>soft tissues</json:string><json:string>dental caries</json:string><json:string>gingival recession</json:string><json:string>trauma</json:string><json:string>odontoblast layer</json:string><json:string>oral cavity</json:string><json:string>dental care</json:string><json:string>older person</json:string><json:string>older patient</json:string><json:string>secondary dentin</json:string><json:string>clinical root</json:string><json:string>oral biol</json:string><json:string>nerve supply</json:string><json:string>oral disease</json:string><json:string>oral histology</json:string><json:string>mosby company</json:string><json:string>connective tissue</json:string><json:string>dental services</json:string><json:string>care dent</json:string><json:string>alveolar bone</json:string><json:string>pulp</json:string><json:string>sense organ</json:string><json:string>interstitial fluid</json:string><json:string>trigeminal ganglion</json:string><json:string>oral rehab</json:string><json:string>medial reticular formation</json:string><json:string>osmotic gradient</json:string><json:string>pulp tissue</json:string><json:string>histologic changes</json:string><json:string>dental profession</json:string><json:string>different ages</json:string><json:string>autopsy specimens</json:string><json:string>primary precipitator</json:string><json:string>clinical consequences</json:string><json:string>clinical experience</json:string><json:string>brittle behavior</json:string><json:string>nerve endings</json:string><json:string>masticatory mucosa</json:string><json:string>dental treatment</json:string><json:string>periodontal ligament</json:string><json:string>young adult</json:string><json:string>risk factor</json:string><json:string>intraoral injury</json:string><json:string>soft tissue trauma</json:string><json:string>trigeminal nerve</json:string><json:string>oral health</json:string><json:string>mucosal ulceration</json:string><json:string>health professions</json:string><json:string>oral complaints</json:string><json:string>surface area</json:string><json:string>human coronal dentin</json:string><json:string>neural structures</json:string><json:string>cerebral cortex</json:string><json:string>dental restorations</json:string><json:string>oral tissues</json:string><json:string>cultural factors</json:string><json:string>dental health</json:string><json:string>health statistics</json:string><json:string>odontoblastic processes</json:string><json:string>dental</json:string><json:string>mucosa</json:string></teeft></keywords><author><json:item><name>Patrick M. Lloyd</name><affiliations><json:string>Geriatric Dental Programs, Veterans Administration, VA Medical Center, Milwaukee</json:string></affiliations></json:item><json:item><name>Kenneth Shay</name><affiliations><json:string>Dental Geriatrics, VA Medical Center, Milwaukee</json:string></affiliations></json:item></author><articleId><json:string>BF02432289</json:string><json:string>Art5</json:string></articleId><arkIstex>ark:/67375/1BB-R5D0C8MV-R</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>OriginalPaper</json:string></originalGenre><abstract>Abstract: Dental pain is a primary precipitator of dental treatment in the elderly population. Yet the pain in an older person is likely to represent a more severe pathosis than in a younger individual. Increased internal mineralization of the teeth with time results in increased brittleness and susceptibility to fracture. Gingival recession exposes softer, more caries-prone areas of teeth to the oral environment. Alteration in salivary volume and composition is a common side effect of many medications; this further compromises the dentition. The sense organs of older teeth are relatively insulated from the oral environment; there is diminished vascular and nervous support of the pulps of older teeth; and incipient dental caries becomes less likely to cause any discomfort. Dental caries in an older individual therefore often presents as an advanced, cavitated lesion, a fractured tooth, or a soft tissue ulceration secondary to either. Soft tissue trauma similarly may be missed until extensive damage has occurred. Innervation of intraoral soft tissue is diminished in elderly subjects, and the healing potential of mucosa may be less as well. Dentures are often responsible for intreoral trauma due to progressive maladaptation, diminished patient coordination, or salivary modification. Inasmuch as both incipient dental caries and incipient soft tissue trauma may fall to signal their presence, regular intrsoral examinations become the most effective means for avoiding advanced dental pathoses and subsequent dental pain in the elderly.