The aging dentition Flashcards
What is the life course of a dentition
primary
secondary
partially dentate
edentulous
What are the challenges of the aging population
increased number with long term conditions
increasing age with concurrent increase in co-morbidites
poly pharmacy
What is the impact of aging and systemic disease
they are a population at increased risk of oral disease
poly pharmacy
impaired ability to cooperate
access
medical conditions complicate the provision of dental treatment
medical conditions contraindicate the provision of dental tx
What is the increased number of older people resulting in
increased number experiencing multiple co-morbidities and polypharmacy
resident in care homes
increasing numbers are dentate
increasingly complex dental tx history
significantly high levels of disease and tx need
Why do older people present with more advanced head and neck cancer at assessment
delay in diagnosis
symptoms unable to be communicated
lack of attention paid
misdiagnosis
those who have undergone previous oncological care
What does quality of life mean for older people
having good social relationships
maintaining social activités and retaining a role in society
having a positive psychological outlook
having good health and mobility
to enjoy life and to retain one’s independence and control over life
How do teeth contribute to QoL
preservation of teeth contributes to positive body image and self worth
What is treatment planning in early stages of dementia
planning for future assesmsent identify and attempt to retain key teeth focus on high quality restorations are complex restorative tx able to be cared for in long term establish a preventative regime
Which are key teeth to retain for QoL
occluding pairs
number of teeth
attempt to retain anterior teeth
What is treatment planning for mid stage dementia
maintenance and prevention are essential
ability to co-operate may deteriorate limiting ability to provide care intervention
consideration must be given o medical status and its implications upon provision
access becomes increasingly more challenging
What are risk factors for restoration failure
lower number of tooth brushing/day
absence of prosthesis
posterior location of the tooth
higher baseline plaque index
What is the treatment planning in late stage dementia
focus on comfort
moist, clean and healthy mouth which is free of pain and infection
non invasive
emergency management - limited options
How should you communicate w px w dementia
approach from the front
break it down, tasks into steps
short words simple sentences
non verbal - smile, gentle touch
get the environment right, quiet, avoid sensory overload
What are communication techniques for dementia
rescuing distraction bridging hand over hand chasing
