协和医生说 | 老年人，牙好胃口好，身体棒！
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">协和<span style="color: black;"><span style="color: black;">大夫</span>说</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q5.itc.cn/q_70/images03/20240319/567691e8c5244842a045f52b80a4145a.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">协</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">和</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">科</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">普</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">按照</span>世界卫生组织的数据，到2050年，<span style="color: black;">全世界</span>60岁以上老龄人口总数将近20亿。<span style="color: black;">科研</span><span style="color: black;">显示</span>，老年人尤其容易受到口腔健康<span style="color: black;">情况</span><span style="color: black;">不良</span>的<span style="color: black;">困惑</span>，给全身健康带来不良影响。我国已逐步进入老龄化社会，让老年人享有幸福美满的晚年是全社会<span style="color: black;">一起</span><span style="color: black;">奋斗</span>的方向。俗话说“牙好，胃口就好，身体倍儿棒，吃嘛嘛香”，老年口腔健康与老年生活幸福感密切<span style="color: black;">关联</span>。今天，北京协和医院口腔科<span style="color: black;">大夫</span>就带您<span style="color: black;">认识</span>老年人口腔保健与<span style="color: black;">疾患</span>防治的“秘籍”，为“最美夕阳红”再添光彩。文末有讲座预告，精彩不容<span style="color: black;">错失</span>。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">“小口腔”内有大<span style="color: black;">文案</span></strong><strong style="color: blue;">——</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">口腔健康与全身健康</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">口腔健康与全身健康密不可分，口腔中的“小病”可能<span style="color: black;">导致</span>全身性的“大病”，关爱老年口腔健康，<span style="color: black;">亦</span>是在为全身健康“添砖加瓦”。健康的口腔一方面有助于良好的咀嚼功能，促进营养吸收，<span style="color: black;">加强</span>免疫力；另一方面，健康的口腔是发音功能、颜面美观的基石，有助于身心健康。<span style="color: black;">同期</span>，<span style="color: black;">有些</span>全身<span style="color: black;">疾患</span><span style="color: black;">亦</span>与口腔健康息息<span style="color: black;">关联</span>。例如，牙周炎与糖尿病、心血管<span style="color: black;">疾患</span>、类风湿性关节炎密切<span style="color: black;">关联</span>，<span style="color: black;">乃至</span>与阿尔兹海默症的<span style="color: black;">出现</span><span style="color: black;">也</span>存在<span style="color: black;">必定</span>关系，牙周炎的治疗<span style="color: black;">状况</span><span style="color: black;">亦</span><span style="color: black;">常常</span>影响着<span style="color: black;">非常多</span>全身<span style="color: black;">疾患</span>的<span style="color: black;">掌控</span>。<span style="color: black;">另外</span>，口腔环境中的致病细菌的定植<span style="color: black;">乃至</span>与口腔癌、乃至消化系统恶性<span style="color: black;">疾患</span>存在着或多或少的联系。口腔内的感染如<span style="color: black;">掌控</span><span style="color: black;">不良</span>播散至邻近组织或全身，严重者可危及生命。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">保持</span>健康生活方式</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">守护</span>老年口腔健康</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">1、口腔清洁不偷懒，<span style="color: black;">都数</span><span style="color: black;">疾患</span>可预防</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">常常有老年人感叹“老掉牙”是衰老的必然历程，<span style="color: black;">并不</span>然。“老掉牙”常常是<span style="color: black;">因为</span><span style="color: black;">长时间</span>未诊治的龋齿、牙周病等口腔<span style="color: black;">疾患</span><span style="color: black;">导致</span>，<span style="color: black;">把握</span>科学的口腔保健<span style="color: black;">办法</span>，保持良好的口腔卫生习惯，是预防大<span style="color: black;">都数</span>口腔<span style="color: black;">疾患</span>的有效手段。