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Budtz-Jørgensen: Prosthodontics for the Elderly
Budtz-Jørgensen, Ejvind

Prosthodontics for the Elderly
Diagnosis and Treatment

1. Auflage 1999
Buch
Hardcover, 266 Seiten, 241 Abbildungen
Sprache: Englisch
Fachgebiete: Alterszahnmedizin, Humanmedizin

Best.-Nr.: 10811
ISBN 978-0-86715-368-2
Quintessence Publishing, Deutschland

Titel vergriffen.

This book examines the growing area of geriatric dentistry, covering the epidemiology of oral diseases in the elderly to maintenance care. The various prosthodontic treatment modalities and their indications are discussed -- from the fabrication of removable prostheses to implant therapy -- with diagnosis and treatment based on scientific evidence. Treatment rationale is presented in light of recent studies linkingoral to general health and with particular consideration given to the patient's individual set of circumstances. Clinicians and dental students will find it valuable in decision making and treatment planning.
Foreword IX
Preface XI
1 Epidemiology: Dental and Prosthetic Status of Elder Adults 1
Functionally Independent Elderly 2
Frail or Functionally Dependent Elderly 10
Conclusions 18
2 Age-Related Changes of the Masticatory Apparatus 23
Dental Tissues 23
Periodontal Tissues 27
Oral Mucosa 29
Saliva 34
Neuromuscular System 37
Temporomandibular Disorders 37
Residual Ridge Resorption 42
Conclusions 45
3 Masticatory Function and Nutrition 49
Masticatory Function 49
Nutrition and Dietary Habits of Older Adults 56
Nutritional Status, Masticatory Function, and Prosthetic Treatment Needs 64
Prosthetic Treatment and Preventive Oral Hygiene Measures 68
Conclusions 69
4 Prosthodontic Planning in Older Adults 75
Primary Objectives 75
Identification of Treatment Needs and Demands 76
Identifation of Factors 78
Choice of Treatment 87
Decision Making and Treatment Planning 95
Comprehensive Oral Evaluation and Treatment Planning 97
Conclusions 102
5 Prosthodontic Treatment Planning for the Frail and Dependent Elderly 107
Primary Objectives in Treatment Planning 108
Identification of Treatment Needs and Demands 109
Oral Treatment Planning 113
Evaluation of Oral Health Care Models 116
Legal and Ethical Considerations 117
Treatment Planning and Models for Oral Health Care Delivery 120
Conclusions 122
6 Treatment with Fixed Prostheses 125
General Treatment Considerations 126
Periodontal Considerations and Attachment Loss 126
Endodontic Considerations and Foundations for Restorations 128
Treatment of Patients with Occlusal Tooth Wear 130
Restoration of Worn Tooth Surfaces 131
Restoration of Posterior Tooth Loss with Fixed Partial Dentures 134
Implant-Supported Fixed Partial Dentures 142
Replacement of Anterior Teeth 144
Conclusions 149
7 Treatment with Removable Partial Dentures 153
Classification of Removable Partial Dentures 154
Biomechanical Design Principles 156
Biologic Design Principles 159
Design Principles for Removable Partial Dentures 161
Functional Problems and Treatment with Removable Partial Dentures with Occlusal Onlays 167
Implants and Treatment with Removable Partial Dentures 174
Treatment with Removable Partial Dentures in Frail and Dependent Patients 176
Conclusions 178
8 Root-Supported Overdentures 181
Indications 182
Advantages of Preserving Roots 182
Disadvantaging of Overdentures 185
Specific Applications in Elderly Patients 186
Treatment Planning 186
Overdenture Therapy 193
Prognosis of Dentures 196
Conclusions 200
9 Treatment of Edentulous Patients 203
Examination of Existing Dentures 204
Refferal to a Specialist 207
Immediate Complete Dentures 208
Modification of Existing Dentures 210
Replacement Dentures Copied frm Existing Dentures 211
New Complete Dentures 212
Implant-Supported Complete Dentures 219
Conslusions 224
10 Preventive Measures and Maintenance Care After Treatment 229
Preventive Measures for Caries 229
Preventive Measures for Periodontal Disease 232
Management of Oral Mucositis 234
Management of Candida-Associated Denture Stomatitis 235
Oral Hygiene and Maintenance Care 237
Caregiver Provision of Oral Hygiene 250
Conclusions 251