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Geriatric Dentistry Tips

4 Tips For The Right Geriatric Nutrition

Dt. Shalmali Sharma 90% (47 ratings)
M.sc- DFSM, B.Sc. - Dietitics / Nutrition
Dietitian/Nutritionist, Bangalore
4 Tips For The Right Geriatric Nutrition

Special nutritional needs are often required in special circumstances. Unlike adults from 20 to 60, children and elderly people have specific needs as their physical requirements are different. Just like pregnant women need tailor-made diets for their specific needs, children and elderly people also require appropriate diets without too much variation.
The requirement for geriatric or elderly nutrition:
As the body ages, certain functions within are slowed down and thus, the processes are not able to completely recuperate and replenish what was lost. Certain functions are affected more than others and hence, need specific nutrients to regenerate.
Tips for Geriatric Nutrition:
Let's take a look at some of the specific diet requirements as well as certain items, which should be avoided.
1. Consumption of calcium rich foods - Bones are a part of the human body that tend to suffer a lot of wear and tear and they start showing signs of weakening after 60. It is thus, important to replenish calcium in the body to help the bones get their building blocks. Some examples of calcium-rich foods are almonds and green leafy vegetables like kale. Dairy products are also good as long as the fat content within them is low.
2. Keeping the body hydrated - Although physical activity reduces with age, dehydration can still occur within senior people and thus, it is important that they remain hydrated. Simply drinking water may not be enough and juices or other water-rich foods such as watermelons should be used to supplement for hydration.

3. Lessening sodium within the body - The presence of excess sodium in the body can cause blood pressure to shoot up and result in high blood pressure, which may then further result in more ailments like strokes. It is pertinent that foods rich in sodium such a red meats be lessened or cut out of the diet altogether.
4. Lessening sugar consumption or any other foods that may exacerbate diabetes - Another factor to consider is the consumption of sugar and sugar-filled products. Not just for diabetics, but elderly people have a tendency to develop high blood sugar and hence, it is prudent to reduce sugar intake. In case you have a concern or query you can always consult an expert & get answers to your questions!

2476 people found this helpful

Role Of Physiotherapy In Geriatric!

MPT - Neurological Rehabilitation, MPT-cardio pulmonary conditions, JMMT
Physiotherapist, Srinagar
Role Of Physiotherapy In Geriatric!

Geriatric physiotherapy covers a wide area of problems concerning the elderly. There are many conditions that affect people as they grow older and include but are not limited to the following: arthritis, osteoporosis, cancer, alzheimer's disease, hip and joint replacement, balance disorders, incontinence, etc. Physiotherapists play a key role in enabling older people to use a number of the body's systems fully to enhance mobility and independence. Sadly, in some situations, neither improvements nor even maintenance of functional mobility can't be achieved. In those particular cases, physiotherapists can make a difference by helping older people to be comfortable and pain-free.

Geriatric physiotherapy became a specialty of physical therapy study in 1989. Since then, physiotherapists have worked to understand the problems of the aging. The types of problems faced in geriatric physiotherapy are grouped into three different categories. One category is the problems that happen because the patient simply does not use their limbs or does not exercise. These problems can be addressed by reconditioning through range-of-motion exercises and other exercises.

Another category deals with is cardiovascular disease, respiratory conditions and stroke. The physiotherapy professional has an array of tools at its disposal to work with these conditions. Exercise therapy, electro therapy, and more can be used.

The third category is skeletal problems. Geriatric physiotherapy helps people who have these disorders, such as osteoporosis which makes patients frailer, and osteoarthritis very painful these problems require special attention. Along with that, geriatric physiotherapy is responsible for preventing many falls because of work with balance and gait. Some clinics focus entirely on balance issues for the elderly.

Geriatric physical therapy is a proven means for older adults to improve mobility and balance, build strength, boost confidence in their physical abilities, and nonetheless, remain active over years. However, some of the work of geriatric physiotherapy is not aimed at returning patients to their earlier states of health. The most important goals are to be able to function at their best abilities. Doing everyday tasks and living an unconfined life are valuable assets.