<span style="color: black;">守护</span>口腔卫生的<span style="color: black;">重要</span>在于<span style="color: black;">保持</span>早晚刷牙，<span style="color: black;">把握</span>正确的刷牙<span style="color: black;">办法</span>（如巴氏刷牙法，牙周病<span style="color: black;">病人</span>可采用竖刷法），<span style="color: black;">运用</span>邻面清洁<span style="color: black;">工具</span>（如牙线、型号合适的牙缝刷）。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">2、假牙并非“金刚不坏”之身，<span style="color: black;">平常</span>清洁<span style="color: black;">守护</span>必不可少</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q1.itc.cn/q_70/images03/20240319/795fb906e2be4eebb6ba95e7539e100b.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>口腔内存在假牙，<span style="color: black;">没</span>论种植牙、固定假牙或活动假牙，都<span style="color: black;">必须</span>和天然牙<span style="color: black;">同样</span>的清洁<span style="color: black;">守护</span>。活动假牙务必每餐后取下清洁，睡前应摘下放入冷水中，或<span style="color: black;">定时</span>用假牙清洁剂浸泡。种植牙、固定假牙需<span style="color: black;">定时</span>前往专科医院复诊，接受专科<span style="color: black;">守护</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">3、局部用“氟”，为牙齿加“护盾”</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">老年人多有牙龈退缩、牙根暴露，牙根面因缺少牙釉质的<span style="color: black;">守护</span>是老年人龋病的高发区域，且<span style="color: black;">发展</span>快、<span style="color: black;">害处</span>大。预防根面龋除<span style="color: black;">以上</span><span style="color: black;">说到</span>的<span style="color: black;">平常</span>口腔清洁<span style="color: black;">办法</span>外，可采用局部用氟<span style="color: black;">办法</span>，如<span style="color: black;">保持</span><span style="color: black;">运用</span>含氟牙膏，<span style="color: black;">定时</span>到医院局部涂氟等，<span style="color: black;">另外</span>，还应<span style="color: black;">恰当</span>膳食，<span style="color: black;">掌控</span>甜食摄入频率及总量。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">定时</span>口腔<span style="color: black;">检测</span>与<span style="color: black;">守护</span>，<span style="color: black;">即时</span>接受专业诊治</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">1、口腔<span style="color: black;">疾患</span>信号<span style="color: black;">初期</span>识别，治疗趁早效果好</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">非常多</span>口腔<span style="color: black;">疾患</span>在<span style="color: black;">出现</span><span style="color: black;">初期</span>，机体已给<span style="color: black;">咱们</span>提示“信号”，<span style="color: black;">因此呢</span><span style="color: black;">即时</span>关注、<span style="color: black;">初期</span>治疗，更利于天然牙的<span style="color: black;">保存</span>。如牙龈<span style="color: black;">流血</span>、口腔异味<span style="color: black;">常常</span>是牙周炎<span style="color: black;">初期</span>的发展信号，<span style="color: black;">必须</span><span style="color: black;">警觉</span>，<span style="color: black;">倘若</span>不加<span style="color: black;">注意</span>，等到<span style="color: black;">显现</span>牙齿松动移位<span style="color: black;">乃至</span>脱落才去<span style="color: black;">看病</span>，<span style="color: black;">常常</span>就会错失<span style="color: black;">保留</span>患牙的最佳<span style="color: black;">机会</span>。<span style="color: black;">摄食</span>冷热酸甜<span style="color: black;">食品</span><span style="color: black;">病痛</span>、自发痛、咬合痛等可能是<span style="color: black;">有些</span>牙体牙髓<span style="color: black;">疾患</span>的信号，<span style="color: black;">非常多</span>老年<span style="color: black;">伴侣</span>们常常<span style="color: black;">选取</span>口服<span style="color: black;">药品</span>的方式去缓解，然而，<span style="color: black;">病痛</span>消失不<span style="color: black;">必定</span><span style="color: black;">表率</span>牙齿<span style="color: black;">疾患</span>的好转，还是要<span style="color: black;">即时</span>接受专科<span style="color: black;">检测</span>及治疗。