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提要：老年人除口腔组织产生各种增龄性的改变外，全身各器官也都相应地产生衰老的改变，生理功能适应性减退，同时心理状态也有不同程度的变化。此外，老年人还常伴有多种慢性疾病，服用多种药物。以上情况均可影响其口腔疾病的诊断、治疗和预后。这就要求医生必须掌握老年人的各种特点，采取不同于青、壮年人的措施，进行安全有效的治疗。本文介绍了对老年口腔病患者治疗的一般原则，老年人常见全身疾病和口腔治疗的关系以及拔牙、牙体牙髓病、牙周病及口腔修复的特点。

The characteristics of clinical management for elderly patients with oral diseases

The elderly have a variety of aging changes both in oral tissues and systemic organs and their physiological function and adaptive ability reduce.Varying degrees of psychological changes are not uncommon.Moreover,the aged are often accompanied by a variety of chronic diseases with multiple medications.The above-mentioned facts may affect the diagnosis,treatment and prognosis of oral diseases.It is advisable that dentists should familiarize themselves with various characteristics of the elderly patients,which are different from the young adults and take measures to carry out safe and effective treatment.This article describes the general principles of management for elderly patients with oral diseases,the relationship between systemic diseases and oral treatment and the characteristics of managements in the field of dental surgery,endodontics,periodontal diseases and prosthodontics.