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Medical Forum / General / Dentistry / November 2005

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Am I the rule or the exception?

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James E. - 21 Nov 2005 21:43 GMT
I am a 76 year old male and have lost about 60% of my natural teeth. Nothing
dramatic, just one tooth at a time.

Is this percentage normal for my age or, based on your own experience, what
is the normal rate of tooth loss with age.

Are the any web sites that might illuminate this question?

Signature

James

Amatus Cremona - 21 Nov 2005 22:15 GMT
> Is this percentage normal for my age or, based on your own experience,
> what is the normal rate of tooth loss with age.

For some socio-economic groups within certain geographical regions, it can
be very common, for others, not.  That was very prevalent at your age many
years ago.  Today it is becoming less and less common.  The average denture
lab used to survive well on a ration of 5 dental offices per technician.
Now they need about 20 dental offices per technician.

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/

Amatus

/

>I am a 76 year old male and have lost about 60% of my natural teeth.
>Nothing dramatic, just one tooth at a time.
[quoted text clipped - 3 lines]
>
> Are the any web sites that might illuminate this question?
Mark & Steven Bornfeld - 21 Nov 2005 22:41 GMT
>>Is this percentage normal for my age or, based on your own experience,
>>what is the normal rate of tooth loss with age.
[quoted text clipped - 4 lines]
> lab used to survive well on a ration of 5 dental offices per technician.
> Now they need about 20 dental offices per technician.

    I hadn't heard that.  I can imagine a variety of factors that could
change that ratio.  I find as I get older that my practice tends to age
as well.  I have more older patients, and while I've never done a great
many dentures, I do more complex restorative cases, so my lab does OK.
    Of course, I could get a Cerec and change that.

Steve

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Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Mark & Steven Bornfeld - 21 Nov 2005 22:38 GMT
> I am a 76 year old male and have lost about 60% of my natural teeth. Nothing
> dramatic, just one tooth at a time.
[quoted text clipped - 3 lines]
>
> Are the any web sites that might illuminate this question?

    Good question, and I don't have a ready answer.  Surely they exist, as
I remember hearing figures for number of edentulous people of various
ages.  Certainly this varies by location, socioeconomic status, general
health status.
    Another thing to consider is that certain teeth are much more important
as a predictor of whether a patient eventually goes on to a full denture
or not.  Another consideration is the cause of tooth loss.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Joel M. Eichen - 22 Nov 2005 03:44 GMT
>I am a 76 year old male and have lost about 60% of my natural teeth. Nothing
>dramatic, just one tooth at a time.
[quoted text clipped - 3 lines]
>
>Are the any web sites that might illuminate this question?

Actually you have more than many your age. If you are over 65 in
pennsylvania 2/3 have zero teeth!
Ann - 22 Nov 2005 07:07 GMT
>>I am a 76 year old male and have lost about 60% of my natural teeth. Nothing
>>dramatic, just one tooth at a time.
[quoted text clipped - 6 lines]
>Actually you have more than many your age. If you are over 65 in
>pennsylvania 2/3 have zero teeth!

How come the joke is that the Brits have rotten teeth?  We always
believe that the Americans are obsessed with having straight white
teeth and yet it seems not.  Or is it just the older generation who
has lost most teeth?  Are the youngsters going to be different?

Ann
Mark & Steven Bornfeld - 22 Nov 2005 14:46 GMT
>>I am a 76 year old male and have lost about 60% of my natural teeth. Nothing
>>dramatic, just one tooth at a time.
[quoted text clipped - 6 lines]
> Actually you have more than many your age. If you are over 65 in
> pennsylvania 2/3 have zero teeth!

Seriously?

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

JimSocal - 23 Nov 2005 06:55 GMT
>> Actually you have more than many your age. If you are over 65 in
>> pennsylvania 2/3 have zero teeth!
>
>Seriously?
>
>Steve
I would not be surprised if this is true. Looking at my mom, her
sisters and brothers, and my dad and his sisters and brothers, 90% of
them had complete sets of false teeth before they were 50. Some before
they were 40. So I guess it shouldn't surprise me that my parents let
some quack dentist pull 9 or so of my teeth at the age of 16, and
never did anything about the missing teeth. And why I never did
anything about it either; to me, it was just normal not to have all
your teeth, and I always figured I would just get false teeth when I
was older. It seemed "normal".

