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Dental cares for seniors are different from regular patients. Many of challenges faced by them require different approach, resources and protocol than regular patients. Like accessibility, manual dexterity, systemic diseases, medications, reduced immunity & healing capacity. Some of the challenges faced by seniors in India for their dental care are
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Dental care for seniors Introductions: Dental cares for seniors are different from regular patients. Many of challenges faced by them require different approach, resources and protocol than regular patients. Like accessibility, manual dexterity, systemic diseases, medications, reduced immunity & healing capacity. Some of the challenges faced by seniors in India for their dental care are……………………… a) No provision of social security majority dental treatment expenses are out of the pocket. b) No provision of insurance to cover Dental treatment. c) As per Indian customs mother &/or father goes to their son/daughter when they are expecting baby in the foreign land. at that time having proper dental checkup/treatment As age advances some changes in the body are inevitable like cataract, osteoporosis, graying of hair, wrinkles on the skin so as with the teeth, gums, and mucosa and jaw bone. If the changes related to teeth are known in advance it becomes easy to face & deal with them. Changes can be * Physical: maladjustment with removable appliance * Pathological: root caries i.e. color of teeth * Physiological: reduced saliva * Emotional: Changes in teeth: 1. Brittleness due to reduce in vascularity inside the tooth. Tooth with large filling may require crown. (photo with normal teeth & teeth with abfraction) 2. Color teeth become darker due to deposition of dentine inside tooth. If your concern is cosmetic you can avail help of cosmetic dental treatment and make your teeth brighter. (photo-normal teeth & teeth with aging discoloration) 3. Smile line: Curvature present on tooth edges gets were off and tooth becomes flattened which gives one senile look. Smile design can help you gain your lost appearance.(photo- young teeth vs aged teeth) 4. Teeth sensitivity: these may be due to root exposure. Filling and desensitizing paste may help with this Wear Smile line color
Changes in gums: 1. Recession occurs which causes spaces between gums, one may feel teeth becoming longer due to gum recession, maintaining that space with special device known as “Inter Dental Brush” is sufficient. Tooth may become sensitive to hot & cold due to exposure of root .(photo-normal gums vs gums with space) 2. Enlargement of gums: Many medicines like for Blood pressure, depression, epilepsy may cause enlargement of gums. Keeping good home care of teeth with brushing two time a day, flossing, using Inter dental brush & regular professional cleaning will go a long way for preventing gum disease. Gum recession Gum enlargement Changes in Mucosa 1. Post-menopausalatrophy of mucosa & gums may cause denture sore spots & ulcers with their conventional denture. Switching to denture with implants will solve your problem. (photo- denture sores) 2. Fungal Infection: Not keeping denture hygiene and reduced immunity may cause fungal infection (candida) in denture wearer. Patient may feel soreness in mouth or feel like denture is hot. Maintaining good hygiene of denture & disinfection of denture helps in prevention. Your dentist will help you regarding infection. 3. Alteration in taste Denture sore spots due to post menopausal atrophy Reduction in saliva:Many types of drug i.e antidepressant drug, due to aging , saliva in mouth may reduce. Saliva acts as washing mechanism in mouth, it also rematerialize teeth due to acidic food intake, when saliva flow is reduces it may cause multiple caries and root caries. Keeping proper hydration, use of artificial saliva and regular professionalcleaning with dentist & whenever required getting filing done to avoid further damage. Root caries due to reduced flow of saliva
Loss of teeth: leads to difficulty in chewing. Loss of teeth leads to loss of bone and change is look. Choosing correct artificial tooth options helps you enjoy this stage of life & look better. Loss of teeth leads to loss of bone and change in face As the age advances gum space between teeth opens due to gum recession. This needs special cleaning aid apart from regular brushing that is inter dental brush, use of super floss, Use inter dental brush for space between teeth Grandparents go abroad to help their kids during pregnancy. Having dental check up and treatment before going abroad will a go long way Conclusion: Awareness about change in your teeth, gums, mouth and jaw makes it easy to accept change & deal with it in better way. About two decades of passionate dental practice experience, feedback from many senior patients and association with senior citizen association inspired me to write this article hope it will be useful to all silver citizens. Do let me know your feedback. Aura dental is proactively happy to help seniors, do take help of our online resources. Dr. Kuntal Soni Aura Dental Care Website: auradental.com , facebook : auradental.vadodara , twitter: careataura, Whats app: 9328966383