Advanced restorative dentistry - a problem for the elderly? An ethical dilemma

Area of Science:

• Geriatric Dentistry
• Oral Health in Aging Populations
• Dental Restorative Materials

Background:

• Aging populations retain more natural teeth, increasing the need for lifelong dental care.
• Prevalence of root caries and dry mouth rises with age, risking natural and restored teeth.
• Limited dental access in residential aged care facilities (RACFs) and for homebound elderly exacerbates dental issues.

Purpose of the Study:

• To evaluate the impact of dental restorations on the quality of life in the elderly.
• To emphasize the need for appropriate dental care funding for aging populations.
• To explore the ethical considerations of complex dental treatments for older adults.

Main Methods:

• Review of current literature on geriatric dental care and restorative options.
• Analysis of the challenges in providing dental services to residents of RACFs.
• Discussion of the long-term implications of various restorative modalities in aging individuals.

Main Results:

• Inappropriate dental restorations can lead to prolonged pain, suffering, and life-threatening medical complications.
• Lack of early dental intervention may result in severe local diseases like osteonecrosis.
• Complex restorative treatments pose challenges for maintenance and financial burden in later life.

Conclusions:

• Conservative dental restorative approaches are preferable for the elderly, particularly those in RACFs.
• Complex treatments like implant-supported structures should be carefully considered and potentially avoided for individuals nearing care situations.
• The timing and selection of dental restorations for older adults present an ethical dilemma requiring careful consideration.