Advanced restorative dentistry - a problem for the elderly? An ethical dilemma.
Identifieur interne : 005937 ( Ncbi/Checkpoint ); précédent : 005936; suivant : 005938Advanced restorative dentistry - a problem for the elderly? An ethical dilemma.
Auteurs : C G Murray [Australie]Source :
- Australian dental journal [ 1834-7819 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- chemical : Dental Implants.
- ethics : Dental Restoration, Permanent.
- standards : Dental Care.
- surgery : Mouth, Edentulous, Root Caries, Tooth Diseases.
- therapy : Bruxism, Xerostomia.
- Aged, Ethics, Dental, Humans, Oral Health, Prosthodontics, Quality of Life.
Abstract
The type of dental restorations taken into old age may have an adverse effect on the quality of life of the elderly. Root caries and dry mouth increase in prevalence with age and may precipitate the breakdown of remaining natural and restored teeth. At present the availability of dental personnel and facilities in residential aged care facilities (RACFs) is limited, often non-existent, and the elderly living at home may be unable to easily gain access to dental care. Thus, the provision of appropriate and timely dental treatment may not occur, resulting in prolonged pain and suffering. It is important that, as our elderly population increasingly retain natural teeth into advanced old age, appropriate funds are made available to ensure their dental health is maintained. A lack of early intervention to arrest dental disease may result in life-threatening medical consequences in the elderly, such as ventilator assisted pneumonia or the need for a general anaesthetic and possible associated medical risks. Significant local disease, such as osteonecrosis, may also result from a lack of appropriate dental intervention. The necessity to remove questionable teeth prior to irradiation for neoplastic disease or bisphosphonate prescription for neoplastic disease or severe osteoporosis emphasizes the need for regular dental care. In contrast, extensive dental restorative treatment for younger people may have benefits, such as optimal dental aesthetics and oral function, but in older individuals careful consideration should be given to select the most appropriate treatment modality so that adverse situations can be avoided or their resolution simplified should they occur later when the individual is compromised or in a RACF. This may mean the use of conservative dental restorative materials and an avoidance of complex restorative options which may be difficult for the individual or RACF staff to maintain. Some years after receipt of their complex restorations they may be unable to cope with the operative demands and financial burden of resolving their deteriorating dental situation and so complex implant-born structures and precision removable prostheses should probably be avoided for those individuals contemplating entering a care situation. Therefore, the timing of the provision of complex dentistry poses an ethical dilemma.
DOI: 10.1111/adj.12289
PubMed: 25762047
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 000485
- to stream PubMed, to step Curation: 000485
- to stream PubMed, to step Checkpoint: 000485
- to stream Ncbi, to step Merge: 005937
- to stream Ncbi, to step Curation: 005937
Links to Exploration step
pubmed:25762047Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Advanced restorative dentistry - a problem for the elderly? An ethical dilemma.</title>
<author><name sortKey="Murray, C G" sort="Murray, C G" uniqKey="Murray C" first="C G" last="Murray">C G Murray</name>
<affiliation wicri:level="1"><nlm:affiliation>Prosthodontic and Special Needs Dentistry, Private Practice, Melbourne, Victoria, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Prosthodontic and Special Needs Dentistry, Private Practice, Melbourne, Victoria</wicri:regionArea>
<wicri:noRegion>Victoria</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2015">2015</date>
<idno type="RBID">pubmed:25762047</idno>
<idno type="pmid">25762047</idno>
<idno type="doi">10.1111/adj.12289</idno>
<idno type="wicri:Area/PubMed/Corpus">000485</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000485</idno>
<idno type="wicri:Area/PubMed/Curation">000485</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000485</idno>
<idno type="wicri:Area/PubMed/Checkpoint">000485</idno>
<idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000485</idno>
<idno type="wicri:Area/Ncbi/Merge">005937</idno>
<idno type="wicri:Area/Ncbi/Curation">005937</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">005937</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Advanced restorative dentistry - a problem for the elderly? An ethical dilemma.</title>
<author><name sortKey="Murray, C G" sort="Murray, C G" uniqKey="Murray C" first="C G" last="Murray">C G Murray</name>
<affiliation wicri:level="1"><nlm:affiliation>Prosthodontic and Special Needs Dentistry, Private Practice, Melbourne, Victoria, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Prosthodontic and Special Needs Dentistry, Private Practice, Melbourne, Victoria</wicri:regionArea>
<wicri:noRegion>Victoria</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Australian dental journal</title>
<idno type="eISSN">1834-7819</idno>
<imprint><date when="2015" type="published">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Bruxism (therapy)</term>
