What causes toothache in elderly people?

Sep 13, 2024 Source: Cainiu Health

Dr. Liu Chao

Introduction

In general, tooth pain in the elderly is commonly caused by aging, poor oral hygiene, unhealthy dietary habits, pulpitis, and periapical periodontitis. To address tooth pain in older adults, it is important to maintain good oral hygiene and adopt a healthy diet, which can help alleviate dental discomfort. It is recommended to seek timely medical attention and receive appropriate treatment under the guidance of a qualified healthcare professional.

In general, tooth pain in elderly individuals is commonly caused by aging, poor oral hygiene habits, unhealthy dietary habits, pulpitis, and periapical periodontitis. It is recommended to seek timely medical attention, identify the underlying cause, and receive appropriate treatment under the guidance of a qualified healthcare professional. A detailed analysis is as follows:

1. Aging

With advancing age, prolonged use of teeth leads to wear of the surface enamel, thinning of the tooth's protective layer, and increased sensitivity of the dentin, which can trigger tooth pain. To protect dental health, it is important to avoid consuming excessively hard, cold, or hot foods, reduce sugar intake, and quit smoking or limit alcohol consumption.

2. Poor Oral Hygiene Habits

Elderly individuals may experience reduced hand dexterity or impaired vision, making it difficult to thoroughly clean food debris and plaque from the mouth. This can promote bacterial growth and lead to tooth pain. Maintaining good oral hygiene is essential, including developing consistent brushing habits and scheduling regular dental checkups annually.

3. Unhealthy Dietary Habits

Frequent consumption of high-sugar and high-acid foods promotes the formation of acidic substances that erode tooth structure and may trigger tooth pain. Regular brushing and maintaining a balanced diet are crucial. It is also beneficial to consume foods rich in calcium and vitamin D—such as milk, laver (seaweed), and carrots—to support dental health.

4. Pulpitis

Inadequate oral hygiene in older adults, along with trauma such as physical impact to the teeth, may lead to pulpitis. Inflammation of the dental pulp allows bacteria to invade and produce toxins, damaging pulp tissue and causing tooth pain. This condition is often accompanied by symptoms such as loose teeth, swollen, and painful gums. Medications such as ibuprofen tablets, acetaminophen tablets, and compound chlorhexidine mouthwash may be used as directed by a physician.

5. Periapical Periodontitis

Periapical periodontitis is primarily an inflammatory condition affecting the tissues surrounding the tooth root tip, usually resulting from dental trauma or pulp infection. Inflammation and bacterial infection can lead to abscess formation and tenderness at the root tip, causing tooth pain. Common accompanying symptoms include discomfort during chewing and tooth swelling with pain. Treatment may include medications such as dibucaine-boron ointment, compound Honeysuckle granules, or Pudilan anti-inflammatory tablets, as prescribed by a doctor.

To manage tooth pain in elderly individuals, it is important to maintain proper oral hygiene, follow a healthy diet, and ensure overall oral cleanliness, all of which can help alleviate dental discomfort.

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