dental disorders
Introduction to the Approach to the Dental Patient
Geriatrics Essentials
Resting salivary secretion rarely diminishes significantly solely due to aging. Xerostomia or hyposalivation in the older patient is almost always a side effect of The flattened cusps of worn teeth and weakness of the masticatory muscles may make chewing tiresome, impairing food intake. Loss of bone mass in the jaws (particularly the alveolar portion), dryness of the mouth, thinning of the oral mucosa, and impaired coordination of lip, cheek, and tongue movements may make denture retention difficult. The taste buds become less sensitive, so the older patient may add abundant seasonings, particularly salt (which is harmful for some), or they may desire very hot foods for more taste, sometimes burning the often atrophic oral mucosa. Gingival recession and xerostomia contribute to development of root Caries . Despite these changes, improved dental hygiene has greatly decreased the prevalence of tooth loss, and most older people can expect to retain their teeth. Poor oral health contributes to poor nutritional intake, which impairs general health. Dental disease (particularly Periodontitis ) is associated with a 2-fold increased risk of 