</abstract><qualityIndicators><score>9.772</score><pdfWordCount>6499</pdfWordCount><pdfCharCount>40894</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>11</pdfPageCount><pdfPageSize>594 x 792 pts</pdfPageSize><refBibsNative>false</refBibsNative><abstractWordCount>231</abstractWordCount><abstractCharCount>1554</abstractCharCount><keywordCount>0</keywordCount></qualityIndicators><title>Dental pain in the elderly</title><genre><json:string>research-article</json:string></genre><host><title>AGE</title><language><json:string>unknown</json:string></language><publicationDate>1987</publicationDate><copyrightDate>1987</copyrightDate><issn><json:string>0161-9152</json:string></issn><eissn><json:string>1574-4647</json:string></eissn><journalId><json:string>11357</json:string></journalId><volume>10</volume><issue>2</issue><pages><first>70</first><last>80</last></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Geriatrics/Gerontology</value></json:item><json:item><value>Cell Biology</value></json:item><json:item><value>Molecular Medicine</value></json:item></subject></host><namedEntities><unitex><date><json:string>1982</json:string><json:string>1987</json:string><json:string>1959</json:string><json:string>9/25/86</json:string></date><geogName></geogName><orgName><json:string>Bureau of Health Professions, DHSS, Executive Summary of the National Invitational Conference on Issues and Strategies</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>C. Changes</json:string></persName><placeName><json:string>D.C.</json:string><json:string>Jerusalem</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Steifel et al.</json:string><json:string>Kydd et al.</json:string><json:string>Thomas et al.</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/1BB-R5D0C8MV-R</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - geriatrics & gerontology</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - public health & health services</json:string><json:string>3 - gerontology</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Geriatrics and Gerontology</json:string><json:string>1 - Life Sciences</json:string><json:string>2 - Biochemistry, Genetics and Molecular Biology</json:string><json:string>3 - Ageing</json:string><json:string>1 - 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Yet the pain in an older person is likely to represent a more severe pathosis than in a younger individual. Increased internal mineralization of the teeth with time results in increased brittleness and susceptibility to fracture. Gingival recession exposes softer, more caries-prone areas of teeth to the oral environment. Alteration in salivary volume and composition is a common side effect of many medications; this further compromises the dentition. The sense organs of older teeth are relatively insulated from the oral environment; there is diminished vascular and nervous support of the pulps of older teeth; and incipient dental caries becomes less likely to cause any discomfort. Dental caries in an older individual therefore often presents as an advanced, cavitated lesion, a fractured tooth, or a soft tissue ulceration secondary to either. Soft tissue trauma similarly may be missed until extensive damage has occurred. Innervation of intraoral soft tissue is diminished in elderly subjects, and the healing potential of mucosa may be less as well. Dentures are often responsible for intreoral trauma due to progressive maladaptation, diminished patient coordination, or salivary modification. Inasmuch as both incipient dental caries and incipient soft tissue trauma may fall to signal their presence, regular intrsoral examinations become the most effective means for avoiding advanced dental pathoses and subsequent dental pain in the elderly.</p></abstract><textClass><keywords scheme="Journal Subject"><list><head>Life Sciences</head><item><term>Geriatrics/Gerontology</term></item><item><term>Cell Biology</term></item><item><term>Molecular Medicine</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1987-04-01">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2017-10-2">References added</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/480EE4EF17DB2DD77FF7D61F0F3C2E2677CB4BA1/fulltext/txt</uri></json:item></fulltext><metadata><mods version="3.6"><titleInfo lang="en"><title>Dental pain in the elderly</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Dental pain in the elderly</title></titleInfo><name type="personal" displayLabel="corresp"><namePart type="given">Patrick</namePart><namePart type="given">M.