Dentistry focuses on diagnosing, preventing, and treating conditions of the teeth, gums, and oral structures, supporting oral health and overall well-being.

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Diagnosis and Evaluation

Geriatric Dentistry

Diagnosing dental problems in older adults involves more than a regular check-up. It includes looking at the patient’s medical history, how well they function day-to-day, and their memory and thinking skills. At Liv Hospital, the team checks how old the mouth tissues really are, which can be different from the person’s actual age. This helps create a treatment plan that fits the patient’s needs and abilities.

Comprehensive Geriatric Assessment (CGA) in Dentistry

Functional Status and Frailty Indexing

Evaluating the patient’s ability to perform activities of daily living is crucial for determining the most appropriate treatment approach.

Nutritional Screening and Oral Health

A patient’s nutritional status is directly linked to their oral health; poor dentition can lead to malnutrition, which, in turn, slows tissue repair.

  • Mini Nutritional Assessment: A tool used to identify patients at risk of malnutrition due to oral health problems.
  • Masticatory Performance Tests: Measuring how effectively a patient can grind food to ensure they can process nutrients.
  • Handgrip Strength: A marker of overall frailty that can influence the patient’s ability to perform oral hygiene.
  • Mobility and Dexterity Evaluation: Assessing if the patient can hold a toothbrush or navigate the clinical environment safely.
  • Polypharmacy Review: A detailed analysis of all medications to identify potential oral side effects and drug interactions.
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Precision Imaging in Osteoporotic Bone

Geriatric Dentistry

For older adults, the thickness and strength of the jawbone are important for many dental treatments. Regular X-rays may not show enough detail, so at Liv Hospital, 3D scans called CBCT are used. These scans give a clear picture of the bone, help spot weak areas, and allow for careful planning of implants to avoid nerves and sinuses.

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Salivary Proteomics and Biological Markers

Testing saliva is now an important way to check for dental and health problems in older adults. Saliva has many substances that can show if there is disease or inflammation. By measuring these, dentists can see how gum disease is progressing and how well treatments are working. This method is easy and does not require surgery.

Microbiome Sequencing

The mix of bacteria in the mouth changes as people age, sometimes leading to more harmful bacteria than good ones. This can cause mouth problems and even illnesses like pneumonia. At Liv Hospital, advanced tests are used to find out which bacteria are present, so treatments can be chosen to restore a healthy balance and support overall health.

Geriatric Dentistry

Cardiovascular and Metabolic Screening in the Dental Chair

Because many older adults have heart or metabolic problems, dental visits often include basic health checks. At Liv Hospital, blood pressure, heart rate, and blood sugar are checked before any major dental work. These checks help spot patients who might be at risk and make sure their doctors are involved in their care.

Cognitive and Psychological Assessment Tools

Knowing how well a patient thinks and feels is important for dental care in older adults. Dentists use tests to check memory, awareness, and mood. This helps make sure patients can agree to treatment and follow care instructions at home. If someone is anxious or depressed, the dentist may need to offer more support and build trust during treatment.

Soft Tissue Biopsy and Early Malignancy Detection

Older adults have a higher risk of mouth cancer, so checking the soft tissues carefully is very important. Any sore that doesn’t heal in two weeks or looks unusual is tested further. At Liv Hospital, the process for finding mouth cancer is quick and thorough, helping catch problems early when they are easier to treat and improving the patient’s quality of life.

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Assoc. Prof. MD. Elif Dilara Arslan Assoc. Prof. MD. Elif Dilara Arslan Dentistry
Group 346 LIV Hospital

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FREQUENTLY ASKED QUESTIONS

How does the dentist decide if I am healthy enough for surgery?

It is recommended to brush for at least 2 minutes, twice a day, to ensure that all tooth surfaces are thoroughly cleaned.

Flossing before brushing can help loosen debris and plaque between the teeth, allowing the fluoride in the toothpaste to reach those areas more effectively.

No, mouthwash is an addition to your routine and cannot replace the mechanical plaque removal that flossing provides.

Crunchy fruits and vegetables, dairy products, and lean protein-rich foods are all excellent choices for supporting oral health.

Poor oral health can be a sign of early cognitive decline, and chronic oral inflammation is being studied as a potential contributing factor to the progression of dementia.

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