ORAL HEALTH AND SENIORS
SPOKANE REGIONAL HEALTH DISTRICT'S SENIOR PROJECT
In 2000, the Surgeon General issued the first ever "Report
on Oral Health". Paramount in the report is that oral health
is connected to over-all health and that the mouth should not be considered
separate from the rest of the body. The burden of oral disease for
seniors is indicated in the report:
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Twenty-three percent of 65-74 year-olds have severe
periodontal disease.
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About 30% of adults 65 years and older are edentulous.
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Oral and pharyngeal cancers are diagnosed in about
30,000 Americans annually; 8,000 die from these diseases each year.
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Older Americans take both prescription and over-the-counter
drugs and at least one of the medications used will have an oral
side effect - usually dry mouth.
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At any given time, 5 percent (5%) of Americans aged
65 and older are living in a long-term care facility where dental
care is problematic.
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Many elderly individuals lose their dental insurance
when they retire.
Following the 2000 report, the Surgeon General's 2003,
"National Call to Action to Promote Oral Health" was issued
to organizations and individuals concerned with the health of Americans.
It serves as a framework to advance the general health and well being
of all Americans by creating critical partnerships to promote oral
health and prevent disease. Specifically, Americans have been challenged
to change perceptions of oral health; overcome barriers by replicating
effective programs and proven efforts; build the science base and
accelerate science transfer and increase collaborations.
In response to the Surgeon General's challenge, the
Oral Health Program at Spokane Regional Health District created the
Seniors
.Be WISE! project to provide oral health education to
seniors. The project is being funded by grants from the Washington
Dental Service Foundation and by the American Dental Association.
The Seniors
Be WISE! project will provide oral
health education through a comprehensive public and consumer education
effort. This will be accomplished through peer leaders trained to
deliver oral health messages in a "train the trainer" model
of "For Seniors-By Seniors" and through media. In addition,
the project will support oral health trainings for caregivers of the
elderly, provide fluoride varnish for selected dental clinics treating
low-income seniors, develop and distribute education materials in
the community.
10 Simple Ways to Promote Senior Smiles
1. Drink fluoridated water.
Fluoride in drinking water makes everyone's teeth stronger. Check to
see if your community fluoridates its water. If it does not, consider
advocating for water fluoridation in your area.
2. Brush twice daily with fluoride toothpaste.
Fluoride toothpaste is another good source of fluoride. When brushing,
use a soft toothbrush, brush for a minimum of two minutes, and remember
to brush the tongue.
3. Use floss or toothpicks to clean between teeth.
Floss and toothpicks clean where brushes miss. When flossing, use
a floss holder or your thumb and forefinger to control the floss. Ease
the floss between the teeth and carefully rub the side of each tooth.
4. Have regular dental checkups, even if you have dentures.
Treat problems when they are small. Don't wait until they become painful.
For people with dentures, dentists can check for denture fit. Dentists
also screen everyone for oral cancer.
5. Limit the frequency of starchy snacks and sugared candy or cough
drops.
Bacteria in the mouth make acid from sweet and starchy foods. This acid
lasts for 20 minutes each time we eat, and it damages the teeth. If
we are always sipping soda, nibbling crackers or sucking on sugared
candy or cough drops, our teeth are under constant attack. This often
results in tooth decay.
6. Control diabetes.
Diabetics who do not control their blood sugar often have gum problems.
Many people with diabetes do not know they have it. Talk with your doctor
about your risk for diabetes, and have your blood sugar checked.
7. Avoid tobacco.
Tobacco users, whether they smoke or use smokeless tobacco, are more
likely to have gum disease and oral cancer. Avoiding tobacco will improve
your oral health and could save your life.
8. Check your mouth regularly for lumps, bumps or sores.
Cancer can appear anywhere in the mouth and is often painless, so may
be overlooked. If you notice a lump, bump or sore in the mouth that
does not heal within two weeks, see your dentist or physician.
9. Understand the dangers of dry mouth.
Dry mouth is a serious condition. Just as tears wash your eyes, saliva
washes and protects your mouth. NEVER use sugared candy or cough drops
to help with dry mouth, as these cause tooth decay. Sugar-free gum,
sugar-free candy, and sugar-free cough drops are best for this.
10. Ask your dentist or doctor about fluoride varnish.
Fluoride applied directly to the teeth adds extra protection against
decay. This is very helpful for people with dry mouth and those receiving
cancer treatments.
And remember to share your oral health knowledge with others!
Oral Health in Washington State Adults & Seniors
More than 38 percent (38%) of all adults in the state have had teeth
removed due to tooth decay or gum disease.
Nearly one-third of seniors - estimated to be 218,000 people in Washington
- have untreated dental cavities.
In Washington, twenty percent (20%) of seniors have lost all of their
teeth.
More than 75 percent (75%) of Washington seniors do not have dental
coverage.
More than 164 million hours of work are lost nationwide each year due
to dental disease or dental visits.
Twenty-five percent of adults 65 to 74 nationwide have severe periodontal
disease, which has been linked to other serious health problems including
diabetes, heart disease and strokes.
SENIORS ORAL HEALTH MESSAGES
Prevention is the first step to a healthy mouth.
Seniors, their families, as well as caregivers, must understand the
importance of oral health.
The mouth is a mirror to the body's general health. Many systemic diseases
and conditions have oral manifestations.
Many seniors take medication, which may dry out the mouth allowing
plaque and bacteria to build-up. Sometimes individuals will suck on
candy to produce more saliva: candy=sugar=acid attack on teeth=cavities
and gum disease.
There is an association between periodontal (gum) disease and other
diseases. There is potential for oral micro-organisms to enter the blood
stream and interfere with blood flow. Many bacteria thrive on sugars
including glucose, the sugar linked to diabetes. When diabetes is poorly
controlled, high glucose levels in mouth fluids increase the growth
of germs and set the stage for gum disease. Treatment of diabetes will
slow down the progression of gum disease and diabetes is more easily
controlled if periodontal disease is treated.
Smokers are 5 times more likely than non-smokers to have gum disease.
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