Assessment and Management of Existing Direct Restorations with a Minimal Invasive Approach in Older Population

Meenakshi Lall
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Abstract

We have an increasing older population with a reduced number of edentulism. This has led to an increased number of patients with complex restorations. Any failing restoration will require assessment and management, whilst considering their health conditions. The minimal intervention dentistry and operative procedures will help a general dental practitioner to provide ethical and least-invasive dentistry to the older population. It helps to avoid unnecessary tooth destruction and damage to dentine–pulp complex. It prevents iatrogenic damage to adjacent teeth and soft tissues. Minimal intervention dentistry reduces costs for the older population. Clinical Relevance: The growing older population along with the rising restorative challenges of heavily restored dentition, occlusion, salivary dysfunction, disruptive behaviours, poor dexterity, poor compliance, high plaque levels, and financial constraints, if inevitable the operative procedure needs to be minimal to preserve tooth structure.
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用微创方法评估和管理老年人群中现有的直接修复体
我们的老年人口越来越多,但牙齿缺损的人数却在减少。这导致需要复杂修复体的患者人数增加。任何失败的修复都需要进行评估和处理,同时考虑到他们的健康状况。最小干预牙科和手术程序将帮助普通牙科医生为老年人群提供符合道德规范的最小干预牙科治疗。它有助于避免不必要的牙齿破坏和对牙本质-牙髓复合体的损害。它可防止对邻近牙齿和软组织造成先天性损伤。微创牙科治疗为老年人群降低了成本:随着老年人口的不断增加,大量修复的牙齿、咬合、唾液功能障碍、破坏性行为、灵活性差、依从性差、牙菌斑水平高以及经济限制等修复挑战也在不断增加。
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