Practice abstract


British Dental Journal 195, 237 - 241 (2003)
Published online: 13 September 2003 | doi:10.1038/sj.bdj.4810469

Prevention. Part 6: Prevention in the older dentate patient

P A Brunton1 & E J Kay, Series Editor2

  • Ageing dentate patients are increasing in number.
  • Caries risk assessment facilitates dental management.
  • Restoration monitoring, repair or refurbishment should always be considered before a restoration is placed.
  • Stabilisation splints are helpful in preventing further non-carious tooth tissue loss.
  • Fluoride release from restorative materials may not have a therapeutic benefit.
  • Dry mouth is not specifically age related.

Prevention

  1. Smoking cessation advice
  2. Dietary advice
  3. Prevention of tooth wear
  4. Toothbrushing advice
  5. Patients requiring osseointegrated oral implant treatment
  6. Older dentate patient
  7. Professionally applied topical fluorides for caries prevention
  8. Pit and fissure sealants in preventing caries in the permanent dentition of children


Managing the ageing dentition is a frequent problem for practitioners. Prevention of further tooth loss, let alone preserving tooth tissue, whilst minimising the effects of operative intervention form the basis for successful management of older dentate patients. The purpose of this article is to consider the prevention of caries, further tooth tissue loss due to operative intervention and non-carious tooth tissue loss in the ageing dentate patient.

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  1. Senior Lecturer/Honorary Consultant in Restorative Dentistry, Unit of Integrated Restorative Care, University Dental Hospital of Manchester, Higher Cambridge Street, Manchester M15 6FH
  2. Professor of Dental Health Services Research, University of Manchester Dental Hospital and School, Higher Cambridge Street, Manchester M15 6FH

Correspondence to: P A Brunton1 e-mail: paul.brunton@man.ac.uk


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