Skip to main content
Submitted by PatientsEngage on 12 September 2016

Dental needs become increasingly specialized with age, making regular visits to the dentist even more important. Dr Shail Jaggi highlights some common gum and teeth problems that could become burdensome, if ignored.

When we think of an elderly patient the first vision that generally tends to flash by is someone with greying hair, stooping and bent over with age, thick glasses and a denture to eat!

But let’s take a quick look at my office! I am dentist and deal with geriatric patients all the time. The geriatric or the elderly lot I see are sharply dressed, very fit, wearing rimless glasses and no dentures!  Nice looking perfectly aligned beautiful teeth. Such a paradigm shift. Today Geriatric Dentistry (The branch of dentistry dealing with patients over the age of 60) form a huge part of my practice.

My older lot of patients are my favorite people. They are patient, are never rushed have the time to spend and full of good advice.Treating them and spending time with them is totally pleasurable.

Dentistry is getting younger by the day. The best treatment options for them range from basic dental care to advanced dental care involving Veneers, Tooth Whitening , Implants, Advanced Restorative work. There are some situations that need to be dealt with a little differently with geriatric patients as compared to younger patients. These conditions can however be dealt with quite effectively with additional care, help and diagnosis.

Dental Cavities

As age advances, there may be a sudden rise in fresh dental cavities. Older patients are prone to a condition called ‘Dry Mouth’.  This condition is associated with decreased salivary flow and may lead to increased instance of cavities or decay. 

Though Dry Mouth is a normal part of aging, it is also associated as a side effect with a large number of medication the patient may be taking. Including those for allergies or asthma, high blood pressure, high cholesterol, pain, anxiety or depression, Parkinson’s and Alzheimer’s diseases.

Dealing with Dry Mouth

  • Keep the mouth hydrated by drinking plenty of water 
  • Shift to an alternate medication if possible. Discuss this with your doctor. 
  • Chew on sugar free gum to induce salivary flow 
  • Over the counter oral hydration sprays are available and can easily be bought with a prescription 
  • Dental checkup once in 3 months to inhibit any caries 
  • Use of fluoride varnish or gel by the dentist to prevent or retard the cavitation 
  • Minimize or avoid foods and beverages that irritate dry mouths like coffee, alcohol, carbonated soft drinks, and acidic fruit juices

Related Reading: 10 Tips to Good Oral Health 

Gum Diseases

This is the second most common situation that geriatric patients deal with. As age advances, the gum and bone undergo lots of changes making them more prone to infections and bone loss. Gum recession is one of the most common age related changes. It can lead to bleeding gums, pockets, food lodgment and bone loss.

Dealing with Gum Problems

It’s easy to take care with a little help. As age advances, dexterity becomes a problem and dental health suffers. The patient can be prescribed the use of a Water Jet for easy maintenance. A 3-monthly regular visit to the dentist for assisted prophylaxis and additional  help. Follow up radiographs to make sure the bone loss is stable and not getting worse. 

Missing Teeth

Severe bone loss can easily lead to loosening of teeth and mobility. In the earlier times using dentures was a common way to replace missing teeth. Dentures can however be extremely uncomfortable and difficult to manage and eat with. 

Dealing with Missing Teeth

Implants or Implant Supported Dentures are the best way to replace missing teeth. The implants work wonderfully and mimic the natural teeth in every possible way and extremely comfortable!

Sharing Information With Your Dentist

Before starting any dental work please make sure you share all important health and medication related details with your dentist. 

If you have a heart condition or artificial joints or be sure to tell your dentist. You may think it’s not relevant. After all, what do your heart and joints have to do with your teeth? But, there are conditions with a high risk of infection and an antibiotic is recommended prior to some dental procedures.

Should Any Procedures Be Avoided?

As such there are no restrictions on any dental work as long as the patient has good general health.
In case of a medical condition a complete blood work up and a no objection certificate from the physician is a must before any dental work is taken up.

In case of more serious conditions like dementia or Alzheimer’s, the patient should be capable of basic dental care and hygiene before undertaking complex dental treatment .

Today, as the quality of life is getting better and there is greater life expectancy, our geriatric patients are the entitled to superior dental care!

So Smile on and Live Life to Its Fullest! 

 

Dr Shail Jaggi is a passionate dentist with specialisation in cosmetic dentistry and endodontics. She manages an Advanced Microscope Enhanced Practice – Dentalwiz dealing with all aspects of dentistry. 

