Your Oral Health Speak Volumes About Your Wellness

If you want a snapshot of your health status then open wide. “Many common problems older adults face with their oral health also can be warning signs of other health issues that need attention,” says Diana V. Messadi, DDS of the UCLA School of Dentistry.

Approximately 40 percent of those age 65 and older suffer from periodontal (gum) disease, according to the Academy of Nutrition and Dietetics. Gum disease, infection of the gums and surrounding tissues, develops when plaque, a sticky film of bacteria, builds up along and under the gum line.

There are two forms of gum disease: gingivitis and periodontitis. With gingivitis, the gums become red, swollen, and easily bleed. Periodontitis is more severe and damages the soft tissues and bone that support your teeth, and may lead to infection and tooth loss

Poor oral hygiene and lifestyle choices cause most gum diseases. Left unchecked, gum disease can become more severe and worsen serious health conditions like diabetes and heart disease.

Here is a look at the most common oral problems older adults face, why they occur, and what they may mean in terms of your overall health.

WHAT YOU CAN DO

Adopt a thorough daily brushing routine:

➢ Brush for at least two minutes. Divide your mouth into four sections, and spend 30 seconds
on each.

➢ Hold your brush at a 45-degree angle to your gums, and make an up-and-down motion using short strokes.

➢ Rinse your brush and let it air dry in a holder and not on the counter, where it can pick up germs. Do not store it in a closed container.

➢ Replace your toothbrush every three months or as soon as the bristles begin to fray, whichever comes first.

DRY MOUTH. Dry mouth occurs when your salivary glands do not produce enough saliva. The condition is caused by several factors, such as medication, cancer radiation treatment, mouth breathing, and activities like smoking and drinking high amounts of caffeine and alcohol.

“With dry mouth, you may have trouble chewing and swallowing, which makes eating difficult and leads to malnutrition,” says Dr. Messadi. Dry mouth also may cause friction on the inside of the cheeks from constant rubbing against the teeth or dentures, which can lead to mouth irritation and ulcers. Dry mouth also increases bacteria growth, which enhances your risk of tooth decay, says Dr. Messadi.

More than 1,000 medications are known to interfere with salivary production, according to the National Institutes on Health (NIH). These medications include drugs for urinary incontinence, allergies, high blood pressure, and depression.

Burning mouth syndrome, another common side effect of dry mouth, is a neuropathic pain disorder that affects the tongue, lips, and palate. This condition causes burning sensations that worsen throughout the day. It is often accompanied by changes in your sense of taste and makes food taste bitter, salty, or metallic.

Dry mouth can be a warning sign for diabetes, says Dr. Messadi. It is also one of the hallmark symptoms of the autoimmune disease Sjögren’s syndrome, which targets the salivary glands and lacrimal glands (found on the outer position of the upper eye) and causes dry mouth and dry eyes. Sjögren’s syndrome strikes women more than men (nine to one ratio) and usually occurs in younger women in their 30s, yet may affect older age groups too.

BLEEDING GUMS. Bleeding or red and puffy gums are signs of inflammation from plaque and tartar deposited below the gum line. This condition is called gingivitis. Left untreated, more bacteria will form until the tissue becomes infected, which will eventually lead to full periodontitis and tooth loss. “Bleeding and puffy gums sometimes may be a warning sign of leukemia and diabetes,” says Dr. Messadi.

BAD BREATH. Bad breath is often a red flag of severe periodontal disease. This happens when excess anaerobic bacteria, which lurk in places oxygen cannot easily reach, like between your teeth, under the gum line, and the back of the tongue, release foul-smelling gases. If anaerobic bacteria continue to build up, they will eventually get into the bloodstream and trigger inflammation. “Older adults naturally have weakened immune systems, and inflammation can make them more prone to illnesses like pneumonia,” says Dr. Messadi. Chronic inflammation also increases your risk of heart disease. In fact, according to the American Academy of Periodontology, people with periodontal disease are almost twice as likely to have heart disease. Bad breath also is a possible warning for diabetes, lung and throat cancer, and liver diseases.

Practice good oral hygiene.

The best way to prevent and reverse gum disease and thus improve your overall health is by practicing better oral hygiene. Here are some tips:

Combat dry mouth by quitting smoking and reducing your caffeine and alcohol intake by at least one-half and drinking four to eight glasses of water per day to keep your mouth moist.

Also, use alcohol-free mouthwashes and toothpaste. “Moistening sprays and gels also help keep your mouth moist,” says Dr. Messadi.

If you take medication that causes dry mouth, check with your doctor about whether you should change your dosage. Some people with dry mouth also benefit from chewing sugarless gum.

Brush at least twice a day to fight gingivitis (see “What You Can Do” on opposite page). If holding a brush is hard due to arthritis or poor grip strength, wrap your toothbrush handle with aluminum foil to make it bulky, or try an electric or battery-operated toothbrush, which has a longer, thicker handle.

➥ Use a tongue scraper when you brush to remove bacteria from your tongue and help to reduce bad breath.

➥ Floss twice a day to remove plaque and trapped food that can decay and increase bacteria buildup. Guide the floss between your teeth using an up and down rubbing motion. If flossing is difficult, use an interdental cleaner, such as a special wooden or plastic pick, stick, or brush designed to clean between the teeth.

Don’t sleep in your dentures. Brush them twice a day and soak overnight with a cleanser.

Visit your dentist twice a year for a checkup exam and professional cleaning.

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