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Periodontal disease note
Mda chapter 14 periodontal disease
Mda chapter 14 periodontal disease
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The elderly community is rapidly increasing. This is one of the major causes for increased health problems and inability for these patients to comply with medical standards. Oral hygiene, among others, is one of the most disregarded. As one’s age increases dental hygiene becomes more and more important to maintain a healthy lifestyle because the elderly are more susceptible to infections and diseases of the oral cavity that can easily spread through-out the body. Oral health is much worse for elders who are in the nursing home setting as opposed to those who are not. Elders in nursing homes are most commonly less cognitive, meaning they have to rely on the nurses for almost all aspects of their care. Oral health for the residents is not seen
If nurses have dentistry as a low priority for themselves this way of thinking can be passed on to the patients…’-Anthony Kearns” (Duffin 1). As a result of the residents relying on the nurses, oral hygiene is often not taken as seriously as it should be. Dental hygiene for residents is frequently seen as a low priority for nurses, as they themselves do not prioritize their own oral health. Nursing home nurses however are much better at advising for oral health care than regular hospital nurses are. Only twenty-eight percent of nursing home dentists are scared of the dentist, whereas forty percent of hospital nurses are scared of the dentist. Of the nurses examined in this study fifty-four percent of the nursing home nurses regularly gave oral advice to their residents, as opposed to only forty-three percent by the hospital nurses (2). Nursing home nurses also have an immense amount of knowledge on false teeth compared to the hospital nurses, who some do not even know to take them out at
One of the many diseases caused by insufficient dental hygiene is Periodontitis. Periodontitis is inflammation of the gums. Whether or not one gets Periodontitis is usually genetically determined but poor oral health also plays a ginormous factor. Periodontitis is the leading cause of tooth loss in the United States, and affects over fifty percent of the entire U.S population (Kishore 2). When one is diagnosed for Periodontitis the risk increases for many other diseases and problems such as heart attacks, strokes, lung infections, for pregnant women low-weight babies at birth, pancreatic cancer, and many other cancers and problems (Caruso 79). Severe Periodontal disease can lead to coronary heart disease, and even oral cancer. Oral and Pharyngeal cancers amount for five percent of all cancers, affecting thirty thousand people in the United States each year, and the risk increases with age. After one is diagnosed with oral cancer only fifty percent of all oral cancer patients will still be alive after five years (Kishore 2). Treatments for oral cancers can cause many other problems themselves. Some cancer treatments cause patients to suffer from xerostomia, swollen mouth, disfigurement, altered speech and/or chewing, loss of appetite, and make one more susceptible to infections (Kishore 2). Poor oral health often leads to bad breath, but on some occasions bad breath can indicate gum
Good oral hygiene is an essential part of nursing care and if left undone can lead to larger problems such as increased risk for pneumonia, tooth loss, mucosal lesions, and increased complications of comorbidities (Delgado, 2016). There needs to be a revision to the current oral care policy because oral hygiene is not being performed on the residents. This policy will benefit the patients and the facility. Patients will benefit from better oral hygiene thus reducing the risk of overall infection. The facility will benefit by saving money related unnecessary spending on items such as antibiotics and intravenous (IV) supplies.
According to the American Dental Association, gum disease, also referred to as periodontal disease, occurs when the tissues that support and surround your teeth become infected. Many people are unaware they even have gum disease, because it isn’t a painful disease. Periodontal disease is caused by a film of sticky bacteria called plaque forming on the teeth.
For those that have bad habits with cigarettes, Tobacco Cessation Counseling is available. Cigarettes cause tooth loss, rotting, and surface stains; hygienist make sure to pass this information to the patient and help them to understand that quitting is the best option if they want to keep their teeth. As said before, a hygienist informs the patient on what foods to avoid. Nutritional Counseling is provided if a hygienist believes there is danger with a patients teeth such as diseases. (Dental Hygiene Clinic) Any foods with high acidity is something a dental hygienist would recommend avoiding. For example, apples, hard candies, popcorn, diet sodas, and salad dressing. Enamel is the hardest structure in the human body. It’s even harder than bones. When the enamel is exposed to acid, it wears down and erodes. This is how tooth erosion and decay happens. They will educate the patient with what foods to replace the bad ones with. Although, a dentist is who performs the restorations, a hygienist can still inform what will happen. Because of the fact that hygienists usually see patients before the dentist, they will give feedback to the dentist and recommend restorations in the mouth. They specialize in providing clinical and educational services (Sealy Dental Center) so they are very useful to dentists. When a patient has missing, chipped, or sharpened teeth, a restoration is done to replace the originals. Some examples
Ongoing research linking oral health and general health will continue to spur the demand for preventative dental services, which dental hygienists often provide. New and increasingly accurate technologies to help diagnose oral health problems are also expected to increase demand. Example: new tests use saliva samples that a hygienist takes to spot early signs of oral cancer. As their practices expand, dentists will hire more hygienists to perform routine dental care, allowing the dentist to see more patients
causes tooth and gum disease, cancer, and even death begins to start. The negative side of this
Periodontal disease involves series of infections that occur within gum tissues of the mouth and the surrounding of teeth. Some infections cause simple inflammation of the gum tissues and in some cases it causes server damage within the soft tissues and bones, and a possibility of losing teeth. Periodontal disease can be prevented if people were more educated on how to keep healthy gums and teeth. People need to also understand that the way you live your lifestyle can also have effect on your health as far as oral hygiene.
