Why Chewing Pain Affects Elderly with Dentures: Solutions and Insights

Chewing during meals is painful?

My grandfather is nearly 80 years old and has experienced physical decline.
A year ago, he received a set of removable dentures that fit well and had no issues with occlusion.
However, since the beginning of this year, he has been unable to bite hard foods, and even the chewing motion during meals causes pain.
During this time, we consulted a dentist who only stated that the dentures fit well and there was no problem, leaving us without further assistance.

I would like to ask the following questions:
1.
Why is he unable to bite hard foods?
2.
Is there any way to improve this situation?
The dentist did not provide any further information and simply sent my grandfather home.
Is it really the case that elderly individuals must endure dental pain while eating?

Bù zhī suǒ cuò, 30~39 year old female. Ask Date: 2020/06/16

Dr. Huang Tingfang reply Dentistry

Dear Miss Confused,
Hello! We need to check for any ulcers.
The dentures need some adjustments, or you might consider not wearing them for a few days.
We can try wearing them again after a week, but a thorough examination is still necessary.
Take care and I wish you all the best!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2020/06/16

More Info

Chewing pain in elderly individuals with dentures can be a significant issue, particularly when they experience discomfort while eating. This problem can stem from various factors, and understanding these can help in finding effective solutions.

1. Why is there difficulty chewing hard foods?
The inability to chew hard foods can be attributed to several reasons. First, as we age, the jawbone density can decrease, which may lead to changes in the fit of dentures. Even if the dentures were initially well-fitted, changes in the oral cavity over time can cause them to become less effective, leading to discomfort during chewing. Additionally, the muscles involved in chewing may weaken with age, making it more challenging to exert the necessary force to chew harder foods.

Another common issue is the presence of sore spots or ulcers in the mouth caused by the dentures. If the dentures do not fit properly, they can rub against the gums, leading to pain and inflammation. This discomfort can discourage the elderly from attempting to chew harder foods, leading to a diet that is less varied and potentially less nutritious.

2. Can this be improved?
Yes, there are several strategies that can help improve the situation. First and foremost, it is crucial for your grandfather to have a thorough evaluation by a dentist who specializes in geriatric dentistry or prosthodontics. They can assess the fit of the dentures and make necessary adjustments. Sometimes, relining the dentures or even creating a new set may be required if the current ones are no longer suitable.

Additionally, the dentist can check for any underlying oral health issues, such as gum disease or oral infections, that may be contributing to the pain. Addressing these issues can significantly improve comfort levels.

Another approach is to use dental adhesives, which can help stabilize the dentures and reduce movement during chewing. This can alleviate some of the discomfort associated with chewing.

For immediate relief, using over-the-counter oral gels or ointments can help soothe sore spots in the mouth. Furthermore, incorporating softer foods into the diet can also help manage the pain while still providing necessary nutrition. Foods like mashed potatoes, yogurt, smoothies, and soups can be easier to chew and swallow.

Lastly, it is essential to encourage your grandfather to communicate openly with his dentist about any discomfort he experiences. If the current dentist is not responsive, seeking a second opinion may be beneficial. A dentist who understands the unique challenges faced by elderly patients can provide tailored solutions that improve quality of life.

In conclusion, while chewing pain can be a common issue for elderly individuals with dentures, it is not something they must endure without support. With proper dental care, adjustments to the dentures, and dietary modifications, it is possible to alleviate discomfort and enhance the overall eating experience. Regular dental check-ups are vital to ensure that any changes in oral health are addressed promptly, allowing for a more comfortable and enjoyable life for your grandfather.

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