Another role of geriatric physiotherapy is to help with rehabilitation after knee or hip replacement surgeries. People who have these operations are likely to walk differently. It affects their abilities to do daily chores and their quality of life.

Some people turn to physiotherapy as a form of treatment after an accident, or in relation to other conditions. Others are referred to physiotherapy clinics by their doctors for specific problems. Still, others end up in geriatric physiotherapy care in hospitals or nursing homes after accidents or illnesses. All of these people get great benefits, contributing to their physical abilities and helping to maintain their independence for longer periods of time.

With increased age, patients often face many physical and emotional changes that can affect the level of function and well-being. Rehabilitation maintains functional independence among the elderly. Rehabilitation of geriatric patients is imperative for the patients' well-being and for society. Depression is common in the older population if a functional loss of mobility and an inability to perform activities of daily living (ADLs) predominates. Cognitive impairment, such as delirium and dementia, can affect the patient's rehabilitation goals and outcomes.
Muscle strengthening activities and exercise to enhance balance and prevent falls should also be done two to three times a week. Based on the scientific evidence available, these recommendations are thought to improve cardiorespiratory and muscular fitness, bone and functional health, and to reduce the risk of noncommunicable diseases, depression and cognitive decline.

The nature and quantity of exercises seem to differ depending on the principal outcome measure, walking three times a week for at least six to twelve months can lead to great benefits in executive functions performance and structural and functional brain improvements.
According to many researchers, aerobic exercise, at least at a moderate intensity level, is necessary (often sufficient) to obtain gains in cognitive and cerebral health, but others argue that resistance training at least two times a week can promote cognitive and functional brain plasticity in older adults. One-year moderate-intensity aerobic exercise program three days/week significantly improved spatial memory in adults aged 55-80 years. 

Everyone knows that exercise is good for health but does not practice at the recommended level for health.

The ultimate aims of geriatric rehabilitation are the same as in any other field of medicine- the restoration of independence and the maximum possible restoration of physical and mental functions. I think the most important step is to get the patient out of bed at the earliest possible moment the illness permits; bed is a dangerous instrument and has more side-effects than the most potent medicines yet it is still prescribed and used casually, and in the case of the older patient is that much more dangerous" rest in bed is anatomical, physically and psychologically unsound. Look at the patient lying in bed, what a pathetic picture he makes, the blood clotting in his veins, the lime draining from his bones, the scybalous blocking his colon, the flesh rotting from his seat, the urine leaking from his distended bladder, and the spirit evaporating from his soul" most people who have not experienced working in geriatrics think it must be boring but it is not; they think there is no future in it, but there is, for it is so rewarding and a great challenge to send an old person back to his or her place in society. Physiotherapy for geriatric patients is much the same as physiotherapy for any other patient, only it is taken at a slower tempo and it requires constant repetition. After the older patient has been acutely ill he may suffer from confusion, brain damage, or anemia resulting in disorientation and lack of comprehension, lack of confidence, fear of falling or walking or lack of energy. His hemoglobin level may be low, and the drugs which cured his acute illness may have side-effects such as diarrhea or dizziness. The lack of the will to live is probably the most difficult to overcome.

We can't stop time. Or can we? the right type and amount of physical activity can help stave off many age-related health problems. Physiotherapists, who are movement experts, prescribe physical activity that can help you overcome pain, gain and maintain movement, and preserve your independence often helping you avoid the need for surgery or long-term use of prescription drugs.

Things I as a physiotherapist want you to know:

  • chronic pain doesn't have to be the boss of you.
  • you can get stronger when you're older.
  • you may not need surgery or drugs for low back pain.
  • you can lower your risk of diabetes with exercise. 
  • exercise can help you avoid falls and keep your independence
  • your bones want you to exercise.
  • your heart wants you to exercise.
  • your brain wants you to exercise. 
  • you don't" just have to live with" bladder leakage.
  •  
1 person found this helpful

Is Dentistry Expensive!

