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THE SHADOW OF YOUR SMILE

AGE DOES NOT MEAN TOOTH LOSS

SOMETHING TO SMILE ABOUT

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WHAT’S CHANGED

30 YEARS SINCE OBRA

RESIDENTS-EXPECATIONS

DENTAL MANPOWER

CMS STANDARDS

DENTAL HEALTH AND ACUTE INFECTION

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L INFECTIONS AND PNEUMON

ACUTE DENTAL ABCESS

ACUTE ENDOCARDITIS

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BRAIN ABCESS

THRUSH

ON THE TIP OF MY TONGUE

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AL HEALTH & CHRONIC DIS

STEMIC INFLAMMATORY DISEA

•Cardiovascular- Atherosclerosis

•

•Diabetes

•

•Rheumatoid Arthritis

•

•Periodontal disease

PERIODONTAL DISEASE SYSTEMIC INFLAMMATION

P. GINGIVALIS –VIRULENCE- TRIGGERS RELEASE OF PRO-INFLAMMATORY CYTOKINES

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CHANISM OF ATHEROSCLERO

ECHANISM OF ATHEROSCLER

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Modified Food Pyramid for 70 + Adults

Sleep disorders and edentulous

85 CLASSIFICATIONS OF SLEEP DISORDERSNUMBER 1- CHRONIC OBSTRUCTIVE APNEA

CPAP-BiPAP -TREATMENT OPTION OF CHOICE

THERAPEUTIC SUCCESS DEPENDENT ON PROPER MASK FIT

KEY- 6-10 HEALTHY TEETH

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Guidelines for dental care in S

COMPLIANCE CHALLENGES

•PROMPT REFERRAL- 3 BUSINESS DAYS –Standard Dental eme

PPORT RESIDENT NUTRITION & HYDRATION- 4-10 WEEK SP

ENSIVE DENTAL ASSESMENT – At the time of preadmission a

Massachusetts Dental Demographics

DENTAL MANPOWER AVAILABILITY

LONG TERM CARE FACILITIES

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G RESIDENT NUTRITION AND

> PATIENT TOLERANCE-

> INCREASED RISK OF CHOKING

TITE- CHALLENGES IN REASONABLE SUPPORTING

AL ASSESSMENT – At the time of pr

PATIENT COOPERATION

TIME RESTRICTIONS

S NOT TRAINED TO COMPREHENSIVE DENTAL ASS

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•State Operations Manual Appendix PP - Guidance to Surveyors for Long Term Care

Facilities, CMS pg. 545-574 ; November 22 2017

•https;//dentalgraphis.com/Massachusetts-infographic ; page 1

•“In Nursing Homes, an Epidemic of Poor Dental Hygiene”, The New York Times,

Catherine Saint Louis: August 4 2013 @2:30pm

• From: Modified Food Guide Pyramid for People over Seventy Years of Age J Nutr.

1999;129(3):751-753. doi:10.1093/jn/129.3.751

J Nutr | © 1999 The American Society for Nutritional Sciences

•

U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015

– 2020 Dietary Guidelines for Americans. 8th Edition. December 2015. Available

at https://health.gov/dietaryguidelines/2015/guidelines

Margaret Terpenning; Geriatric Oral Health and Pneumonia Risk, Clinical Infectious

Diseases, Volume 40, Issue 12, 15 June 2005, Pages 1807–1810, https://doi.

FERENCES :

REFERENCES :

umonia in Frail Elders ,Volume: 94 issue: 3_suppl, page(s): 14S-16S Article first published onlinehttps://doi.org/10.1177/0022034514552494 F. Müller1

ramework for Understanding Clinical Outcomes, PennWell Publications OCT 2012 EXPIRATION

W OF YOUR SMILE, LOVE THEME OF SANDPIPER; PAUL FRANCIS WEBSTER, JOHNNY MA