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How to Keep Your Teeth for Life: A Periodontist’s Guide to Healthy Aging
Many people assume that losing teeth is simply a normal part of getting older. Fortunately, that is not true. With proper care and regular periodontal maintenance, most people can keep their natural teeth for life. The key is understanding how aging affects the mouth and taking steps to protect your gums, bone, and teeth before problems develop.
The most common reason adults lose teeth is not cavities — it is periodontal disease. Gum disease is an infection of the gums and supporting bone caused by plaque and bacteria. Over time, it can destroy the structures that hold teeth in place. The challenge is that periodontal disease is often painless in its early stages. Many people do not realize there is a problem until they notice loose teeth, receding gums, or changes in their bite.
As we age, several factors can increase the risk of gum disease and tooth loss. Many common medications can cause dry mouth, reducing the protective effects of saliva. Saliva helps wash away bacteria and neutralize acids. Without enough saliva, plaque builds up more easily and the risk of both cavities and gum disease increases.
In addition, conditions such as diabetes, osteoporosis, and heart disease become more common with age and can affect oral health. Diabetes can make it harder for the body to fight infection and heal. Osteoporosis may weaken the jawbone that supports the teeth. Arthritis can make brushing and flossing more difficult.
The good news is that there are many ways to protect your smile:
• Brush twice daily with a soft-bristled toothbrush or electric toothbrush.
• Clean between your teeth every day with floss, interdental brushes, or a water flosser.
• See your dentist and periodontist regularly, even if your mouth feels fine.
• Keep medical conditions such as diabetes well controlled.
• Avoid smoking, which greatly increases the risk of gum disease and tooth loss.
• Report symptoms such as bleeding gums, persistent bad breath, gum recession, or loose teeth promptly.
For patients who have already been treated for gum disease or have dental implants, periodontal maintenance visits are especially important. These visits help remove bacteria from below the gumline and allow us to detect problems early, before they become more serious.
Healthy aging includes protecting your smile. With preventive care, early treatment, and regular maintenance, it is possible to keep your teeth strong, healthy, and functioning well for a lifetime.
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