Dry Mouth (Xerostomia):

A condition common to the elderly whereby saliva flow is decreased. The causes can include certain medical conditions, certain medications such as antihistamines, pain relievers and decongestants, among others. Other causes can be ill fitting dental appliances such as full or partial dentures. If a person allows this continued dry mouth condition to persist, there is an increase in the level of dental decay due to the increased level of bacterial colonies and plaque accumulations. The reason for this is that saliva has a natural bathing effect on teeth that helps decrease the level of bacteria from forming. There is also a greater risk for periodontal disease due to the decreased level of saliva. Patients are urged to see Maple Grove Famly Dental staff and/or physician to evaluate this condition. Certain products are available that can help correct this condition such as artificial saliva replacement drops, oral rinses such as Biotene mouthrinse and Oral Balance a moisturizing oral rinse. Sugarless lemon drops have also been found to be an excellent saliva stimulant that can help increase saliva flow.

With the increased wear of teeth over the years, many seniors may notice an unaesthetic appearance. Darker teeth can make one appear older than they really are. Teeth can also stain, especially since these areas of enamel wear are excellent places for debris and plaque to accumulate and stain over the years. Also, as the protective enamel wear occurs, the yellowish dentin is more apparent causing teeth to appear darker. Hypersensitivity of teeth is also common causing unnecessary discomfort in patients.

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Many seniors experience the loss of their taste sensation as they age. This can occur as a normal result of aging. However, certain diseases and medications can increase the incidence of taste loss. Ill fitting dentures or other removable dental appliances can increase the alteration of taste. Patients should always notify Maple Grove Family Dental and/or physician if they have any type of alteration or loss in their taste sensation.

Many new and exciting treatment alternatives have been developed in dentistry over the years that can help seniors restore their teeth to a much more functional, healthy and youthful look.

Gum Disease (Periodontal Disease)

The most common cause of tooth loss in adults is gum disease. Bacteria create toxins which inflame and irritate gum tissue. Over the years, a slow progressive detachment occurs that affects the supporting bone, which dissolves. Tooth loss eventually results, especially if left untreated. Older patients are more prone to this condition as a result of smoking, poor diets, poor oral hygiene habits and certain medical conditions. It is imperative that one have regular dental checkups at Maple Grove Family Dental to determine if they have this condition.

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Approximately 40% of older Americans wear full or partial dentures. Many have adapted quite nicely. However, many denture wearers have encountered problems, both emotionally and physically. Some people have trouble eating and some may have repeated sores, which can be quite painful.

Some frequently asked questions are:

What is the best way to get used to my new dentures?

As with any new appliance, dentures may feel quite odd. They may cause increased saliva flow or they may alter speech. One should start by cutting food into small pieces, avoid hot foods, and avoid hard foods until the tissue, where the denture rests, becomes used to the new teeth. As time goes by, one will become accustomed to them.

Do I brush them like real teeth?

No, dentures should be cleaned, if possible, after each meal. The best way is to remove them and rinse them. If one is able to, brushing the dentures is advised, as well as rinsing the mouth to clean it of any debris. If some natural teeth do remain, brushing them is suggested. Always soak dentures at night after brushing them. Over the counter cleaning agents are available. Keeping the dentures soaked prolongs them from warping. It is also much healthier to keep the teeth out overnight to avoid excessive pressure on the soft tissue and bone. Always remember to brush your tongue and lightly brush the gums with a soft toothbrush. Special denture brushes should be used on the dentures.

When is it time for a new denture?

As the years pass, the tissue and bone may shrink slightly. The dentures will then loosen. Also, as one loses or gains weight, one may notice that the denture may loosen. Dentures, if the dentist advises, can be relined to help tighten them. However, if their bases are too far gone, a new one may need to be fabricated.

As always, even a full denture wearer should visit the dentist on a regular basis to get an evaluation of the palate, tongue, and surrounding tissue for any problems. Sore spots should not be ignored. See the dentist if adjustments are needed at Maple Grove Family Dental.

The problem of broken down or missing teeth can be easily remedied in most cases. However, ignoring these dental problems may cause additional tooth and bone loss which can lead to more expensive treatments. That's why it is better to take care of minor problems right away, before they get bigger and more expensive to repair.

Replacing missing teeth will help you to keep and maintain the health of your smile for a long time. Unlike baby teeth, we want to keep our permanent teeth as long as we can. Gum disease is the leading cause of missing teeth in adults. It can be prevented or stopped by keeping your mouth as clean as possible through daily brushing, flossing, and regular check-ups.

Gaps between teeth can occur naturally or when teeth have been lost. A gap between the front two teeth, called a diastema, is natural for some; many choose to have it closed for cosmetic reasons although a diastema poses no harm to oral health. People often live with spaces between their back teeth for years because they do not cause a cosmetic problem. However, these spaces can lead to dental problems.

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When spaces are present due to missing teeth, movement will occur. If left untreated, other teeth will drift and tip into unoccupied areas. Teeth also migrate into spaces when opposing teeth are missing. To keep all your permanent teeth functioning and in their correct position, you need to replace missing teeth to maintain long term oral health.

The Affects of Missing Teeth
Your teeth are mutually dependent on each other to maintain their natural position in your mouth. This positioning helps you chew while distributing your biting forces.	When you lose a tooth the remaining teeth will move into the open space. If left untreated, more complex dental treatment may be needed to restore your normal dental health	A bridge can be used to replace missing teeth and restore dental health. Teeth on both sides of the space are prepared and a bridge is permanently cemented or bonded into place.	A bridge can be used to replace missing teeth and restore dental health. Teeth on both sides of the space are prepared and a bridge is permanently cemented or bonded into place.

Missing teeth may set off a chain reaction of dental problems over time that can change your bite and develop food traps. This can cause bad breath, tooth decay, periodontal disease and bone loss. Depending on the circumstances involved, fixed dental devices, like bridges or dental implants, may be a solution to restore the function of your teeth and improve oral health. Even orthodontics may be recommended to return the teeth to a more ideal position to improve function and/or cosmetics.

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Upper or lower dentures usually are the best solution for persons with no teeth. In situations where many teeth are missing, but the remaining teeth are stable and healthy, a removable partial denture may be recommended. "Partials" allow patients to keep their remaining healthy teeth and replace missing teeth to restore form and function. Precision partials use fixed crowns and special attachments to secure the partial and eliminate the need for conventional clasping methods. The removable design of a full or partial denture allows for daily cleaning and periodic adjustment or replacement.

The Final Choice Is Yours

Usually, there is more than one restorative solution for repairing broken-down and missing teeth. A consultation with your Dr. White will help you choose the best restorative solution for your situation. You can help keep your permanent teeth longer by replacing missing teeth, brushing and flossing daily, and having regular dental check-ups and professional tooth cleanings. Stopping smoking or chewing tobacco and maintaining good nutrition will also help you achieve the optimum in oral health.

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