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Photo of a senior citizen at the dentist Chew on this! Seniors' oral health
 
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Healthy teeth and gums are important for Canadians of every age. For seniors, however, oral health is often an overlooked part of general health and well-being. As a senior today, you can expect to keep most, if not all of your own teeth, but there are still a number of myths about aging teeth and gums.

Debunking the myths

Myth # 1: Cavities are for kids.


Reality: Unfortunately, no. If you have one or more of your natural teeth, then you still can develop a cavity. The difference between you and your grandchild is that you are more likely to develop a cavity around the root of your tooth. Root cavities are more common as you age because your gums may have pulled away from the base of your teeth, thus leaving your roots exposed.

A condition called xerostomia, or dry mouth can also increase the possibility of cavities. Xerostomia occurs when the glands that produce saliva stop working due to disease, medications or cancer treatment. Since saliva is a natural cleanser in your mouth and helps to wash away bacteria from your teeth, less saliva can lead to more cavities.

Regular brushing and flossing throughout your lifetime will prevent cavities. If it becomes difficult to hold a toothbrush or to floss, talk to your dental professional about finding an alternative that will work for you.

Myth # 2: I have false teeth, so I don't need to visit a dental professional anymore.

Photo of a denture in a glass of water
Reality: Even if you have one or more false teeth or dentures, you still need to clean them and visit your dental professional regularly. He or she can keep your dentures properly adjusted and notice any changes in the way they fit your mouth. If you have strong, healthy natural teeth or well-fitting, comfortable dentures, you can continue to enjoy a wide variety of good-tasting and nutritious foods.

Myth # 3: Teeth are just for appearances.


Reality: Not so. There is definitive research that shows the connection between poor oral health and diseases such as diabetes in people of all ages.1 For seniors, poor oral health is linked to respiratory diseases.2 Research also shows a possible connection between oral health and heart disease.3 Poor oral health can also cause pain and discomfort.

Smoking can also contribute to oral disease and mouth cancer. Oral cancers are also known to be more common in people over the age of 50. If you are a senior who smokes, think seriously about quitting and visit your dental professional on a regular basis to help maintain your general and oral health.

Some seniors are especially vulnerable

Frail seniors who depend on others for their personal care, whether in long-term institutions or at home are at particular risk of complications from poor oral health. Oral health problems may go undetected until there are acute symptoms, such as pain or infection. In some provinces, legislation is in place to ensure that seniors have a right to personal hygiene assistance, if needed.

Accessing dental care

As an older adult, you may have less access to oral care services and dental professionals due to a lower income and/or a lack of dental insurance. Oral health should be a priority throughout all stages of life, especially since older adults and seniors are keeping their teeth longer than ever before. There are some alternatives to assist with paying for your dental treatment. For example, some dental and hygienist schools provide services at a reduced cost and some dentists are willing to arrange flexible payment arrangements. Contact your local public health department or seniors' centre to talk about your options.


For more information on seniors and oral health, visit the following web sites:


1 Taylor GW, Manz C, Borgnakke W. Diabetes, periodontal diseases, dental caries, and tooth loss: a review of the literature. Compendium of Continuing Education in Dentistry 25[3], 179-190. 04 March.

2 Azarparzhooh A, Leake, Jl. A Systemic Review of the Association between Respiratory Diseases and Oral Health. Accepted for publication.

3 Genco R, Offenbacher S, Beck J. Periodontal disease and cardiovascular disease: Epidemiology and possible mechanisms. J Am Dent Assoc 133(Suppl.), 14S-22S. 02.

 
  Date published: June 1, 2006
  BulletThis article was prepared by the Office of the Chief Dental Officer, Health Canada, and the Division of Aging and Seniors, Public Health Agency of Canada.

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