5 - Ageing dentition Flashcards
1
Q
How does lichen planus affect the elderly?
A
- uncomfortable when eating or performing OH
- risk of malignant transformation
2
Q
Who is aspiration pneumonia common in?
A
- elderly patients who are mouth breathers
- those who are NG and PEG fed
- patients with dysphagia
3
Q
What does QoL mean to elderly patients?
A
- good social relationships
- maintaining social activities
- good health and mobility
- retain independence
4
Q
How does retaining teeth impact elderly patients?
A
- improves nutrition vs edentulous
- reduces frailty
- positive body image and self worth
5
Q
Describe early treatment planning for dementia.
A
- oral assessment part of multi-disciplinary approach
- plan for future when may not have capacity
- high quality restorations
- establish preventative regime
6
Q
What are key teeth for QoL?
A
- occluding pairs (for mastication)
- number of teeth (ie SDA)
- anterior teeth (for appearance)
7
Q
Describe the mid-stage treatment planning for dementia.
A
- maintenance and prevention remain key
- cooperation may deteriorate
- access can be more challenging
- clean and healthy teeth are the aim
8
Q
What is ART?
A
- atraumatic restorative technique
- remove soft caries but leave caries over pulp, then seal away from food source and air
9
Q
Describe late stage treatment planning for dementia.
A
- focus on comfort
- moist, clean and healthy mouth is aim (free from pain and infection)
- non-invasive treatment
- emergency management options are limited
10
Q
How should you communicate with a person who has dementia?
A
- approach from front
- break task down into steps
- non verbal is important, smile and touch hand to remind them you are there
- quiet environment
