Clinical Practice

Older Australians can’t afford good dental health: Survey

A new survey has revealed that Australians over 65 are skipping dental treatments, resulting in the demographic having worse oral health than the rest of the nation.

The finding comes from the Australian Dental Association's (ADA) annual study, in which 25,000 people were quizzed on their dental habits.

Most notably, the survey found that 55 per cent of all respondents over 65 delayed seeking dental treatment in the last 12 months – with affordability being the number-one reason for putting off a visit to the dentist.

ADA president Dr Chris Sanzaro said rising cost-of-living pressures have resulted in too many older people suffering with debilitating oral issues.

ā€œThese findings provide a clear picture of what’s happening to the mouths of thousands of Australians over 65,ā€ Dr Sanzaro said.

ā€œThey can’t get to the dentist regularly because they can’t afford it and so their mouths become a battleground of pain and infection management.ā€

Related: Bacteria in your mouth may hold clues to your brain health and dementia risk | The oral health issues facing older women

Nearly half of over 65s reported issues like tooth or gum pain, mouth or face swelling, or a mouth infection, which, when ignored, can result in significant health implications.

ā€œSome end up in the emergency departments – the ADA has found that 16,000 seniors were admitted to hospital for treatment of painfulĀ dentalĀ issues in 2022-23,ā€ Dr Sanzaro said.

ā€œThat figure is expected to rise to 22,630 by 2027-28, representing a 42 per cent increase from an already unacceptable level. It’s a health trend that worsens by the year.ā€

Improved access

Oral health has proven links to both the social and cognitive health of older people,

Peak aged care body COTA Australia is calling for the establishment of a Seniors Dental Benefit Scheme, which ADA's survey says 76 per cent of Australians support.

ā€œGood oral health is important for people of every age, and we know people across the board are struggling with the cost, but as we get older the stakes get higher. Evidence shows that poor dental health increases the risk of diabetes, heart disease and chronic malnutrition in older people, as well as embarrassment and social isolation,ā€ COTA chief Patricia Sparrow said.

ā€œEvery Australian, no matter what their age, should be looking at these statistics and asking their politicians why we don’t have a plan to introduce a Seniors Dental Benefit Scheme yet.

ā€œIntroducing a Seniors Dental Benefit Scheme is important for us all. Making sure older Australians get access to the quality, affordable dental care they need will keep us healthier for longer – decreasing the burden on our public health care system and freeing it up for those who need it most.ā€

Australian Greens Leader Adam Bandt MP is calling for dental to be added to Medicare.
Picture: NCA NewsWire/Martin Ollman

'Dental into Medicare'

Dental reform has become central to the electoral campaign of the Australian Greens, with party leader Adam Bandt calling the Labor's recent federal budget a ā€œmissed opportunityā€ to deliver real cost-of-living relief with Medicare-funded dental.

ā€œWe should tax big corporations and billionaires to fund what we all need, like getting dental and mental health into Medicare, seeing the GP for free, capping rent increases and lowering mortgages, and taking strong climate action,ā€ Mr Bandt said.

ā€œThere will be a minority government and the Greens are within reach of winning seats right across the country. Last time there was a minority government, the Greens got dental into Medicare for kids. This is our chance to deliver it for everyone.ā€

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