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Dental Care for Older Adults – Part 1

May 21, 2023

Dental Health for the Elderly and the Risk of Oral Health Problems

While as kids we might have gotten a certain squealing delight seeing our grandparent’s false teeth deposited in a bedside glass, the oral health of senior adults is nothing to be taken lightly. While dentures are still common among older adults, they’re also an indicator of the serious oral health concerns faced by millions of seniors, including decay and tooth loss, as well as other health issues related to those problems.


It’s essential to remember that oral health is about far more than aesthetics and appearance. Oral health problems like tooth decay and gum disease can contribute to the onset of other very serious health issues, including heart disease and bacterial infections.

The sad truth is that 68% of older adults suffer from some form of gum disease, and almost 20% suffer from untreated cavities.


At Stephens Dentistry, the dental health of our seniors is a major concern, and with this blog we’re beginning a four-part series dealing with the dental health challenges faced by older Americans. We will begin examining some of the specific dental health challenges confronting many of the nation’s senior citizens.


The Unique Dental Health Challenges Faced by American Seniors
Millions of our senior citizens face special challenges making it difficult for them to maintain healthy teeth and gums, and as we’ve said, this lack of proper oral care can lead to other very serious health problems.


The following are some of the common reasons older adults often don’t get the dental health care they need.


1) Lack of Access

A 2014 study by the National Library of Medicine of a group of 184 older adults found that 89% of them needed dental treatment of various kinds, but almost half of them had not gotten it. This study found that one of the main reasons for this neglect was the lack of access.


Lack of access to dental care comes in two forms, the absence of transportation and the dearth of dental insurance. Many elderly Americans can no longer drive themselves to dental appointments and lack other means of reliable transportation.


As to dental insurance, a lot of the private dental plans for seniors provide only very limited coverage. Further, Medicare does not provide dental coverage, and fewer than half of state Medicaid plans provide coverage for comprehensive dental care.


All this means that seniors will often be required to pay out of pocket for dental care, and there are many who simply cannot afford to do this.


2) Cost of Dental Care

As stated, without dental insurance, seniors have to reach into their own pockets to pay for dental visits, something many of them simply cannot afford to do. A recent study by the Kaiser Family Foundation found that seniors on Medicare spent on average $922 annually on dental care, while almost 20% paid out over $1,000. For many seniors on fixed incomes, this expense is beyond their means.


3) Poor Dental Care Extending Over a Lifetime

The Centers for Disease Control and Prevention estimates that one in five older adults has an untreated source of tooth decay. The problem may well have started but neglected when they were younger, and now that they’re older, their limited income works against getting proper treatment.


Unfortunately, the longer dental problems go untreated, the worse they tend to get. A neglected dental issue that may have been easily treated in years past, over time may develop into a serious dental problem leading to gum disease, root damage, and the loss of teeth.


4) Medical Conditions Affecting Teeth and Gums

We know, of course, that as we age we run an increasing risk of developing serious health issues. Some of these have a direct effect on our oral health, while others indirectly contribute to dental issues.


The National Institutes of Health, for example, tells us that both hypertension and diabetes increase the risk for oral health problems.

At the same time, health issues like rheumatoid arthritis and Parkinson’s disease can make it more difficult for seniors to brush and floss, while cognitive problems like dementia and Alzheimer’s may cause seniors to neglect their oral hygiene.


5) Medications Affecting Teeth and Gums

Millions of senior citizens must take a host of medications to deal with everything from blood pressure, high cholesterol, asthma, overactive bladders, and depression, to name just a few.


One of the unfortunate side effects of many of these medications, however, is dry mouth, which is more than just a nighttime nuisance. According to the National Health Service, dry mouth can lead to a host of related issues, including difficulty speaking, eating, and swallowing, mouth infections, and tooth decay and gum disease.


Coming Next Month

From this summary, you can see some of the particular challenges seniors face when it comes to maintaining their oral health.

Next month, in Part 2 of this series, we will examine some of the most common oral health problems faced by older adults.


Appointments for Seniors

In the meantime, if you know a senior needing dental care, we urge you to do everything you can to assist them in getting the treatment they need.


At Stephens Dentistry we always welcome new patients, and we want to do all we can to protect the dental health of our senior citizens.

