Gerodontology Flashcards
what are the factors of oral fraility?
- mastication
- swallowing
- oral motor skill
- salivation
what does a good quality of life mean for older people?
- good social relationships
- maintaining social activities & retaining a role in society
- positive psychological outlook
- good health & mobility
- enjoy life & to retain one’s independence and control
what does dry mouth impact?
- speech
- nutritional function & intake
- impairs social interaction
- protective features of saliva lost
common medical concerns in older people?
- frailty
- polypharmacy
- continence
- falls & bone health
- nutrition & weight loss
- dementia
- parkinsons disease
- diabetes
- strike
common medications for older people?
- oral corticosteroids (range of inflammatory autoimmune conditions)
- disease modifying medications (severe autoimmune diseases)
- chemotherapy (cancer tx)
- immunomodulatory tx (up or down regulate)
risks of poorly controlled T2DM in older patients?
- renal, retinal & peripheral small blood vessels can become damaged
- chronic kidney disease, visual loss & peripheral neuropathies
if a patient has diabetes, how can you determine if they are eligible for tx?
HbA1c level <7%
HbA1c <9% (Emergency tx only)
HbA1c >12% (ALL procedures postponed until controlled)
side effects from stroke?
- facial/arm weakness
- slurred speech
- gait disturbance
- incontinence
- headache
- confusion
- loss of consciousness
- loss of voluntary movement
impacts of stroke in dental health?
- denture issues loss of muscle control
- root caries, xerostomia
- poor brushing (loss of motor control)
- rubber dam to protect airway in tx
what things to consider when tx planning for a stroke pt?
what is parkinson’s disease?
progressive neurological disorder marked by motor symptoms like tremors and rigidity, resulting from the loss of dopamine-producing neurons in the brain
dental implications of parkinsons?
types of dementia?
- alzheimers
- vascular
- lewy body
- frontotemporal
what is dementia?
impaired ability to remember, think, make decisions that interferes from everyday activities
consciousness not affected
what are the key teeth to retain for QoL?
- occluding pairs of teeth
- number of teeth
- attempt to retain anterior teeth
dementia & dental implications?
