Hello, Dr. Yang!
Dr.
Yang: My father (53 years old) and mother (49 years old) have been experiencing chronic tooth pain, with symptoms that fluctuate between better and worse.
They have visited a general dental clinic, but the dentist mentioned that they have high levels of inflammation and periodontal disease, suggesting that it may not be possible to fully resolve their issues and that they can only be prescribed anti-inflammatory medication.
Dr.
Yang, is it still possible for older individuals to receive effective treatment, or are they limited to relying on medication?
Xiao Wei, 20~29 year old female. Ask Date: 2009/12/10
Dr. Yang Zhiren reply Dentistry
Hello: There are two types of tooth pain: one is the pain from dental caries, which improves after filling cavities or performing root canal treatment, and the other is periodontal pain, which is usually a dull ache caused by dental plaque.
About 80-90% of individuals over the age of 35 have adult-type periodontal disease, which can improve with periodontal treatment and oral hygiene education.
Medications can be effective during acute episodes, but the underlying cause must be addressed; otherwise, the condition will fluctuate with the individual's overall health.
Dr.
Yang Zhiren, Director of the Dental Department at Hsinchu Hospital, Department of Health, Executive Yuan.
Reply Date: 2009/12/10
More Info
Dental pain in older adults is a common issue that can significantly affect their quality of life. While medication can provide temporary relief, it is essential to understand that there are various treatment options available that can help manage and potentially overcome dental pain, even in older individuals.
Firstly, it's important to differentiate the types of dental pain. As mentioned by Dr. Yang, dental pain can arise from cavities (caries) or periodontal disease. Cavities can often be treated effectively with restorative procedures such as fillings or root canals, which can alleviate pain and restore function. On the other hand, periodontal disease, which is prevalent among adults over 35, may require more comprehensive treatment, including scaling and root planing, to remove plaque and tartar buildup, and improve gum health.
For older adults, the perception that they cannot undergo effective treatment due to their age is a misconception. While age can bring about certain health challenges, many dental procedures can still be performed safely and effectively. In fact, advancements in dental technology and techniques have made it possible for older adults to receive treatment that was not available in the past. For instance, sedation dentistry can help alleviate anxiety and discomfort during procedures, making it easier for older patients to undergo necessary treatments.
Moreover, maintaining good oral hygiene is crucial for managing dental pain and preventing further complications. Regular dental check-ups and cleanings are essential, as they allow for early detection and treatment of dental issues before they escalate. Older adults should be encouraged to practice good oral hygiene at home, including brushing twice a day with fluoride toothpaste and flossing daily. Additionally, using antimicrobial mouth rinses can help reduce plaque buildup and improve gum health.
In cases where dental pain is associated with systemic health issues, such as diabetes or heart disease, it is vital to manage these conditions as they can impact oral health. Collaboration between dental professionals and medical providers can ensure that the patient's overall health is considered in their dental care plan.
For those who may be hesitant to seek dental treatment due to financial concerns, it is worth exploring options such as dental insurance, community health clinics, or dental schools that often offer services at reduced rates. Many communities also have resources for older adults that can assist with transportation to dental appointments or provide information on financial assistance for dental care.
In conclusion, while medication can provide temporary relief from dental pain, older adults have various options available to address the underlying causes of their pain. With proper dental care, including regular check-ups, effective treatment of dental issues, and good oral hygiene practices, older adults can significantly improve their oral health and quality of life. It is essential to encourage them to seek professional dental care and to dispel the notion that age is a barrier to effective treatment. By taking proactive steps, older adults can overcome dental pain and enjoy better oral health.
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