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Don't apply the same rules you use for yourself to someone who's 89 and suffering from dementia, that's my advice. Of course you're going to treat your own general health differently at 50 or 60 than you would at 90 with dementia wreaking havoc on it.
My goal is to keep my mother as anxiety free as possible.....and dentists wielding needles, drills and other sharp and hurtful objects is not the way to accomplish that goal. Palliative care means she gets the least invasive and bothersome medical treatments possible at this stage of her already very long life.
Best of luck.
I know a woman who let a tooth rot out of her head and the ensuing bacterial infection went into her kidneys and she went into kidney failure. She lived about 5 more years, but that was the base cause of her death.
Seems crazy, right? But I worked as a dental assistant and I saw things that scared me into making sure my family knew the importance of good dental health.
Talk to the anesthesiologist first. My DIL is an anes. dr and does primarily dental cases. She will not do cases that she deems too dangerous--but then, rotting teeth are in and of themselves a huge health concern.
She can do 'light' anesthesia or 'complete'--depends on the case.
The lack of pain in itself is not significant. Daddy would have a huge abcess that signaled a dying tooth and he couldn't feel a thing.
The KIND of bacteria that come from the mouth are very dangerous and not to be downplayed.
I hope this might help you. I would consult dentist and follow the dentist's advice for the individual concerned.
It takes a long time for it to clear the system and there may be a decline after the procedure.
Now for the actual surgery. (pulling teeth would be considered surgery)
If the oral hygiene is poor now how will it be done after the procedure? There will be open wounds in the mouth that will be painful. will be swollen, possibly sutures, there is the slight possibility of a dry socket that will cause more pain. And if oral care is poor a higher rate of infection is a possibility.
If the wisdom tooth is not giving her any pain I would not have it pulled. If there is mild pain that might be resolved with topical products that are used for teething or for people with sore gums. Tylenol can also be used if it is not contraindicated with any other medications.
I had all these same questions when I cared for my Husband, his oral hygiene was pretty good, he did well himself and allowed me to brush his teeth when he no longer could. I elected not to have dental work done on him for the very reasons I gave above.
He had no pain when eating and eventually transitioned to a soft then pureed diet anyway.
There will always be the questions in the back of your mind ..Am I making the right decision.... Make the best decision you can based on the information you have. that is all anyone can ask of another person.
"studies have shown...Poor dental health increases the risk of a bacterial infection in the blood stream, which can affect the heart valves. Oral health may be particularly important if you have artificial heart valves."
Source: https://www.mayoclinic.org/healthy-lifestyle/adult-health/expert-answers/heart-disease-prevention/faq-20057986
I have a cousin with a phobia of going to the dentist. In his 50's he was pulling out his own teeth with his fingers as they rotted and became loose. He is a smoker, but today has had no negative impact from how he handled his oral health and now has dentures.
Then you must consider if your LO is on Medicaid. There aren't many dentists where I live who accept Medicaid or are even willing to work on a patient with dementia. They would most likely use only local anesthesia or your LO can be given a mild sedative prior (if she isn't already on many other meds). Also she will probably need to be off any blood thinners for about 2 weeks and take antibiotics for a while afterwards. Would she be cooperative with post-op care from whomever is responsible for her? Dry sockets from pulled wisdom and other teeth? etc...