Innovative Dental Health for Older Adults with Dr. Seth Dubin of District Mobile Dental & Truthbrush

Poor oral health can have severe consequences. Research has shown that gum inflammation raises the risk for lung disease, heart disease, blood vessel blockage, and strokes. Join us for a live and interactive discussion that will explore challenges and spotlight an innovative and fun solution to better oral hygiene!

Dr. Seth Dubin District Mobile Dental 

• 240-485-8688
• districtmobiledental@gmail.com
• https://districtmobiledental.com/

Alec Rogers Truthbrush

• 803 429-5957
• alec@candibell.com
• Click this link for a special 10% Positive Aging discount on Truthbrush! https://www.truthbrush.com

Powerpoint from presentation IMPROVING ORAL HEALTH FOR OLDER ADULTS (1).pdf

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Questions Asked

• Is District Mobile able to provide extractions in a hospital setting due to medical concerns. Also,  do they take Medicaid?
• How long does is take for the periodontal disease to develop once dry mouth begins
• Can you speak to possible bone loss in patients who have osteoporosis and are taking bisphosphonates? Thank you
• If and when there is a dental need for tooth Extractions should all dentists know about side effects of biophosphates? We are learning that Many primary care physicians prescribe Bio Phosphate medications for osteoporosis and aging patients with concerns about falls, hip fracture, ankle fractures and breaking bones. However regular dentist asked patients if they were told about side affects of biophosphates which includes Necrosis of jaw, that is bone does not heal after tooth extraction and jaw bone rots and dies. How would one know to refuse or seek alternatives to biophosphates? Please talk about necrosis of jaw bone after tooth extractions?
• How do dentists rebuild jaw bone foundation when a patient needs dentures?
• Do you recommend the brushed on fluoride treatment for seniors?
• My mother just broke her dentures. Do regular family dentists make dentures or what kind of a dental specialist should make new ones for her?
• Permanent dental bridges for loss of individual teeth. Dentist did not explain and teeth patients that bridges only last certain amount of time then need to be replaced because some dental bridges actually fall apart. This is similar to knee replacement and hip replacement surgery and surgeons do not always explain that the replaced knee and or hip will only last a certain number of years. Sometimes healthy teeth decay, cannot breath and are lost because teeth trying to live under the artificial dental bridge. Please talk about dental bridges, partial bridges and dental inserts.
• What equipment is mobile? What dental work is possible in a mobile unit, & what isn’t?
• Are you willing to come to a senior property or senior center to do an inservice or clinic to educate and service the seniors?
• How does Truthbrush perceive/transmit what tooth is being brushed?
• Is it true that cavities have increased because people are drinking bottled water instead of tap water and bottled water isn’t fluoridated?
• Type of toothpaste for seniors - sodium vs. stannous fluoride - does it make a difference for cavities for this population.
• How can we order the Truthbrush?  I live on the west coast.
• Can Truthbrush tell if you are brushing too hard?
• For those who are uncomfortable with flouride, what about alternative options like nanohydroxyapetite?

Chat Transcript

12:08:35     From  Steve Gurney - ProAging Community : https://www.truthbrush.com/

12:08:45     From  Steve Gurney - ProAging Community : https://districtmobiledental.com/

12:17:33     From  Deborah Smith   to   Hosts and panelists : What is the name of the app?

12:19:08     From  Steve Gurney - ProAging Community : Truthbrush https://www.truthbrush.com/#/

12:19:23     From  Alec Rogers / Truthbrush : The app is also called Truthbrush

12:20:09     From  Alec Rogers / Truthbrush : - Apple app store  https://apps.apple.com/us/app/truthbrush/id1521192393 

 - Google play store https://play.google.com/store/apps/details?id=com.candibell.brush&hl=en_US&gl=US

12:22:03     From  Deborah Smith   to   Hosts and panelists : Can you talk about dry mouth?

12:27:30     From  Steve Gurney - ProAging Community : Biotène® is the #1 dentist, pharmacist, and hygienist recommended

brand for Dry Mouth management. https://www.biotene.com/

12:27:32     From  Elizabeth Nolte : I think it’s Biotene

12:27:34     From  Galaxy Tab S2 : it's Biotene...I use it, it's great

12:28:15     From  Judy Wagner : I think it's Biotene.  Sold on Amazon., like a mouthwash or cough drops.

