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Oral health is an important and often overlooked component of an older person’s general health and well-being. Dr. Werner and our team know that for many of our older patients, oral health can become an issue when arthritis or other neurological problems render them unable to brush or floss their teeth as effectively as they once did. Today, we thought we would discuss four common oral health issues our older patients face and how they can avoid them:

Cavities: It’s not just children who get tooth decay—oral decay is a common disease in people 65 and older. Ninety-two percent of seniors 65 and older have had dental caries in their permanent teeth, according to the National Institute of Dental and Craniofacial Research. The risk for tooth decay increases because many older adults don’t go to the dentist as often as they used to, thus cavities go undetected and untreated for longer than they should. Keeping regular appointments with Dr. Werner is the key to getting cavities treated in a timely manner.

Difficulty eating: Oral health problems, whether from missing teeth, cavities, dentures that don’t fit, gum disease, or infection, can cause difficulty eating and can force people to adjust the quality, consistency, and balance of their diet.

Dry mouth: Also called xerostomia, dry mouth is a common issue for a lot of seniors. Our friends at the Oral Cancer Foundation estimate that 20 percent of elderly people suffer from dry mouth, which means the reduced flow of saliva (saliva plays a crucial role in preventing tooth decay). Many seniors are on multiple medications for a variety of chronic illnesses or conditions. Common medications taken that may cause dry mouth are decongestants, antihistamines, blood pressure medications, pain pills, incontinence medications, antidepressants, diuretics, muscle relaxers, and Parkinson’s disease medications. To help counter this, we suggest drinking lots of fluids and limiting your intake of caffeine and alcohol. We also encourage you to check with Dr. Werner during your next visit if you think your medications are causing your mouth to feel dry.

Gum Disease: Gum (periodontal) disease is an infection of the gums and surrounding tissues that hold teeth in place. While gum disease affects people of all ages, it typically becomes worse as people age. In its early stages, gum disease is painless, and most people have no idea that they have it. In more advanced cases, however, gum disease can cause sore gums and pain when chewing.

Gum disease, which can range from simple gum inflammation to serious disease, is usually caused by poor brushing and flossing habits that allow dental plaque to build up on the teeth. Plaque that is not removed can harden and form tartar that brushing simply does not clean. Only a professional cleaning at our office can remove tartar. The two forms of gum disease are gingivitis and periodontitis. In gingivitis, the gums become red, swollen, and can bleed easily; in periodontitis, gums pull away from the teeth and form spaces that become infected.

Proper brushing, flossing, and visiting our office regularly can prevent gum disease. Seniors with limited dexterity who have trouble gripping a toothbrush should ask Dr. Werner about modifying a handle for easier use or switching to a battery-powered toothbrush.

Never before have dental implants looked as natural and aesthetically pleasing as they do today. With the help of computer-aided design and computer aided manufacturing (CAD/CAM), Dr. Werner and our team are able to create implants with impeccable fit and finish. Although these technologies have been in use since the 1980s, it's only recently that they became efficient and cost-effective enough to be useful.

Dr. Werner can also take digital scans of your teeth, providing a much more in-depth and accurate representation of them when compared to traditional X-rays. This scan can be used to create a physical model of your teeth through the use of 3D printing technology, allowing for the utmost in accuracy when planning your implant treatment.

Since each of our patients are unique, these CAD/CAM technologies offer a highly customized approach to implant dentistry that helps avoid the "one-size-fits-all" ways of the past. The goal is to have an implant look and function as closely as it can to the tooth it's replacing. That’s why these implants are typically milled using ceramic or composite resin — materials chosen due to their durability and resemblance to teeth.

Even the planning of your surgery can be aided and guided by computers. 3D CT scans create a digital representation of your mouth including all significant anatomical markers. This data is imported into planning software which, coupled with CAD/CAM implant technology, is able to 3D print surgical guides that snap into place over a patient's teeth. This means less risk for surgical error and much more accurately placed dental implants.

The main benefits of CAD/CAM dental implants are that they:

• Are extremely accurate for every patient, down to 50 micrometers
• Have better long-term results and more natural-looking implants
• Can be manufactured quickly, the same day in many cases

Of course this is just a quick summary of the benefits, and a computer-modeled implant may not always be the best option. If you have questions about the dental implants or the technologies we use to make them look as natural as possible, feel free to contact our Los Gatos, CA office.

Cavities are the reason why most people fear going to the dentist. But they’re also the reason you should be visiting Dr. Werner on a regular basis.

Specifically, cavities are the breakdown of teeth caused by acid from food, bacteria, and plaque that inhabit the inside of the mouth. While many people simply think that cavities only form on top of a tooth, Dr. Werner and our team at Erich M. Werner, D.D.S. want you to know they can actually form on the sides along the gum line and between the teeth, too. This acid will eat away at the tooth, forming a soft hole.

Anybody, either children and adults, can get cavities. In fact, according to the Centers for Disease Control and Prevention, in the U.S. alone about 16 percent of all children ages six to 19 have untreated cavities, and about 24 percent of adults 20 to 64 years old have them. This is detrimental to overall oral health, because cavities have a tendency to grow over time, potentially spreading to other teeth and causing increased oral pain, possibly even affecting the nerve.

That's why it's important to ensure that you're visiting Erich M. Werner, D.D.S. at least once every six months, so that cavities can be found and filled before they become too problematic and painful. Typically, they're found by doing a routine teeth cleaning, though X-rays or further examination may be necessary to determine the full extent of a cavity. Cavities are treated by removing the area of the tooth where decay has set in and rebuilding the tooth with a metal filling. If the cavity is too large, however, more extreme measures may be necessary, such as placing a crown or performing a root canal.

As we noted above, cavities are why people dread going to the dentist, but also the reason everyone should see the dentist every six months. Additionally, brushing twice daily, flossing, and cutting down on sugar-packed foods can reduce the risk of developing cavities.

For more information on how to best care for your teeth and why it's important to visit the dentist twice a year, please give us a call at our convenient Los Gatos, CA office today!

Absolutely. Checking in with Dr. Werner on a regular basis—usually every six months—is essential to keeping your smile looking its best. At Erich M. Werner, D.D.S., we are proud to offer a number of preventive procedures to ensure the health of your mouth and the beauty of your smile. Your smile is just as important to us as it is to you!

Another good reason to visit our Los Gatos, CA office is to check for hidden issues in your mouth you may not even realize you had. Bacteria, tartar, and cavities are known to form in the hard-to-reach crevices of your mouth and may only be detected through a professional exam. If left untreated, these cavities and decay can get worse, requiring more extensive treatment, and costing you even more time and money down the road. During your routine exam, Dr. Werner and our team will also check to make sure your fillings or other dental restorations you may have had are in good shape.

Preventing problems before they start is the key to optimal oral health. If it has been more than six months since your last visit, please contact our Los Gatos, CA dental office to schedule your routine checkup! See you soon!