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KMID : 0362720120500010006
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Journal of the Korean Dental Association
2012 Volume.50 No. 1 p.6 ~ p.12
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Understanding and treatment strategy of the physiologic occlusal change in elderly patients
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Kim Jee-Hwan
Shim June-Sung
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Abstract
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As in all other parts in the body, oral tissue also undergoes dramatic changes with increasing age. Since these changes
occasionally go beyond physiological scope, which may result in pathological changes, it is essential for dentist to understand changes caused by normal aging process. With increasing age, tooth morphology and occlusion also varies, especially loss of hard tissue, which is taking place in lifelong time, occurs as a result of tooth wear. When this loss of hard tissue is presented rapidly or excessively, functional and esthetical problems are raised, resulting in lowering quality of life of patient as well as making dental treatment for oral rehabilitation even more complex. Therefore, based on understanding of change in occlusion with increasing age, strategic approaches for maintenance of oral health in both functional and esthetic aspect are required as appropriate restoration and maintenance for progressive tooth wear enables desirable occlusal relationship. Carefully planned-restorative treatment in accordance with changed occlusal relationship is also required in the same context. Instead of taking changes in oral tissue as only a consequence of ageing, it is vital to educate patient and his or her guardian, assuring maintenance of oral hygiene and regular dental check-up are of utmost importance for improved oral health.
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KEYWORD
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Aging, Tooth wear, Occlusion, Geriatric dentistry
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