Geriatric Dentistry – Dentist Sandy Springs

geriatric dentist near me
Aging patients need special care for their oral health.

Two important oral health care concerns emerging in the United States:

  • Disparities in the oral disease burden, and
  • The inability of certain segments of the population to access oral health care.[1]

Older Americans are becoming a larger segment of our population and suffer disproportionately from oral diseases, with the problem being particularly acute for individuals in long term care facilities.

Not only do we see elderly patients in our Sandy Springs who are usually brought here by assisted living and nursing home facilities, but Dr. Orland visits numerous assisted living facilities outside of our immediate area.  By 2030, 1 of every 5 members in the US will be 65 years of age or older.  This large segment of our population is further compounded by the elderly population continuing to become increasingly diverse in terms of race, ethnicity, financial resources, and living conditions.[2]

The challenges faced by both the dental profession and the nation as a whole regarding provision of oral health care services to older adults needs a specialized and experienced team of dentists to address the issues.[3]  Medicare does not provide any coverage for dental services, and only 1 of 5 Americans aged 75 years or older has any type of private dental insurance and it will be highly unlikely that our government resources will be adequate to gear up for the impending problem of oral health for the elderly.

The elderly suffer from chronic disorders that can directly or indirectly affect oral health, including autoimmune disorders such as pemphigus and pemphigoid.[4] They generally require multiple medications, and common side effects of the more than 500 medications used to treat their overall health issues usually reduce salivary flow.[5]   And the reduction in saliva can adversely affect their quality of life, the ability to chew, and lead to significant problems of the teeth and their supporting structures.

In addition, particularly for geriatric patients, oral infection is now recognized as a risk factor for a number of systemic diseases, including cardiovascular diseases, cerebrovascular diseases, diabetes, mellitus, and respiratory disorders.  Also, it is important to note that once people have lost their teeth and are using complete dentures, their oral health needs do not decrease.   Our jaws are not static and may continue to resorb over time.  Besides the continued resorption of bone, improperly fitted dentures can adversely affect chewing, leading to poor nutrition.  In addition, those without teeth remain susceptible to oral cancer, mucosal diseases, and alterations in salivary gland function.

While effective preventive measures exist for younger populations (water fluoridation, dental sealants and parents), no preventive measures have been devised to address the expected increase in oral health needs of the aging population.  We have developed the expertise to take a leadership role in the delivery of health care services to the seniors who have contributed so vitally to our society’s well-being and who deserve to be treated with the best oral health care we have to offer.

Dr. Scheinfeld, a prosthodontist and her daughters Dr. Orland and Dr. Z. Scheinfeld  specialize in geriatric care.

Novy Scheinfeld, DDS, PC

Hanna Orland, DMD

ZoAnna Scheinfeld, MS, DMD

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

and

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

www.rightsmilecenter.com

info@rightsmilecenter.com

Related Articles

[1] Oral Health in America: A Report of the Surgeon General. Rockville, Md: National Institute of Dental and Craniofacial Research; 2000.

[2] Wikipedia and 2010 Census.                                                                                

[3] A State of Decay: The Oral Health of Older Americans. Chicago, Ill: Oral Health America; 2003:1–8.

[4] Stoopler ET, Sollecito TP, De Ross SS. Desquamative gingivitis: early presenting system of mucocutaneous disease. Quintessence Int.2003;34:582–586.

[5] Fox PC, Eversole LR. Diseases of the salivary glands. In: Silverman S, Eversole LR, Truelove EL, eds. Essentials of Oral Medicine. Ontario, Canada: BC Decker; 2002:260–276.

Dentists Sandy Springs | Geriatric Dental Specialists

Where do I take my parents? To the Right Smile Center

special-needs-patient
Older Patients need expert care.

This our sweet spot and more and more, oral health care is playing a greater role in maintaining our aging population.  It has become vital to older patients as it relates to their overall global health.

And the last thing you want to do is take your parents and special needs patients to a corporate dental clinic.

While effective preventive measures exist for younger populations (water fluoridation, dental sealants and parents), no preventive measures have been devised to address the expected increase in oral health needs of the aging population. For oral care in the aging population you need a prosthodontist.

