The North Dakota Department of Health Oral Health Program in collaboration with Bridging the Dental Gap and Northland Community Health Center implemented an older-adult oral health care program for residents residing in long-term care facilities. A team of dental professionals, consisting of a dental hygienist, a dental assistant and a dentist visited the facility bimonthly, providing oral health care, in-service training for staff, resident oral health exams, and prevention and restorative care.
Learn more about the information on Oral Health for Older Americans from the Centers for Disease Control and Prevention or access materials on Taking Care of Your Teeth and Mouth from the National Institute on Aging. The Alzheimer’s Association also offers information and resources on dental care for persons who have been diagnosed with Alzheimer’s disease or other related dementias.
Brushing and flossing your teeth is just as important for you as it is for your grandchildren. Even though it may have been years since you’ve had a cavity, your risk of cavities increases with age. One of the reasons is dry mouth—a common side effect of many prescription medications.
Brush your teeth twice a day with fluoride toothpaste. Choose a toothbrush with soft bristles and a small head to get to those hard-to-reach areas. Replace your toothbrush every three or four months or sooner if the bristles become frayed. If you have arthritis or other condition that limits movement, try an electric toothbrush.
Clean between teeth daily. You can use dental floss or another product made specifically to clean between the teeth, like pre-threaded flossers, tiny brushes that reach between the teeth, water flossers or wooden plaque removers.
When you’re buying oral care products, look for the ADA Seal of Acceptance. The ADA Seal has been around since 1931, and when you see it on a package you can trust that the product is safe and does what the manufacturer advertises.
Bacteria stick to your teeth and also to full or partial dentures. If you wear dentures, remember to clean them on a daily basis with cleaners made specifically for dentures. Do not use toothpaste for natural teeth or household cleaners, which are too abrasive and can damage dentures that can be expensive to replace.
Take your dentures out of your mouth for at least four hours every 24 hours to keep the lining of your mouth healthy. It’s best to remove your full or partial dentures at night. Your dentist will provide you with instructions about how long your dentures should be worn each day.
Get regular dental checkups at least once a year – please do not wait until you have pain. Why? As you age, the nerves inside your teeth become smaller and less sensitive. By the time you feel pain from a cavity, it may be too late and you may lose your tooth. There are also more serious conditions that your dentist will look for, like oral cancer and gum disease, which do not always cause pain until the advanced stages of the disease. By then, it’s more difficult and costly to treat.
When you go to your dentist for a check-up bring the following information:
- List of medications, including vitamins, herbal remedies, and over-the-counter medications
- List of medical conditions and allergies
- Information and phone numbers of all health care providers, doctors, and your previous dentist
- Information about your emergency contacts, someone who can help make decisions on your behalf in the case of a medical emergency
- Dental insurance or Medicaid cards
- Your dentures or partials, even if you don’t wear them
Be sure to talk with your dentist about how to properly secure and dispose of any unused, unwanted or expired medications, especially if there are any children in the household. Also, take the time to talk with your children and/or grandchildren about the dangers of using prescription drugs for non-medical purposes.
No matter what age you are, drinking water with fluoride helps prevent tooth decay. Fluoride is nature’s cavity fighter. Many community water systems contain added fluoride, but if you prefer bottled water, check the label because some do not contain fluoride. And, some home water filters remove fluoride from the tap water. Visit the ADA Seal product search page for a list of water filters that do not remove fluoride from tap water.
It’s never too late to quit smoking. Smoking increases problems with gum disease, tooth decay and tooth loss. It also slows down healing after dental procedures and can decrease the success rate of dental implants. Talk to your dentist about quitting. There are tobacco cessation programs, over-the-counter products and prescription medications that your dentist may prescribe or recommend to help you quit for good.
- Dental Screenings Daily Care - ND Nursing Home Residents (2018)
- Dental Screenings Daily Care Nursing Home Residents: A Promising Practice (2018)
- Standardized Dental Screening for New Nursing Home Residents (2018)
- Evaluation of the Long Term Care Oral Health Program (2018)
- Dental Coverage for Nursing Home Residents (2017)
- Oral Health Among North Dakota Elderly (2017)
- Post-Assessment of the Long Term Care Oral Health Program: Aggregate Report (2016)
- Oral Healthcare in North Dakota Long Term Care Facilities (2016)
- Oral Health Services and Barriers to Care in North Dakota Long Term Care Facilities: Chartbook (2016)