Managing Oral Health Issues in Seniors: Tips for Dry Mouth and Adhesive Use

Q: Managing Oral Health Issues in Seniors: Tips for Dry Mouth and Adhesive Use

Hello： In older adults, due to changes in hormone secretion and gradual decline in salivary gland function, there may be a decrease in oral saliva production, leading to complaints of dry mouth. <br>Additionally, the use of certain cardiovascular or psychiatric medications can al

Oral diseases

My mother is 78 years old and has been experiencing recurrent oral stickiness, a bitter taste on her tongue, and dry mouth for nearly three months.
She has seen both traditional Chinese and Western medicine without significant improvement.
She usually takes over-the-counter medications and uses denture adhesive daily.
What should she pay attention to in her daily life? Thank you.

myr, 50~59 year old female. Ask Date: 2012/06/24

Dr. Zeng Guanghui reply Dentistry

Hello: In older adults, due to changes in hormone secretion and gradual decline in salivary gland function, there may be a decrease in oral saliva production, leading to complaints of dry mouth.
Additionally, the use of certain cardiovascular or psychiatric medications can also contribute to dry mouth symptoms, resulting in a burning sensation on the tongue and a sticky feeling in the mucosa.
It is recommended to drink plenty of water, maintain good oral hygiene, and consume a diet rich in fruits and vegetables for their vitamins, which can help improve the function of the oral mucosa and reduce symptoms.
Wishing you peace and happiness.

Reply Date: 2012/06/24

More Info

Managing oral health issues in seniors, particularly those related to dry mouth and the use of denture adhesives, is crucial for maintaining overall well-being and comfort. Dry mouth, or xerostomia, can significantly affect a senior's quality of life, leading to difficulties in speaking, swallowing, and tasting food, as well as increasing the risk of dental problems such as cavities and gum disease.

Understanding Dry Mouth
Dry mouth can be caused by various factors, including medications, medical conditions, and aging. Many seniors take medications that can contribute to dry mouth, such as antihistamines, antidepressants, and blood pressure medications. Additionally, conditions like diabetes, Sjögren's syndrome, and certain autoimmune diseases can also lead to reduced saliva production.

Tips for Managing Dry Mouth
1. Stay Hydrated: Encourage your mother to drink plenty of water throughout the day. Sipping water regularly can help alleviate dryness and keep the mouth moist.

2. Use Saliva Substitutes: Over-the-counter saliva substitutes or mouth moisturizers can provide temporary relief from dry mouth. These products are designed to mimic natural saliva and can be used as needed.

3. Chew Sugar-Free Gum or Candy: Chewing sugar-free gum or sucking on sugar-free candies can stimulate saliva production. Look for products containing xylitol, which can also help protect against cavities.

4. Avoid Certain Foods: Encourage her to avoid spicy, salty, or acidic foods that can irritate a dry mouth. Additionally, caffeine and alcohol can exacerbate dryness, so it may be beneficial to limit these.

5. Maintain Oral Hygiene: Good oral hygiene is essential, especially for seniors with dry mouth. Brushing twice a day with fluoride toothpaste and flossing daily can help prevent dental issues. Regular dental check-ups are also important.

6. Use a Humidifier: Using a humidifier in her living space, especially at night, can help add moisture to the air and alleviate dry mouth symptoms.

Managing Denture Adhesive Use
For seniors who use denture adhesives, it’s important to ensure that they are using them correctly to avoid complications. Here are some tips:
1. Choose the Right Adhesive: There are various types of denture adhesives available, including creams, powders, and strips. It may be beneficial to consult with a dentist to determine which type is best suited for her needs.

2. Follow Instructions: Ensure that she follows the manufacturer's instructions for applying the adhesive. Overuse or incorrect application can lead to discomfort and complications.

3. Regular Cleaning: Encourage her to clean her dentures daily with a soft brush and a mild cleanser designed for dentures. This helps remove food particles and bacteria, reducing the risk of oral infections.

4. Consult with a Dentist: If she experiences persistent discomfort or if the adhesive does not seem to hold her dentures securely, it may be time to consult with a dentist. They can assess the fit of the dentures and make necessary adjustments or recommendations.

5. Monitor for Allergies: Some individuals may develop sensitivities or allergies to certain denture adhesives. If she experiences irritation or discomfort, it’s important to discontinue use and consult a healthcare professional.

Conclusion
Managing oral health issues in seniors, particularly dry mouth and denture adhesive use, requires a proactive approach. Encouraging hydration, maintaining good oral hygiene, and consulting with healthcare professionals can significantly improve her comfort and quality of life. If her symptoms persist despite these measures, it may be beneficial to seek further evaluation from a dentist or a specialist in geriatric care. Regular dental visits are essential for monitoring her oral health and addressing any emerging issues promptly.

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