Journal of Clinical Immunology & Microbiology
Inflammaging and Immunosenescence: The New Biological Paradigm of Periodontal Disease in Older Adults. Narrative Review
Periodontitis has long been described as a chronic inflammatory disease driven by the interaction between a dysbiotic biofilm and an altered host immune response. This model, however, does not fully explain the greater susceptibility, faster progression and poorer treatment response observed in older adults. From a geroscience perspective, biological aging itself reshapes the periodontal environment through inflammaging and immunosenescence, contributing to loss of periodontal homeostasis beyond microbial dysbiosis …