Geriatric In-Home Dental Care For Geriatric Patients Living in Manhattan
The core services of Geriatric Housecall Dentistry include: emergency visits, second opinions, dental exams, cleanings, small fillings, extractions, denture and partial fabrication & repairs.
Expect at the first visit a thorough examination of the face, tongue, under the tongue, palate, gum tissues, lips and teeth. Old xrays will be checked and new xrays will be taken if necessary and appropriate. Old xrays should still be requested from previous dentists should the patient be unable to cooperate due to physical or mental constraints. A full diagnosis report will be written to those who have requested a copy along with a detailed outline of future necessary treatments including costs.
Many times you may think that the treatment plan given by the family dentist may be too difficult due to the patient’s changing mental or physical capacity, or perhaps you just need to hear the treatment plan is definitely appropriate given the needs of the patient. When I give you a second opinion I will tell you that this is how I would treat my family member. Sometimes less is more when it comes to the old and frail. If I am sure the patient is pain, I always take appropriate action.
If you contact me that a crown (cap) or bridge needs to be recemented (glued back in), I will usually request a photo of the inside of the crown or bridge as well as the teeth that they fell off of. I can tell by looking at the photo what the next step will be. I always hope for a simple fix. Do not attempt to temporarily cement using over the counter remedies. You do not want it to fall off while they are laying down for fear of aspiration or swallowing It. I REPEAT NEVER recement it yourself!
This is something that most people question me about most on the phone and are astonished that I can easily do this in the home. I won’t give away my secrets here, but trust me that this was my given gift. It is not a skill that all dentists are capable of doing and believe me most dentists fabricate 5 dentures a year at most. I fabricate 100s! I have my own laboratory and they are fantastic!
From the Advantage Arrest™ website, I have quoted this paragraph.
“Silver Diamine Fluoride has been used extensively around the globe for decades. Advantage Arrest silver diamine fluoride 38% will change how you offer your patients the protection they deserve. Advantage Arrest:
- Provides immediate relief from dentinal hypersensitivity
- Kills pathogenic organisms
- Hardens softened dentin making it more acid and abrasion-resistant
- Does not stain sound dentin or enamel
- Can provide important clinical feedback due to its potential to stain visible or hidden lesions.
See “Cavity Treatments”; I can treat broken teeth.
Call me at 917 826 6278. I will advise you where to go or what to do.
This is something we can do either after I become your dentist of choice or if we are dealing with a difficult situation where it is appropriate. I look forward to meeting and treating your loved one.
Dr. Alisa Kauffman teaches caregivers how to perform oral care on those who refuse or are unable to care for their own teeth. Alisa always tells her patients, “we only brush the teeth that we want to keep!”