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Related Experiment Videos

Geriatric alcoholism: pathophysiology and dental implications.

Arthur H Friedlander1, Dean C Norman

  • 1VA Greater Los Angeles Healthcare System, 11301 Wilshire Blvd., Los Angeles, Calif. 90073, USA. friedlander@med.va.gov

Journal of the American Dental Association (1939)
|March 31, 2006
PubMed
Summary

Geriatric patients with alcoholism face extensive dental disease due to reduced salivary flow and poor oral hygiene. Alcohol abuse worsens medical issues and increases oral cancer risk, necessitating preventive dental care and cautious clinical management.

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Area of Science:

  • Geriatric Medicine
  • Addiction Medicine
  • Dental Science

Background:

  • Alcoholism significantly impacts geriatric patients' health.
  • Aging physiology alters alcohol's effects, increasing risks at lower consumption levels.
  • Alcohol abuse exacerbates age-related medical and emotional problems.

Purpose of the Study:

  • To review the clinical features, epidemiology, diagnosis, and treatment (medical and dental) of geriatric patients with alcoholism.
  • To highlight the orofacial and dental implications of alcohol abuse in the elderly.

Main Methods:

  • MEDLINE searches were conducted from 1995 to 2004.
  • Search terms included "alcoholism," "geriatric," "pathophysiology," "treatment," and "dentistry."
  • English-language, peer-reviewed journal reports were selected for review.

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Main Results:

  • Physiological changes in aging increase alcohol's harmful effects at lower intake levels.
  • Alcohol abuse worsens existing medical and emotional conditions in the elderly.
  • Increased risk of adverse drug interactions with common geriatric medications.

Conclusions:

  • Extensive dental disease is prevalent due to diminished salivary flow and poor oral hygiene.
  • Tobacco use concurrently worsens dental health and elevates oral cancer risk.
  • Recommended interventions include patient identification, cancer screening, preventive education, saliva substitutes, and careful medication management.