THE EFFECT OF AGING ON THE EDENTULOUS STATE

THE EFFECT OF AGING ON THE EDENTULOUS STATE : 

THE EFFECT OF AGING ON THE EDENTULOUS STATE -MANISH S.TIWARI 14TH YR B.D.S

The Aging Population : 

The Aging Population OLD – 65+ MIDDLE OLD – 75-84 OLD-OLD – 85+

The Aging Population : 

The Aging Population JAPAN 2 in 10 residents are older than 65 yrs. Between 2000 – 2020 persons older than 18 will be double.

Hazardous factor to man(In early part of 20th century) : 

Hazardous factor to man(In early part of 20th century)

Women live longer than Men : 

Women live longer than Men

Distribution and impact of edentulism in old age : 

Distribution and impact of edentulism in old age Distribution - Old men are more likely to have teeth. - Money and Education are causes of edentulism . - In future there would be a definite increase in the number of edentulous people.

Distribution and impact of edentulism in old age : 

Distribution and impact of edentulism in old age Impact - Resorption of residual ridge. - Common complaint is pain while chewing.

The impact of age on the edentulous mouth : 

The impact of age on the edentulous mouth Mucosa Bone Saliva

Mucosa : 

Mucosa Stomatitis, inflammation Oral cancer External carcinogens i) Nicotine ii) Alcohol Less early screening in poor people

Bone : 

Bone

Bone : 

Bone Alteration in bone remodelling

Bone : 

Bone Increase in porosity i.e. osteoporosis Types of osteoporosis - Type 1 (post menopausal) - Type 2 (senile or idiopathic) Treatment of osteoporosis - Bisphosphonates, estrogen

Saliva : 

Saliva Quantity and Quality of saliva in denture wearers More intake of drugs affect salivation Xerostomia Sjogren syndrome Hyposalivation of minor salivary glands occurs due to Digitalis, Tranquilisers, Antidepressant

Saliva : 

Saliva Secretions can be increased by i) 2l water ii) Exercise iii) Pilocarpine Decrease in taste increase the craze for sugar.

Jaw movements in old age : 

Jaw movements in old age

Jaw movements in old age : 

Jaw movements in old age Pain on swallowing due to - osteophytes - spurs

Taste and Smell : 

Taste and Smell Closely related, rarely occurs in isolation. Olfactory cells damage with age. Decreased sensitivity to taste seen more commonly in ALZHEIMER. Associated cranial nerves VI, IX, X.

Nutrition : 

Nutrition Restriction on fat and protein ~ longevity. Recommended daily intake of specific nutrients is inaccurate. Overconsumption of drugs affect state of dentition. Decreased plasma ascorbate , retinol disturbs skin and eyesight.

Aging skin and teeth : 

Aging skin and teeth Skin - Scars of lifetime are revealed - Mottling, leathery look, Wrinkles - Langerhans cells prevents undesirable immune responses - Upper lip i) decreased concavity, pouting ii) flat filtrum, drooping of upper lip

skin : 

skin Nasolabial groove deepens Shagging look of mid 1/3rd of face Buccal pad atrophy

Teeth : 

Teeth Altered chroma and value Abraded enamel Brownish appearance of dentition

Concerns for personal appearance in old age : 

Concerns for personal appearance in old age Aging women is considered attractive and judged by society. Everyone wants mature look . Unusual request should be managed psycologically

SUMMARY : 

SUMMARY Need of complete denture will increase in coming centuries Mouth is 1st sensor of some diseases. Poor healing in old age i.e. trauma of ill fitting dentures heals slowly. Prosthodontics requires good diagnosis of systemic and local problems. New dentures are not accepted easily by older patients so try modifying the older one . Patient’s identity should be embedded

SUMMARY : 

SUMMARY Life at any age does not have pleasant surprises and rewards so adaptation should be the hallmark of successful aging.

Slide 25: 

Thank you