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This chapter reviews common age-related changes in oral health that affect the structures and functions of the oral cavity and how they may predispose older adults to the development of a variety of oral pathologies. We will address some of the limitations and challenges in the study of age-related changes in oral health. Clinicians and investigators often overlook age-related changes in oral health due to the wrong perception that these problems are inconsequential or non-life-threatening. Further evidence of this oversight is in the limited number of cross-sectional, longitudinal studies and randomized controlled trials that have been conducted. When available, existing studies have included relatively small sample sizes or shorter follow-up periods. Another consideration when discussing age-related changes is that oral conditions may not necessarily reflect the effects of the aging but rather the effects of chronic diseases, lifestyle, environmental, and social determinants. These factors may negatively impact oral health by accelerating the effects of aging on the oral cavity.
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