I still wonder how much of this is genetically soft or bad teeth and
how much was just not caring for them. I suspect a bit of both, but
don't really know.
Amatus Cremona - 23 Nov 2005 12:34 GMT
> I still wonder how much of this is genetically soft or bad teeth and
> how much was just not caring for them. I suspect a bit of both, but
> don't really know.

With the exception of a couple of VERY rare genetic disorders, all teeth
have the same hardness, period.  There are differences in how well the
grooves fuse in the center of molars, and differences in saliva, the ability
to buffer acids, clear sugars, and immune systems.  Add in habits and oral
hygiene for a complete picture.  It cannot be blamed on "soft" teeth as they
do not exist (except for enamogenisis impefecta and dentinogenis imperfecta)
[sp?]

Signature

/

Amatus

/

>
>>> Actually you have more than many your age. If you are over 65 in
[quoted text clipped - 16 lines]
> how much was just not caring for them. I suspect a bit of both, but
> don't really know.
JimSocal - 23 Nov 2005 19:55 GMT
>> I still wonder how much of this is genetically soft or bad teeth and
>> how much was just not caring for them. I suspect a bit of both, but
[quoted text clipped - 7 lines]
>do not exist (except for enamogenisis impefecta and dentinogenis imperfecta)
>[sp?]
Thanks. I got the disinformation re "soft teeth" from a dentist.
Anyway, the point remains: I wonder how much of it is genetic and how
much purely neglect.

I know, myaelf, my neglect was not near as bad as other people I know.
In fact, from my 20's forward I brushed at least twice a day, then in
my 30's I began brushing 3 times a day. I know plenty of people who
don't even brush twice a day yet have no problems, so that is why I
suspect a genetic factor as well as neglect.
Amatus Cremona - 23 Nov 2005 20:18 GMT
> I know, myself, my neglect was not near as bad as other people I know.
> In fact, from my 20's forward I brushed at least twice a day, then in
> my 30's I began brushing 3 times a day. I know plenty of people who
> don't even brush twice a day yet have no problems, so that is why I
> suspect a genetic factor as well as neglect.

Absolutely related to genetics.  Saliva flow, thickness, ability to buffer
acids, clear sugars, tooth morphology are all genetically determined.
Hygiene practices and diet then modulate the above factors.

Signature

/

Amatus

/

>
>>> I still wonder how much of this is genetically soft or bad teeth and
[quoted text clipped - 20 lines]
> don't even brush twice a day yet have no problems, so that is why I
> suspect a genetic factor as well as neglect.
W_B - 23 Nov 2005 23:13 GMT
>> I know, myself, my neglect was not near as bad as other people I know.
>> In fact, from my 20's forward I brushed at least twice a day, then in
[quoted text clipped - 5 lines]
>acids, clear sugars, tooth morphology are all genetically determined.
>Hygiene practices and diet then modulate the above factors.

What was that scientific term ... ?

Oh yeah, ....pisspoorprotoplasm.

--
W_B

wubbabubbazG@RBAGEyahoo.com
Take out the G'RBAGE
Dee Randall - 24 Nov 2005 21:23 GMT
What about people who have osteoporosis -- their teeth are just as hard, but
porous?
Dee

>> I still wonder how much of this is genetically soft or bad teeth and
>> how much was just not caring for them. I suspect a bit of both, but
[quoted text clipped - 27 lines]
>> how much was just not caring for them. I suspect a bit of both, but
>> don't really know.
W_B - 24 Nov 2005 21:59 GMT
>What about people who have osteoporosis -- their teeth are just as hard, but
>porous?
>Dee

Funny,
        not.

Teeth are not bones.

