teeth are forever oral health and the older adult
DESCRIPTION
Nov 4th 2013TRANSCRIPT
![Page 1: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/1.jpg)
Teeth Are Forever: Oral Teeth Are Forever: Oral Health and the Older AdultHealth and the Older Adult
Saskatchewan Dental Assistants’ AssociationSaskatchewan Dental Assistants’ Association
20122012
11
![Page 2: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/2.jpg)
REALITIES OF 2012REALITIES OF 2012
The paradigm shift relative to dental The paradigm shift relative to dental treatment…treatment…
22
![Page 3: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/3.jpg)
Societal ShiftsSocietal Shifts
Our population Our population is living longeris living longer
33
![Page 4: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/4.jpg)
In The PastIn The Past
Twenty years ago…Twenty years ago…
44
![Page 5: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/5.jpg)
Cosmetic DentistryCosmetic Dentistry
Baby Boomers have Baby Boomers have had access dental had access dental insurance programs insurance programs and extensive oral and extensive oral carecare
55
![Page 6: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/6.jpg)
Prepared Teeth forPrepared Teeth forCrown and BridgeCrown and Bridge
66
![Page 7: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/7.jpg)
Dental ImplantsDental Implants
Everybody is getting implants these days!Everybody is getting implants these days!
77
![Page 8: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/8.jpg)
Implant ProcedureImplant Procedure
Actual screws Actual screws are placed into are placed into the bone the bone structure and structure and serve as an serve as an attachment for a attachment for a replacement replacement tooth. tooth.
88
![Page 9: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/9.jpg)
99
![Page 10: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/10.jpg)
A Type of Removable A Type of Removable Over-dentureOver-denture
1010
![Page 11: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/11.jpg)
Actual view of implants and denture in Actual view of implants and denture in placeplaceYou need to know what you are working with and the incredible You need to know what you are working with and the incredible expense involved in these types of treatments. Caregivers need to expense involved in these types of treatments. Caregivers need to know!know!
1111
![Page 12: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/12.jpg)
Implant Care ImplicationsImplant Care Implications
1212
Caregivers need to be aware that this type of Caregivers need to be aware that this type of dental treatment is becoming more common. dental treatment is becoming more common.
The attachments need to be cleaned on a The attachments need to be cleaned on a daily basis. daily basis.
The client will need regular dental hygiene The client will need regular dental hygiene care. care.
These attachments can break or need to be These attachments can break or need to be tightened in a dental office…tightened in a dental office…
![Page 13: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/13.jpg)
AccessAccess
Everyone Everyone has has different different issues!issues!
1313
![Page 14: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/14.jpg)
Access to CareAccess to Care
95% of the population over 65 live at home95% of the population over 65 live at home
5% are homebound5% are homebound
17% have mobility limitations17% have mobility limitations
THEREFORE over 70% can still travel to THEREFORE over 70% can still travel to the dentist.the dentist.
Majority of older adults are healthy and Majority of older adults are healthy and dependent!dependent!
1414
![Page 15: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/15.jpg)
Access to CareAccess to Care
Access to care can be Access to care can be physical, geographic, physical, geographic, medical, cognitive medical, cognitive and financial…and financial…
1515
![Page 16: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/16.jpg)
ORAL CARE ISSUESORAL CARE ISSUESSeniorsSeniors
1616
![Page 17: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/17.jpg)
ConsiderationsConsiderations
Oral health is linked to general healthOral health is linked to general health– Chewing, swallowing & nutritionChewing, swallowing & nutrition– PainPain– Affect quality of life issues such as self image, Affect quality of life issues such as self image,
communication & social interactioncommunication & social interaction– Increased susceptibility to systemic infectious Increased susceptibility to systemic infectious
diseases, especially pneumonia…diseases, especially pneumonia…
1717
![Page 18: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/18.jpg)
Dexterity IssuesDexterity Issues
Frailty: Frailty: increases the increases the need for need for regular oral regular oral assessmentassessment
1818
![Page 19: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/19.jpg)
Mobility IssuesMobility Issues
Homebound: may be Homebound: may be unable to attend the unable to attend the dental office and may dental office and may have increased need have increased need for assistancefor assistance
1919
![Page 20: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/20.jpg)
Considerations for Dental CareConsiderations for Dental Care
Transportation to Transportation to dental clinicdental clinic
Accompanied by a Accompanied by a caregivercaregiver
Shorter appointmentsShorter appointments
Bring a printed list of Bring a printed list of medicationsmedications
2020
![Page 21: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/21.jpg)
PREVENTION & MANAGEMENTPREVENTION & MANAGEMENT
As people live longer and retain more As people live longer and retain more teeth that are often more heavily restored teeth that are often more heavily restored they will require significantly more they will require significantly more complex treatment, therefore complex treatment, therefore considerable emphasis should be placed considerable emphasis should be placed on caries prevention and education.on caries prevention and education.
