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Periodontal Disease & Older Adults Cheat Sheet (DRAFT) by [deleted]

This is a draft cheat sheet. It is a work in progress and is not finished yet.

Introd­uction Period­ontal Disease

Chronic bacterial infection in the mouth
Can occur at any age but is prevalent in older adults
Usually starts with gingiv­itis; red and slightly swollen gums caused by accumu­lation of plaque on the tooth if let untreated, gingivitis may progress to “perio­don­titis”

Symptoms of Period­ontitis

tender, bleeding gums
painful chewing
chronic bad breath
teeth that are sensitive to cold/heat
change in fit or comfort of partial dentures
receding gums
untreated period­ontitis may lead to destru­ction of gums and tissues that support teeth
teeth may become loose and if untreated tooth extraction may be required Impact on physical health
gums pull away from the teeth and form pockets that become infected
immune system fights the bacteria as plaque spreads and expands below gum line
bacteria toxins and immune system response may break down bone and connective tissue
evidence of relati­onship between cardio­vas­cular disease and poor oral health
oral infections increase glucose levels in blood and make diabetes harder to control

Impact on psycho­social well being

sense of bereav­ement associate with tooth loss
decreased self-c­onf­idence
poorer self-image
social isolation

Gum Disease

Risk factors

smoking (can lower chances for successful treatment)
hormonal changes (women)
vitamine C deficiency
poor diet
poorly fitted partial dentures or bridges
poorly aligned teeth
medica­tions that reduce saliva and cause dry mouth increase vulner­ability to gum disease
medica­tions that cause abnormal overgrowth of gum tissue make proper oral hygiene more difficult
illnesses including cancer or AIDS and their treatments may negatively affect health of gums
illnesses including diabetes and Parkin­son’s disease may affect salivary glands and cause dry mouth, which increases production of bacteria Diagnosing period­ontitis
symptoms may be sign of serious problem

Visit a Dentist

Dentist or hygienist may take medical history to identify underlying conditions or risk factors
Dentist or hygienist will examine guns
May use “probe” to check for and measure pockets (this is usually painless)
May take x-ray to determine if bone loss has occurred
May refer to a Period­ontitis if needed