Stories

  • 9 reasons to get off that couch NOW
    Think you know all the reasons? Prepare to be surprised. By family practitioner and marathoner Dr Gita Mathai. Plus, how much to exercise to get its real benefits. We all want to look good, be slim and healthy. There’s one magic pill for this and it’s called exercise. Even if you’re ‘too tired’ or ‘too busy’, you need to get off that couch now.  Benefits of regular exercise Exercise helps to achieve ideal body weight if also combined with calorie restriction.…
  • 20 things to remember if your loved one suffers from Depression
    According to the World Health Organization, there are more than 350 million people all over the world with depression. With that staggering statistic, it is highly probable that we will all interact at some point with someone experiencing a bout with depression. One of the most devastating aspects of dealing with depression is the stigma and negative criticism that comes from others. Furthermore, people may not even know that their behaviors and comments are being negative or hurtful…
  • Caregiver health and wellness
    You are focused on looking after a patient with a chronic condition. But you, the caregiver, may also be at risk. Rama Murali of Care3 (Care Cubed), a support network and resource bank for caregivers, gives you some tips on how to avoid caregiver burnout. “You yourself, as much as anybody in the entire universe, deserve your love and affection.” – Buddha Why focus on Caregiver health? Although caregiving can be truly rewarding for many, the 24×7 nature of caring for a…
  • Challenges of Parkinson’s Disease – for patient and caregiver
    Mrs Balasubramaniam has been looking after her husband, 83, who has Parkinson’s Disease, for more than a decade. She shares symptoms, treatments and caregiving tips.   When was your husband diagnosed with Parkinson’s Disease? My husband was diagnosed with Parkinson’s Disease about 10 to 12 years back, but he probably had symptoms much before that were not very noticeable, such as mild abnormality of gait or sticking out his tongue occasionally. What were the early…
  • Deepika Padukone on Depression : It was a struggle to wake up
    Did you know that as recent as last year, Deepika Padukone was struggling with anxiety and depression, at a time when she was establishing her credentials as one of Bollywood's most sought after actors. She bares her heart for the first time about how she straddled these two aspects of her life and came out a winner. A day earlier, I had fainted due to exhaustion; it was all downhill from there. I felt a strange emptiness in my stomach. I thought it was stress, so I tried to distract…
  • Yoga comparable with walking, biking to improve cardiovascular risk
    Yoga has roots as an ancient mind-body practice that incorporates physical, mental and spiritual elements. Originating in India, yoga has been proven effective in numerous studies to improve cardiovascular risk factors, with a reduction in the risk of heart attacks and strokes. When compared with no exercise, yoga was associated with significant improvement in each of the primary outcome risk factors measured: Body mass index (BMI) reduced by 0.77 kg/m2 (measured as a "mean…
  • Educating people about dementia through a virtual experience
    Alzheimer's Australia together with Opaque Multimedia has created a virtual dementia experience to educate people on what it's like to live with dementia. The multi-sensory gamification simulation uses light, sound, colour, and visual content as well as kinetic senses to project images across the room to re-create experiences that dementia suffers often face, such as perceiving a dark mat on a light floor as a black hole. "Dementia is a disease that is often very difficult to explain about what…
  • How I'm preparing to get Alzheimer's - Alanna Shaikh
    Global development expert Alanna Shaikh takes on the toughest of health issues - dementia- from the ones affecting the globe at large to the ones hurting her own family. "My dad was my hero and my mentor for most of my life, and I've spent the last decade watching him disappear." "Based on what I've learned from taking care of my father, and researching what it's like to live with dementia, I'm focusing on three things in my preparation: I'm changing what I do for fun, I'm…
  • A man in a suit and with his work bag, sitting on steps, looking downwards and worried
    12 Tips To Help Relieve Anxiety and Depression
    Kam Gillar, Cognitive Behavioural Psychotherapist, helps you cope with easy strategies. Plus, how to stop the negative chatter in your head. Feeling low, worried, negative? The following strategies will help you cope better and put the spring back in your step.  1. Take time-out Practice slow, relaxed breathing, listen to music, meditate, get a massage, or learn relaxation techniques. Stepping back from the problem helps to calm your mind. Start to form a habit of…
  • Depression
    What is depression It is a serious medical illness that affects one’s thoughts, feelings, behaviour, mood and physical health. It may be a lifelong condition in which periods of wellness alternate with recurrences of illness. Depression is the leading cause of disability worldwide with more than 350 million sufferers, according to the World Health Organisation. The number is growing in all age groups in every community, and with many young people falling prey to…