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Perks of reaching 50 or being over 60 and heading towards 70! 

Perks of reaching 50 or being over 60 and heading towards 70! . You quit trying to hold your stomach in no matter who walks into the room.  . Oral Health Care Needs. Of Vulnerable Adults and Persons with Disabilities. Founding of Senior Mobile Dental.

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Perks of reaching 50 or being over 60 and heading towards 70! 

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  1. Perks of reaching 50 or being over 60 and heading towards 70!  You quit trying to hold your stomach in no matter who walks into the room.  

  2. Oral Health Care Needs Of Vulnerable Adults and Persons with Disabilities

  3. Founding of Senior Mobile Dental

  4. Perks of reaching 50 or being over 60 and heading towards 70!  Your secrets are safe with your friends because they can't remember them either. 

  5. Population Growth 1992-2002California general-15.8%Dept of Developmental Services-70.6%

  6. Functional teeth

  7. Perks of reaching 50 or being over 60 and heading towards 70!  Your joints are more accurate meteorologists than the national weather service. 

  8. Meth Mouth or Senior Mouth?

  9. Medical considerations

  10. Consequences of Dental Infections • EXTREME TOOTH PAIN • SINUSITIS • BACTEREMIA

  11. CONSEQUENCES OF UNTREATED DENTAL INFECTIONS • BRAIN ABSCESS • FACIAL CELLULITIS • AIRWAY COMPROMISE

  12. ORAL CANCER-SOBERING FACTS • Kills an American every hour • 3x more victims than cervical cancer • Claims more lives than leukemia, Hodgkin’s lymphoma, laryngeal cancer or skin cancer (melanoma) • If detected early->80% survive late-22% survive; • Smokers & drinkers -15 times greater risk • Minorities have greater risk; esp Af-Am males

  13. Perks of reaching 50 or being over 60 and heading towards 70!  You can eat supper at 4 pm.  

  14. Chewing Function Cascade

  15. Extent of Malnutrition In the older adult population: • 50% eat less than the RDA for protein • 90% are Vitamin D deficient • 30% are Vitamin B12, Zn and SE deficient http//www.nestle.com/resource.axd?id=3AA999C4-91DO-4202-A199-338EB714F82E

  16. Impact of Malnurishment • 3 times longer length of hospitalization • 3 times higher risk of infection • More dependence in activities of daily living Low levels of vitamin E, B12 and D have been associated with a decline in functional mobility

  17. The importance of a Smile Social Engagement Emotional Status Mental Health

  18. Perks of reaching 50 or being over 60 and heading towards 70!  You sing along with elevator music. 

  19. Surgeon General Report on Oral Health (May 2000) Official Kickoff of the oral-systemic connection “The terms oral health and general health should not be interpreted as separate entities.” “Oral health is integral to general health.”

  20. Surgeon General Report on Oral Health (May 2000) Oral health problems represent the “silent X-factor promoting the onset of life-threatening diseases which are responsible for the deaths of millions of Americans each year.”

  21. Perks of reaching 50 or being over 60 and heading towards 70!  People no longer view you as a hypochondriac.

  22. Oral health/systemic health links Type 2 Diabetes Cardiovascular Disease MI, stroke, htn, vhd, pvd Respiratory Disease Pneumonia, VAP, lung abscess COPD Cognitive Impairments

  23. Systematic Review Findings GOOD EVIDENCE that improved oral hygiene and frequent professional oral healthcare reduces the progression or occurrence of respiratory diseases in high-risk elderly adults (relative risk reduction of 34-83%) Azarpazhooh A, leake JL, J of Periodontology 2006:771465-482

  24. “... Providing mechanical oral hygiene may prevent ~1 in 10 deaths from pneumonia in dependent elderly people and show similar pneumonia prevention effect.” SjogrenP, et al: JAGA 2008(56); 2124-30

  25. Perks of reaching 50 or being over 60 and heading towards 70!  In a hostage situation you are likely to be released first.  

  26. My dog is worried about the economy because Alpo is up to $3.00 a can. That's almost $21.00 in dog money. -Joe Weinstein

  27. Prevention and Medical Costs • 8,000 hospitalizations due to periapical abscess mean cost-$13,590 (3 days) Allareddy V, et al. J Am Dent Assoc 2010;41:1107-1116

  28. Prevention & Medical Costs • Early periodontal care lowered medical cost for diabetes, coronary artery disease, cerebrovascular disease/stroke • Severe perio disease added 21% cumulative cost for medical care;...those with no pathologic pockets had 75% yearly costs • Dental cleaning/perio treatment associated with lower medical costs pmpm: diabetes ($68) & coronary artery disease ($488)

  29. Prevention & Medical Costs • Cost savings from prevention or early treatment of dental diseases is higher than from HIV screenings or influenza immunization • Oral cancer treatment costs-60% lower if found earlier • Improving oral health saved>$4 billion in treatment costs

  30. Much oral disease is preventable or at least controllable; substantial medical costs savings are possible

  31. WHAT TO DO

  32. What to do?

  33. Oral Health Services & Agreement • Oral Health Education • Prevention & Daily Care Planning • Assessment & Needs • Residents with disease are identified

  34. 1. Oral Health Education Provide educational information at admission

  35. 2. Prevention & Daily Care Planning • Inservices for approach and techniques to caregivers/CNA’s • Inhouse oral hygiene clinic • Depending upon resident population size ideally on a monthly basis

  36. 3. Assessment and Needs Of oral and nutritional Status Will keep compliance with state regulations

  37. 4. Residents with disease are identified Treatment Plans • Should always be age and health appropriate • No treatment at all • Disease maintenance / monitoring • Full mouth extractions • Full restorative and preventative • Denture or partial treatment • Referred or monitored closely for pain or infection

  38. A dog is the only thing on earth that loves you more than he loves himself. -Josh Billings

  39. And we come fully equipped!

  40. Our Awards • 2008 Johnson & Johnson/ADHA Hygienist Hero • 2009 Colgate/ADHA Community Outreach Award • 2009 Crest/ADHA Award for Clinical Hygienists • 2009 Colorado Dental Hygiene Association Outstanding Contribution Award • 2010 American Red Cross Pikes Peak Region Community Service Award • 2010 HuFriedy/ADHA Master Clinician Award • 2010 Sunstar Americas Award of Distinction • 2010 ADA Evidence Based Dentistry Conference Champion • 2010 Dental Products Report Top 25 Women of Dentistry • National Dental Hygiene Month Youtube Video 2nd Place

  41. A National Model!!

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