Normal cleaning may become more difficult if you have problems with your hands or arms, or if your eyesight is less than perfect. Again, you can get help and advice on the best aids to use. A magnifying mirror and a good light, and brushes with handles that are easy to hold are often helpful.

If you have lost some teeth in the past, and have fixed or removable bridges or dentures, you may have particular cleaning needs and difficulties which your dentist or hygienist can help you with.

Some people take regular medication which makes their mouths dry. Saliva helps to protect teeth against decay, so if you have less saliva than usual ask your dentist for advice. Or you can get special products, including artificial saliva, over the counter in most chemists.


Should I expect to have problems with my gums?
Gum problems are caused by a build up of bacteria called ‘plaque’, which forms constantly on your teeth and gums. It is important to remove this plaque to avoid gum inflammation. If the plaque is not removed, the gum inflammation will, in time, affect the bone under the gums. This bone supports the tooth roots, so your teeth may gradually become loose.


How do I know if I have gum disease?
As it is often painless, many people may not know that they have gum disease. Some common signs are: gums that bleed when brushed; teeth that are loose; receding gums and bad breath. Not everyone has all these signs. You may only have one.


Can I still get tooth decay?
Yes. The same dental plaque which causes gum inflammation can cause decay, particularly when combined with sugary foods and drinks. There is a particular risk of decay at the gum edge when the gum has receded as the ‘neck’ of the tooth is not protected by enamel.


How can I prevent gum disease and tooth decay?
Thoroughly remove plaque from your teeth ( and dentures) at least twice a day.
· Use fluoride toothpaste. There are many special toothpastes on the market, including tartar control and total care toothpastes.
· Look for the BDHF accredited products, which are clinically proven to meet any claims made on the packaging.
· Do not have foods and drinks containing sugar between meals. Sugar is most harmful to teeth if eaten or drunk often.
· Visits your dentist and hygienist regularly.

Older people are often prescribed medicines and tablets which can cause a dry mouth as a side effect. Decay can happen more quickly in a dry mouth. If this applies to you, you need to be especially careful. Many people find that sucking boiled sweets or sipping drinks throughout the day helps. However it is not a good idea to keep eating or drinking sugary substances. Ask your dentist for advice.


What do I need to clean my teeth properly?
You need a small-headed, medium –textured toothbrush and a fluoride toothpaste. To help clean between your teeth you could use an interspace brush, tape, woodsticks or floss. People with arthritis may find it difficult to grip a toothbrush handle, but you can get handle adapters. Electric toothbrushes are also ideal for people with limited movement. The handles are thicker and easier to hold and the oscillating head does most of the work. There are many products available, and your dentist or hygienist can help you decide which are best for you.


How do I know if I have removed all the plaque?
Plaque can be sustained with food dye painted on your teeth with a cotton bud, or with special ‘disclosing tablets’ from the chemist.

This stain is harmless and show any areas of your mouth, which need closer attention. Look particularly where the teeth and gums meet. A further brushing will remove the stained plaque.


If I do lose my teeth, how long do I have to wait until I can have my dentures?
With planning, dentures can be fitted the same day. These dentures will need to be seen and adjusted by the dentist within 6 to 12 months because the gums will alter in shape after your teeth are removed. If you have partial dentures, it is also important to remember to clean your natural teeth as well as your dentures.


How long do dentures last?
Dentures are likely to need replacing every five years, because the shape of the mouth continues to change throughout life. Often changes are slow and dentures wearers become skilful at keeping their dentures in place.

Many people are using ill-fitting and broken dentures, which should have been replaced years ago. Pain or discomfort from ill-fitting dentures can often be eliminated or reduced. It is sensible to keep up your regular dental check ups at the intervals agreed with your dentist. This will make sure that your mouth remains healthy. Many serious conditions can first be detected in the mouth.


Should I keep my old dentures?
Yes- they can give the dentist valuable information when making a new set of dentures.


Is getting used to dentures difficult?
Most people manage to adapt well. However, you may experience:
· sore spots. If so, go back to your dentist.
· speech problems. These should settle quickly. If not, go back to your dentist and explain the problem.
· eating problems. You can keep these under control by eating soft foods and cutting food into small pieces until you gain confidence. This may take time.