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Dental caries in chronically disabled elders

C C Wyatt1, M I MacEntee

  • 1Faculty of Dentistry, University of British Columbia, Vancouver, Canada.

Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
|October 29, 1998
PubMed
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Diagnosing and treating dental caries in elderly individuals with disabilities is challenging due to complex oral conditions and barriers to care. This paper outlines appropriate diagnosis, prevention, and treatment strategies for elderly patients with chronic disabilities.

Area of Science:

  • Geriatric Dentistry
  • Oral Health
  • Dental Public Health

Background:

  • Dental caries is a primary cause of tooth loss in elderly individuals with physical and mental disabilities.
  • Diagnosis is complicated by the oral environment and barriers to care, leading to significant economic and biological costs.
  • Treatment decisions (remineralization, restoration, extraction) depend on caries extent.

Purpose of the Study:

  • To discuss the pathophysiology of dental caries.
  • To explain appropriate diagnosis, prevention, and treatment strategies.
  • To address the specific challenges in elderly individuals with chronic disabilities.

Main Methods:

  • Review of caries pathophysiology.
  • Discussion of diagnostic challenges in the elderly.

Related Experiment Videos

  • Analysis of treatment options based on lesion severity.
  • Exploration of caries risk assessment factors (history, salivary parameters, sugar intake).

    • Main Results:

    • Small lesions can be remineralized with fluoride; larger lesions require restoration or extraction.
    • Caries risk assessment aids in developing preventive regimens.
    • Understanding pathophysiology is key to appropriate management.

    Conclusions:

    • Effective management of dental caries in elderly individuals with disabilities requires tailored diagnostic and treatment approaches.
    • Prevention, based on risk assessment, is crucial.
    • Addressing barriers to care is essential for improving oral health outcomes.