Geriatric Dentistry

Paula K. Friedman, DDS, CAGS, MSD, MPH, is a Professor and the Director of the Geriatrics and Gerontology Section in the Department of General Dentistry at the Boston University Goldman School of Dental Medicine. She also directs the Geriatric Dentistry Fellowship Program. Dr. Friedman has served as President of the American Society of Geriatric Dentistry, the American Dental Education Association, and the Massachusetts Dental Society. Her research interests include quality of life, interprofessional education, and long-term care environments.

List of Contributors vi Dedication viii Introduction ix About the Companion Website xi Part 1: Underlying Principles of Aging 1 Aging: Implications for the Oral Cavity 3 Bei Wu 2 Palliative Care Dentistry 17 Michael Wiseman Part 2: Clinical Practice 3 Living Arrangements for the Elderly: Independent Living Shared Housing Board and Care Facilities Assisted Living Continuous Care Communities and Nursing Homes 31 Timothy J. Halligan and Kelly A. Halligan 4 Palmores Facts on Aging Quiz: Healthcare Providers Perceptions of Facts and Myths of Aging 38 Ralph H. Saunders 5 The Senior-Friendly Office 43 Ruth S. Goldblatt and Janet A. Yellowitz Part 3: Decision Making and Treatment Planning 6 Geriatric Patient Assessment 61 Mary R. Truhlar 7 Treatment Planning and Oral Rehabilitation for the Geriatric Dental Patient 70 Peter Y. Kawamura and Mary R. Truhlar 8 Informed Consent for the Geriatric Dental Patient 82 Jessica De Bord 9 Evidence-Based Decision Making in a Geriatric Practice 86 Mary R. Truhlar Part 4: Common Geriatric Oral Conditions and their Clinical Implications 10 Root Caries 97 Dick Gregory and Susan Hyde 11 Periodontal Disease 107 Saroj Gupta 12 Endodontic Management of the Aging Patient 116 Harold E. Goodis and Bassam M. Kinaia 13 Oral Mucosal Lesions 137 Miriam R. Robbins 14 Xerostomia 152 Jadwiga Hjertstedt 15 Prosthetic Considerations for Frail and Functionally Dependent Older Adults 171 Ronald L. Ettinger 16 Medical Complexities 188 Elisa M. Chvez Part 5: Care Delivery 17 Delivery Systems 211 Diane Ede-Nichols 18 Portable Dentistry 224 Harvey Levy 19 Promoting Oral Health Care in Long-Term Care Facilities 236 Mickey Emmons Wener Carol-Ann Yakiwchuk and Mary Bertone 20 Dental Professionals as Part of an Interdisciplinary Team 268 Teresa E. Johnson Jayne E. Cernohous Paul Mulhausen and Deborah A. Jacobi Part 6: Future Vision 21 Planning for the Future 299 Teresa A. Dolan and Douglas Berkey Answer Section 312 Index 313