<term>Dental Care (standards)</term>
<term>Dental Implants</term>
<term>Dental Restoration, Permanent (ethics)</term>
<term>Ethics, Dental</term>
<term>Humans</term>
<term>Mouth, Edentulous (surgery)</term>
<term>Oral Health</term>
<term>Prosthodontics</term>
<term>Quality of Life</term>
<term>Root Caries (surgery)</term>
<term>Tooth Diseases (surgery)</term>
<term>Xerostomia (therapy)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Bouche édentée ()</term>
<term>Bruxisme ()</term>
<term>Caries radiculaires ()</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maladies des dents ()</term>
<term>Prosthodontie</term>
<term>Qualité de vie</term>
<term>Restaurations dentaires permanentes (éthique)</term>
<term>Santé buccodentaire</term>
<term>Soins dentaires (normes)</term>
<term>Sujet âgé</term>
<term>Xérostomie ()</term>
<term>Éthique des dentistes</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="ethics" xml:lang="en"><term>Dental Restoration, Permanent</term>
</keywords>
<keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Soins dentaires</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Dental Care</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Mouth, Edentulous</term>
<term>Root Caries</term>
<term>Tooth Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Bruxism</term>
<term>Xerostomia</term>
</keywords>
<keywords scheme="MESH" qualifier="éthique" xml:lang="fr"><term>Restaurations dentaires permanentes</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Ethics, Dental</term>
<term>Humans</term>
<term>Oral Health</term>
<term>Prosthodontics</term>
<term>Quality of Life</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Bouche édentée</term>
<term>Bruxisme</term>
<term>Caries radiculaires</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Maladies des dents</term>
<term>Prosthodontie</term>
<term>Qualité de vie</term>
<term>Santé buccodentaire</term>
<term>Sujet âgé</term>
<term>Xérostomie</term>
<term>Éthique des dentistes</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">The type of dental restorations taken into old age may have an adverse effect on the quality of life of the elderly. Root caries and dry mouth increase in prevalence with age and may precipitate the breakdown of remaining natural and restored teeth. At present the availability of dental personnel and facilities in residential aged care facilities (RACFs) is limited, often non-existent, and the elderly living at home may be unable to easily gain access to dental care. Thus, the provision of appropriate and timely dental treatment may not occur, resulting in prolonged pain and suffering. It is important that, as our elderly population increasingly retain natural teeth into advanced old age, appropriate funds are made available to ensure their dental health is maintained. A lack of early intervention to arrest dental disease may result in life-threatening medical consequences in the elderly, such as ventilator assisted pneumonia or the need for a general anaesthetic and possible associated medical risks. Significant local disease, such as osteonecrosis, may also result from a lack of appropriate dental intervention. The necessity to remove questionable teeth prior to irradiation for neoplastic disease or bisphosphonate prescription for neoplastic disease or severe osteoporosis emphasizes the need for regular dental care. In contrast, extensive dental restorative treatment for younger people may have benefits, such as optimal dental aesthetics and oral function, but in older individuals careful consideration should be given to select the most appropriate treatment modality so that adverse situations can be avoided or their resolution simplified should they occur later when the individual is compromised or in a RACF. This may mean the use of conservative dental restorative materials and an avoidance of complex restorative options which may be difficult for the individual or RACF staff to maintain. Some years after receipt of their complex restorations they may be unable to cope with the operative demands and financial burden of resolving their deteriorating dental situation and so complex implant-born structures and precision removable prostheses should probably be avoided for those individuals contemplating entering a care situation. Therefore, the timing of the provision of complex dentistry poses an ethical dilemma.</div>
</front>
</TEI>
<affiliations><list><country><li>Australie</li>
</country>
</list>
<tree><country name="Australie"><noRegion><name sortKey="Murray, C G" sort="Murray, C G" uniqKey="Murray C" first="C G" last="Murray">C G Murray</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Ncbi/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 005937 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Checkpoint/biblio.hfd -nk 005937 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Santé |area= EdenteV2 |flux= Ncbi |étape= Checkpoint |type= RBID |clé= pubmed:25762047 |texte= Advanced restorative dentistry - a problem for the elderly? An ethical dilemma. }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Checkpoint/RBID.i -Sk "pubmed:25762047" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Checkpoint/biblio.hfd \ | NlmPubMed2Wicri -a EdenteV2
![]() | This area was generated with Dilib version V0.6.32. | ![]() |