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Systemic diseases in elderly dental patients

M Umino1, M Nagao

  • 1Department of Geriatric Dentistry, Faculty of Dentistry, Tokyo Medical and Dental University, Japan.

International Dental Journal
|June 1, 1993
PubMed
Summary

A study of 1012 elderly patients found that 64.2% have systemic diseases, with hypertension being the most common. Dentists must identify these conditions to ensure patient safety during dental treatment.

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Area of Science:

  • Gerodontology
  • Cardiovascular Health
  • Internal Medicine

Background:

  • Systemic diseases are prevalent in elderly populations.
  • Gerodontic patients frequently present with multiple comorbidities.
  • Understanding systemic health is crucial for safe dental practice.

Purpose of the Study:

  • To investigate the prevalence of systemic diseases in elderly patients attending a gerodontic clinic.
  • To identify common systemic conditions and their combinations in this demographic.
  • To highlight the importance of pre-treatment assessment for patient safety.

Main Methods:

  • Cross-sectional study involving 1012 elderly patients.
  • Data collection included medical history and clinical examination findings.
  • Analysis focused on the prevalence and types of systemic diseases, including hypertension.

Main Results:

  • 64.2% of patients had one or more systemic diseases.
  • Hypertension was the most frequent (30.9%), followed by angina pectoris, diabetes, and arrhythmias.
  • 17% had multiple diseases, with hypertension frequently co-occurring with cardiovascular conditions.
  • Isolated systolic hypertension was observed in 14.3% of patients.

Conclusions:

  • Elderly dental patients commonly exhibit a range of systemic diseases.
  • Hypertension is a significant comorbidity in this population.
  • Comprehensive medical evaluation before dental treatment is essential to mitigate risks associated with systemic conditions and dental procedures.

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