< span style = "color: # 000000;" > In a decade, Brazil’s life expectancy has increased by three years, from 70 years (in 1999) to 73.1 years (in 2009). According to IBGE, the situation is more favourable to women.

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< span style = "color: # 000000;" > in the same period, the expectation of life advance of 73.9 for 77 years. For them, rose from 66.3 to 69.4 years. Today, Brazil accounts for 9.7 million people over 60 years. In 2025, will be the sixth country in the world in the number of elderly. The ageing of the population are creating new job opportunities in various areas, among them

dentistry.

< span style = "color: # 000000;" > eyeing this new reality, the teacher Denise Tiberius gave two lectures for dental health technicians (30 day, 12:0) and dental surgeons (day 1, 2:0 pm) at the International Congress of Dentistry of the centenary, promoted by APCD – Paulista Association of dental surgeons. Denise Tiberius is vice-principal of EAP-APCD’s Training School and works as a surgeon-dentist in view of the elderly at home. Currently, completes his PhD on “control of Plaque in the elderly”, in the Unifesp.

< span style = "color: # 000000;" > Technical in oral health

< span style = "color: # 000000;" > Since 2001, the Federal Council of Dentistry recognizes the geriatric dentistry as a specialty. However, they still lack the technical personnel receive theoretical and practical preparation to meet this type of patient. Under the supervision of a dentist, a dental health technician can provide elderly care in several ways: teach hygiene of the mouth, teeth and prosthesis, detect the lesion in the mucosa by mal-ajustada prosthesis, withdraw saburra language etc.

< span style = "color: # 000000;" > hygiene inhibits the multiplication of microorganisms in the mouth that if aspirated, can cause respiratory disease, with emphasis on pneumonia. In the third age, the measure becomes more crucial because of the fragility of the immune system.

< span style = "color: # 000000;" > around the world, researchers have conducted scientific work to prove how the lack of oral hygiene can affect systemic health. “The diseases in the gums can cause heart disease, kidney, lung and even arthritis”, reveals Denise Tiberius.

< span style = "color: # 000000;" > the study “the importance of acting in Dental Patients in intensive care unit”, published by Revista Brasileira de Intensive Therapy, showed that the oral hygiene is deficient in patients in ICU, allowing the colonization of bacteria, especially those responsible for respiratory diseases

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< span style = "color: # 000000;" > A u.s. study, published in the Journal of Intensive Care Medicine, reported that the oral hygiene of patients in ICU of Barnes-Jewish Hospital in St. Louis, in the United States, reduced in 46% of cases of pneumonia associated with intubation. The team held the job for two years in 1,648 interned in ICU.

< span style = "color: # 000000;" > working with elderly

< span style = "color: # 000000;" > in module on treatment for the elderly, Professor Denise Tiberius teaches future techniques in oral health that the elderly should not be treated as a child. “He deserves a differentiated approach,” he explains. The professional need to talk without the mask staring directly into the elderly that if you have hearing problems, can understand what is said to follow the movement of the lips.

< span style = "color: # 000000;" > technician must also teach the elderly to brush your teeth. “In the course of the APCD, this measure resulted in the reduction of almost 40% of the plaque of patients,” says Denise Tiberius. The Control Board is strategic because today people are reaching 60 years with teeth, thanks to actions over the years as the fluoridation of water, the use of toothpastes with fluoride and the emergence of techniques for the dental treatment

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< span style = "color: # 000000;" > teacher Denise Tiberius believes that care for the elderly can open several opportunities for technicians in oral health as working on ILPs – long-Stay Institutions (old rest homes), private clinics and hospitals. It can also track the surgeon-dentist in home attendances.

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