Prosthetic treatment and oral health management for older adults with dementia

Abstract

Dementia is a progressive condition that can occur in anyone and often makes regular dental visits and self oral care difficult. This article outlines the characteristics and major subtypes of dementia and summarizes key considerations for prosthetic treatment and oral health management based on clinical guidelines and practical experience. Prosthetic treatment is only one of several means to support the enjoyment of daily life; however, in patients with mild cognitive impairment or early-stage dementia, strategically planned prosthetic treatment with good predictability should be considered. In contrast, from the moderate stage onward, a shift from “cure-oriented” to “care-oriented” management is required, with emphasis on creating an oral environment that is easy to be managed. In addition, the benefits and risks of denture use should be carefully evaluated, and comprehensive support for quality of life should be provided, including “non-use of dentures” and the concept of “comfort feeding only.”