Warning signs families notice first

Any one of these is a reason to call. Together, they usually mean something has been uncomfortable for a while.

• Eating less, choosing softer foods, or taking longer to finish a meal
• Chewing on one side, or pushing food around the plate
• Bad breath that does not clear with brushing
• Sore spots, a lip they keep touching, or a denture they keep adjusting
• Weight loss without another explanation
• Avoiding smiling, or covering the mouth when talking
• Toothbrush that stays dry, or brushing that has become difficult with stiff hands

What is usually going on

Root decay. Receding gums expose root surface, which decays quickly, especially with dry mouth. It does not hurt until it is deep.

Dry mouth. Many medications reduce saliva. Less saliva means more decay, more gum irritation, and dentures that slip.

Dentures or bridges that no longer fit. The jaw changes shape over years. A denture that fit at 70 may rock or rub at 80, and sore spots make eating painful.

Gum disease. Often painless, often the cause of bad breath and loose teeth.

Practical help at home

• An electric toothbrush is easier for stiff hands and does the work itself
• Floss picks or a water flosser instead of string floss
• A pea of prescription fluoride toothpaste at night if we recommend it, spit, do not rinse
• Sips of water through the day and sugar-free xylitol gum for dry mouth
• Dentures out at night, brushed, and soaked. Gums need the rest
• A reminder, or a hand, with brushing if memory or dexterity is slipping

Bringing a parent in

Call us and tell us what you have noticed and what medications your parent takes. Bring the list, including anything taken by infusion. If your parent is anxious, nervous, or has memory concerns, say so; we go slower, explain each step, and you are welcome in the room.

Frank cleans gently and measures gums. I examine, check dentures and bridges for fit, screen for oral cancer, and talk through what matters now and what can wait. You get a plain plan and a written estimate. Most PPO plans and many Medicare Advantage dental benefits cover exams and cleanings; we verify first.