Posts for: November, 2018
A focus on dental care in senior citizens is just as important as it is for children. Indeed, oral health in your later years can be a major factor in your quality of life.
For one, aging effects on other parts of the body can make dental care more challenging. Some hygiene tasks once performed easily become harder — arthritis, for example, or loss of muscle strength may make it difficult to hold a toothbrush or floss. In such cases, you may need to find new ways to make the task easier: a power toothbrush with a larger handle; pre-loaded floss holders or a water flosser; or adaptations to a manual brush to make it easier to hold, like attaching a tennis ball or bike handle.
Other age-related conditions — and their treatments — can negatively impact oral health. Less saliva production, which is a consequence of aging or certain drugs, increases the risk of tooth decay or periodontal (gum) disease. Older adults often develop gastric reflux problems that can introduce tooth enamel-eroding stomach acid into the mouth. And medications called bisphosphonates, often prescribed to treat osteoporosis, may interfere in rare cases with bone healing after tooth extraction or similar procedures.
Prior dental work can also prove challenging to treating dental disease. It becomes more difficult to preserve teeth threatened with decay if there are significant restorations or appliances to work around. Pain perception can also diminish with age, so that dental disease may not be noticed until later stages when significant damage has already occurred.
Oral care requires more attention as we grow older, or as we care for older family members. Your best defense against disease is to continue regular six-month visits with us. In addition to normal cleanings and checkups, we’ll also screen for oral cancer (a more prevalent occurrence in older adults), review your prescriptions or other supplements and medications for any possible side effects to oral health, check the fit of any dentures or other restorations and evaluate the effectiveness of your hygiene.
While other age-related conditions may capture the majority of your attention, you shouldn’t allow that to neglect your dental care. With your continued efforts, along with our support and your family’s, you can continue to enjoy good oral health throughout your lifetime.
Today’s dentist can not only treat most dental diseases and conditions, but can almost prevent disease completely. Our true needs as a society, however, go beyond the dentist’s chair — to the lack of availability and affordability of care for every American.
That’s of grave concern to dentists — so much so that dentistry itself is already changing to meet these challenges.
In one of the most visible changes, we’re seeing accelerated technological advancement that could lower costs and extend our range of care. Advances in 3-D digital imaging are giving dentists amazingly detailed views of patients’ mouths that surpass the accuracy of traditional imaging. Telecommunications and the internet are enabling dentists in distant locations to examine patients and even review dental x-rays to guide treatment, providing a new level of care access for patients.
The means for delivering that care are also changing as the traditional paradigm of the solo practice becomes more difficult for new dentists to achieve. With educational debt and practice setup costs reaching as high as $1 million — before earning their first dollar — many dentists are joining larger groups or dental corporations. In these arrangements, practitioners don’t have the burden of overhead expenses and can concentrate mainly on their clinical work. On the downside, patients seeing multiple providers may not easily build that all important dentist-patient relationship that’s the hallmark of a solo practice. This alternative model could, however, increase the number of practicing dentists over time, making dental care more widely available.
Finally, we’re beginning to see greater collaboration between physicians and dentists. There’s an emerging understanding of the true interconnection of the body’s various systems: diseases of the mouth can affect other diseases of the body, and vice-versa. We’re also experiencing a growing development in salivary diagnosis, using this vital oral fluid to detect conditions and disease in other parts of the body. Dentists and physicians will be working more closely than ever to treat the whole person, not just individual systems — a collaboration that will improve patient care all around.
As these changes continue to emerge in dentistry, you may soon see their effects during your visits. One thing, however, won’t change — the commitment of dentists to provide the highest level of care, for both your oral and general health.
The March 27th game started off pretty well for NBA star Kevin Love. His team, the Cleveland Cavaliers, were coming off a 5-game winning streak as they faced the Miami Heat that night. Less than two minutes into the contest, Love charged in for a shot on Heat center Jordan Mickey—but instead of a basket, he got an elbow in the face that sent him to the floor (and out of the game) with an injury to his mouth.
In pictures from the aftermath, Love’s front tooth seemed clearly out of position. According to the Cavs’ official statement, “Love suffered a front tooth subluxation.” But what exactly does that mean, and how serious is his injury?
The dental term “subluxation” refers to one specific type of luxation injury—a situation where a tooth has become loosened or displaced from its proper location. A subluxation is an injury to tooth-supporting structures such as the periodontal ligament: a stretchy network of fibrous tissue that keeps the tooth in its socket. The affected tooth becomes abnormally loose, but as long as the nerves inside the tooth and the underlying bone have not been damaged, it generally has a favorable prognosis.
Treatment of a subluxation injury may involve correcting the tooth’s position immediately and/or stabilizing the tooth—often by temporarily splinting (joining) it to adjacent teeth—and maintaining a soft diet for a few weeks. This gives the injured tissues a chance to heal and helps the ligament regain proper attachment to the tooth. The condition of tooth’s pulp (soft inner tissue) must also be closely monitored; if it becomes infected, root canal treatment may be needed to preserve the tooth.
So while Kevin Love’s dental dilemma might have looked scary in the pictures, with proper care he has a good chance of keeping the tooth. Significantly, Love acknowledged on Twitter that the damage “…could have been so much worse if I wasn’t protected with [a] mouthguard.”
Love’s injury reminds us that whether they’re played at a big arena, a high school gym or an outdoor court, sports like basketball (as well as baseball, football and many others) have a high potential for facial injuries. That’s why all players should wear a mouthguard whenever they’re in the game. Custom-made mouthguards, available for a reasonable cost at the dental office, are the most comfortable to wear, and offer protection that’s superior to the kind available at big-box retailers.
If you have questions about dental injuries or custom-made mouthguards, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “The Field-Side Guide to Dental Injuries” and “Athletic Mouthguards.”