Geriatric Concerns

What are some of the main concerns for patients above age 65?

  • The demographic of adults age 65 and older is growing and increased numbers of these patients are keeping their natural teeth compared to previous generations
  • Patients in this age category can often have baseline health complications by having multiple medical conditions such as hypertension, diabetes, arthritis etc. and physiologic changes associated with aging
  • Older adults may be prescribed several prescription and/or over-the-counter medications, making them vulnerable to drug interactions and adverse drug reactions
  • Common impairments associated with aging, such as physical or sensory, may make home care and communications challenging

What are some dental conditions associated with aging?

  • Dry mouth (xerostomia)
  • Cavities on root surfaces of teeth 
  • Gum disease (periodontitis)
  • Increased sensitivity to drugs used in dentistry (including local anesthetics and pain medication)

What is concerning about dry mouth (xerostomia)?

  • Xerostomia is common in older patients and is likely to occur in those taking multiple medications, diabetes, Alzheimer’s or Parkinson’s disease
  • Dry mouth can lead to more frequent cavities and mucositis (painful inflammation of the soft tissues)

What are some recommendations for individuals with dry mouth?

  • Drinking or sipping regular water throughout the day
  • Limit alcoholic beverages or drinks high in sugar and caffeine
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