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Related Experiment Videos

Restoring the ageing dentition: repair or replacement?

R L Ettinger1

  • 1Department of Prosthodontics College of Dentistry, University of Iowa, Iowa City 52242.

International Dental Journal
|October 1, 1990
PubMed
Summary

Dental treatment decisions for older adults require comprehensive patient knowledge. Current clinical judgment for restorative care may be outdated, necessitating new research for evidence-based guidelines.

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Area of Science:

  • Geriatric Dentistry
  • Restorative Dentistry
  • Dental Materials

Background:

  • Dental care decisions for older adults must consider the whole patient.
  • Existing literature lacks reliable data for specific restorative treatment choices.
  • Clinical judgment, based on experience, is currently primary for decision-making.

Purpose of the Study:

  • To examine decision-making criteria for amalgam restoration patching and crowning in elderly patients.
  • To evaluate criteria for patching or replacing crowns on restored teeth in older adults.
  • To highlight the need for evidence-based guidelines in geriatric restorative dentistry.

Main Methods:

  • Literature review on decision-making for amalgam restorations and crowns in the elderly.
  • Analysis of current practices based on clinical judgment and experience.
  • Identification of gaps in existing research.

Main Results:

  • No reliable, generally applicable data exists to guide decisions on patching amalgam restorations or crowning teeth.
  • Criteria for patching versus replacing crowns are not well-defined in the literature.
  • Current clinical judgments may be inappropriate due to changing patient factors.

Conclusions:

  • Decisions regarding restorative treatments for older adults rely heavily on clinical experience.
  • Longitudinal clinical research is essential to develop evidence-based guidelines for geriatric dental care.
  • Updated guidelines are needed to address contemporary factors like caries rates and patient attitudes.

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