Gerodontology

Minimal intervention dentistry and older patients part 2: minimally invasive operative interventions

Minimal (or minimum) intervention dentistry is the complete holistic team-care approach to patient-centred prevention of disease and management of oral health in the long term. It is centred on...

Minimal intervention dentistry and older patients part 1: risk assessment and caries prevention

In many countries the proportion of people aged 65 years and older is growing faster than any other age group as a result of both longer life expectancy and declining fertility rates. In the UK, there...

Dental management of the elderly patient

The population of the UK was approximately 52 million in 1992, of which 16% were over 65 years of age. By 2001, the population of the UK had risen to just under 59 million.1 It is predicted by some...

Endodontics and the older patient

Endodontic treatment in the elderly patient presents the practitioner with two main challenges; treatment of the older patient in general and any additional technical challenges arising from age...

Prosthodontic care for elderly patients

As rates of edentulousness decline, clinicians are faced with treating increasing numbers of older partially dentate patients.5 If prosthodontic replacement of teeth is required, the majority receive...

Caries and the older patient

Dental caries is the localized destruction of susceptible dental hard tissues by acidic by-products from bacterial fermentation of dietary carbohydrates. It is a common problem worldwide and it can...

Bleaching and bonding for the older patient

The efficacy of nightguard vital bleaching has been established in multiple randomized, double blind, controlled clinical trials.3–4 Nightguard vital bleaching was first popularized by Haywood and...

Domiciliary oral healthcare

Domiciliary oral healthcare (DOHC) has been described as a service that reaches out to care for those who cannot reach a service themselves.1 It encompasses oral healthcare and dental treatment...

Toothwear and the older patient

There are four types of toothwear:.

Periodontal disease in the older patient

Data reported in the 1998 Adult Dental Health Survey1 show increasing levels of attachment loss with age (Figure 2). In the 65+ age group, 85% of subjects exhibited attachment loss (ALOSS) of ≥4 mm,...

Oral medicine and the elderly

An increased prevalence of oral mucosal conditions has been reported in the elderly when compared with a younger population.3,4 These conditions include xerostomia (Figure 1) oral lichen planus (OLP)...