![]() Current recommendations advise against modifying the anticoagulation provided the INR is <3.5. Patients with stent implantation after coronary artery disease usually have dual antiplatelet blood-thinning therapy to prevent clot formation.īleeding can be prolonged in patients with haemophilia or those taking medication such as warfarin for anticoagulation. Medical control of the disease is imperative prior to implant therapy. A recent myocardial infarction, stroke and cardiovascular surgery is an absolute contraindication to implant surgery 9. These can be divided into atherosclerosis, hypertension, chronic heart failure and atrial fibrillation. Medical consideration in elderly patients considering dental implant treatment It is therefore important that elderly people can chew adequately to avoid restricted diets which offer lower nutritional values 8. Unlike most adults, a BMI >25 in elderly patients is associated with a reduced mortality. It has been found that complete denture wearers have thinner masseter muscles whereas implant retained over-dentures lead to increased muscle thickness 7. Oral health can significantly affect an elderly patient’s nutritional intake. The standard of care in geriatric patients has to be adapted to the patient’s motivation, medical condition and socio-economic circumstances. When considering implant surgery in elderly patients, pre-operative medical fitness is more important than chronological age 6. Treatment plans for an elderly patient should be based on their individual risk factors, functional difficulties and preferences.Ī growing elderly population increases the indications for partial removable dental prostheses and expands the indications for implant therapy. This results in an increased risk of adverse drug events. In Europe, over half of the elderly population take more than six medications per day 5. These multiple chronic conditions can also result in polypharmacy where patients have to manage an increasing number of medications. Multimorbidity has been shown to impact immune function greater than age alone 4. Research indicates that, by 70 years of age, 63 per cent of people can expect to have developed two or more disorders 3.Ĭommon chronic conditions in the elderly include cardiovascular disease, type 2 diabetes, depression, COPD and osteoarthritis. Multimorbidity is the “presence of two or more diseases in one person” 2. However, as people age they develop more health conditions. It is estimated that, by 2050, this figure will have increased to 19 per cent 1. In 2013, 14 per cent of the world’s population was over 60 years of age. FIGURE 1 – Removable partial chrome cobalt denture
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