<span style="color: black;">另外</span>，口腔黏膜<span style="color: black;">疾患</span><span style="color: black;">亦</span>是老年口腔<span style="color: black;">平常</span>病之一，如口腔内<span style="color: black;">显现</span>硬结、白色或红色斑块、迁延不愈的溃疡等，要<span style="color: black;">即时</span><span style="color: black;">看病</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">2、<span style="color: black;">定时</span>口腔<span style="color: black;">检测</span>及洁牙</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">老年口腔<span style="color: black;">疾患</span>患病率高，发展速度快，<span style="color: black;">非常多</span><span style="color: black;">身患</span><span style="color: black;">基本</span><span style="color: black;">疾患</span>的老年人口腔卫生<span style="color: black;">守护</span>能力有限，<span style="color: black;">因此呢</span>，老年人应<span style="color: black;">最少</span>每年接受一次口腔<span style="color: black;">检测</span>及洁牙，有助于早<span style="color: black;">发掘</span>、早治疗<span style="color: black;">非常多</span>口腔<span style="color: black;">疾患</span>，还能够<span style="color: black;">按照</span>专业的<span style="color: black;">意见</span><span style="color: black;">即时</span>采取预防<span style="color: black;">办法</span>，<span style="color: black;">掌控</span>口腔<span style="color: black;">疾患</span>的发展。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">3、拔除<span style="color: black;">保存</span><span style="color: black;">没</span>望的牙齿，<span style="color: black;">即时</span>修复缺失牙</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>确实<span style="color: black;">发掘</span>了口内<span style="color: black;">没</span>法<span style="color: black;">保存</span>的牙齿，如严重<span style="color: black;">缺失</span>的残根、残冠及<span style="color: black;">尤其</span>松动的牙齿，应<span style="color: black;">即时</span><span style="color: black;">看病</span>拔除，<span style="color: black;">以避免</span>影响口腔健康及功能，<span style="color: black;">乃至</span><span style="color: black;">导致</span>严重的全身感染，影响生活质量<span style="color: black;">乃至</span>生命。牙齿缺失后应<span style="color: black;">即时</span>修复，恢复相对完整的牙列，恢复口腔基本功能，<span style="color: black;">以避免</span><span style="color: black;">导致</span>邻牙移位、对颌牙齿的伸长，影响<span style="color: black;">全部</span>口颌系统。有修复需求的老年<span style="color: black;">病人</span>，可在拔牙前前往口腔修复门诊进行全口的综合<span style="color: black;">检测</span>及治疗设计，科学<span style="color: black;">恰当</span>治疗牙齿。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">就诊时务必详尽<span style="color: black;">通知</span>医生全身<span style="color: black;">状况</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">非常多</span>老年<span style="color: black;">病人</span><span style="color: black;">常常</span><span style="color: black;">身患</span><span style="color: black;">繁杂</span>的<span style="color: black;">基本</span>病或<span style="color: black;">长时间</span>服药，<span style="color: black;">有些</span><span style="color: black;">基本</span><span style="color: black;">疾患</span>的既往治疗及当前<span style="color: black;">掌控</span><span style="color: black;">状况</span>、用药<span style="color: black;">状况</span>与口腔治疗的效果、<span style="color: black;">机会</span>、<span style="color: black;">危害</span>等密切<span style="color: black;">关联</span>。出于对<span style="color: black;">自己</span>安全的负责与<span style="color: black;">思虑</span>，老年<span style="color: black;">病人</span>在口腔科就诊时切莫隐瞒病史，应如实<span style="color: black;">通知</span><span style="color: black;">大夫</span>全身<span style="color: black;">状况</span>，尤其心血管<span style="color: black;">疾患</span>、肿瘤、免疫、代谢等<span style="color: black;">关联</span><span style="color: black;">疾患</span>，及抗凝抗板药、激素、骨质疏松等<span style="color: black;">关联</span>用药与放化疗等病史。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">祝愿所有老年<span style="color: black;">伴侣</span>们口腔健康、全身健康！</p>
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