Like Colorado, Massachusetts has recently adopted policies that allow for recreational use of Marijuana. There are dispensaries being planned around the state and a likely increase in recreational use of Pot is certainly coming.
Ganja, Hash, Weed, Mary Jane are but a few of the more common names for cannabis which is a plant-derived drug. Commonly abused, about 2.5% of the world’s population uses cannabis. It can be used in several preparations, with dried leaves and flower (marijuana) that are smokes being the most common. Other methods include smoking via water pipe or vaporizer, adding marijuana to food and consuming it, and using concentrated liquid forms.
Dry mouth is a common problem experienced for one to six hours after using cannabis, as well as an increased appetite. Both lead to becoming more vulnerable to an oral attack from foods and sweet drinks. Thermal injury to the tissues is seen in an additional effect by other opportunistic infectious agents.
And our college student? Because it is virtually impossible to distinguish between these benign entities and carcinoma, biopsy is essential. If dysplasia is demonstrated, consider such lesions premalignant. They have the propensity to transform into carcinoma in situ or invasive squamous cell carcinoma. Thus, such leukoplakic growths must be excised completely and the region observed closely for recurrence. … a biopsy report of hyper-keratosis.
Artwork: www.researchgate.net Original article: Dr. Gerald Fine
For the study, HealthDay (3/29/17, Preidt) reports that investigators “tracked data on more than 57,000 women aged 55 and older.” The researchers found that “a history of gum disease was associated with a 12 percent higher risk of death from any cause.” In addition, researchers found that loss of natural teeth was associated with “a 17 percent increased risk of death from any cause.” Dr. Johnson recommends a 4x/year regimen with a talented hygienist for many of his periodontally compromised patients. He adds, "it is clearly the best 'bang for your buck' in dentistry and can save you many thousands of dollars over one's lifetime".
MouthHealthy.org provides oral health information for adults over 40 and adults over 60. MouthHealthy.org also provides additional information for patients on gum disease.
Original article in CNN.com
Yet, according to Dr. Ryne Johnson, prosthodontist and managing partner at Newton Wellesley Dental Partners, “there’s another, largely overlooked, ingredient: oral health care”. Because our bodies become more vulnerable as we age, decay, infections and bacteria that occur in teeth, gums and mouth can grow into serious problems that impact overall health. Plus, there are issues seniors have that exacerbate problems and inhibit a senior’s ability to brush, floss or visit the dentist. Medications can create dry mouth. Arthritis limits dexterity and creates transportation and mobility issues. And a lack of dental insurance can halt regular dentist visits.
“Many of older adults are getting used to living in pain,” says Johnson. “They have active infections that have been going on for five, 10, 15 years. Poor oral hygiene is particularly harmful to seniors”.
Poor oral hygiene can increase risks for diabetes, pneumonia, infections elsewhere in the body and strokes, he says. Also, mouth cancers — which can be discovered through regular dental checkups — can go undetected. Many seniors wish they had access to better dental care. But often, after retirement, they lose dental insurance and can’t afford new coverage. Medicare, for instance, doesn’t cover most dental work. In 2012, a survey indicated that being able to afford dental care was the No. 1 health issue for seniors, even more than general medical care (38 percent to 30 percent).
Among the primary oral-health issues older men and women face are:
Dry mouth: Having a drier mouth can be part of the aging & geriatric process. But older people tend to be on more medications, and hundreds of those medications inhibit production of saliva, which protects against tooth decay and controls bacteria. “That creates an environment that is very acidic, because the saliva is not there anymore,” says Johnson, “That leads to more tooth decay, gum disease and an increase in bacteria”. Some studies have shown gum disease can lead to heart disease. And an increase in bacteria has been linked to a higher risk of pneumonia (with bacteria breathed into the lungs) and diabetes. It’s important for seniors to drink more water to battle dry mouth. Also, seniors should provide their dentist a list of medications they are taking.
Oral cancer: Rates increase with age, so if seniors skip regular dental checkups, they run the risk of cancers going undetected early. And even seniors who have no natural teeth and use a full set of dentures should continue regular checkups for mouth cancer.
Caregivers: it’s important for the people who care for seniors to help them with brushing and flossing, and to make certain they see a dentist regularly. “Very often, I have a family member telling me, ‘My mom or dad was scrupulous with their health and took excellent care of their teeth, and now they’re in horrible condition,’” says Johson. “A lot of decay, a lot of periodontal illness because they just lost the capacity to take care of themselves. It takes some active intervention on the part of their families or others.”
"The importance of education can’t be overstated. The baby boomers’ tsunami wave is coming,” says Johnson. “This is a problem that is upon us, whether we want it or not. We have to continue improving the educational process to avoid potential problems.”
The Centers for Disease Control offers a checklist for seniors to maintain good oral health that includes: • Drink fluoridated water and use fluoride toothpaste to protect against tooth decay. • Brush and floss regularly to reduce dental plaque and prevent periodontal disease. • See your dentist regularly, even if you wear dentures and have no natural teeth. • Avoid tobacco and limit alcohol to lower risk of oral and throat cancers. • Caregivers should provide daily oral hygiene for seniors unable to take care of themselves. • If medications produce a dry mouth, ask your doctor if there are alternate medications that can be substituted. If not, drink plenty of water or chew sugarless gum to keep your mouth moist.
For additional information on this topic visit the American Dental Association: www.mouthhealthy.org/en/adults-over-60. For additional blogs by Dr. Johnson or to contact the office, visit: www.NewtonWellesleyDentalPartners.com
Original article: San Diego Union-Tribune Artwork: yourdentalpartners.com