Current issues in gerodontology

Gerodontology involves much more than the treatment of dental disease in people aged over 65 years. Using the definition of Ettinger, a relatively distinct group of individuals are defined. However, a slightly broader definition is perhaps more appropriate, to include those who are in any way handicapped in the receipt of dental treatment due to their age. This group of patients may become victims of ageist behaviour by dentists. This may influence their treatment options, and become a barrier to older patients receiving the full range of treatment they may require. However, the elderly generally consider oral health to be of low priority, and many, including those with identifiable problems, do not have a perceived need for care. The main barrier to their seeking treatment is their own attitude to their problems, and only a few experience barriers that otherwise prevent their utilisation of dental treatment. The dental needs of the elderly can be anticipated to rise as more retain their teeth, many of which will be heavily restored. The cost of this treatment must be met by someone; if the patient cannot afford it, the State may be asked to provide the funds. On present form, the response to this suggestion is likely to be unfavourable, but a cheap alternative to specialist care is not desirable, as it will only be able to partially perform the task. There is a need for research in a variety of aspects of gerodontology.(ABSTRACT TRUNCATED AT 250 WORDS)