Sir, I have read with considerable interest the paper by Geddis-Regan and Walton titled 'A guide to treatment planning in complex older adults'. I thought that the subject was well argued, the examples apposite and the conclusions thought provoking.

Indeed it was everything that the BDJ does so well, with the exception of the title. I thought that the use of the term 'complex so closely linked to older adults' a touch pejorative!

I am one of those who might be an older adult, I have a complex and complicating medical history and I have numerous complexities, but I am not a complex person. Such sweeping categorisation can cause inadvertent offence when used in relation to patients.

A more appropriate title would be 'A guide to treatment planning for older adults with dental and medical complexities'.