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Eye, Ear, Teeth Check-ups Are Difficult When Elders Have Dementia

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Imagine yourself with dementia or Alzheimer's, beginning to get confused and disoriented in a world that no longer makes much sense. Your daughter – you do still recognize her as your daughter – takes you to an appointment to get an exam, because your glasses seem to only make the world more confusing.

You are helped into a chair and the doctor covers one of your eyes and asks what letters you see. What is a letter, you think, and why is he covering my face? You start to squirm and then push him away. You get more confused and frightened because you don’t know what they want with you.

This happens, my friends. When I took my dad to the eye doctor because he still liked to try to read but his glasses were wrong for him, he responded in such a way. He happened to be having one of his worst days and thought the doctor was trying to kill him.

Needless to say, that was our last attempt at a new prescription. We had a new pair of glasses made with lighter frames to help them stay on his thinning face, but we couldn’t get a good test done.

Teeth were another huge issue. Dad had worn dentures for many decades. He had little bone left to support the dentures, but I kept “gluing them in” with a tooth bonding cream. However, he managed to lose his lower plate. This is common in nursing homes, since elders will often take out an uncomfortable plate when they eat. Then, if the denture is not noticed, it will go in the garbage with the leftover food. In Dad’s case, I believe he may have gotten annoyed with his denture and thrown it in his own garbage can. Whatever the reason, it could not be found, so off to the dentist we went.
 
The dentist was kind, and Dad was in better spirits than the day of the eye exam. However, the dentist was frank in telling me that there wasn’t enough bone to fit new dentures. Again we were stuck with buying a copy of the old ones, and continued the icky process of gluing in poor Dad’s teeth. The oozing pink stuff still haunts me, as we had to use so much it must have felt dreadful to him. Still, we had no choice. This was the best I could do.

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winkpc said
Mar 3, 2010

It is interesting that this topic came up as dental care for my wife has been a concern lately. She has her own teeth and she has been in a nursing home and assisted living for a total of 9 years. She has dementia and she has been resistant to people who want to mess around with her teeth. As a result, during the few times she has had "dental care", very little was done. At this point her teeth are in very bad shape, but since she is in late stages I don't know what care is appropriate. However, there is no doubt in my mind that her dental care has been neglected during the 8 years she has spent in the nursing home. I am sure that the problems she has are common among nursing home patients who are long-terrmers. I thiunk a big part of the answer would be the development of regulations at the federal and state levels to address this issue. Dentists need to be consulted regarding minimum standards and these need to be implemented. My wife has had many episodes of calling out over the years at the nursing home. Is this because of dental pain? We really don't know and the only thing that is done is to mask the symptoms by administering pain medication, etc.
People like my wife cannot speak out for themselves, so we need to speak out for them.

AlzCaregiver said
Mar 4, 2010

Yep, going through that with Mom's dentures right now. Trying various temp reliners and now just ordered an adhesive that is nondissolving. Mom is literally choking on all denture adhesives we've tried as they melt and dissolve down her throat. The heartbreaking and annoying repeated discussions and explanations about her teeth are wearing me out. Just today I put down my foot about glues and relining, until the new product comes in. After that I can try a few permanent self-reliners. If I had a million bucks and conservatorship of the person on her, I'd get implants, perhaps, to anchor the dentures. It's really her whole life now, and even though she has progressing Alzheimer's ... well, I don't have the money nor authority, so she has to suffer...and me too.

AlzCaregiver said
Mar 4, 2010

winkpc: I don't know the protocols for dental work and such, but seems with dementia patients, some system could be developed to knock the patient out and then do as many procedures as possible while the patient is unconscious: dental, burning off suspicious warts, cleaning ears of wax. Why not do "the works" if the patient needs surgery (or sedating for whatever reason) for something else?

lhardebeck said
Mar 4, 2010

dad spent 1,800 for a new upper teeth , he won t wear them , always askin for his old ones . i kept takin him back to dentist to get the new one fitted right , dentist says that it fits and he just has to get use to it ,
well its sittin in the bowl and he wears his old ones which is too big and falls down all the time . glob of glue plz .

AlzCaregiver said
Mar 4, 2010

Try "Cushion Grip" on those old ones. 4-day temp reliner that starts out gooey and molds to current mouth shape (however loose skin on roof of mouth makes whatever denture solution too loose to stick). Hope the new solution, think it's called Secure, will work better for Mom (just ordered it online). Read about Cushion grip on Amazon. Lots of testimonials and tips. It sort of worked for Mom, but she really can't feel if it's in the right place.

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