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Immediate or transitional complete dentures: gerodontic considerations.

Alexandre Mersel1

  • 1mersal@netvision.net.il

International Dental Journal
|September 6, 2002
PubMed
Summary

Elderly individuals, particularly the frail old-old, face dental challenges due to physiological changes and poor periodontal health. Special strategies and transitional procedures are vital for successful prosthetic treatments in this aging population.

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Area of Science:

  • Geriatric Dentistry
  • Prosthodontics
  • Public Health

Background:

  • Global population aging is increasing, with Western countries having approximately 20% elderly.
  • Within this demographic, the frail old-old (around 50%) experience significant physiological changes.
  • These changes complicate traditional dental and prosthetic treatments.

Observation:

  • Epidemiological data indicates many elderly retain only 12-14 teeth with severe periodontal disease requiring extraction.
  • This necessitates tailored strategies for specific medical and prosthetic needs.
  • Transitional procedures are essential for managing the shift from partial to complete dentures, even with implant-supported options.

Findings:

  • The study highlights the need for specialized approaches to address the unique dental and prosthetic challenges in the aging, frail population.

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  • Effective transitional protocols are crucial for patient well-being during denture replacement.
  • Careful clinical decision-making is paramount to minimize stress in medically compromised elderly patients.

    • Implications:

    • Development of evidence-based protocols for geriatric dental care is essential.
    • Improved prosthetic solutions can enhance the quality of life for the elderly.
    • Further research into minimally invasive techniques and patient-centered care is warranted for this growing demographic.