Longevity of the tooth, not the restoration
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Abstract
The ADJ published an excellent review article, 'Pragmatic care for an ageing compromised dentition', authored by Professor Finbarr Allen, that highlighted a contemporary approach to dental care delivery based on holistic prosthodontic management of risk assessment, prevention and minimal intervention.1 An ageing population that is retaining its dentition for longer duration presents a critical juncture to dentistry that necessitates a shift in the focus of management approaches, from the longevity of restorations to longevity of the dentition. The concurrent presentation of a complex medical history, caries, tooth wear and a reduced functional capacity of the dentition remains one of the main challenges faced when managing older adults. Being one of the most affected groups by oral diseases with poor access to dental care, older adults are disadvantaged.2 Henceforth, management of such cases necessitates a patient‐oriented approach, as opposed to a disease‐oriented or an intervention‐based one. An approach that takes into consideration the patient's current and future needs and expectations is, with the ultimate aim being to maintain, if not improve, the patient's overall quality of life. The exponential improvement in adhesive dentistry presents a viable, minimally invasive management alternative to conventional approaches in prosthodontic rehabilitation, whether they might be in the form of direct restorations or resin‐bonded prostheses.
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Australian Dental Journal
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This publication has been entered into Griffith Research Online as an Advanced Online Version
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Clinical sciences
Dentistry
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Ahmed, KE, Longevity of the tooth, not the restoration, Australian Dental Journal, 2019