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My 98 yr old Mom with vascular dementia won’t let dental staff do X-rays. She does let them clean her mouth and I am arranging regular home visits for cleanings. I have read about them and wondered if anyone can comment on them. Thanks!
The most important part of dental care for the elderly is cleaning and removal of plaque. Silver diamine fluoride treatments is only for treatment of cavities. Fluoride treatments won't replace periodic dental cleaning. Besides, without X rays, many small cavities won't be detected. I wonder if dental health should be a priority in a 98 years old woman with dementia. She probably doesn't chew her food anymore.
Why would you even consider getting a 98 year old woman with dementia's tooth filled in the first place???
Dementia has robbed my mother of enough already, the last thing in the world I'd want to do is bring in dentists to drill on her teeth! If she has pain in her mouth from a bad tooth, the dentist is called into her room to sedate her and pull it out, in her easy chair, while reclined and relaxed. The whole event is over with in short order with the least amount of trauma and agitation to her, which is my only goal with a 95 year old woman with advanced dementia. Her teeth are the least of her problems, the poor thing.
Be glad your mother allows her teeth to be cleaned, I guess, and leave the rest alone, that is my suggestion.
I was told it only stains the decayed portion of the tooth but this can be remedied by getting the cavity filled and using the white filling material that matches the tooth. It also reduces sensitivity and has some preventative aspects to it as well, like regular fluoride treatment. The negatives are a couple days of dealing with a metallic taste, possible allergy to the silver and it is contra indicated for people with ulcerative oral lichen planus, an autoimmune condition. It seems like a helpful treatment for dementia patients like my Mom. Better a discolored tooth than one causing pain.
Its been years since I had a fluoride treatment after having gum surgery. Back then, the flouride was like toothpaste that was squirted into a mouth mold and inserted over my teeth. I was told not to swallow and it was several minutes before it was removed. The whole time I had to try not to gag. Which for someone who has a bad gag reflex was very hard. I am now 30 yrs old and the gag reflex has worsened. Even having the reg xrays of 4 is awful for me. I will not do a full mouth.
I would find out what getting this treatment means. If Mom won't do xrays, she probably won't do this treatment if it means placing something in her mouth.
This isn't at all like the fluoride treatments you are thinking of JoAnn, this is a method of treating a small cavity that prevents further decay - as far as I can tell it's main use is in avoiding costly and traumatic fillings in children's teeth that they would soon lose anyway. One major downside is that it stains the tooth, so you wouldn't want to use it on any visible teeth.
I had to look that up, very interesting! As far as I can see this sounds as though it might be a very good alternative to fillings in the very elderly, but there is no prophylactic benefit.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Dementia has robbed my mother of enough already, the last thing in the world I'd want to do is bring in dentists to drill on her teeth! If she has pain in her mouth from a bad tooth, the dentist is called into her room to sedate her and pull it out, in her easy chair, while reclined and relaxed. The whole event is over with in short order with the least amount of trauma and agitation to her, which is my only goal with a 95 year old woman with advanced dementia. Her teeth are the least of her problems, the poor thing.
Be glad your mother allows her teeth to be cleaned, I guess, and leave the rest alone, that is my suggestion.
I would find out what getting this treatment means. If Mom won't do xrays, she probably won't do this treatment if it means placing something in her mouth.
As far as I can see this sounds as though it might be a very good alternative to fillings in the very elderly, but there is no prophylactic benefit.