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Minimal intervention dentistry and older patients part 1: risk assessment and caries prevention Martina Hayes Edith Allen Cristiane da Mata Gerald McKenna Francis Burke Dental Update 2024 41:5, 707-709.
Authors
MartinaHayes
BDS, MFDS
Clinical Research Fellow, Restorative Dentistry, University College Cork
Ten million people in the UK today are aged over 65. The latest projections estimate that there will be 5½ million more people aged 65 and older in the next 20 years. This projected pattern of population ageing will have profound consequences for dentistry. Minimal intervention dentistry (MID) is a modern evidence-based approach to caries management in dentate patients that uses the ‘medical model’ whereby disease is controlled by the ‘oral physician’. This approach offers considerable benefits over conventional dentistry for older patients. It encourages patients to be responsible for their oral health through the provision of both knowledge and motivation. MID encompasses risk assessment for dental disease, early detection and control of disease processes, and minimally invasive treatment.
Clinical Relevance: Risk assessment tools can aid the general dental practitioner and the patient to develop a suitable caries prevention programme for that individual and reduce the need for future operative intervention.
Article
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 are currently three million people aged more than 80 years. This is projected to almost double by 2030 and to reach eight million by 2050. One-in-six of the UK population is currently aged 65 and over, and current trends in ageing suggest that this ratio will increase to one-in-four by 2050.1 While population ageing can be seen as a success story for public health policies and for socio-economic development, it also challenges society to adapt in order to maximize the quality of life for this expanding population. The World Health Organization's document on Global Health and Ageing2 highlights some of the effects of increasing life expectancy, in particular the rise of chronic and degenerative diseases such as heart disease, stroke and diabetes. There has also been an increase in the number of people with one of the most daunting consequences of ever-longer life expectancies, dementia. There is mounting evidence from cross-national data and from studies such as the English Longitudinal Study of Ageing (ELSA)3 that, with appropriate policies and programmes, people can remain healthy and independent well into old age and can continue to contribute to their communities and families. Our challenge in the area of dentistry is to direct resources appropriately to provide effective caries preventive measures to this ever expanding group and those who will join it in the years to come.
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