HJAR Jul/Aug 2020

56 JUL / AUG 2020 I  HEALTHCARE JOURNAL OF ARKANSAS ORAL HEALTH of xerostomia and hyposalivation.Ther Clin RiskMan- ag. 2015;11:45-51 https://doi.org/10.2147/TCRM.S76282 6 Razak PA, Richard KM, Thankachan RP, Hafiz KA, Kumar KN,Sameer KM.Geriatric oral health: a review article.J Int Oral Health. 2014;6(6):110-116. 7 Limeback H. Implications of oral infections on sys- temic diseases in the institutionalized elderly with a special focus on pneumonia.Ann Periodontol. 8 Charlesworth CJ,Smit E,Lee DS,Alramadhan F,Odd- en MC. Polypharmacy Among Adults Aged 65 Years and Older in the United States: 1988-2010.J Gerontol ABiol Sci Med Sci.2015;70(8):989-995.doi:10.1093/ gerona/glv013 9 ImadaM,YagyuuT,UeyamaY,MaedaM,Yamamoto K,Kurokawa S,et al.(2019) Prevention of tooth extrac- tion-triggered bisphosphonate-related osteonecrosis of the jaws with basic fibroblast growth factor: An ex- perimental study in rats. PLoS ONE 14(2): e0211928. https://doi.org/10.1371/journal.pone.0211928 10 Poulopoulos A, Papadopoulos P, Andreadis D. Chemotherapy: oral side effects and den- tal interventions -a review of the literature. Sto- matological Dis Sci 2017;1:35-49. http://dx.doi. org/10.20517/2573-0002.2017.03 11 Kamer AR, Craig RG, Dasanayake AP, Brys M, Glodzik-Sobanskad L, de Leon MJ. Inflammation and Alzheimer’s disease: Possible role of periodon- tal diseases. Alzheimers Dement. 2008;4:242–50. [PubMed] 12 Nascimento M, Dilbone D, Pereira P, DuarteW, Ger- aldeli S,DelgadoA.Abfraction lesions: etiology,diagno- sis,and treatment options.Clin Cosmet Investig Dent. 2016;8:79-87 .https://doi.org/10.2147/CCIDE.S63465 13 Boitelle, P. Contemporarymanagement of minimal invasive aesthetic treatment of dentition affected by erosion: case report. BMCOral Health 19, 123 (2019). https://doi.org/10.1186/s12903-019-0807-4 14 Gupta K, Javiya P, Kumar P, Mallikarjuna R. Re- habilitation of lost vertical dimension with cast post core and cast partial denture. BMJ Case Rep. 2013;2013:bcr2013008576. Published 2013 Jun 24. doi:10.1136/bcr-2013-008576 15 Weyant RJ, Tracy SL, Anselmo TT, et al. Topi- cal fluoride for caries prevention: executive sum- mary of the updated clinical recommendations and supporting systematic review [published correction appears in J Am Dent Assoc. 2013 Dec;144(12):1335. Dosage error in article text]. J Am DentAssoc.2013;144(11):1279‐1291.doi:10.14219/jada. archive.2013.0057 16 AzarpazhoohA, Leake JL. Systematic review of the association between respiratory diseases and oral health.J Periodontol.2006;77:1465–1482.[PubMed] 17 Seifo,N.,Cassie,H.,Radford ,J.R.et al.Silver diamine fluoride for managing carious lesions: an umbrella review. BMC Oral Health 19, 145 (2019). https://doi. org/10.1186/s12903-019-0830-5 angled toothbrushes and flossing aids to help facilitate the harder to reach areas of the oral cavity. Silver diamine fluoride is available, and has the ability of arresting caries. This is a chemi- cal whichmust be applied very systematically, and only by a dentist. Silver diamine fluoride does cause discoloration, but is a good op- tion for posterior areas of the mouth where it isn’t visible 17 . Silver diamine fluoride is a good solution for long-term facility patients who cannot tolerate a lengthy dental appointment. There are more advanced dental procedures that offer beautiful restorations for those who need tomodify their dentition. For those who have no teeth, there is the option for dental implants. The key in this aging process is to main- tain your teeth in the healthiest state possible, and be aware of the habits and conditions you have control over. When patients have asked me if it is really necessary to floss their teeth daily, I reply, “only the teeth you want to keep.” n REFERENCES 1 Knickman JR, Snell EK. The 2030 prob- lem: caring for aging baby boom- ers. Health Serv Res. 2002;37(4):849‐884. doi:10.1034/j.1600-0560.2002.56.x 2 THE NEXTFOUR DECADESThe Older Population in the United .. .https://www.census.gov/content/dam/ Census/library/publications/2010/demo/p25-1138. pdf 3 Hunter RH,Anderson LA,Belza B,et al.Environments for healthy aging: linking prevention research and pub- lic health practice.Prev Chronic Dis.2013;10:E55.Pub- lished 2013 Apr 18. doi:10.5888/pcd10.120244 4 Bascones-MartínezA,Muñoz-CorcueraM,Bascones- Ilundain J. Diabetes y periodontitis: una relación bidi- reccional. Med Clin (Barc). 2015;145:31–35. 5 VillaA,Connell C,Abati S.Diagnosis andmanagement symptoms 14 . If the loss of vertical dimension is great, restoration must occur. If a patient has worn their dentures down to the point that symptoms are present, then new teeth or dentures must be constructed. Angular Chelitis, which is an infection or irritation of the corners of the mouth, can occur due to loss of vertical dimension. There is good news. There are many op- tions for dental treatment and prevention tips available. There are also many new and in- novative therapies, procedures, and products available. Prevention tips to reduce the risk of developing root caries include the use of an electric or powered toothbrush. The key is to brush gently with a soft bristle toothbrush, and not to use the device forcefully. Many do not notice the strength of their own hands. Chewing sugar-free gum can help cleanse teeth between meals, if there is no option of brushing or flossing teeth. Using a high- fluoride toothpaste when brushing your teeth can add extra strength to the root surfaces, and combat those exposed surfaces 15 . Ap- plying a fluoride varnish or gel after brush- ing and flossing teeth is another action that can be taken. When diagnosed with diabetes or another systemic illness, more frequent hygiene ap- pointments are a good idea 16 . There are ar- tificial saliva lozenges for dry mouth, and many types of xerostomia rinses. There are multiple products on the market for manag- ing sensitive teeth, and many are over the counter. For arthritic afflictions, there are The key in this aging process is to maintain your teeth in the healthiest state possible, and be aware of the habits and conditions you have control over.

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