Clinical Cases in Gerodontology

Gerry McKenna, Finbarr Allen, Francis Burke, Gerry McKenna, Finbarr Allen, Francis Burke

• Publisher: Wiley-Blackwell
• Year: 2021
• Print ISBN: 9781119226598
• eBook ISBN: 9781119226611
• Edition: 1
• Topic: Medicine
• Subtopic: Dentistry

Clinical Cases in Gerodontology provides a comprehensive overview of the most relevant dental issues that arise when dealing with an aging population.

Clinical Cases in Gerodontology applies the theory and practice to real-life cases in a clinically relevant format. To aid learning, each of the clinical cases presented has a defined learning objective and goal. In addition, the authors discuss in detail the clinical decision-making factors and the text is enhanced with photographs that demonstrate the progressive stages of treatment. This important text:

• Offers a case-based guide to geriatric dental care
• Includes the thinking behind clinical decision making
• Fosters independent learning and prepares for case-based examinations
• Contains review questions and relevant literature citations

Written for graduate and undergraduate dental students and professionals, Clinical Cases in Gerodontology offers an instructive case-based guide to the oral health of older adults.

Chapter 1
Management of Chronic Dental Disease

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• Case 1: Management of Root Caries
  With Contribution from Martina Hayes, Cristiane da Mata, Finbarr Allen and Francis Burke
• Case 2: Caries Management in a Long‐Term Care Facility Using Atraumatic Restorative Treatment (ART)
  With Contribution from Cristiane da Mata, Martina Hayes, Francis Burke and Finbarr Allen
• Case 3: Non‐surgical Periodontal Treatment (NSPT) for Periodontally Involved Lower Incisors
  With Contribution from Lewis Winning and Christopher Irwin
• Case 4: Splinting and Maintenance of Periodontally Involved Lower Incisors
  With Contribution from Lewis Winning and Christopher Irwin
• Case 5: Management of Toothwear Using Direct Composite Restorations
  With Contribution from Francis Burke

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Case 1 Management of Root Caries

With Contribution from Martina Hayes, Cristiane da Mata, Finbarr Allen and Francis Burke

Figure 1.1.1 Circumferential root caries lesions affecting the remaining lower dentition.

A. Case Story

An 80‐year‐old female was admitted to a hospital ward following a stroke and a dental consultation was requested by her supervising medical team. She was wearing upper and lower acrylic partial dentures which had been constructed over 10 years ago. She had not attended her general dental practitioner since fabrication of the dentures as she had ‘not had any pain from her teeth’. The woman was an inpatient in hospital and was medically frail. It was planned to admit her to a long‐term residential care facility following discharge from the hospital as she would require a high level of nursing care, including feeding, toileting, bathing and dressing. A clinical examination revealed caries in her remaining natural teeth, particularly the partial denture abutment teeth (Figure 1.1.1). A clinical decision was made to manage the caries and to maintain the remaining natural dentition.

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LEARNING GOALS AND OBJECTIVES

• Understand that root caries is a disease almost unique to older patients
• Understand the management of root caries and appreciate that restorations can have high failure rates
• Appreciate that glass ionomer cements, particularly high‐viscosity glass ionomer cements, have been shown to have the highest success rates when restoring root caries lesions^1,2
• Recognise that prevention or remineralisation of root caries must be implemented alongside any operative interventions

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B. Medical History

• Previous stroke
• Patient very frail
• Rheumatoid arthritis
• Osteoporosis

C. Dental History

• Partially dentate and wearing upper and lower acrylic dentures constructed by her g...

Table of contents

• Cover
• Table of Contents
• Series Page
• Title Page
• Copyright Page
• List of Contributors
• Introduction
• Chapter 1: Management of Chronic Dental Disease
• Chapter 2: Replacement of Missing Teeth
• Chapter 3: Management of Failing Restorations
• Chapter 4: Management of Malignancy and Other Oral Conditions
• Index
• End User License Agreement