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Operative dentistry considerations for the elderly

D McComb1

  • 1Department of Restorative Dentistry, Faculty of Dentistry, University of Toronto, Ont., Canada.

The Journal of Prosthetic Dentistry
|November 1, 1994
PubMed
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Dental caries, especially root decay in the elderly, is increasing. Effective prevention and modern restorative materials like glass ionomers are crucial for managing this prevalent oral health issue.

Area of Science:

  • Geriatric Dentistry
  • Restorative Dentistry
  • Cariology

Background:

  • Increasing mean age of the dentate population correlates with a higher incidence of primary and secondary dental caries.
  • Root decay, both primary and secondary, adjacent to existing restorations presents significant operative challenges in elderly patients.
  • Recurrence of treated root decay is common if the underlying etiological factors are not addressed.

Purpose of the Study:

  • To highlight the challenges of managing dental caries in an aging population.
  • To emphasize the necessity of integrating effective, customized preventive strategies with operative interventions.
  • To discuss the available advanced restorative materials and techniques for treating elderly patients.

Main Methods:

  • Review of current literature on dental caries in the elderly.

Related Experiment Videos

  • Discussion of preventive strategies tailored to older adults.
  • Evaluation of preventive restorative materials, including conventional and hybrid glass ionomers.

    • Main Results:

    • Elderly patients face a growing risk of root caries, particularly around existing dental work.
    • Ignoring the causes of decay leads to high rates of recurrence after treatment.
    • A range of modern dental materials and techniques are available for effective patient care.

    Conclusions:

    • Comprehensive management of dental caries in the elderly requires both operative treatment and personalized prevention.
    • Glass ionomer materials offer promising preventive and restorative solutions for root decay.
    • Dentists must utilize contemporary materials and methods to address the unique needs of older patients.