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Oral health is an important and often overlooked component of an older person’s general health and well-being. Dr. Edmond Massabni and our team know that for many of our older patients, oral health can become an issue when arthritis or other neurological problems render them unable to brush or floss their teeth as effectively as they once did. Today, we thought we would discuss four common oral health issues our older patients face and how they can avoid them:

Cavities: It’s not just children who get tooth decay—oral decay is a common disease in people 65 and older. Ninety-two percent of seniors 65 and older have had dental caries in their permanent teeth, according to the National Institute of Dental and Craniofacial Research. The risk for tooth decay increases because many older adults don’t go to the dentist as often as they used to, thus cavities go undetected and untreated for longer than they should. Keeping regular appointments with Dr. Edmond Massabni is the key to getting cavities treated in a timely manner.

Difficulty eating: Oral health problems, whether from missing teeth, cavities, dentures that don’t fit, gum disease, or infection, can cause difficulty eating and can force people to adjust the quality, consistency, and balance of their diet.

Dry mouth: Also called xerostomia, dry mouth is a common issue for a lot of seniors. Our friends at the Oral Cancer Foundation estimate that 20 percent of elderly people suffer from dry mouth, which means the reduced flow of saliva (saliva plays a crucial role in preventing tooth decay). Many seniors are on multiple medications for a variety of chronic illnesses or conditions. Common medications taken that may cause dry mouth are decongestants, antihistamines, blood pressure medications, pain pills, incontinence medications, antidepressants, diuretics, muscle relaxers, and Parkinson’s disease medications. To help counter this, we suggest drinking lots of fluids and limiting your intake of caffeine and alcohol. We also encourage you to check with Dr. Edmond Massabni during your next visit if you think your medications are causing your mouth to feel dry.

Gum Disease: Gum (periodontal) disease is an infection of the gums and surrounding tissues that hold teeth in place. While gum disease affects people of all ages, it typically becomes worse as people age. In its early stages, gum disease is painless, and most people have no idea that they have it. In more advanced cases, however, gum disease can cause sore gums and pain when chewing.

Gum disease, which can range from simple gum inflammation to serious disease, is usually caused by poor brushing and flossing habits that allow dental plaque to build up on the teeth. Plaque that is not removed can harden and form tartar that brushing simply does not clean. Only a professional cleaning at our office can remove tartar. The two forms of gum disease are gingivitis and periodontitis. In gingivitis, the gums become red, swollen, and can bleed easily; in periodontitis, gums pull away from the teeth and form spaces that become infected.

Proper brushing, flossing, and visiting our office regularly can prevent gum disease. Seniors with limited dexterity who have trouble gripping a toothbrush should ask Dr. Edmond Massabni about modifying a handle for easier use or switching to a battery-powered toothbrush.

Having a nice, bright smile can affect the way you look, and in turn, improve how you feel about yourself. With the help of Dr. Edmond Massabni to provide you with a whitening treatment, you won’t have to be afraid to show your smile any longer.

It’s been shown that the first thing people typically notice is a person’s smile. Though many people don’t like to admit it, humans often judge others first on their looks.

Over time, your teeth may become stained from foods and beverages. Teeth-whitening techniques can be an effective solution to restore confidence in your smile and your life. Our team is here to help you regain your smile with brightened teeth that have been affected by wear.

Your smile can affect:

• Personal and work-related relationships
• Job interviews and meetings
• Success dealing with customers and potential clients
• Your confidence and general happiness
• Overall outlook on daily interactions

Regaining confidence in your smile can be helpful in all these areas of your life and more. If you think your smile has been holding you back, it may be beneficial to restore your white teeth with the help of Holliston Dental Associates.

If you’re interested in enhancing your smile, feel free to reach out to our Holliston, MA office and we will be happy to go over the whitening options we provide.

Biofilm, the protective housing for bacteria, is a hot topic in the medical and dental fields. Routinely taking an antibiotic for a bacterial infection has become more complicated because of biofilm. Bacterial infections may become resistant to antibiotics in part because the biofilm allows for communication among the bacteria, allowing the infection to be sustained.

You’re probably wondering, Dr. Edmond Massabni , what does this have to do with teeth? Since we’re dental professionals, we can tell you why it’s important and what you should know! There is biofilm in your mouth; healthy biofilm and diseased biofilm. Both are made of the same general compounds, but when combined with certain amino acids and cellular chemicals, the diseased biofilm conquers and destroys.

Periodontal disease, otherwise known as gum disease or pyorrhea, is a biofilm disease. If you are undergoing treatment for gum disease and you do not continue with the treatment plan the disease will progress and/or spread due to the biofilm.

There are several ways to treat diseased biofilm. But remember, antibiotics cannot touch the bacterial infection if the biofilm is established.

When your exam is complete, the Ultrasonic or Piezo Scaler should be used. This method of spraying water disturbs the biofilm and provides an opportunity to treat the infection causing bacteria.

Remember, we all need healthy biofilm. Just as your skin protects your body, biofilm housing good bacteria protects your body. The bacteria in the biofilm replicate every twenty minutes. If your body has healthy bacteria, low levels of hydrogen peroxide are produced by the biofilm, preventing harmful bacteria from residing. Harmful bacteria do not like oxygen.

At your exam, we will take measurements around your teeth checking for “pockets”. The higher the number, the deeper the pocket giving more room for harmful bacteria where there is no oxygen. Ask what your numbers are and be involved in restoring your healthy biofilm.

You’ve heard people tell you to say “cheese” when you’re having your picture taken, probably more times than you can count. There is another reason you should be saying “cheese” … or “YES” to eating cheese.

Although Dr. Edmond Massabni and our staff routinely encourage our patients to brush their teeth after eating, the one time you don’t want to do that, at least not immediately, is after eating cheese.

Study Finds Important Benefit From Eating Cheese

CBS News reported on the results of a study that was published in the May/June 2013 issue of General Dentistry, a publication of the Academy of General Dentistry. The study showed that cheese increases dental plaque pH, but in this case, the plaque increase isn’t a bad thing. When you eat cheese, you increase the pH of the plaque on your teeth, and create a protective coating that may lower your risk of getting dental caries -- more commonly known as cavities.

An analysis of the story from the General Dentistry journal, including the details of the study and its participants, was published in Science Daily. The study looked at 68 children between the ages of 12 and 15. A similar study was conducted by British researchers who reported their findings in the British Dental Journal in 1999.

How the Study Worked

For the 2013 study, researchers divided kids into three groups. Participants in group one ate cheddar cheese. Participants in group two drank milk, while participants in group three ate sugar-free yogurt. All participants were told to eat or drink their assigned foods for three minutes, after which they swished water in their mouths.

Researchers tested every participant’s mouth at ten, 20, and 30-minute intervals. They found no changes in the mouths of participants in the milk drinking and sugar-free yogurt eating groups, but every time they tested the pH levels in the mouths of the ones who had eaten cheese, researchers saw the levels quickly increased.

They concluded that cheese has anti-cavity properties. That isn’t the only benefit, however. Another study, in which related findings were reported, appeared in the Journal of Contemporary Dental Practice in the summer of 2000. In that study, researchers found that cheese may give teeth a protective coating that helps lessen enamel erosion caused by acidic foods, particularly from sugar-sweetened soft drinks.

So don’t just say cheese for pictures. If you want to have a happy, healthy and long-lasting smile, go for cheese. It’s good for your bones, too!