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MacEntee MI JADA 2007, Vol 138

Oral Health Model has 4 major themes: comfort, general health, hygiene, diet All affect people ’ s lives both socially and personally. MacEntee MI JADA 2007, Vol 138. Geriatric dental care. Diagnosis, treatment , prevention of all dental and oral diseases for all older adults.

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MacEntee MI JADA 2007, Vol 138

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  1. Oral Health Model has 4 major themes: comfort, general health, hygiene, diet All affect people’s lives both socially and personally. MacEntee MI JADA 2007, Vol 138

  2. Geriatric dental care • Diagnosis, treatment , prevention of all dental and oral diseases for all older adults

  3. What is one of the most significant oral problems found in the elderly? What is one of its most significant contributing risk factors?

  4. Xerostomia Polypharmacy

  5. Why is Oral Health important in the Elderly? • Most severe oral health problems are in the oldest and sickest patients • Polypharmacy contributes to dry mouth due to decreased salivary flow • Lowers the oral pH>>> Caries

  6. At particular risk for poor oral health Nursing staff and others rated oral care as important, HOWEVER, other activities were given priority over oral care Oral care is not considered part of nursing care; omitted from care plans Frequently unclear as to responsibility Institutionalized Elderly Vargas, Kramarow, Yellowitz, 2001 Wardh et al., 2000

  7. Common Oral Conditions in the Elderly • Periodontal disease (gum disease) • Caries (tooth decay) • Xerostomia (dry mouth)

  8. Summary: • Oral health, taste and smell contribute to an individual’s sense of well-being and quality of life Ritchie CS Clin GerMed Nov 2002 • Tooth loss, periodontal disease, decreases in saliva production are not normal consequences of aging • Quality of Life is multifactorial and a personal experience; good oral health enhances QOL

  9. Oral Systemic Links are significant • Study of older adults, 85+ had PD • Moderate disease and could be managed by General Dentists with conservative care and good oral hygiene • Patients should be routinely assessed for risk of diabetes, HTN, respiratory diseases, osteoporosis. • Dentistry and Medicine need to address this together for better care of our patients

  10. Thank you for your attention!

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