Oral Health Overall Health Connection You cannot be

Oral Health - Overall Health Connection “You cannot be healthy without oral health. ” Surgeon General’s Report on Oral Health ~May 2000 WDSF 2011 © 1

Seniors and Oral Health Statistics and Risks Statistics and 75% Risks Natural teeth: about of people ages 60+ have some natural teeth 80% of Washington residents over age 65 Severe % of adults ages 65 -74 havegum somedisease: of their nearly natural 23 teeth Oral cancer: in nearly 31, 000 Americans Difficult to diagnosed care for teeth each year Mouth a side effect of many common Highdryness: risk for oral disease medications and can cause tooth decay WDSF 2011 5

A Healthy Mouth 1 2 3 WDSF 2011 7

An Unhealthy Mouth 1 2 WDSF 2011 8

What Makes Tooth Decay? Plaque Food Tooth Decay WDSF 2011 9

Process of Tooth Decay + = Acid Attacks Last for 20 Minutes WDSF 2011 6

Build-up of Plaque (bacteria) NO brushing for one day WDSF 2011 NO brushing for two days NO brushing for three days 11

Progression of Decay 1 Tooth Decay 3 Abscessed Teeth 2 Facial swelling from abscess WDSF 2011 12

Gum Problems Bacterial Infection (Plaque) Gingivitis Red, puffy, bleeding gums Periodontal Disease Bad odor/taste, tooth/bone loss WDSF 2011 9

Gum Problems Gingivitis WDSF 2011 Periodontitis 10

Higher Risk But Preventable Diabetes Smoking Oral Disease WDSF 2011 11

Periodontal Disease and Diabetes People with diabetes and uncontrolled blood sugar… WDSF 2011 Ø Are more likely to have periodontal disease Ø May have more difficulty controlling blood sugar Ø Are more susceptible to contracting infections Ø Should be treated to eliminate perio infection 16

Daily Oral Health Routine Ø Brush § Twice per day; 2 minutes minimum § Bedtime brushing is most important § Soft brush, gentle circular motion Ø Floss § Once per day § Cleans between teeth where brush misses Ø Fluoride § Toothpaste, mouth rinse, water supply Ø Eat WDSF 2011 Healthy Foods 18

Make Smart Food Choices Ø Limit sweet or sticky snacks Ø Eat healthy snacks: cheese, fruits, vegetables Ø Eat full meals instead of sipping, nibbling and/or grazing Ø Drink fluoridated water instead of juice or soda throughout the day – avoid sipping on sugary drinks WDSF 2011 19

The Power of Brushing Left side = 5 days no brushing Right side = 3 days no brushing Teeth brushed with back and forth movement Teeth brushed with circular motion WDSF 2011 20

Bleeding May Occur After Brushing When Periodontal Disease is Present WDSF 2011 21

The Wonders of Saliva Kills Bacteria Neutralizes Acids Cleanses the Mouth Puts Minerals Back in Teeth Moistens the Mouth Saliva Without enough saliva, oral problems can develop quickly! WDSF 2011 17

Dry Mouth Possible Causes: Medication side-effect (over 400 meds) Chemotherapy or radiation treatments Salivary gland problem Medical conditions WDSF 2011 18

Dry Mouth – Side Effects Plaque, Decay Tongue Possible fungal infection Cracks on corners of lips Dry painful tongue WDSF 2011 19

Managing Dry Mouth 1. 2. 3. 4. 5. WDSF 2011 Physician may change medications Drink more water Protect teeth with fluoride Use a saliva substitute Avoid: • Sugary snacks or drinks • Beverages with caffeine or alcohol • Mouthwashes with alcohol • Tobacco • Sucking on hard sugar candies to increase saliva 20

Dry Mouth - Aids Saliva Substitutes Xylitol § Increase moisture and comfort § Sugar substitute § Biotene or Orajel products • Rinse, gel, • Toothpaste, gum § Prevents decay; repairs early decay WDSF 2011 § Gum, mints, dry mouth products 21

Poor Nutrition – Resulting From… Failing Appetite Arthritis Mental Health Problems Medical Issues Vision Hearing Problems WDSF 2011 Limited Mobility Finances Lack of Food Altered Taste Small Meals Soft Diets 22

Poor Nutrition and Oral Health Problems Sore Tongue Cracks at corners of mouth Lack of Vitamins and Minerals WDSF 2011 Food Debris, Plaque Soft Diet Limits Intake 23

Oral Health Problems and Poor Nutrition Dry Mouth Mis sing Tee th Decaye d Teeth Broken Teeth Difficult to swallow and eat = Unbalanced Diet WDSF 2011 24

Reading Nutrition Labels Nutrition Facts Chocolate Milk 16 oz. Serving Size 8 oz. How much sugar? 4 grams sugar = 1 tsp 2 servings per pkg. Total grams divided by 4 Amount Per Serving Calories 180 Sugars 28 g = 7 tsp Equals total teaspoons of sugar per serving Sugar per Package = 14 tsp. WDSF 2011 25

Oral Cancer 30, 000 new cases per year 8, 000 deaths per year Tobacco and alcohol users have a greater chance of developing cancer Painless in the early stages Report symptoms § Sores that do not heal within 2 weeks § Lumps, bumps, or swelling; red or white patches § Difficulty chewing or swallowing WDSF 2011 © 26

Denture Problems 10. Irritation from Partial Denture WDSF 2011 © 27

Importance of Professional Dental Care Consumers with dentures need yearly exams. § Tissue exam § Comfort and fit of dentures § Check for broken teeth or sharp edges § Oral cancer screening WDSF 2011 © 28

Denture Care Hands-on Practice Brush Daily Dentures Collect Plaque, Hard Deposits, and Stains Gently Brush Gums, Tongue, Roof of Mouth WDSF 2011 © Soak Nightly Check for Cracks, Sharp Edges, Broken Teeth 29

Funding for this Program was brought to you by a grant received by Aging & Adult Care of Central Washington from Delta Dental. WDSF 2011 1