Vol. 10, 2025

Biomedicine

COMPARATIVE ANALYSIS ON THE IMPACT OF AGE ON OCCURRENCE OF ORAL PATHOLOGIES – PREGERIATRIC AGE VERSUS GERIATRIC AGE

Ilma Robo, Saimir Heta, Shpëtime Xhemollari, Vera Ostreni

Pages: 65-71

DOI: 10.37392/RapProc.2025.13

Despite the fact that saliva production decreases significantly as a result of the physiological aging process, aging that occurs as a result of increasing age and the individual’s inclusion in the geriatric age is accompanied by the appearance of systemic pathologies for which the geriatric patient is forced to be treated with medications that, as a side effect of systemic use, also have a reduction in saliva production. The aim of this study involves analyzing the data collected from the clinical examination of geriatric patients versus data collected from pre-geriatric patients, to find out if and how age affects the appearance of these oral pathologies. The aim of this study is to analyze how age of patient affects the appearance of soft tissue and hard tissue lesions in oral cavity, analyzing the results of these pathologies, results that are expressed in the number of remaining natural teeth in the oral cavity, in number of endodontically treated teeth, in presence or not of total partial dentures or fixed dentures. A total of 61 patients: 26 of geriatric age and 35 of pre-geriatric age, were evaluated during oral examination for the presence of oral soft tissue and hard tissue pathologies, also expressed by the number of remaining natural teeth in the oral cavity, in number of endodontically treated teeth, in presence or not of total partial dentures or fixed dentures. Oral cavities were examined in order to evaluate previous dental treatments. Photography of oral pathologies were performed also. Regardless of pre-geriatric and geriatric age, endodontic treatment occurs in almost 70% of cases and their absence in 30% of cases included in the study. Endodontic treatments with the aim of preserving the natural tooth has the highest value in pre-geriatric patients, expressed in the value of about 50% of the number of patients included with 1 or more endodontic treatments in the same oral cavity. For geriatric age, 2% of patients are classified in category with the largest number of teeth in the oral cavity, 26-32 teeth, for non-geriatric age, patients with 0-15 teeth in oral cavity are about 10%. The combination of these figures indicates an increasing trend in population that will pass to total edentulism in geriatric age. The presence of removable prostheses for pre-geriatric age in the amount of 7%, as opposed to geriatric age where this value is 18%. It is clear that the pre-geriatric age tends towards fixed prosthetics, while the geriatric age tends towards removable prosthetics. The tendency for prosthetics for both the pre-geriatric and geriatric ages appears in the ratio 1:1. The combination of figures on the minimum amount of natural teeth in the oral cavity in the pre-geriatric age and on the maximum amount of natural teeth in the oral cavity in the geriatric age shows an increasing trend in the population that will go into total edentulism in the geriatric age; a tendency that appears from the pregeriatric age. Patients of the pre-geriatric age present with more teeth treated endodontically compared to patients of the geriatric age.
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