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Oral Health and Dental Care in the Ageing Population Pain, Anxiety Control and Behavioural Support for Older People

Oral Health and Dental Care in the Ageing Population : Pain, Anxiety Control and Behavioural... [The growing population of older people retaining their teeth will have an increased need for interventional dentistry in later life. Whilst many people will continue to remain healthy in older age, there will also be a growing number who develop multimorbidity and cognitive impairments or have dental anxiety that impacts on their ability to accept dental treatment under local anaesthesia alone. Good behavioural management, together with conscious sedation or general anaesthesia, may be indicated for these patients. Dental teams must consider pharmacological and physiological changes in the older person when planning dental care under these modalities and make adjustments when necessary. This can involve liaising with medical health care professionals, families and carers. A comprehensive assessment of older people, including medical, social and dental histories, will help plan the most appropriate treatment modality for anxiety control. This chapter will highlight considerations and practical recommendations when assessing and planning dental care using local anaesthesia, sedation or general anaesthesia.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

Oral Health and Dental Care in the Ageing Population Pain, Anxiety Control and Behavioural Support for Older People

Part of the BDJ Clinician’s Guides Book Series
Editors: Doshi, Mili; Geddis-Regan, Andrew

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Publisher
Springer International Publishing
Copyright
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022
ISBN
978-3-031-10223-3
Pages
189 –217
DOI
10.1007/978-3-031-10224-0_9
Publisher site
See Chapter on Publisher Site

Abstract

[The growing population of older people retaining their teeth will have an increased need for interventional dentistry in later life. Whilst many people will continue to remain healthy in older age, there will also be a growing number who develop multimorbidity and cognitive impairments or have dental anxiety that impacts on their ability to accept dental treatment under local anaesthesia alone. Good behavioural management, together with conscious sedation or general anaesthesia, may be indicated for these patients. Dental teams must consider pharmacological and physiological changes in the older person when planning dental care under these modalities and make adjustments when necessary. This can involve liaising with medical health care professionals, families and carers. A comprehensive assessment of older people, including medical, social and dental histories, will help plan the most appropriate treatment modality for anxiety control. This chapter will highlight considerations and practical recommendations when assessing and planning dental care using local anaesthesia, sedation or general anaesthesia.]

Published: Oct 6, 2022

Keywords: Local anaesthesia; Conscious sedation; Acclimatisation; Behaviour management; General anaesthesia; Sedation; Pharmacology; Physiology

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