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Objective: To conduct a discussion about the main morphophysiological changes that occur with aging and the impact of these on how dentists will assist their patients. In recent years, the increasing number of elderly in the Brazilian population has made their health issues to arouse attention on the national setting. Materials and Methods: The article searches for this systematic review were carried out in the databases: PubMed/MEDLINE, LILACS, BBO, SciELO and Science Direct. As search strategies, we used the words "geriatric" and "dentistry", limited to a period of five years, from 2006 to 2011. Results: It was found that the most prevalent oral morphophysiological changes in the elderly were xerostomia, loss of taste ability, changes in the periodontium, motor deficit leading to difficulty in oral hygiene, tooth loss and damage to the mucosa. In addition, oral health care plays an important role in the quality of life of these patients. Conclusion: The dentist should learn about specific care demanded by the elderly population and also understand that assistance given to this part of the population should be comprehensive, since it can be related to a number of systemic diseases affecting the oral health.  DESCRIPTORS Aging. Dental Care for Aged. Quality of Life. Health of the Elderly. Health Services for the Aged.

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