In this episode of Save Your Money, Save Your Teeth, Eon Engelbrecht (eRadio) and Dr Clifford Yudelman (OptiSmile) tackle a topic that affects us all as the years go by: Geriatric Dentistry. Many assume that losing teeth is an inevitable part of ageing, but Dr Yudelman is here to debunk that outdated myth. Key Topics We discuss why losing teeth is not a natural consequence of getting older, but rather the result of disease and neglect. Dr Yudelman explains the concept of "Xerostomia" (dry mouth), a major driver of decay in seniors often caused by medications, and how to manage it. We also explore the rapid progression of root decay, the link between poor oral hygiene and aspiration pneumonia, and why implants can be a safe and life-changing option even for patients in their 80s. The conversation covers practical tips for maintaining oral health despite arthritis or dexterity issues, including the use of electric toothbrushes and water flossers. Finally, Dr Yudelman highlights the importance of regular dental visits for screening oral cancer and maintaining dignity and quality of life in our later years. 10 Key Questions & Answers 1. Is losing teeth inevitable as we get older? No. Losing teeth is due to disease (decay and gum disease), not age itself. With proper care, plaque control, and regular visits, you can keep your natural teeth well into your 80s and 90s. 2. Why do our mouths get drier as we age, and how does this cause cavities? Dry mouth (Xerostomia) is primarily caused by medications for blood pressure, depression, anxiety, and other chronic conditions, rather than ageing itself. Saliva neutralises acids and washes away bacteria; without it, the risk of decay—especially along the gumline—skyrockets. 3. What is root decay, and why is it more common in seniors? Root decay occurs on exposed root surfaces (due to receding gums) rather than the enamel crown. Root dentine is much softer than enamel and demineralises at a higher pH (less acid required), making it rot much faster. 4. How does arthritis affect brushing, and what tools can help? Arthritis reduces hand strength and fine motor control, making effective brushing and flossing difficult. Adaptive tools like electric toothbrushes (which require less grip force) and handles modified with plastic tubing for better grip can make a significant difference. 5. Are dental implants safe for people over 70 or 80? Yes, absolutely. Age is not a contraindication for implants; overall health and bone quality are the deciding factors. Implants have high survival rates in older adults and can drastically improve quality of life by allowing patients to eat properly. 6. How do we manage oral health for patients with dementia? Early planning is crucial. Simplify routines, use products like Chlorhexidine mouthwash or sprays, and establish a routine with caregivers. Removing "hopeless" teeth before dementia progresses can prevent pain and emergencies later when the patient may be unable to communicate. 7. Why do teeth darken or yellow with age? Enamel thins over time due to erosion, allowing the darker, yellow dentine underneath to show through. Additionally, the dentine itself thickens and darkens, and stains from coffee, tea, and tobacco accumulate over decades. 8. What is the link between aspiration pneumonia and poor oral hygiene? In frail or elderly patients, bacteria from the mouth can be inhaled (aspirated) into the lungs, causing pneumonia. This risk is significantly higher if there is poor oral hygiene and difficulty swallowing (dysphagia). 9. How often should denture wearers see a dentist? At least once a year. Even if you have no teeth, the dentist needs to check the fit of the denture (as bone resorbs over time) and screen for oral cancer, which can go unnoticed under a denture. 10. Can cosmetic procedures like bonding be done on aged teeth? Yes. Cosmetic treatments like whitening and composite bonding are often very successful and conservative. They can restore worn or chipped teeth, improving both function and appearance without aggressive drilling. Resources & Links • Dry mouth (xerostomia): causes, consequences, and practical relief https://optismile.co.za/blog/dry-mouth-dilemmas-causes-consequences-relief-strategies/ • Dental check-up and oral cancer screening https://optismile.co.za/dental-solutions/dental-checkup/ • Dental implants at OptiSmile (including options for older adults) https://optismile.co.za/dental-solutions/dental-implants/ • Dental bonding: conservative cosmetic improvement https://optismile.co.za/dental-solutions/dental-bonding/ • Injection moulding technique: conservative smile rehabilitation https://optismile.co.za/dental-solutions/injection-moulding-technique/ • WOW teeth whitening in Cape Town https://optismile.co.za/dental-solutions/wow-teeth-whitening-cape-town/ • American Dental Association: Xerostomia (dry mouth) overview https://www.ada.org/resources/ada-library/oral-health-topics/xerostomia Contact the Best dentist in Cape Town Book your next Dental Checkup with OptiSmile Follow OptiSmile on Facebook Disclaimer: The content provided in this podcast, "Save Your Money Save Your Teeth" on Medical Mondays, is for informational and educational purposes only. It is not intended to serve as dental or medical advice. The insights and opinions expressed by Dr. Clifford Yudelman and any guests are designed to foster a better understanding of dental health, preventive measures, and general well-being, but should not be interpreted as professional dental or medical recommendations. Dr. Clifford Yudelman does not diagnose, treat, or offer prevention strategies for any health conditions directly through this podcast. This platform is not a substitute for the personalized care and advice provided by a licensed dental or healthcare professional. We strongly encourage our listeners to consult with their own dental care providers to address individual dental health needs and concerns. The information shared here aims to empower listeners with knowledge about dental health but must not be used as a basis for making health-related decisions without professional guidance. Your dental care provider is the best source of advice about your dental and overall health. Please always seek the advice of your dentist or other qualified health professionals regarding any questions or concerns about your dental health.
