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Periodontal Disease And 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 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.

Conventional Removable Partial Dentures

A partial denture is useful for a person missing some teeth, but who still has a number of natural teeth.

This device also is called a removable prosthesis, and is a means by which artificial replacement teeth are held in the mouth. The prosthesis commonly is kept in place by means of clasps. These are thin finger-like structures, usually made of a special resilient metal alloy or sometimes plastic, that rest upon and wrap around some remaining natural teeth. Clasps keep the prosthesis securely in place, but still allow a person to easily take it out for regular cleaning and proper brushing of remaining natural teeth.

Some Reasons for Having Partial Dentures Made

• Replace missing teeth
• Improve ability to chew more naturally
• Chew food with confidence
• Make it possible to eat certain favorite foods
• Maintain a healthier and socially acceptable mouth
• Aid in the preservation of remaining natural teeth
• Help prevent or treat problems of the TMJ (the jaw joint)
• Often improve speech
• Help develop a more pleasing and confident smile
• Support the face -- often with a more youthful appearance
• Enhance self esteem
• Replace missing teeth in an economical way
• Add an additional tooth to an existing partial denture if a natural tooth is lost
• In most cases, crowning teeth is not necessary to fit a partial denture
• Partial dentures are usually easy to repair if they are broken

Esthetics and the Conventional Partial Denture

Generally, clasp design is reasonably esthetic, and often it is possible for them not to be seen. However, depending upon partial denture design, which is based on mouth conditions, there may be some show of clasps. Often, this is not an appearance problem. However, if avoiding an unacceptable show of clasps would compromise optimal partial denture design, various special attachments sometimes may be employed to do away with conventional clasps. These attachments are more technically complex and often are referred to as precision or semi-precision attachments.

How Long Will a Partial Denture Last?

Accidents happen, and the mouth is constantly changing. Partial dentures may no longer fit properly, can break or bend, or simply wear out. In fact, there is nothing made for the mouth that is permanent. Fractured clasps and so forth often may be repaired.

On average, a partial denture may be expected to last about five years. Depending upon circumstances, certain removable prostheses can last a shorter or longer time.

How Often Should a Partial Denture Be Checked?

It is best to have a partial denture, as well as the rest of the mouth, checked at six-month intervals. If left uncorrected, small problems can develop into major ones, which could cause disease, loss of teeth, or necessitate premature prosthesis replacement.

Partial Dentures Need to Be Relined

The jaw ridge that a partial denture rests upon is constantly changing. It is normal and necessary to regularly modify how a partial denture contacts the ridge. This maintenance correction is called relining, and on average, needs to be performed annually for optimal function. However, this is dependent upon how an individual's mouth changes. A licensed dentist can best advise when a reline is needed, and when a reline will no longer adequately restore proper function.

by Joseph J. Massad, D.D.S.

+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.