</namePart><namePart type="family">Lloyd</namePart><affiliation>Geriatric Dental Programs, Veterans Administration, VA Medical Center, Milwaukee</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Coordinator</description></name><name type="personal"><namePart type="given">Kenneth</namePart><namePart type="family">Shay</namePart><affiliation>Dental Geriatrics, VA Medical Center, Milwaukee</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Section Chief</description></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="OriginalPaper" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Kluwer Academic Publishers</publisher><place><placeTerm type="text">Dordrecht</placeTerm></place><dateIssued encoding="w3cdtf">1987-04-01</dateIssued><dateIssued encoding="w3cdtf">1987</dateIssued><copyrightDate encoding="w3cdtf">1987</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract lang="en">Abstract: Dental pain is a primary precipitator of dental treatment in the elderly population. Yet the pain in an older person is likely to represent a more severe pathosis than in a younger individual. Increased internal mineralization of the teeth with time results in increased brittleness and susceptibility to fracture. Gingival recession exposes softer, more caries-prone areas of teeth to the oral environment. Alteration in salivary volume and composition is a common side effect of many medications; this further compromises the dentition. The sense organs of older teeth are relatively insulated from the oral environment; there is diminished vascular and nervous support of the pulps of older teeth; and incipient dental caries becomes less likely to cause any discomfort. Dental caries in an older individual therefore often presents as an advanced, cavitated lesion, a fractured tooth, or a soft tissue ulceration secondary to either. Soft tissue trauma similarly may be missed until extensive damage has occurred. Innervation of intraoral soft tissue is diminished in elderly subjects, and the healing potential of mucosa may be less as well. Dentures are often responsible for intreoral trauma due to progressive maladaptation, diminished patient coordination, or salivary modification. Inasmuch as both incipient dental caries and incipient soft tissue trauma may fall to signal their presence, regular intrsoral examinations become the most effective means for avoiding advanced dental pathoses and subsequent dental pain in the elderly.</abstract><note>Annual Symposium Papers</note><relatedItem type="host"><titleInfo><title>AGE</title><subTitle>The Official Journal of the American Aging Association, the American College of Clinical Gerontology & the International Association of Biomedical Gerontology</subTitle></titleInfo><titleInfo type="abbreviated"><title>AGE</title></titleInfo><genre type="journal" displayLabel="Archive Journal" authority="ISTEX" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>Springer</publisher><dateIssued encoding="w3cdtf">1987-04-01</dateIssued><copyrightDate encoding="w3cdtf">1987</copyrightDate></originInfo><subject><genre>Life Sciences</genre><topic>Geriatrics/Gerontology</topic><topic>Cell Biology</topic><topic>Molecular Medicine</topic></subject><identifier type="ISSN">0161-9152</identifier><identifier type="eISSN">1574-4647</identifier><identifier type="JournalID">11357</identifier><identifier type="IssueArticleCount">6</identifier><identifier type="VolumeIssueCount">4</identifier><part><date>1987</date><detail type="volume"><number>10</number><caption>vol.</caption></detail><detail type="issue"><number>2</number><caption>no.</caption></detail><extent unit="pages"><start>70</start><end>80</end></extent></part><recordInfo><recordOrigin>American Aging Association, Inc., 1987</recordOrigin></recordInfo></relatedItem><identifier type="istex">480EE4EF17DB2DD77FF7D61F0F3C2E2677CB4BA1</identifier><identifier type="ark">ark:/67375/1BB-R5D0C8MV-R</identifier><identifier type="DOI">10.1007/BF02432289</identifier><identifier type="ArticleID">BF02432289</identifier><identifier type="ArticleID">Art5</identifier><accessCondition type="use and reproduction" contentType="copyright">American Aging Association, Inc., 1987</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-3XSW68JL-F">springer</recordContentSource><recordOrigin>American Aging Association, Inc., 1987</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/480EE4EF17DB2DD77FF7D61F0F3C2E2677CB4BA1/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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