While 4 out of 10 adults over the age of 65 still lose their teeth, many
more are now retaining at least some of their natural teeth into their
final years. Before the full impact of fluoridation, fluoride toothpastes, and improved oral hygiene and dental care, three-fourths of the population eventually ended up toothless. That solved the problem of dental decay and periodontal disease, but the elderly were hardly more comfortable with dentures.
With aging comes a decrease in dexterity and, less concern with oral hygiene.
Diets tend to become Dental Marathon softer and food debris and plaque accumulate
around the natural teeth, contributing to root decay and advancing
periodontal disease. Teeth become more brittle and fracture.
Drugs,
radiation therapy, and aging also decrease salivary flow. "Dry mouth"
accelerates tooth decay and reduces denture stability and comfort. It
is then only a matter of time before dental decay, periodontal diseases
and loss of teeth occur.
At a time when more frequent
professional care is necessary the elderly don't have the funds for
periodontal therapy, fillings, crowns, root canal treatment, bridges and
dentures. Still, the problem is not so much that the elderly require
substantially different dental care than the younger adult population
but that they lack the means and access to obtain it.
Maintaining
oral hygiene can be aided through the use of electric toothbrushes and
oral irrigation devices. Fluoride rinses, gels, varnishes and
antimicrobial agents can be administered by nursing home personnel to
inhibit root carriers.
If we could rid ourselves of archaic
licensing board restrictions, we could train nurses and nurse's aids to
apply Endo Motor fluoride varnishes, which is easier to apply than traditional
topical fluoride application and is as effective in inhibiting root
decay.
Studies have also shown that better dental care among the
elderly in nursing homes could reduce cases of a certain type of
pneumonia especially aspiration pneumonia which is an infection that
occurs after stomach contents or bits of food are inhaled into the
lungs.
Elderly people are at higher risk if they have dental
plaque or certain types of mouth bacteria. This is an area that tends to
be overlooked in most nursing homes as it is often left to the elderly
residents to clean their mouths while in many cases, due to physical
limitations they cannot.
Institutions for the aged should
arrange for visiting dentists and hygienists to perform periodic
examinations, prophylaxis, and fillings using portable equipment.
Nursing homes should assign and apex locator educate specific staff members, doubling
as nurse's aids, to do some actual tooth brushing for those elderly who
cannot do it themselves.
However, these types of dental care
programs are not organized and funded. This simply reflects the low
priority society places on dental health care for the elderly.
If
you have family members in nursing homes or your own home, one of the
best things you can do for them is to ensure they receive proper dental
care. A gift that keeps on giving are dental products that help the elderly maintain proper dental hygiene.
没有评论:
发表评论