This book aims to provide the dental team with an improved understanding of management of the oral health needs of the ageing population, in whom increasing cognitive, medical and physical disabilities impact significantly on oral health and dental care needs. All significant aspects of caring for older people are covered. The nature and implications of changing demographics are explained and information provided on common medical co-morbidities and the impact of cognitive conditions, including dementia, on dental treatment. The changing pattern of dental disease in older people is clearly described, with explanation of the consequences of these changes for aspects of restorative dentistry, oral medicine, and oral surgery. Advice is given on considerations for dental treatment planning, including the importance of prevention and utilization of dental care professionals. Provision of care for older people under general anaesthesia or sedation and domiciliary care are also covered. The book is written by specialist practicing clinicians and delivers information in an accessible way with a person-centered approach.

Covers all important aspects of dental care for older people Describes the dental changes that occur with increasing age and their consequences for care Explains the impact of cognitive conditions on treatment

Autorentext

Mili Doshi, MBE, received her BDS (Hons) from Guys, Kings and St Thomas Dental Institute, London, in 2001 and went on to gain Membership of the Faculty of Dental Surgery (MFDS), Royal College of Surgeons of England, in 2003. She completed an MSc in Sedation and Special Care, with Distinction, at Kings College London in 2007. Since 2014 she has worked as a Consultant in Special Care Dentistry with Surrey and Sussex NHS Health Care Trust and the Royal Hospital for Neuro-disability, prior to which she was Senior Dental Officer with Bart s Health Community Dental Service (formerly Tower Hamlets Primary Care Trust).From 2015 to 2019 she was also Clinical Lead for the Health Education England programme 'Mouth Care Matters', that aims to improve the oral health of hospitalised patients, and in 2018 received an MBE in recognition of her work. She was President of the British Society of Gerodontology in 2019. She is the author of a number of articles in peer-reviewed journals.

Andrew Geddis-Regan is currently a Doctoral Research Fellow funded by the National Institute for Health and Care Research and a Specialist in Special Care Dentistry within North Cumbria Integrated Care NHS Foundation Trust. Andrew gained a BSc (Hons) in Primary Care at the University of Leeds in 2012 and went on to complete his BChD Dental Surgery (Distinction) in 2014. From 2017-2020 he was an NIHR Academic Clinical Fellow & Specialty Trainee in Special Care Dentistry, based at Newcastle University and Dental Hospital as well as other services across the North-East of England. He also holds a Diploma in Special Care Dentistry from the Royal College of Surgeons of England and gained Membership in Special Care Dentistry with the Royal College of Surgeons of Edinburgh in 2019. In February 2020, he was added to the General Dental Council s Specialist List in Special Care Dentistry. Andrew is the academic representative for the British Society for Disability and Oral Health.

Inhalt

Introduction Why are the Needs of the Older Patient Different?.- Changing Demographics of Ageing and the Implications - Relationship to General Health and Well-Being.- Lived Experiences of Ageing and Quality of Life.- Medical Complications in the Older Population.- Cognitive Impairment and Dementia in the Older Population.- Dental Changes with Increasing Age.- Dental Treatment of Older People.- Surgical Management in Older People Including Those on Bisphosphonates/Anticoagulants.- Treatment Planning in Palliative Care.- Providing Care under Local Anaesthesia, Sedation and General Anaesthesia.- Dental Care in a Domiciliary Setting.- Oral Care and Prevention.- Research in Older People.