2121
![Page 22: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/22.jpg)
Dental ServicesDental Services
Regular check-ups with your dentistRegular check-ups with your dentist
Regularly cleaningsRegularly cleanings– May need to be as often as 4 times a yearMay need to be as often as 4 times a year– Reduces bacterial invasion of the lungsReduces bacterial invasion of the lungs
Edentulous?Edentulous?– All dental prosthesis require reassessment All dental prosthesis require reassessment
and maintenance over timeand maintenance over time– Your mouth still needs to be examinedYour mouth still needs to be examined
2222
![Page 23: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/23.jpg)
PreventionPreventionBefore problems develop sound preventive Before problems develop sound preventive habits need to be adopted habits need to be adopted
Brushing twice a dayBrushing twice a day– Consider an electric toothbrushConsider an electric toothbrush
FlossingFlossing– Floss aids are available to assist an individual Floss aids are available to assist an individual
with manual dexterity issueswith manual dexterity issues
Mouth rinsesMouth rinses– Anticariogenic products (chlorhexadine rinse)Anticariogenic products (chlorhexadine rinse)
2323
![Page 24: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/24.jpg)
DietDietDietary CounsellingDietary Counselling
Minimal consumption of fermentable dietary Minimal consumption of fermentable dietary sugars and carbohydratessugars and carbohydrates
Healthy betweenHealthy between meal snacksmeal snacks
Boost and Ensure are sticky and high in Boost and Ensure are sticky and high in sugar (unless sugar free)sugar (unless sugar free)
Read labels!Read labels!
Choose items with less fat, trans fat, Choose items with less fat, trans fat, saturated fat, sugar and sodiumsaturated fat, sugar and sodium
2424
![Page 25: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/25.jpg)
TOOTH CLEANINGTOOTH CLEANINGRinse the Rinse the brush with brush with warm water warm water and place a and place a small amount small amount of toothpaste of toothpaste on the bristleson the bristles
2525
![Page 26: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/26.jpg)
TOOTH CLEANINGTOOTH CLEANINGPlace bristles Place bristles of the brush of the brush on the tooth on the tooth and massage and massage back and forth back and forth to remove the to remove the plaque from plaque from all the all the surfaces.surfaces.
It is important It is important to brush the to brush the teeth and teeth and gums.gums.
2626
![Page 27: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/27.jpg)
TOOTH CLEANINGTOOTH CLEANINGMove Move around the around the mouth in mouth in sequence, sequence, to contact to contact all of the all of the teethteeth
2727
![Page 28: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/28.jpg)
TOOTH CLEANINGTOOTH CLEANING
Finally, Finally, rinse the rinse the mouth with mouth with water. water.
2828
![Page 29: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/29.jpg)
FLOSSINGFLOSSINGFloss Floss comes in comes in may forms may forms (unwaxed, (unwaxed, waxed and waxed and yarn)yarn)
Select the Select the one that one that works the works the best for you.best for you.
2929
![Page 30: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/30.jpg)
FLOSSINGFLOSSINGTake a 40-50 cm Take a 40-50 cm piece of floss, wind piece of floss, wind it around the middle it around the middle fingers of each fingers of each hand. Control with hand. Control with index fingers or index fingers or thumbs 5 cm of thumbs 5 cm of floss so that it can floss so that it can pass comfortable pass comfortable and flexibly and flexibly between the teeth.between the teeth.
3030
![Page 31: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/31.jpg)
FLOSSINGFLOSSING
The plaque The plaque is removed is removed by moving by moving the floss up the floss up and down and down against the against the surfaces of surfaces of each tootheach tooth
3131
![Page 32: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/32.jpg)
FLOSSINGFLOSSING
Make sure each Make sure each “in-between” “in-between” surface of the surface of the teeth is floss, teeth is floss, and the floss and the floss passes up and passes up and down cleaning down cleaning the tooth’s the tooth’s surface. surface. Discard the Discard the floss after use.floss after use.
3232
![Page 33: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/33.jpg)
INTERPROXIMAL BRUSHESINTERPROXIMAL BRUSHES
Interproximal Interproximal brushes are brushes are brushes brushes used to clean used to clean the surfaces the surfaces between the between the teeth.teeth.
3333
![Page 34: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/34.jpg)
BRUSH TECHNIQUEBRUSH TECHNIQUE
Insert the brush Insert the brush between the teeth, between the teeth, and clean with an and clean with an in-and-out motion. in-and-out motion. The brushes do The brushes do wear our so they wear our so they must be replaced, must be replaced, but can be rinsed but can be rinsed off and reused off and reused while still in good while still in good shape.shape.
3434
![Page 35: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/35.jpg)
FLOSS HOLDERSFLOSS HOLDERS
The The addition of addition of a handle a handle may make may make it easier to it easier to floss. floss. There are There are several several designs.designs.
3535
![Page 36: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/36.jpg)
USING A FLOSS HOLDERUSING A FLOSS HOLDER
Use the Use the floss floss holder in holder in a similar a similar manner manner to finger to finger flossing.flossing.
3636
![Page 37: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/37.jpg)
GUM CLEANINGGUM CLEANING
The gum The gum around around teeth or teeth or under under dentures dentures should be should be cleaned cleaned with a brush with a brush every day.every day.
