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Related Concept Videos

Assessment of the Mouth01:26

Assessment of the Mouth

303
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
303

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Updated: Aug 6, 2025

Oral Health Assessment by Lay Personnel for Older Adults
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Quantifying red complex bacteria, oral hygiene condition, and inflammation status in elderly: A pilot study.

Diana Khoirowati1, Fatimah Maria Tadjoedin2, Benso Sulijaya2

  • 1Postgraduate program in Periodontology, Department of Periodontology, Faculty of Dentistry, Universitas Indonesia.

The Saudi Dental Journal
|March 21, 2023
PubMed
Summary

Aging exacerbates periodontitis by increasing red complex bacteria, such as P. gingivalis, and worsening oral hygiene. This highlights the need for targeted bacterial treatments in elderly patients with periodontitis.

Keywords:
AgingCt, cycle thresholdOHI-S, Oral Hygiene Index SimplifiedOral hygieneP. gingivalis, Porphyromonas gingivalisPBI, Papillary Bleeding IndexPCR, polymerase chain reactionPeriodontitisRT-PCR, reverse transcription PCRRed complex bacteriaT. denticola, Treponema denticolaT. forsythia, Tannerella forsythiaqRT-PCR, quantitative RT-PCR

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Area of Science:

  • Periodontology
  • Microbiology
  • Gerontology

Background:

  • Periodontitis involves inflammation and destruction of tooth-supporting tissues, potentially linked to red complex bacteria.
  • Aging can modulate immune responses, impacting susceptibility and severity of chronic infections like periodontitis.

Purpose of the Study:

  • To investigate the influence of aging on oral hygiene and inflammatory status in periodontitis patients.
  • To assess the correlation between oral hygiene, red complex bacterial load, and inflammatory markers in subgingival plaque.

Main Methods:

  • A cross-sectional study involving 20 adult and 20 elderly periodontitis patients.
  • Clinical assessment using Oral Hygiene Index Simplified (OHI-S) and Papillary Bleeding Index (PBI).
  • Quantification of red complex bacteria (P. gingivalis, T. denticola, T. forsythia) in subgingival plaque via RT-PCR.

Main Results:

  • Both adult and elderly groups exhibited poor oral hygiene (high OHI-S and PBI).
  • Elderly subjects showed significantly higher loads of red complex bacteria compared to adults.
  • A strong positive correlation was found between OHI-S and red complex bacteria; P. gingivalis load strongly correlated with PBI in the elderly.

Conclusions:

  • Aging significantly increases red complex bacterial load and negatively impacts oral hygiene in periodontitis patients.
  • While aging affects bacterial load and hygiene, its direct impact on inflammation in this context was not significant.
  • Findings suggest developing age-specific, bacteria-focused treatment strategies for periodontitis in the elderly.