Caring for ageing teeth

Submitted by Emma Hamilton on Thu, 01/09/2011 - 4:44pm

People with dementia may need prompting to brush their teeth.

Older people can be more susceptible to gum disease, tooth decay and problems with dry mouth.

Ageing teeth

As gums recede with age, plaque can attach itself to the roots of the teeth causing decay. Over time old fillings can become loose and weakened teeth are exposed to bacteria causing further tooth decay. For people with poor coordination or vision a simple task such as brushing the teeth can be a struggle.

Older people often postpone visiting a dentist and put up with sore teeth or ill-fitting dentures for long periods. They often have limited income, face long waiting lists or have difficulty getting to a dentist.

Problems with the teeth and gums can lead to discomfort and problems with communication. Poor oral health can also influence food choices increasing the risk of malnutrition.

Tips for good oral health

Brush teeth twice a day
Use fluoride toothpaste
Use dental floss between teeth
Avoid sugary sweets and soft drinks
Drink water throughout the day and after meals
Visit the dentist regularly
See a doctor if you notice any lumps, bleeding or ulcers; or a person experiences pain and inflammation in the teeth or gums
Use sugarless gums to stimulate the flow of saliva
Monitor medications and report side effects such as a dry mouth to a doctor
Inform a dentist of any medications you are taking

Carer tips for cleaning teeth

If you are caring for someone else's teeth you will encounter a unique set of problems. Cleaning teeth can be difficult for an older person with arthritis, Parkinson’s disease or dementia.

If you are caring for someone with dementia make sure you explain all the steps involved and prompt the person to help. Don't force someone to brush their teeth as it could promote resistance. Try distracting a person with dementia by keeping one hand busy with an object such as another toothbrush.

Applying fluoride to the teeth as well as using a fluoride mouth rinse can help prevent decay. Try atomising a fluoride mouth-rinse on the teeth. You may have to try several techniques before you get the hang of it.

It can help to get another person to brush your teeth to see how it feels. Using an electric toothbrush can make the task easier. Try sitting in front of the person or standing behind the person in front of a mirror.

References

www.joannabriggs.edu.au
Oral hygiene care for adults with dementia in residential care facilities
Volume 8, Issue 4 2004 ISSN 1329-1874