3737
![Page 38: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/38.jpg)
MASSAGE GUMS & ROOF OF MOUTHMASSAGE GUMS & ROOF OF MOUTH
A toothbrush A toothbrush moistened with moistened with water can be used water can be used to massage the to massage the gums, the roof of gums, the roof of the mouth and the the mouth and the tongue. This tongue. This removes food removes food debris, improves debris, improves circulation and circulation and prevents bad prevents bad breath.breath.
3838
![Page 39: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/39.jpg)
BRUSH TONGUEBRUSH TONGUE
3939
![Page 40: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/40.jpg)
DENTURE CLEANINGDENTURE CLEANING
Dentures should Dentures should be removed be removed from the mouth from the mouth and brushed and brushed thoroughly at thoroughly at least once a least once a day. Clean the day. Clean the inside service. inside service. Clean over a Clean over a sink filled with sink filled with water in case water in case you drop it.you drop it.
4040
![Page 41: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/41.jpg)
DENTURE CLEANINGDENTURE CLEANING
A A toothbrush toothbrush will remove will remove plaque and plaque and food food remnants remnants effectively. effectively. Avoid Avoid abrasive abrasive cleansers cleansers including including toothpaste.toothpaste.
4141
![Page 42: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/42.jpg)
DENTURE CLEANINGDENTURE CLEANING
It is usually best to It is usually best to remove your dentures remove your dentures while sleeping. If you while sleeping. If you prefer to wear them prefer to wear them continuously, the continuously, the area under and area under and around the denture around the denture must be kept very must be kept very clean. clean.
Dentures should be Dentures should be dry when not in your dry when not in your mouth and should be mouth and should be stored in a marked stored in a marked container.container.
4242
![Page 43: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/43.jpg)
Medical FactorsMedical Factors
Dry Mouth (Xerostomia) is caused by the Dry Mouth (Xerostomia) is caused by the natural aging process and certain natural aging process and certain medications; (blood pressure medication, medications; (blood pressure medication, antihistamines, Parkinson Disease antihistamines, Parkinson Disease medication, incontinence medications etc.)medication, incontinence medications etc.)
Stroke, arthritis & multiple sclerosis etc.Stroke, arthritis & multiple sclerosis etc.
Diabetes: bone loss, increased gingivitis, Diabetes: bone loss, increased gingivitis, slower healing times….slower healing times….
4343
![Page 44: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/44.jpg)
Medical Factors (cont’)Medical Factors (cont’)
Denture sores that impair eatingDenture sores that impair eating
Candida yeast in the mouth (treat denture Candida yeast in the mouth (treat denture as well as mouth)as well as mouth)
Cancer treatment and post cancer Cancer treatment and post cancer medicationsmedications
4444
![Page 45: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/45.jpg)
Zero Oral CareZero Oral Care
4545
![Page 46: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/46.jpg)
Progression of Zero CareProgression of Zero Care
4646
![Page 47: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/47.jpg)
Just Zero!Just Zero!
4747
![Page 48: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/48.jpg)
Caries Prevention Can Include:Caries Prevention Can Include:
Xylitol sweetenerXylitol sweetener
Fluoride Products: mouthwashes, fluoride Fluoride Products: mouthwashes, fluoride varnish etc.varnish etc.
MI Paste (available at dental offices)MI Paste (available at dental offices)
Cheddar cheeseCheddar cheese
4848
![Page 49: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/49.jpg)
Dry Mouth & TreatmentDry Mouth & Treatment
Dry mouth is a serious side effect of Dry mouth is a serious side effect of diseases, medication and conditionsdiseases, medication and conditions
A dry mouth can cause rampant decay, A dry mouth can cause rampant decay, difficulty swallowing, denture retention, difficulty swallowing, denture retention, bad breath, speaking difficulty and mouth bad breath, speaking difficulty and mouth sensitivitysensitivity
There are a variety of products on the There are a variety of products on the market that can lessen the effects of the market that can lessen the effects of the conditioncondition
4949
![Page 50: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/50.jpg)
Long Term CareLong Term Care
Bedridden: a Bedridden: a client will client will require an require an individual care individual care plan based on plan based on accepted best accepted best care practicescare practices
5050
![Page 51: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/51.jpg)
Alzheimer DiseaseAlzheimer Disease
With the progression With the progression of Alzheimer Disease of Alzheimer Disease this individual will this individual will require daily, require daily, consistent care…consistent care…
5151
![Page 52: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/52.jpg)
Dental IssuesDental Issues
5252
![Page 53: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/53.jpg)
Together, making a differenceTogether, making a difference
5353
![Page 54: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/54.jpg)
THANK YOU!THANK YOU!
Early identification and rational management of Early identification and rational management of potential dental problems will support better health, potential dental problems will support better health, sustained function and a fun and graceful old age!sustained function and a fun and graceful old age!
5454
![Page 55: Teeth are forever oral health and the older adult](https://reader035.vdocuments.mx/reader035/viewer/2022062404/554b1de9b4c9056f098b5245/html5/thumbnails/55.jpg)
Teeth are Teeth are forever!forever!
5555