Selected issues on care and management of the ageing patient: 1. Utilization and decision making

The elderly are a vulnerable and expanding group of patients who are retaining their teeth longer. Even simple dental care in these people can become invasive and require the use of a local anaesthetic. Part 1 assesses the factors which may influence the ability of the patient to receive treatment and establishes treatment priorities. It also describes the particular problems that may arise when dealing with the elderly and indicates the adjustments of a practice which would help in the care of these patients. Part 2 will discuss prevention and treatment.