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Mandibular Implant Prostheses pp 23–35Cite as

Physical and Cognitive Function

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Abstract

Progress in medical and dental clinical practice fosters treating even very old geriatric patients with implants. Very few absolute contraindications remain nowadays, and the long-term performance of endosseous implants has largely exceeded initial expectations. In contrast to the environment in which they are placed, implants do not change. In view of the aging population, a paradigm shift in implant dentistry seems inevitable.

Physiological aging is featured by deterioration in vision, tactile sensitivity, and dexterity, rendering denture handling and oral hygiene difficult. In addition, old people often present with frailty and multimorbidity, often requiring assistance with the activities of daily living and a shift in life priorities.

When additional tooth loss occurs, a new restorative treatment is required. Although it is well accepted that age alone is not a contraindication for successful implant therapy, it is increasingly necessary to consider its implications in a geriatric treatment planning.

Monitoring the use and management of fixed and removable implant prostheses in geriatric patients seems mandatory. When functional decline and frailty render denture management difficult, “backing off” to a simplified and less complex restoration with or without the present implants may become necessary.

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Acknowledgments

The text of this chapter is largely based on the International Team of Implantology Treatment Guide 9, Implant therapy in the Geriatric Patient (Quintessence, Berlin, 2016).

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Authors and Affiliations

  1. Division of Gerodontology and Removable Prosthodontics, Department of Oral Rehabilitation, Medical Faculty, University Clinics of Dental Medicine—CUMD, University of Geneva, Geneva, Switzerland

    Frauke Müller

  2. Division of Gerodontology, Department of Reconstructive Dentistry and Gerodontology, Medical Faculty, School of Dental Medicine—ZMK Bern, University of Bern, Bern, Switzerland

    Martin Schimmel M.A.S.

Authors
  1. Frauke Müller
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  2. Martin Schimmel M.A.S.
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Correspondence to Frauke Müller .

Editor information

Editors and Affiliations

  1. Faculty of Dentistry, McGill University, Montréal, Québec, Canada

    Elham Emami

  2. Faculty of Dentistry, McGill University, Montréal, Québec, Canada

    Jocelyne Feine

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Müller, F., Schimmel, M. (2018). Physical and Cognitive Function. In: Emami, E., Feine, J. (eds) Mandibular Implant Prostheses. Springer, Cham. https://doi.org/10.1007/978-3-319-71181-2_3

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  • DOI: https://doi.org/10.1007/978-3-319-71181-2_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71179-9

  • Online ISBN: 978-3-319-71181-2

  • eBook Packages: MedicineMedicine (R0)

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