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Learn How Plaque And Gum Disease Relate To Older Adults

The proverbial way of referring to older people as being "long on the tooth" suggests that it is predetermined that as we get older our teeth get "longer" or "no longer." This is not true.

Periodontal disease, plaque and loss of teeth is not an inevitable aspect of aging. Loss of attachment or bone support around a tooth is the result of a bacterial infection. What is true is that as we get older, we have more exposures to these infectious organisms, and more probability of being infected and developing periodontal disease. Half of the people over 55 have periodontal disease.

Risk factors that make older adults more susceptible to periodontal disease include:

Systemic diseases: Certain systemic diseases such as diabetes may decrease the body's ability to fight infection and can result in more severe periodontal disease. Osteoporosis also can increase the amount and rate of bone loss around teeth. Systemic illnesses will affect periodontal disease if it is a pre-existing condition. To reduce the effects of systemic diseases on the oral cavity, maintain meticulous plaque control and visit your dental care provider routinely for examinations and professional cleanings.

Medications: Heart medications can have a direct effect on the gums by creating an exaggerated response to plaque and resulting in gum overgrowth. Antidepressants may create dry mouth and reduce the saliva's ability to neutralize plaque.

Immunosuppressants and other disease-fighting medications may reduce the body's ability to combat infection, increasing the risk for periodontal disease. The dental care provider needs to be aware of any medications you may be taking and you need to maintain meticulous plaque control and visit your dental care provider routinely for examinations and professional cleanings.

Dry mouth: Lack of saliva can result from the use of certain medications or as a result of illness. If there is not enough saliva available to neutralize plaque it can result in more cavities and periodontal disease.

Also, dry mouth, or xerostomia, can make dentures more difficult to wear and may also complicate eating, speaking, or swallowing of food. Oral rinses or artificial saliva can be very helpful with these problems.

Frequent sips of water or eating candy may be helpful as long as it doesn't contain sugar. Fluoride rinses and gels are helpful in reducing or preventing the cavities that can be caused by having a dry mouth.

Dexterity problems: Physical disabilities can reduce dexterity and the ability to remove plaque on a daily basis. Poor oral hygiene can increase the risk for cavities and periodontal disease.

Electric toothbrushes and floss holders are helpful in improving plaque control. Frequent professional cleanings combined with oral anti-microbial or fluoride rinses also may be helpful in reducing the incidence of cavities and periodontal disease.

Estrogen deficiency: Older women may have some special concerns in relation to periodontal disease. Scientific studies have suggested that the estrogen deficiency that occurs after menopause may increase the risk for severe periodontal disease and tooth loss. Estrogen replacement therapy may reverse these effects.

It is important to keep teeth as we age because every tooth has an important function in chewing and speaking. They affect our appearance and self esteem.

Having dentures or loose or missing teeth can restrict our diets, resulting in poor nutrition and systemic complications. With the advances in modern dentistry and with current prevention and treatment techniques, we must count on keeping our teeth for a lifetime -- no matter how "long" that may be!

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Discover How Your Dentist Can Help You With Mouth Cancer

According to the American Cancer Society, about 30,000 new cases of mouth cancer will be diagnosed this year, and more than 8,000 people will die from it. Mouth cancer ranks as the sixth most common form of cancer that can affect any part of the mouth or lips. When detected early, the chances for successful treatment are enhanced. If left untreated, it can spread, leading to chronic pain, facial and oral disfigurement, loss of function, and even death. As a result, early detection and diagnosis of mouth cancer is vital.

Smoking and chewing tobacco significantly increase your risk. The carcinogens in tobacco, alcohol, and certain foods are leading risk factors. In fact, if both tobacco and alcohol products are used, one is 15 times at greater risk for developing mouth cancer. Exposure to sun also is linked to mouth cancer. Age, gender, and genetics are factors, too. About 95% of all mouth cancers are diagnosed in people 45 years or older. Men are twice as likely to develop mouth cancer as women.

Mouth Cancer Warning Signs

If you notice any of these symptoms, contact your dentist immediately for a thorough screening:

• A persistent sore on your lips, gums, or inside your mouth that doesn't heal within two weeks.
• Repeated bleeding in your mouth without any known cause.
• Swelling, thickening, or lumps in your mouth, neck, lips, or on the tongue, often painless in the early stages.
• Difficulty chewing or swallowing food, or difficulty in speaking or moving your tongue or jaw.
• Numbness or pain in your throat or mouth without any known reason.
• Color changes such as white, scaly patches or red lesions inside your mouth or on your lips.

Preventive Measures

Following good oral hygiene practices, eliminating risk factors such as tobacco and alcohol, and scheduling regular dental exams are important to maintaining good oral health. Research also has demonstrated that eating plenty of fruits and vegetables every day is a positive practice.

Dentists screen for mouth cancer during regular routine check-ups. They feel for lumps, tissue changes in your neck, cheeks, head, and mouth and look closely for sores. Early detection of cancer and prompt treatment is critical. Ask your dentist for more information about preventing mouth cancer.

By Richard Rogers, DDS