What is the reason for tooth replacement in the elderly, and what should be done about it?

In general, tooth replacement in the elderly may be related to various factors such as aging, poor dietary habits, inadequate oral hygiene, osteoporosis, and periodontal disease. It is recommended to seek timely medical attention, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified healthcare professional. Specific analyses are as follows:

1. Aging

With advancing age, the enamel on the tooth surface gradually wears down, reducing the hardness and resilience of teeth and making them more susceptible to damage, which can lead to tooth loss and replacement. Attention should be paid to diet; avoid excessively hard foods to reduce tooth wear.

2. Poor dietary habits

A monotonous diet can lead to deficiencies in essential nutrients such as calcium, phosphorus, and vitamin D, affecting tooth hardness and stability, potentially resulting in tooth loss and replacement. It is advisable to increase intake of dietary fiber from foods such as spinach, broccoli, and bananas, which help maintain dental health.

3. Poor oral hygiene

Inadequate removal of food debris promotes bacterial growth and infection, which can erode the tooth roots and lead to tooth loss. Regular tooth brushing and using dental floss to clean between teeth are important for maintaining oral cleanliness and preventing bacterial accumulation.

4. Osteoporosis

Long-term lack of physical activity, chronic sleep deprivation, smoking, and excessive alcohol consumption may contribute to osteoporosis. When bone density in the jaw decreases, the supporting bone structure around the teeth weakens, potentially leading to tooth loss. This condition is often accompanied by symptoms such as shortness of breath and increased fracture risk. Treatment may include medications such as teriparatide injection, alendronate sodium tablets, or risedronate sodium tablets, as prescribed by a physician.

5. Periodontal disease

Periodontal disease is commonly caused by food impaction, plaque buildup, smoking, and alcohol consumption. Damage to the alveolar bone reduces structural support for teeth, leading to tooth loss, often accompanied by symptoms such as swollen, painful gums and loose teeth. Treatment options may include chlorhexidine gluconate mouthwash, minocycline hydrochloride capsules, or metronidazole tablets, used according to a doctor's recommendations.

To address tooth loss in the elderly, it is important to maintain good oral hygiene by regularly removing food debris with dental floss, preventing bacterial growth, eating a balanced diet, and ensuring adequate intake of nutrients such as calcium and vitamin D.