Dr. Puneet Kansal 90% (928 ratings)
MDS - Orthodontics, BDS
Dentist, Meerut
Is Dentistry Expensive!

Is dentistry expensive? 

One word answer to this will be a No!

Dentistry is not expensive, delay is.

Usually we dentist recommend to come for check up every 6 months, but we all are lazy especially for our own health. Going for a picnic or going to mall is all right but going for health check up is a big no.
As a result the small cavities which were possible to treat in 1 sitting, half an hour & less expense turns into a deeper cavity, reaching pulp & causing painc  & that is when we run to our dentist. We do get calls at midnight or early morning when we are not out of bed! pain is there since 2-3 days but now it has become severe! most of the time tooth requires root canal treatment or extraction.Patients do complain very time I come to you, you suggest root canal to which my reply is only time you come to me when you have pain. 
Now the same tooth which was possible to treat in 1 sitting becomes 6-8 sittings, half an hour becomes 5 hours & expense becomes 8-15 times.

Aesthetic Dentistry

Dr. Vishnu Bansal 89% (119 ratings)
BDS
Dentist, Jaipur
Aesthetic Dentistry

Crown and veneering will increase your smile if fractured or discolored teeth present in oral cavity.

Cosmetic Dentistry

MDS - Periodontology and Oral Implantology, BDS
Dentist, Mumbai
Cosmetic Dentistry

Cosmetic dentistry primarily involves improving a person's smile and facial appearance. It could involve the teeth, gums, cheeks, lips, or the bite of the patient. Accordingly, a change can be produced in the color, position, size or shape of the teeth, alignment of the teeth, contouring of the smile, etc. The end result is always a better facial appearance and improved confidence level of the patient.

Some common examples of cosmetic dentistry include:

  • Teeth whitening: There are very few people who are happy with the color of their teeth. Everybody wants whiter teeth and therefore go for options like bleaching. This can be done either in the dental office or done at home. A word of caution though - go for teeth whitening only after the consultation with a dentist.
  • Veneers, crowns: Just as the color of the teeth, the shape of the teeth also leaves a lot to be desired for almost everybody. Veneers are applied on the teeth after removing a thin layer of tooth structure. Minor reshaping and contouring of the tooth can also be done, especially to improve appearance in the front teeth.
  • Tooth contouring/shaping: The edges of the teeth can be smoothened by mere shaping or contouring. There is no extra material that is added to the tooth here. In some cases, a thin layer of resin may be bonded to the tooth if required.
  • Bridges: In cases the adjacent teeth shape, size, or color mismatch, then bridges can be done to even out the difference and produce a more corrected appearance.
  • Braces: Braces are a big hit as they help correct misaligned teeth. However, the next step with invisible braces and ceramic braces is another step towards moving away from the traditional metal braces, which itself was not cosmetically received.
  • Onlays and Inlays: Improper tooth shapes can be corrected with parts of the teeth that either replace only a small decayed portion or the entire crown portion to produce a more pleasing effect.
  • Implants: Though fixed bridges do a very good job at replacing lost teeth, implants go to the next level in terms of the aesthetic replacement.
  • Gingivoplasty: In cases where the gums have black spots, are too short, or are too long, the gums can be shaped to provide a better teeth visibility. The gums can also be sculpted to produce a more appealing gum line that shows off the teeth to give a more harmonious smile.
  • Bite correction: In addition to braces, in some cases, bite correction may be required to smoothen out a sharp cusp or reduce the prominence of the canine.

With a number of corrections possible, cosmetic dentistry is here to stay - just as the drive to look good.

4186 people found this helpful

Implant Dentistry

MDS - Periodontology and Oral Implantology, BDS
Dentist, Mumbai
Implant Dentistry

Tooth loss is a challenge for both the patient and the dentist. Patient has to deal with reduced chewing efficiency and altered appearance. The dentist, on the contrary, is faced with restoring the lost tooth to the maximum natural extent possible, functionally and structurally.