Please call us, or have your senior relative or friend call us, as soon as possible to schedule their initial appointment at Stephens Dentistry.

February 4, 2025
Preventative dental care is a proactive approach to maintaining oral health by preventing diseases and addressing potential issues before they become serious. It involves regular dental check-ups, cleanings, and other preventive measures that help keep teeth and gums healthy. This form of care is essential as it allows for early detection of dental problems, which can prevent more severe conditions such as gum disease and tooth decay. Regular check-ups can identify issues like cavities, misalignment, and oral cancer at an early stage, making them easier and less costly to treat. The economic benefits of preventative dental care are significant. By addressing issues early, patients can avoid expensive treatments in the future. A study published by the American Dental Association highlights that investing in preventative care can lead to substantial cost savings over time. Routine Cleanings: A Cornerstone of Oral Health Routine dental cleanings are vital for removing plaque and tartar buildup that cannot be eliminated by regular brushing and flossing alone. These cleanings play a crucial role in preventing gum disease and tooth decay. During a cleaning, dental hygienists use specialized tools to clean areas that are difficult to reach with a toothbrush, ensuring a thorough cleanse of the oral cavity. Dental professionals generally recommend that individuals have their teeth cleaned every six months, although this frequency may vary based on individual needs and risk factors. According to Dr. Marcos Montoya of Stephens Dentistry, "Regular cleanings are an essential part of maintaining oral health. They help prevent serious dental issues and keep your smile bright and healthy." The Role of Sealants and Fluoride Treatments Dental sealants and fluoride treatments are effective preventative measures that protect teeth from decay. Sealants are thin, protective coatings applied to the chewing surfaces of the back teeth, where decay often starts. They act as a barrier, preventing food particles and bacteria from settling into the grooves of the teeth. Fluoride treatments involve the application of fluoride to the teeth to strengthen enamel and make it more resistant to decay. These treatments are beneficial for both children and adults, particularly those with a higher risk of cavities. According to the Centers for Disease Control and Prevention , fluoride is highly effective in preventing cavities. Tips for Maintaining Oral Hygiene at Home Maintaining oral hygiene at home is crucial for overall dental health. Daily practices such as brushing twice a day and flossing once a day are fundamental. Using tools like electric toothbrushes and water flossers can enhance cleaning by reaching areas that traditional brushes might miss. A balanced diet also plays a significant role in supporting oral health. Foods rich in calcium and phosphorus, such as dairy products and leafy greens, help strengthen teeth. Conversely, limiting sugar intake and avoiding smoking can prevent decay and gum disease. Lifestyle habits have a profound impact on oral health. Smoking and excessive sugar consumption can lead to serious dental issues, including cavities and periodontal disease. By adopting healthy habits, individuals can significantly reduce their risk of dental problems. Common Misconceptions About Dental Prevention Several misconceptions surround dental prevention. One common myth is that only sugary foods cause cavities. While sugar is a major contributor, acidic foods and poor oral hygiene can also lead to decay. Another misconception is that dental visits are unnecessary if there is no pain or visible issue. Regular check-ups are essential for detecting hidden problems that may not yet cause discomfort. Some individuals believe that home remedies can replace professional treatments. While good home care is important, it cannot substitute for professional dental services. Personalized advice from dental professionals is crucial, as they can provide tailored recommendations based on individual needs. The Local Perspective: Dental Care in Evanston and Surrounding Areas In Evanston and surrounding areas like Skokie, Highland Park, Wilmette, and Winnetka, local dental practices emphasize the importance of preventative care . Stephens Dentistry , a prominent practice in the region, has been committed to patient-focused care since 1959, offering a range of services that prioritize prevention. Community initiatives and local programs often promote dental health awareness, encouraging residents to prioritize their oral health. Cultural attitudes towards dental care in these areas reflect a growing recognition of the importance of prevention, with many individuals actively seeking regular dental services. Access to dental care facilities in Evanston and its neighboring regions is generally good, with practices like Stephens Dentistry providing comprehensive services to ensure the community receives the care it needs. By focusing on prevention, these practices help residents maintain healthy smiles and avoid costly treatments in the future.
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