Page 8 - Seniorstoday Sep 2024 Issue
P. 8

lubrication of food, swallowing and speech.        Common Dental Problems
         Salivary glands can undergo degenerative           1 Dental caries (Cavities)
         changes thus reducing the salivary                 2 Periodontitis (Gum Disease)
         output. Long-term medications such as              3 Wear in teeth – (Attrition, Abrasion,
         antidepressants, anti-hypertensives, and           Erosion, Abfraction)
         antihistamines are commonly associated             4 Xerostomia (Dry Mouth)
         with dry mouth, which in turn causes               5 Edentulism ( Tooth Loss)
         difficulty in food swallowing (dysphagia),         6 Oral Cancer
         cracked lips, fissured tongue, mucositis,
         and cavities.                                      1 Dental Caries (tooth decay) is one of the
          The oral mucosa is the lining of the oral         most common bacterial diseases in man
         cavity which becomes thinner and non-              that causes the loss of tooth structure,
         resilient with age. This can predispose            potential pain, and untimely loss of teeth,
         patients to cancer and pre-cancerous               leading to impaired appearance and
         lesions, which can be seriously life               function.
         threatening.                                        In the ageing adult, the blunt chewing
          Taste buds on the tongue decrease and             surfaces of the teeth with flattened contacts
         begin to shrink with age, altering the sense       with adjacent teeth result in stagnation of
         of taste and gets compounded in a dry              food, making the surfaces prone to decay.
         mouth.                                              With gum recession, the root surfaces
                                                            are exposed to the oral cavity, making it
                                                            vulnerable to decay in absence of good oral
                                                            hygiene.
                                                             A reduced salivary output, lack of good
                                                            oral care, a diet high in carbohydrates and
                                                            sugar leads to rapid cavitation of the tooth
                                                            surface.
                                                            2 Periodontitis (gum disease) is seen in
                                                            over 60% of the older adults. There is a
                                                            loss of attachment of the gingiva (gum)
                                                            against the supporting tooth structure due
         Total edentulism treated with complete denture     to the presence of plaque (soft tenacious
                                                            deposits around the teeth), lack of proper
                                                            oral hygiene measures, reduced manual
                                                            dexterity, and multiple comorbidities. The
                                                            gums tend to bleed while brushing , bad
                                                            breath can ensue and can progressively
                                                            lead to looseness of the teeth.
                                                            3 Tooth Wear is commonly found in the
                                                            ageing adult due to mechanical forces
                                                            of tooth to tooth contact (attrition);
                                                            pathological wear due to extrinsic
                                                            mechanical forces resulting in a notch or


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