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Review
. 2018 May;54(2):45-51.
doi: 10.1016/j.jdsr.2017.12.002. Epub 2018 Jan 10.

Implant treatment in ultra-aged society

Yuji Sato  1 , Noboru Kitagawa  1 , Akio Isobe  1
Affiliations
Review

Implant treatment in ultra-aged society

Yuji Sato et al. Jpn Dent Sci Rev. 2018 May.

Abstract

Implant therapy is gaining presence as a prosthodontic treatment option. However, the graying of the population has led to an increase in the number of older adults requiring special consideration in implant treatment because of their systemic health problems. Additionally, with the growth of the elderly population in need of long-term care, a greater number of older adults who have received implant treatment are receiving long-term care, raising various issues that need to be addressed. In the present review article, we describe the significance of implant treatment in older adults, issues when performing implant treatment in geriatric patients, and measures to be taken when implant patients have lapsed into a state of requiring long-term care. In addition, in view of population aging, we propose an approach for applying implant treatment to older adults. This approach includes using an appropriate type of implant system depending on the remaining life expectancy and the patient's general condition, performing less invasive surgery, providing treatment using prosthetic appliances that are easy to manage and can be modified, and ensuring oral health management by providing an Implant Card to patients when the treatment is completed.

Keywords: Dental implant; Geriatric dentistry; Implant Card; Minimum invasion; Oral frailty syndrome.

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Figures

Figure 1
Figure 1
Japan and world aging (MEDIAN AGE OF THE POPULATION).
Figure 2
Figure 2
Proportion of people with implants.
Figure 3
Figure 3
Mean teeth number per person. Yr, years old.
Figure 4
Figure 4
Proportion of persons with prostheses. CD, complete dentur; FDP, fixed dental prosthesis; PRD, partial removable dental prosthesis; Yr, years old.
Figure 5
Figure 5
Number of CD patients. Yr, years old.
Figure 6
Figure 6
Number of PRD patients. Yr, years old.
Figure 7
Figure 7
Defect adjacent to a sound tooth. Implant prosthesis was performed on the maxillary right middle incisor tooth position without preparation for adjacent teeth.
Figure 8
Figure 8
Loss of an abutment tooth for the existing denture. Figure shows a partial removable dental prosthesis modified for the part of extracted abutment teeth.
Figure 9
Figure 9
Retaining a free-end denture with a distal implant is desirable.
Figure 10
Figure 10
Mandibular two supported overdenture. Two attachments were incorporated in this removable denture.
See this image and copyright information in PMC

References

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