Age and Ageing 2018; 47: 626 © The Author(s) 2018. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: firstname.lastname@example.org Clinical Reminder Oral diseases as a cause of pain in older people Conﬂicts of interest None. As the population ages, there is a simultaneous rise in the proportion of older people retaining their natural teeth into later age . Oral hygiene can deteriorate with age  Funding resulting in the potential for signiﬁcant pain or infection. The below clinical image shows the presentation of an 82- None. year-old male whose oral health deteriorated with progressing frailty and cognitive impairment. Related to this, one tooth had ANDREW ROBERT GEDDIS-REGAN fractured, leading to the signiﬁcant traumatic soft tissue ulcer- Newcastle University, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK ation shown, a presentation associated with signiﬁcant pain. Address correspondence to: A. R. Geddis-Regan, Special Care Dentistry teams, often based within Community Newcastle University, Newcastle upon Tyne Hospitals NHS Dental Services, are well placed to advise and assist in man- Foundation Trust, Newcastle upon Tyne, UK aging oral diseases in older people; in this instance, the causa- Email: email@example.com tive tooth was removed and the ulcerated area resolved entirely. Interdisciplinary team work is crucial to address oral andfacialpainand diseaseinolder people (Figure 1). References 1. Watt RG,SteeleJG, Treasure ET,White DA,Pitts NB,Murray JJ. Adult Dental Health Survey 2009: implications of ﬁndings for clinical practice and oral health policy. Br Dent J 2013; 214: 71–5. 2. Gil-Montoya JA, Sánchez-Lara I, Carnero-Pardo C et al. Oral Hygiene in the elderly with different degrees of cognitive impairment and dementia. J Am Geriatr Soc 2016; 65: 642–7. doi: 10.1093/ageing/afy045 Published electronically 23 March 2018 Figure 1. Severe traumatic ulceration of the labial mucosa associated with a fractured upper anterior tooth. Downloaded from https://academic.oup.com/ageing/article-abstract/47/4/626/4951830 by Ed 'DeepDyve' Gillespie user on 26 June 2018
Age and Ageing – Oxford University Press
Published: Mar 23, 2018
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