The fixed dentures came close with their ability to providing fixed teeth that were stable and aesthetically appealing. However, there was one big disadvantage, the adjacent teeth that were being used as abutment were reduced in size and therefore strength though they could be perfectly normal teeth.

In an effort to avoid this, the dental community started looking at options, the result of which was implant. Not just replacing the crown part of the tooth, even the root portion of the tooth is replaced here.
A biocompatible material, titanium, is put into the tooth to serve as the root. Titanium is strong, light, biocompatible (does not cause autoimmune reactions in the surrounding tissues) and most importantly osseointegrated (fuses to the surrounding bone). Once placed as the root, it gets absorbed into the bone after a period of about 2 to 6 months. Then, a crown or a denture is literally built on this root to simulate the natural appearance as close as possible. This provides not just the complete natural tooth structure but also provides support to the surrounding tissues like the gums and the cheeks.

Implant dentistry is a perfect example of teamwork including surgeons to operate and place the bone, prosthodontists to do the crown or the bridge, a periodontist to manage the gums health, and a lab technician who can do the finest job on the crowns or the bridges.

Types of implants:

  1. Three common types include: Single tooth replacement: In cases where a single tooth is lost, the implant would be one root that is allowed to fuse to the bone and then a crown is placed over it.
  2. Fixed multiple teeth replacements: If more than one tooth is lost, then bridges are fabricated by placing one or more implants and then custom-made crowns are placed over these implants.
  3. Removable implant supported complete denture: If all the lower teeth are missing, implants could be placed at pre-identified locations and then a complete denture fabricated over it. This is commonly done in lower jaws as stability is always a cause for concern.

Contraindications:
The success of the implant requires good bone health. The most common contraindications would be patients with chronic diseases like poorly controlled diabetes, cancer in the line of jaws, chronic smoking, or poor periodontal health.

However, if managed well, even these patients can have implants after a detailed assessment by the dental team.

3719 people found this helpful

Cosmetic Dentistry

Dr. Krati Bansal 88% (20 ratings)
BDS
Dentist, Harda
Cosmetic Dentistry

Tooth reshaping removes parts of the enamel to improve the appearance of the tooth. It may be used to correct a small chip, or to alter the length, shape or position of teeth, as well as when there is tooth size discrepancy;. it can be used to correct crooked or excessively long teeth. The removed enamel is irreplaceable, and may sometimes expose dentin. It is also known as enameloplasty, odontoplasty, contouring, recontouring, slenderizing, stripping. This procedure offers fast results and can even be a substitute for braces under certain circumstances.

Pediatric Dentistry!

Dr. Shashank Shekhar 85% (20 ratings)
BDS, MDS Endodontist
Dentist, Ghaziabad
Pediatric Dentistry!

PEDIATRIC DENTISTRY:- Pediatric dentists are dedicated to the oral health of children from infancy through the teen years. They have the experience and qualifications to care for a child’s teeth, gums, and mouth throughout the various stages of childhood.

Children begin to get their baby teeth during the first 6 months of life. By age 6 or 7 years, they start to lose their first set of teeth, which eventually are replaced by secondary, permanent teeth.
Without proper dental care, children face possible oral decay and disease that can cause a lifetime of pain and complications. Today, early childhood dental caries—an infectious disease—is 5 times more common in children.