Take a course in histology.
Stick cotton in your ears,
and sew your eyes shut.

--
W_B

wubbabubbazG@RBAGEyahoo.com
Take out the G'RBAGE
Dee Randall - 24 Nov 2005 21:22 GMT
>>> Actually you have more than many your age. If you are over 65 in
>>> pennsylvania 2/3 have zero teeth!

>>Seriously?
>>
[quoted text clipped - 12 lines]
> how much was just not caring for them. I suspect a bit of both, but
> don't really know.

I'm a 70 year old female. I have 21 of my teeth.  The first time I went to
the dentist was in 1954 in the Air Force and they pulled teeth.  After 1960,
until now, any tooth extraction has been one at a time.  In the last 20
years my tooth loss has been due to attached partials.  In 1975 I  had gold
inlays which may have saved some of the loss of teeth.  At present I had a
tooth extraction November 15 and waiting for it to heal.  The tooth beside
it also may have to be pulled before a partial will be made.  I will find
this out December 9.  In the meantime, chewing is difficult.  I was
'offered' as an alternative to a partial 4 implants - $12,000.

In the meantime I have a reaction to antibiotics and my body looks worse
than a case of measles. Itching all over.
Not a very good Thanksgiving, but it could be worse.
Dee
W_B - 24 Nov 2005 22:18 GMT
>Not a very good Thanksgiving, but it could be worse.
>Dee

Yeah, you could be dead.

Oh, wait !
That might be good for the rest of us.

GFYS

--
W_B

wubbabubbazG@RBAGEyahoo.com
Take out the G'RBAGE
Amatus Cremona - 25 Nov 2005 01:02 GMT
>In the meantime I have a reaction to antibiotics and my body looks worse
>than a case of measles. Itching all over.
>Not a very good Thanksgiving, but it could be worse.
>Dee

I hope you stopped taking the antibiotics.

Amatus

>>>> Actually you have more than many your age. If you are over 65 in
>>>> pennsylvania 2/3 have zero teeth!
[quoted text clipped - 30 lines]
>Not a very good Thanksgiving, but it could be worse.
>Dee

..

Amatus

.
W_B - 25 Nov 2005 03:41 GMT
>>In the meantime I have a reaction to antibiotics and my body looks worse
>>than a case of measles. Itching all over.
>>Not a very good Thanksgiving, but it could be worse.
>>Dee
>
>I hope you stopped taking the antibiotics.

I hope she keeps taking them.

--
W_B

wubbabubbazG@RBAGEyahoo.com
Take out the G'RBAGE
Dee Randall - 25 Nov 2005 05:28 GMT
>>In the meantime I have a reaction to antibiotics and my body looks worse
>>than a case of measles. Itching all over.
[quoted text clipped - 4 lines]
>
> Amatus

I was taking them every 6 hours.  My last pill was at 11:00 a.m. one day,
and during that night I started itching.  The next morning I was covered
with red measle-like hives in patches, some areas are totally red around my
stomach area similar to this

http://www.pediatrics.wisc.edu/education/derm/tutc/79.html

I went to the emergency room.  The doctor said there was no treatment, but
to take benedryl for itching.  But I'm still itching.  She said it would
cover my whole body, get worse before it got better -- so far she's correct.
Thanks for answering.
Dee

>>>>> Actually you have more than many your age. If you are over 65 in
>>>>> pennsylvania 2/3 have zero teeth!
[quoted text clipped - 38 lines]
>
> .
Amatus Cremona - 25 Nov 2005 21:39 GMT
>I went to the emergency room.  The doctor said there was no treatment, but
>to take benedryl for itching.  But I'm still itching.  She said it would
>cover my whole body, get worse before it got better -- so far she's correct.

I had the same thing this past Fall. My physician put me on steroids.
The side effects from the steroids was worse than the hives.

Amatus

>>>In the meantime I have a reaction to antibiotics and my body looks worse
>>>than a case of measles. Itching all over.
[quoted text clipped - 60 lines]
>>
>> .

..

Amatus

.
 
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