age related changes in oral health Flashcards
the US grows older
1) now the population is at least 85 in institutional settings
- which means they need more care
2) for the first time, there are more people over 65 than under age 5
- 13% of the world population
the oldest old
1) rapidly growing population
- 85 and older
2) mroe than half of the worlds 85 live in six countries
- china, the united states, india, japan, russia, germany?
impact of aging and disease on healthcare
1) focus on chronic disease
2) shortage of health care workers
3) ongoing therapeutic relationship
4) increased need for long term care
5) increased need for collab between different health professionals
6) increased pressure on private and public funding
full edentulism
1) is declining
2) but people are more at risk for oral diseases
conclusions
1) poor oral health is not a consequence of normal aging
2) advanced age is not a contraindication to dental care
3) systemic diseases can present a challenge to maintaining good oral health
4) inter-professional collaboration is critical to success
5) what is real is ideal
aging and oral health
1) age related
- normal consequences of aging
2) age prevalent
- seen more commonly in older age
- no normal
age related
1) more fragile skin
2) some loss of hearing, vision
3) slower reflexes
4) less muscle mass
age prevalent
1) parkinsons disease
age prevalent oral diseases
1) caries
2) pulpal necrosis
3) edentulism
4) oral pathology
5) periodontal disease
root caries
1) oral risk factors
- recession
- morphology
- saliva
- environment
- restorations
- prosthodontics
2) extra oral risk factors
- age
- disability
- knowledge
-resources
- motivation
cambra
1) caries management by risk assessment
ITR
1) interim therapeutic restoration
2) glass ionomer
SDF
1) silver diamine fluoride
pulpal necrosis
1) symptoms
2) diagnosis
3) treatment
4) referral
5) prevention
periodontal diseas
1) response to plaque
2) risk factors
- extra-oral factors
- intra-oral factors
3) response to treatment
extra oral perio risk factors
1) not age
2) frequency of dental visits
3) education
4) financial status
5) systemic health
intra oral period risk
1) increased pathogens and plaque
2) loss of teeth
3) failing restorations
4) ill fitting restorations
5) decreased chewing ability
tooth loss
1) no tx vs removable vs fixed
2) shortened dental arch
3) advanced resorption
4) pre-prosthetic surgery
5) repair vs replace
oral lesions
1) mucosal changes
2) denture sores
3) epulis
4) candida
5) angular chelitis
6) neoplasm
7) drug reaction
xerostomia
1) increased risk of root caries
2) increased fragility of soft tissues
3) difficulty speaking
4) difficulty swallowing
5) altered taste
6) bad breath
OSCAR
1) oral
2) systemic
3) capability
4) autonomy
5) reality
systemic factors
1) normative age changes
2) sight, sound, smell
3) impact of systemic diseases
4) discuss implication of systemic diseases for oral health and treatment planning
5) communication with physician
oral factors
…ca
capability
1) getting to and from office
2) daily living and oral hygiene
3) level of dependence on others
4) discuss any issues related to independence