The career I have chosen for my future is to become a registered dental hygienist. It wasn’t until I actually learned what dental hygienists do that influenced my interest from medical to dentistry. The first honest reason I was gravitated to dental hygiene was because of the salary. I didn’t really know what Dental Hygienist actually did until I did some research.
Not only do they face the obvious challenges with their memory but also often have diminished physical ability and when one adds the possibility of xerostomia from medication it only makes the situation worse. Dental professionals should strive to do the best they can to help all people. Practicing dentistry should not be limited to the people who can take care of themselves. It is clear that people are living longer in the world today and with that comes mental and physical deficits. Oral health care does not become less valuable because a person suffers from life threatening diseases, it should continue to maintain its importance. Many of the problems our geriatric population face can be linked directly to lack of proper nutrition and loss of joy from being able to eat certain foods. Furthermore, oral diseases can cause the manifestation of systemic ailments that ultimately will lead to certain health decline. If people do not consider oral hygiene a priority then it is up to Dental professionals to convince them and encourage them to take responsibility. The general populous has neglected the geriatric population, but health care providers seem to be at the forefront by keeping them in focus. Dental health care providers have a duty to be apart of our older populations
With over 1.5 million elderly and dependent adults now living in nursing homes throughout the country, abuse and neglect has become a widespread problem. Even though some nursing homes provide good care, many are subjecting helpless residents to needless suffering and death. Most residents in nursing homes are dependent on the staff for most or all their needs such as food, water, medicine, toileting, grooming- almost all their daily care. Unfortunately, many residents in nursing homes today are starved, dehydrated, over-medicated, and suffer painful pressure sores. They are often isolated, ignored and deprived of social contact and stimulation. Because of insufficient and poorly trained staff commonly found in nursing homes. Care givers are often overworked and grossly underpaid that often results in rude and abusive behavior to vulnerable residents who beg them for simple needs such as water or to be taken to the bathroom.
Oral hygiene is not just important for health, but also for well-being, for a cleaned mouth provides a refreshed feeling, and healthy teeth provide a nice appearance. In home or residential care, some of the residents may have physical limitations that inhibit them from taking care of their oral health like a stroke or general weakness, or they could have mental limitations, like dementia, and simply forget brush or floss their teeth (Lloyd & Woodbeck, 2014, p.57). I arrived at the topic of oral hygiene in home or residential care due to what one of my nursing said instructors last semester in one of her lectures. She mentioned that it was not uncommon for residents in long term care facilities to only get their teeth brushed once a week because it is something that can be easily skipped by the care staff due to the difficulties involved and their time restraints, as the care aides often have nine to twelve residents to take care of. She went on to mentioned that she always provides oral
Hygienist are the dentists who educate their patients on the importance of oral health care. Hygienist examine any chipped tooth,damage filling,discolored or swollen gums, and also take x-rays, and help prevent tooth decay. Today, dental care focuses on prevention. Preventing tooth decay and related problems is the main job of a dental hygienist. As generations pass, not many people are fully aware of the downside of not properly taking care of their pearly whites. This topic was brought to my attention by noticing the lack of dental hygiene among my peers. This doesn’t necessarily just mean having only cavities, sore gums, but also bad breath.
Registered dental hygienists (RDHs) are a lisenced health professional, who prevent and treat some oral diseases, promote the prevention of dental care, and provide education to the patients. In clinical point of view, the RDHs perform health care assessments, such as reviewing medical/dental health histories, measuring vital signs, taking radiographs, examining dental caries/chart and periodontal chart, removing plaque biofilm and calculus, prophylaxis, and fluoride treatment. Moreover, the RDH also educates the patients the proper techniques of brushing and flossing to maintain oral health.Another important issue is to counsel the patients the healthy nutrition for protecting the oral health.
Dental Hygienist are commonly found in clinical settings. In this setting their main objective is to control
Over time as individuals age and are faced with access to care issues they may begin to neglect their oral health. As time passes between dental hygiene cleanings or dentist visits the presence of oral disease may begin to increase.
Dental caries is a destructive progressive disease of the tooth in which dissolution of tooth tissue occurs by the acids produced by the bacteria using dietary carbohydrates living in the plaque.1 Plaque was proved to be a major causative factor for dental caries when a study showed that caries does not develop when plaque is not present.2 Gingivitis is simply an inflammation of gingiva which, if left untreated, progresses to periodontitis a more destructive inflammatory disease. Micro-organism accumulates in the plaque and eventually causes inflammation of gingiva. If plaque is removed from the tooth and/or gingival surface, gingival tissue briskly heals back to normal.3, 4 Oral hygiene practice reduces the dental plaque. Proper tooth brushing and flossing are the most easy to perform, easily available, commonly used and effective amongst all oral hygiene equipment. These oral hygiene behaviors have been shown to inversely associated with dental decay and periodontal disease.X