Treatments Provided for pediatric patient:  

Provide comprehensive oral health care that includes the following:

• Preventive dental care including cleaning and fluoride treatments, as well as nutrition and diet recommendations
• Habit counseling (for example, pacifier use and thumb sucking)
• Early assessment and treatment for straightening teeth and correcting an improper bite (orthodontics)
• Repair of tooth cavities or defects
• Diagnosis of oral conditions associated with several diseases.
• Management of gum diseases and conditions including ulcers, short frenulae, mucoceles, and pediatric periodontal disease
• Care for dental injuries (for example, fractured, displaced, or knocked-out teeth)

4 people found this helpful

IMPORTANCE OF PEDIATRIC DENTISTRY

Dr. Gauri Pasricha 87% (27 ratings)
BDS
Dentist, Pune
Pediatric dentists provide comprehensive oral health care that includes:
1. Infant oral health exam, which includes risk assessment for caries in mother and child.
2. Preventive dental care including cleaning and flouride application as well as nutrition and diet recommendations.
3. Habit counselling like pacifier use and thumb sucking.
4. Early assessment and treatment for straightening teeth and correcting an improper bite.
5. Repair of tooth cavities or defects.
6. Management of gum diseases.
7. Care of dental injuries for examle-fractured, displaced or knocked out teeth.
2 people found this helpful

Reinvent Yourself With Cosmetic Dentistry

Dr. Shefali Jain Sood 90% (825 ratings)
BDS, MDS Endodontist
Dentist, Gurgaon
Reinvent Yourself With Cosmetic Dentistry

RESOLVE TO HAVE AN IMPACTFUL SMILE THIS NEW YEAR! Crooked, chipped, stained, gapped or missing teeth can make you feel self-conscious or even depressed, but luckily you don’t have to be stuck with this sticky situation. It’s probably time to schedule an appointment with a Cosmetic Dentist to help you reach your smile goals with minimally invasive cosmetic procedures to dramatically improve your confidence and quality of life.

E-Max Veneers

GAME for a QUICK FIX to several cosmetic flaws in your smile- PORCELAIN VENEERS!   E-max veneers are thin, lightweight shells of dental ceramic that almost resemble a fingernail or lens capable of altering shape, size, length and color of teeth. They cover the front surfaces of your teeth after minimal tooth preparation for a complete smile transformation. The best advantage of Porcelain Veneers is that they are slightly translucent and realistically blend with adjacent natural tooth’s color. They are long lasting and are stain-resistant.

Convenient Teeth Straightening

Has a crooked smile always kept you from giving a genuine hearty smile in photos? If Straightening your teeth has always been something on your to-do list, but the thought of braces turned you off, opt for Clear Aligners. Here are some of the benefits you would experience with this straightening technique:

  • Perfect solution for Professionals and teens to avoid hassle and embarrassment of traditional braces.
  • Gentle, gradual shifts teeth from a light pressure
  • Utilizing 3D imaging technology, Custom fitting aligners are made for each case accurately
  • The aligners are practically invisible with no interference with speech.
  • The aligners are removable creating no restrictions on diet and freedom to take them out for special occasions.
  • Frequency of dental visits is reduced though aligners should be worn for up to 20 hours a day for best results.

Teeth Whitening

TEETH WHITENING resonates with: Confidence Booster, Better Oral Hygiene Practices and Youthful Appearance. Unfortunately, teeth discolor with age despite diligently taking care of them. The quest for a brighter smile can be safely satiated by in-office and at-home professional teeth whitening with Pola Office Plus and Zoom Whitening. While you may be tempted to try one of those over-the-counter whitening kits, for best results you should only trust your oral health to a cosmetic dentist.  Each treatment is customized to fit your whitening goals using the safest products and cost-effective methods.

Implants

Missing teeth are extremely common owing to gum disease, tooth decay and injury and pose a functional and esthetic hazard. Having a gap in your mouth can make you self-conscious and hesitant to smile. The adjacent teeth will also start shifting towards the empty space impairing the bite on the affected side. Implants (biocompatible titanium screws) are the best alternatives to replace natural teeth as the neighboring teeth remain unaffected. Unlike dentures or bridgework, dental implants can last a lifetime with proper care. Under local anesthesia, the dentist will surgically insert a titanium post into your jawbone below the gum line as a substitution for the tooth root. The crown over it may be placed immediately or after 3-6 months to enable the fusion of implant to surround bone.

Let dental anxiety take a backseat and take the Leap forward for your dream smile.

 

2 people found this helpful
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