Geriatric prosthodontics: an overview. Part I. Pretreatment considerations

Area of Science:

• Geriatric Dentistry
• Oral Health in Aging
• Dental Care for Seniors

Background:

• The global geriatric population is increasing, presenting unique dental care needs.
• Aging impacts all bodily systems, including oral tissues, nutrition, and metabolism.
• Elderly individuals often face complex health issues and polypharmacy, complicating dental treatment.

Purpose of the Study:

• To discuss the psychological aspects of aging relevant to dental care.
• To review age-related changes in teeth, oral tissues, nutrition, and metabolism.
• To highlight the importance of considering multifactorial influences on elderly dental patients.

Main Methods:

• Literature review of psychological, physiological, and metabolic changes associated with aging.
• Analysis of factors affecting healing, host resistance, and organ function in the elderly.
• Discussion of the impact of complex medication regimens on diagnosis and treatment.

Main Results:

• Aging significantly alters oral tissues, mastication, digestion, absorption, and metabolic functions.
• Nutritional status and metabolic competency are crucial factors in geriatric oral health.
• Impaired renal and hepatic function, along with excretory capabilities, influence treatment decisions.

Conclusions:

• Comprehensive assessment of psychological, physiological, and metabolic factors is essential for effective geriatric dental treatment planning.
• Age-related changes necessitate tailored approaches to ensure optimal dental health and function in the elderly.
• Understanding the interplay of aging, nutrition, metabolism, and medication is critical for successful dental interventions in seniors.