12:28:45     From  Deborah Smith   to   Hosts and panelists : My teeth bones are show in my sinus cavity as the Dr tidy found out.m, I was told this is very rare.

12:30:59     From  Steve Gurney - ProAging Community : Makes Eating and Brushing Your Teeth Easier

Helpful for arthritis, Parkinson's and limited dexterity

Use w/utensils, toothbrushes, razors, etc.

Dishwasher safe https://www.maxiaids.com/gripeez-ergonomic-built-up-grip

12:34:45     From  Alec Rogers / Truthbrush   to   Steve Gurney - ProAging Community(Direct Message) : Steve - if possible, I'd like 2 min to talk about pilot activities to help Assisted Living facilities

12:34:50     From  Alec Rogers / Truthbrush   to   Steve Gurney - ProAging Community(Direct Message) : that can be at the end

12:35:08     From  Steve Gurney - ProAging Community   to   Alec Rogers / Truthbrush(Direct Message) : got it!!

12:35:29     From  Elizabeth Nolte : I always thought a hard toothbrush worked better at cleaning than soft. It wasn’t until I was 50 that I learned from my dentist that soft was better

12:36:09     From  Dixcy Bosley : How can we protect our elder patients from dental over -treatment ?  I have clients who have paid. $75- 100 K for dental care ( Not covered by Medicare!)   When is “less more”  especially for clients in their mid 90s . I fully recognize the need for optimal dental hygiene in preventing chronic illness but how do we determine when affordability outweighs the benefits for seniors on fixed incomes.  Lets all lobby  Congress to get basic annual dental care covered.

12:36:45     From  William Patrick Syring   to   Hosts and panelists : Is chlorhexidine gluconate mouthwash OK for daily use?

12:36:55     From  Judith Granizal   to   Hosts and panelists : how about people with implants and dentures? Do they take the dentures out at night as well?

12:40:03     From  Steve Gurney - ProAging Community : Alec Rogers with Truthbrush

803 429-5957

alec@candibell.com

12:42:23     From  ROBERT G   to   Hosts and panelists : What can be done about racession?

12:49:01     From  ROBERT G   to   Hosts and panelists : instructions for Listerine Purple is to rinse for 1 minute and no eating or drinking or rinsing for 30 minutes.  Is this entirely safe for the mouth rinse to linger in the mouth for thirty minutes?

12:50:56     From  Deborah Smith   to   Hosts and panelists : Clinpro 5999 recommended?

12:51:31     From  District Mobile Dental   to   Hosts and panelists : 2404858688

12:51:41     From  District Mobile Dental   to   Hosts and panelists : districtmobiledental@gmail.com

12:53:35     From  Kelly Lambert : Any data from Truthbrush regarding efficacy of tracking when a caregiver brushes the teeth of a client who can not brush themselves?

12:54:22     From  Martha Cooper   to   Hosts and panelists : My mother used to take excellent care of her teeth. Now she often forgets to care for her teeth. She does not like help for self care. Can chewing gum help with tooth care?  Once a day brushing is better than none?

12:54:27     From  Alec Rogers / Truthbrush : Hi Kelly - Truthbrush can accurately monitor brushing behavior delivered by the person or by a care giver.

12:54:39     From  Kelly Lambert : Great...thanks!

12:57:02     From  Steve Gurney - ProAging Community : ORDER TRUTHBRUSH https://www.truthbrush.com/#/

12:57:29     From  Betty Alvares   to   Hosts and panelists : Great talk. I must go.

13:01:17     From  Dixcy Bosley : I have used District  Dental for homebound clients w dementia and appreciate your services.

13:04:53     From  Deborah Smith   to   Hosts and panelists : Thank you ❤️❤️

13:05:18     From  Gloria Levin : Fascinating

13:05:48     From  R Hart : This was a beneficial discussion. Thanks to the panel and to you Steve

13:06:12     From  Elizabeth Nolte   to   Hosts and panelists : Thank you. Very useful