June is National Alzheimer’s awareness month.

We would like to take some time to address Dental concerns and problems related to those afflicted with Alzheimer’s and Dementia and suggestions to help them maintain good oral health.

1) Notice the signs

Basic and routine dental care can be difficult and challenging for this population that has Alzheimer’s. Their teeth and gums often show signs of neglect and aging. Most of the time this is not directly their fault. Patients often

Forget to brush their teeth.
Dont remember how to use a toothbrush and paste.
- Possibly be too embarrassed to admit this.
May not recognize or be able to tell someone they are in pain.
Have difficulty accessing areas of the mouth
Have difficulty controlling or stabilizing a tooth brush

There can be signs and symptoms you can be on the look out for that may indicate someone you love with Alzheimer’s has a dental issue and needs assistance.

Obvious swelling of the face and jaw
Avoidance of hot or cold foods
Having a swollen area or pimple on their gums or near a tooth
Discoloration of a tooth/teeth
Making faces resembling pain when chewing
Biting of the inner cheek or lip
Drooling or Bleeding from the mouth
A white film present on tongue or gums
Bad breath despite brushing
Not letting you inspect their mouth

If you see any signs of swelling with fever or difficulty breathing – visit the nearest emergency room as soon as possible; these can be life threatening situations.

If any of the other signs present themselves, make an appointment to visit a dentist.

2) Common Dental Problems

Oral health care is not just about keeping your teeth healthy. A study out of NYU revealed that chronic gum disease may actually be linked to causing Alzheimer’s and increase the risks of cognitive dysfunction along with other serious health complications. Other studies have shown that high incidents of Pneumonia in patients with Alzheimer’s in nursing homes are correlated to poor dental hygiene.

There are some common dental problems usually found in the older population living with Alzheimer’s disease:

Buildup of Plaque and Tartar which harbor harmful bacteria and can lead to decay, periodontal disease, infections, bad breath, etc…
Cavities caused by not or improper brushing and flossing.
Broken or loose teeth or dental work
Dental abscess caused by extensive decay
Dry mouth associated with medications

3) How to assists someone with Alzheimer’s in their dental care:

Provide short, easy to follow and simple instructions everyday
Brush teeth 2x a day with a fluoride toothpaste
Use a “watch me” technique of showing how to perform oral hygiene
Use a soft bristle tooth brush with a small head to reach difficult areas
Keep the teeth and mouth clean if they have difficulty
Try different types of toothbrushes with angles that may be easier for them to use
Floss regularly or implement use of a water pick if they have difficulty
If they wear dentures clean them and take them out every 4 hours
Be aware of potential mouth pain and monitor for problems
Keep up with regular dental visits for as long as possible.
- This will help with hygiene and prevention and can provide an opportunity for intervention before they become serious problems.

Click here for more information from the Alzheimer’s Association

https://www.alz.org/help-support/caregiving/daily-care/dental-care

Alzheimer's