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A guide to treatment planning in complex older adults
1Academic Clinical Fellow and Specialist Registrar in Special Care Dentistry, Newcastle University, Framlington Place, Newcastle upon Tyne, NE2 4BW.
British Dental Journal
|September 1, 2018
Summary
Older adults keeping natural teeth face increased dental risks due to aging factors like frailty and dementia. Prioritizing prevention and informed consent is vital for safe, appropriate dental care in this growing population.
Area of Science:
- Geriatric Dentistry
- Oral Health in Aging Populations
Background:
- Increasing number of older adults retaining natural teeth.
- Aging-related conditions (frailty, multi-morbidity, dementia) elevate dental disease risk.
- Specific challenges exist in providing dental treatment for older patients.
Purpose of the Study:
- To highlight the importance of preventive dental care for older adults.
- To discuss the complexities and risks associated with dental treatment in aging patients.
- To emphasize the necessity of informed consent in geriatric dental care.
Main Methods:
- Review of existing literature on geriatric dentistry and aging.
- Analysis of guidelines related to dementia-friendly dentistry.
- Discussion of clinical considerations for treating older patients with complex health needs.
Main Results:
- Aging features increase susceptibility to dental disease and treatment complexity.
- Sedation or general anesthesia may be necessary but carry risks for older patients.
- Existing guidelines aid decision-making for patients lacking capacity.
Conclusions:
- Preventive dental strategies are paramount for older adults.
- Comprehensive informed consent is crucial for treatment decisions in capable older patients.
- Tailored approaches are needed to ensure safe and suitable dental care for the aging population.
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