As we get older our gums may recede (shrink back), and teeth may become a little more sensitive as a result.
A dentist or hygienist will be able to advise on the best brushing methods to keep any gum problems under control, and may suggest a mouthwash to deal with the sensitivity.
People with diabetes more likely to get gum disease
Although anyone can get gum disease, it is estimated that people with diabetes can be up to approximately three times more likely to develop gum disease than people without diabetes.
It is also more likely in people who don't clean their teeth regularly, or those who find it difficult to clean their teeth properly.
If some teeth have been lost in the past, and a person has bridges or dentures, they may have particular cleaning needs and difficulties.
Care home staff may need to help with teeth brushing
Normal cleaning may become rather more difficult if someone has problems with their hands or arms, or if their eyesight is less than perfect. A magnifying mirror and a good light are often helpful. Care home staff may need to help in this task.
Many people in care homes will have dentures either partial or full. Even with full dentures, the mouth needs good care. Every morning and evening, the gums, tongue and the roof of the mouth should be brushed with a soft-bristled brush. This removes plaque and helps the circulation in the mouth.
Help stop tooth decay and gum disease
If partial dentures are worn, it is even more important that the remaining teeth are brushed thoroughly every day. This will help stop tooth decay and gum disease that can lead to loss of more teeth.
Bad breath is one of the first signs of problems starting. Thrush can develop and lead to mouth ulcers can cause a loss of appetite and worsening of diabetes control.
Gum disease can range from gingivitis, which causes red, swollen, painful gums which bleed easily, to periodontitis where there is damage to the tissue surrounding the teeth and bone loss which can lead to tooth loss.
Source – British Dental Health Foundation
Reviewed March 2010
Next review September 2011