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Caring for older Americans’ teeth and gums is essential, but Medicare generally doesn’t cover that cost

Frank Scannapieco, University at Buffalo and Ira Lamster, Stony Brook University (The State University of New York), The Conversation on

Published in Senior Living

But we believe that dental care is necessary for everyone, especially for older people.

While many working Americans get limited dental coverage through their employers, those benefits are usually limited to as little as $1,000 per year. And once they retire, Americans almost always lose even that basic coverage.

Given the importance of oral health for your overall health and quality of life, and increasing scientific understanding of the role of poor oral health in a wide array of chronic diseases, we believe that Medicare should include basic dental services.

A healthy mouth is essential for chewing, speaking and breathing. Being able to flash a good smile boosts self-esteem and helps maintain a sense of well-being.

Left untreated, dental diseases often result in infections that can cause severe pain. Poor oral health can lead to hospitalization and even death. Yet, routine oral care is frequently unavailable to many Americans.

Rich Americans with Medicare coverage are almost three times more likely to receive dental care compared to those with low incomes. And almost 3 in 4 low-income people over 65 don’t see a dentist in a typical year.

 

Numerous epidemiological studies have associated atherosclerosis, a serious condition colloquially known as clogged arteries, cardiovascular disease and stroke, with periodontal disease – chronic inflammation of the bone and gum tissues that support the teeth.

Having diabetes makes you three times as likely to develop gum disease because diabetes compromises the body’s response to inflammation and infection. At the same time, treating diabetes patients for gum disease can help control their blood sugar levels. Researchers have found that when people with diabetes get preventive dental and periodontal care, their diabetes is better controlled and health care costs decline.

Poor oral health can also increase the risk of contracting pneumonia, especially for patients in hospitals and nursing homes. When patients see a dentist before entering the hospital, they’re less likely to get pneumonia during their stay.

There is also evidence that untreated dental problems may contribute to rheumatoid arthritis as well as Alzheimer’s disease and other cognitive impairments.

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