Oral health conditions affected 3.9 billion people, and untreated caries in permanent teeth was the most prevalent condition evaluated for the entire Global Burden of Disease 2010 Study (global prevalence of 35% for all ages combined).[1] Oral conditions combined accounted for 15 million disability-adjusted life-years (DALYs) globally, implying an average health loss of 224 years per 100,000 population.[2]

DALYs due to oral conditions increased 20.8% between 1990 and 2010, mainly due to population growth and aging.[3]  In 2015, the US population increased to 320 million (3.08 million in 2010) and 14.7% of the population will be aged 65 years or older.  While effective preventive measures exist for younger populations (water fluoridation, dental sealants and parents), no preventive measures have been devised to address the expected increase in oral health needs of the aging population.

Our Right Smile team has taken a leadership role in the delivery of health care services to the seniors who deserve to be treated with the best oral health care we have to offer.  In our Sandy Springs officeDr. Scheinfeld is a prosthodontist specializing in geriatric care.  The Right Smile Team, including in-house periodontal treatment is designed to treat our aging population.  Call for an evaluation of your oral health care needs.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

and

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

www.rightsmilecenter.com

info@rightsmilecenter.com

[1] Wagner Marcenes, Queen Mary University, London,  IADR/AADR Journal of Dental Research

[2] http://www.biologytechnologyinstruments.com

[3] Ibid

Senior Dental Services | Dentists Sandy Springs

Sandy Springs Geriatic dentist near me
Aging patients need special care.

Elderly patients often experience a variety of dental issues specific to aging adults. The Right Smile Center offers in-house senior dental care in Sandy Springs from specialists who understand geriatric dental issues including those related to gum disease, tooth decay and the need for dental replacements. Medicare does not provide any coverage for dental services, and only 1 of 5 Americans aged 75 years or older has any type of private dental insurance.

Dr. Scheinfeld, a prosthodontist, is ranked by Forbes magazine as the nation’s rarest professional specializing in geriatric dentistry in and around metro Atlanta for decades. And her daughter, Dr. Orland spends many hours traveling to numerous nursing homes around metro-Atlanta to provide the elderly with their much needed oral care.

Our senior dental services are provided in a comfortable environment attuned to elder care. Our goal is to deliver highly individualized treatment to meet the unique needs of each patient. Call today to see about your loved one’s needs.  Call for an evaluation of your oral health care needs.

Novy Scheinfeld, DDS, PC

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta, GA 30328

404-256-3620

info@rightsmilecenter.com

www.rightsmilecenter.com

Geriatric Dentistry | Dentist Sandy Springs

  • Aging Patients
    Aging Patients need special care.

    Although better than in years past, the typical aging patient’s baseline health state can be complicated by comorbid conditions (e.g., hypertension, diabetes mellitus) and physiologic changes associated with aging.

 

  • Older adults may regularly use several prescription and/or over-the-counter medications, making them vulnerable to medication errors, drug interactions or adverse drug reactions. We take special attention to an aging patient’s medication.  We have both in-house and out of practice pharmacological expertise we rely on.

 

  • Potential physical, sensory, and cognitive impairments associated with aging may make oral health self-care and patient education/communications challenging.

 

  • Dental conditions associated with aging include dry mouth (xerostomia), root and coronal caries, and periodontitis; patients may show increased sensitivity to drugs used in dentistry, including local anesthetics and analgesic.

 

Our Sandy Springs team has the experience and expertise to handle yours or your family’s geriatric oral health needs.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta, GA 30328

404-256-3620

info@rightsmilecenter.com

www.rightsmilecenter.com

Dentist: Buckhead : Oral Health Care of Our Aging Population

Dentist near meTwo important oral health care concerns emerging in the United Statesare disparities in the oral disease burden and the inabilityof certain segments of the population to access oral healthcare.[1]  Older Americansare becoming a larger segment of our population and suffer disproportionately from oral diseases, with the problembeing particularly acute for individuals in long term care facilities.  Populationprojections for the United States indicate that the elderlywill constitute an increasing percentage of the population aswe proceed into the 21st century.  In 2001, the population ofthe United States was almost 278 million, and 12.6% of the populationwas 65 years of age or older. By 2015, the population is expectedto increase to 312 million (3.08 million in 2010) and 14.7% of the population willbe aged 65 years or older.  In 2030, which is within the practicelives of students currently enrolled in dental schools, thepopulation will have increased to more than 350 million, and20% of the population—1 of every 5 members of the US society—willbe 65 years of age or older.  This large segment of our population is further compounded by the elderly populationcontinuing to become increasingly diverse in terms of race, ethnicity,financial resources, and living conditions.[2]

