Prosthesis Care

Elderly individuals should be checked every six months for oral care. However, those who do not have good oral care and have systemic diseases affecting the oral tissues should be seen at shorter intervals such as 1-3 months.

  • Since the gingiva is not resistant to mechanical forces in the elderly, toothbrushes with soft bristles are recommended for these patients.
  • Fluoride toothpastes and mouthwashes are recommended.
  • With fluoride applications to the teeth, the formation of root caries or the progression of early caries can be prevented.
  • Since the interdental spaces formed as a result of the loss of gingival tissue will cause nutrient accumulation, these areas should be cleaned with an interface brush and dental floss.
  • In bedridden patients who cannot perform oral care, this procedure is performed by patient relatives and assistant health personnel.
  • Since tooth loss is high in the elderly, the remaining teeth play an important role in the retention of fixed or removable dentures. Therefore, treatment of decayed teeth is necessary.
  • Some medications taken continuously can cause dry mouth. Saliva is a natural secretion that protects teeth against decay, so consult your dentist if there is a decrease in salivary secretion.
  • Dentures should be cleaned with a denture brush after meals.

Prostheses must be removed at night. Your gums also need rest and ventilation. Removed dentures should be cleaned and kept in cold water. In addition, denture cleaning tablets also help to get rid of germs of dentures.
With aging, some changes may occur in the oral and surrounding tissues in terms of shape and function. Do not forget that your personal care and regular dentist checks are very important so that these do not deteriorate our oral health.

ORAL AND DENTAL HEALTH IN ADVANCED AGES

Impairment of oral health is not a natural consequence of aging. Regular dental check-ups will positively affect your quality of life.

In the near future; It is estimated that 20% of the world’s population will be over the age of 65. With the increase in the elderly population; teeth can stay in the mouth for longer periods of time today due to better education and nutrition.

Impairment of oral health is not a natural consequence of aging. This situation develops due to the inadequacy of preventive dentistry services, systemic diseases, drug use, malnutrition and improper oral care.

In general, intraoral changes thought to be related to aging; tooth loss, darkening of the color of the teeth, recession in the gums, decrease in the amount of saliva, weakening of the mouth tissue and muscles, and decrease in the sense of taste.

As a result of wear on the enamel in parallel with aging, shape changes are seen in the teeth. This situation can progress from simple superficial abrasions to significant material loss.

A significant portion of the elderly population uses removable prostheses. These prostheses can cause changes that affect both the appearance and integrity of the oral tissues. This leads to differences in chewing function and eating habits.

With aging, it occurs in all bones, most often in women. (Osteoporosis) bone resorption is seen. In elderly patients who do not use prostheses, this causes depression on the face and lips, shrinkage in the mouth and wrinkles starting from the corners of the lips.

When the bone destruction in the lower jaw reaches advanced dimensions, the jaw bones become thinner and sharper in the form of a knife, which makes the use of prostheses difficult. In order to preserve the natural structure of the jaw bones, functioning teeth or tooth roots must be kept in the mouth.

  • With age, salivary fluidity decreases. Depending on this situation, the risk of caries and gum disease increases due to bacterial plaque accumulation.
  • Since dry mouth also reduces the resistance of the oral tissues against impacts, sores in the mouth are common.
  • Dry mouth causes a layer of food residues to accumulate on the tongue, which causes a decrease in the sense of taste. There is burning, itching and pain in the tongue.
  • Since the mechanical cleaning and moisturizing effect of saliva decreases, fungal infections can be seen especially in the mouth and lip corners.
  • In addition, as a result of insufficient saliva secretion, the retention of the prosthesis decreases, therefore, the chewing, swallowing and speech functions of the patients are adversely affected. .
  • Removable dentures also prevent taste by covering large surfaces in the mouth. Depending on the decrease in taste sensitivity, the consumption of salt and sugar increases in the elderly and this causes the development of systemic problems.
  • As a result of the deformations in the joint, sounds ranging from mild to intense are heard during the opening of the mouth. In addition, factors such as incorrectly made fillings and teeth grinding cause changes in the chewing surfaces of the teeth, causing the closing relations of the lower and upper jaw teeth to deteriorate. This causes pain and limitation in movement in the jaw joint.
  • In addition to physical factors such as chronic diseases, drug use, chewing and swallowing disorders, decreased sense of taste, physical disorders and decreased food intake due to decreased mobility, various psychological and social factors lead to nutritional disorders in the elderly.

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