Implant therapy in the geriatric patient

Abstract

When tooth loss occurs later in life, ageing and multimorbidity impact dental treatment decisions. There is sufficient evidence to state that the mandibular implant overdenture is a well-established treatment modality, certainly in non-dependent edentulous individuals, but little is known on the very old and geriatric edentulous patients. They often present unfavourable anatomical conditions, xerostomia and a lack muscle control. Although the benefits of dental implants are well documented, elderly adults are often reluctant to agree to an implant insertion, even if cost is removed as limiting factor. The main reasons for implant refusal are the fear of surgery and pain. The present paper describes the use of minimal-invasive and simple treatment concepts for elderly, edentulous patients. It further highlights possible complications, which may arise with the onset of dependency and/or frailty and advises further simplification of the implant-restorations when needed. Recall and maintenance in this group of patients is crucial to assure the patients’ benefit from the intervention until late in life.