Ouch: Denture Stomatitis
Lots of false teeth wearers know about it: stomatitis.
Stomatitis - "denture sore mouth" - is the most common symptom of yeast invasion, where tiny blisters develop on the gums. Other signs are patchy white spots in the mouth, a burning sensation, or a persistent unpleasant salty taste.
It's not all your fault. Your denture has something to do with it.
Prosthodontics with soft liners or those relined with a non-pressure process can harbor troublesome yeasts. On the other hand, pressure-processed dentures (the bubbles are pressed out under heat) are less porous and therefore less friendly to Candida infection.
Two brand-name processes that resist Candida are Ivoclar acrylic and Astron vinyl. If you have recurring denture stomatitis, ask your prosthodontist about one of these processes at your next reline.
Beat the yeast
If you're not due for new false teeth or a reline, you can take measures to control the growth of Candida at home. Cleaning dentures using the following recipe will help: Soak your dentures for two hours, four times a week in equal parts bleach, dish detergent and water. Follow this by a one-hour soak in half vinegar/half water.
This brew seems to work, but some false teeth materials can lose color - and any denture with metal parts other than gold will suffer.
Even better...The Journal of the American Dental Association recommends using a denture care solution containing benzoic acid that looks effective in killing yeasts with no damage to the prosthodontics. Commercially it's called Oral Safe (Great Lakes Ortho Laboratories, Tonawanda, NY), available through your dentist. There are remedies to "denture sore mouth." Because denture problems are a pain you just don't have to live with.
+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.
Periodontal Disease And Older Adults
The proverbial way of referring to older people as being "long on the tooth" suggests that it is predetermined that as we get older our teeth get "longer" or "no longer." This is not true. Periodontal disease and loss of teeth is not an inevitable aspect of aging. Loss of attachment or bone support around a tooth is the result of a bacterial infection. What is true is that as we get older, we have more exposures to these infectious organisms, and more probability of being infected and developing periodontal disease. Half of the people over 55 have periodontal disease.
Risk factors that make older adults more susceptible to periodontal disease include:
Systemic diseases:
Certain systemic diseases such as diabetes may decrease the body's ability to fight infection and can result in more severe periodontal disease. Osteoporosis also can increase the amount and rate of bone loss around teeth. Systemic illnesses will affect periodontal disease if it is a pre-existing condition. To reduce the effects of systemic diseases on the oral cavity, maintain meticulous plaque control and visit your dental care provider routinely for examinations and professional cleanings.
Medications:
Heart medications can have a direct effect on the gums by creating an exaggerated response to plaque and resulting in gum overgrowth. Antidepressants may create dry mouth and reduce the saliva's ability to neutralize plaque. Immunosuppressants and other disease-fighting medications may reduce the body's ability to combat infection, increasing the risk for periodontal disease. The dental care provider needs to be aware of any medications you may be taking and you need to maintain meticulous plaque control and visit your dental care provider routinely for examinations and professional cleanings.
Dry mouth:
Lack of saliva can result from the use of certain medications or as a result of illness. If there is not enough saliva available to neutralize plaque it can result in more cavities and periodontal disease. Also, dry mouth, or xerostomia, can make dentures more difficult to wear and may also complicate eating, speaking, or swallowing of food. Oral rinses or artificial saliva can be very helpful with these problems. Frequent sips of water or eating candy may be helpful as long as it doesn't contain sugar. Fluoride rinses and gels are helpful in reducing or preventing the cavities that can be caused by having a dry mouth.
Dexterity problems:
Physical disabilities can reduce dexterity and the ability to remove plaque on a daily basis. Poor oral hygiene can increase the risk for cavities and periodontal disease. Electric toothbrushes and floss holders are helpful in improving plaque control. Frequent professional cleanings combined with oral anti-microbial or fluoride rinses also may be helpful in reducing the incidence of cavities and periodontal disease.
Estrogen deficiency:
Older women may have some special concerns in relation to periodontal disease. Scientific studies have suggested that the estrogen deficiency that occurs after menopause may increase the risk for severe periodontal disease and tooth loss. Estrogen replacement therapy may reverse these effects.
It is important to keep teeth as we age because every tooth has an important function in chewing and speaking. They affect our appearance and self esteem. Having dentures or loose or missing teeth can restrict our diets, resulting in poor nutrition and systemic complications. With the advances in modern dentistry and with current prevention and treatment techniques, we must count on keeping our teeth for a lifetime - no matter how "long" that may be!
+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.