Tips to Maintaining
Long Term Dental Health
Q: Today, more people retain their natural teeth throughout their life. Once someone has reached their 70's, are they less susceptible to tooth decay and other oral health problems?
A: You are definitely not less susceptible and in fact, we tend to see more cavities in people as they get older for various reasons. The elderly often experience gum recession, which exposes the surfaces of the teeth, making them susceptible to decay. A reduction in saliva production occurs as well, causing seniors to experience dry mouths which can be very uncomfortable. Often, the level of hygiene tends to drop off as people get older. It is more difficult to see or their flexibility decreases and it becomes harder for people to keep their teeth clean.
Q: What should the elderly do to avoid oral care problems and keep their gums and teeth healthy?
A: Number one, two and three is to practice good oral hygiene. It is also important to keep up a good diet by eating lots of vegetables and fruits. People should stay away from processed sugars because these are the arch enemies of teeth and promote decay. I also suggest that people see their dentist at least twice a year, if not four times a year. This way, if they have a small problem, they catch it right away and it stays a small problem.
Q: What advice would give to people who have lost their teeth?
A: If you have lost a few teeth, we can design bridges that are either fixed or removable. Fixed bridges tend to cost more, but people seem to get along better with them. The problem with removable bridges is that you have to take them in and out and they tend to get lost. There is also implant dentistry which involves inserting a titanium post into the jaw so that we can attach crowns and bridges to them. We can even make dentures and anchor them down with an implant. A periodontist will put the implant into the jaw and then the dentist will attach the restoration (ie: the crown, bridge or partial).
Q: Tell me about flossing, how does this play into good oral hygiene?
A: There have been numerous studies that have shown the correlation between gum disease and vascular disease such as heart disease. Oral bacteria can affect the heart when it enters the blood stream from unhealthy gums. Chronic inflammations in the mouth can lead to other diseases, including diabetes. Brush and floss your teeth religiously to keep your gums healthy and prevent disease or infections. Flossing can be hard for older people who lose their dexterity. Today, there are some new instruments that look like a "Y" or a "T" that make it much easier to floss. Being older does not mean you have to lose your teeth. Keep up with your teeth. I have been practicing for over 30 years and many of the people I saw were 50 years old when I started and they are 80 now. Older people who keep up with their teeth are healthier and happier. When you take care of your teeth, you can eat better, you can function better, you smile more, you're comfortable and your self-confidence is higher.
Q: Aren't there are some medications that can interfere with good oral hygiene?
A: There are a variety of medications that affect a person's oral health care. The major ones are those that cause "dry mouth." Saliva is a natural cavity fighter, so when you lose your saliva flow, you tend to get more cavities and inflammation, causing your mouth to become uncomfortable. It is important to tell your dentist about any medications you are taking. Some medications like anticoagulants (like aspirin, Coumadin, etc) can cause problems when you have a deep cleaning done or oral surgery as they can lead to excessive bleeding. It's best to discuss your medications with your dentist as there are several ways to address these side effects to make the person more comfortable. Q: Is there a genetic factor associated with whether or not your teeth and gums stay healthy when you age?
A: There is a genetic factor, especially when it comes to periodontal problems. If your mother and father had gum disease, you should be watching for it. It is a combination of heredity and environmental exposure. Some people have more of a predisposition to gum disease and tooth decay than other people. My advice is that you take good care of your teeth throughout your life. Do whatever you can to keep your teeth as long as you can and you'll be much happier.