The challenges faced by both the dental profession and the nationas a whole regarding provision of oral health care servicesto older adults were the subject of a recent report preparedby Oral Health America.[3]  All 50 states were surveyed to determine the level of Medicaidcoverage for dental services, and the report concludes thatfinancing oral health care services for the elderly will be a majorchallenge to our future.  Medicare does not provide any coverage for dentalservices, and only 1 of 5 Americans aged 75 years or older hasany type of private dental insurance.  Given our current economic circumstances it will be highly unlikely that our government resources will be adequate to gear up for the impending problem of oral health for the elderly.

The elderly suffer from chronic disorders that can directlyor indirectly affect oral health, including autoimmune disorderssuch as pemphigus and pemphigoid.[4] They generally requiremultiple medications, and common side effects of the more than500 medications used to treat their overall health issues usually reduce salivary flow.[5]   Usually the reduction in salivacan adversely affect their quality of life, the ability to chew, and lead to significant problems of the teeth andtheir supporting structures.

The elderly may also have difficulty performing routine oralhygiene procedures because of physical limitations, such as Parkinson’s or rheumatoid arthritis.   In addition,oral infection is now recognized as a risk factor for a numberof systemic diseases, including cardiovascular diseases, cerebrovascular diseases,diabetes, mellitus, and respiratory disorders.  Also,it is important to note that once people have lost their teeth and are using complete dentures, their oral healthneeds do not decrease.   Our jaws are not static and may continue toresorb over time.  Besides the continued resorption of bone, improperly fitted dentures can adversely affectchewing, leading to poor nutrition.  In addition, those without teeth remainsusceptible to oral cancer, mucosal diseases, and alterationsin salivary gland function.

So for the vast majority of seniors who will reside in a long term care facility, financingof oral health care services will be a formidable challenge.Given that medicare does not provide coverage for routine dental services including exams,and in the absence of private insurance or personal resources,a large portion of this group will not be able to afford anydental services whatsoever, let alone the most appropriate treatments.  Clearly, there must be a response to the increasing oral healthconcerns of the elderly who present with special needs, especiallythose who are homebound or living in long term  facilities burdenedwith other chronic disorders.

While effective preventive measures exist for younger populations(water fluoridation, dental sealants and parents), no preventive measureshave been devised to address the expected increase in oral healthneeds of the aging population.  And the need for a coordinated effort to address the oral healthcare needs of the elderly suggested by demographic trendsand epidemiological data necessitates our planning for what might be considered a crisis or at least a paradigm shift in oral health care delivery for the elderly.  Such a plan must consider contributionsfrom the dental profession, possibly through the efforts ofthe American Dental Association (ADA) and its state and localassociations; the dental schools, with involvement of the AmericanDental Education Association; federal, state, and local healthauthorities; and assistance from national organizations andfoundations that focus on health care.  The dental profession has an opportunity to take a leadershiprole in the delivery of health care services to the seniorswho have contributed so vitally to our society’s well-beingand who deserve to be treated with the best oral health carewe have to offer.

Dr. Scheinfeld is a prosthodontist specializing in geriatric care.

Novy Scheinfeld, DDS, PC

ZoAnna Scheinfeld, MS, DMD

Hanna Orland, DMD

290 Carpenter Drive, 200A

Atlanta (Sandy Springs), GA 30328

404-256-3620

and

3781 Chamblee Dunwoody Road

Chamblee, GA 30341

770-455-6076

www.rightsmilecenter.com

info@rightsmilecenter.com

Related Articles

 


[1] Oral Health in America: A Report of the Surgeon General. Rockville, Md: National Institute of Dental and Craniofacial Research; 2000.

[2] Wikipedia and 2010 Census.                                                                                

[3] A State of Decay: The Oral Health of Older Americans. Chicago, Ill: Oral Health America; 2003:1–8.

[4] Stoopler ET, Sollecito TP, De Ross SS. Desquamative gingivitis: early presenting system of mucocutaneous disease. Quintessence Int.2003;34:582–586.

[5] Fox PC, Eversole LR. Diseases of the salivary glands. In: Silverman S, Eversole LR, Truelove EL, eds. Essentials of Oral Medicine. Ontario, Canada: BC Decker; 2002:260–276.