Table of Contents

1. Introduction

2. Implant Treatment in Old Age: Literature Review

3. Aging: a Biological, Social, and Economic Challenge

4. The Benefits of Implant-supported Prostheses in the Elderly Patient

5. Medical Considerations for Dental Implant Therapy in the Elderly Patient

5.1 Introduction
5.1.1 Aging and Multimorbidity
5.1.2 Polypharmacy
5.1.3 Frailty
5.1.4 Taking the Patient's Medical History

5.2 Cardiovascular System
5.2.1 Age-related Changes
5.2.2 Treatment Considerations
5.2.3 Pharmacological Considerations

5.3 Hematological System
5.3.1 Age-related Changes
5.3.2 Treatment Considerations
5.3.3 Pharmacological Considerations

5.4 Hematopoietic System
5.4.1 Age-related Changes
5.4.2 Treatment Considerations

5.5 Respiratory System
5.5.1 Age-related Changes
5.5.2 Treatment Considerations
5.5.3 Pharmacological Considerations

5.6 Alimentary System
5.6.1 Treatment Considerations
5.6.2 Pharmacological Considerations

5.7 Hepatobiliary System

5.8 Renal System
5.8.1 Age-related Changes
5.8.2 Treatment Considerations
5.8.3 Pharmacological Considerations

5.9 Endocrine System
5.9.1 Age-related Change
5.9.2 Pharmacological Considerations

5.10 Musculoskeletal System
5.10.1 Age-related Changes
5.10.2 Treatment Considerations
5.10.3 Pharmacological Considerations

5.11 Neurosensory System
5.11.1 Age-related Changes
5.11.2 Treatment Considerations
5.11.3 Pharmacological Considerations

5.12 Cancer
5.12.1 Osteoradionecrosis
5.13 Conclusions

6 Features of Removable Prostheses for the Old

7 Implants and Partial-denture Design

8 Implant-supported Overdentures for the Edentulous Patient

9 Surgical Considerations in the Aging Patient

10 Oral Hygiene in Geriatric Implant Patients

11 The Ailing Patient

12 Management of Technical and Biological Complications

13 Clinical CasePresentations
13.1 Improving an Existing Implant- supported Denture in an Alzheimer Patient with Bipolar Affective Disorder with Moderate Depression and Dementia
13.2 Maxillary Complete Denture and Mandibular Overdenture on Two Implants with Universal Design
13.3 Improving a Centenarian's Quality of Life
13.4 Oral Rehabilitation of an Elderly Edentulous Patient with Osteoarthritis Using an Implant-supported Mandibular Prosthesis with Locator Abutments
13.5 Maxillary Implant-supported Full-arch Removable Dental Prostheses for a Geriatric Patient: Sequencing the Treatment for an Optimal Outcome
13.6 Mandibular Overdenture Supported by a CAD/CAM-milled Bar with Long Distal Extensions on Two Conventionally Loaded Implants
13.7 Flapless Guided Surgery: Bar-supported Overdenture on Four Implants
13.8 Prosthodontic Solution for Two Angulated 6-mm Implants
Supporting a Removable Partial Denture in a 74-year-old Patient
13.9 Rehabilitation of a Mandibular Distal Extension Situation in a 89-year-old Patient with an Implant-supported Fixed Dental Prosthesis
13.10 Minimally Invasive Treatment of a Patient in Her Nineties After Removing Implants Affected by Severe Peri-implantitis
13.11 Implant-retained Rehabilitation after Mandibular Rim Resection
13.12 Four Immediately Loaded Mini-implants Supporting a Mandibular Overdenture

14 Conclusions

15 References

ITI International Team for Implantology
ITI Headquarters
Peter Merian-Strasse 88
4052 Basel
Switzerland

Phone +41 61 270 83 83
Fax +41 61 270 83 84
E-Mail headquarters@iti.org 

ITI International Team for Implantology | Peter Merian-Strasse 88 | 4052 Basel | Switzerland | Phone +41 61 270 83 83 | Fax +41 61 270 83 84 | headquarters@iti.org