This lecture outlines implant strategies in elderly patients that aim to achieve three objectives: reduce risk and morbidity, maintain predictability, and allow maintenance and retrievability. Waldemar Polido presents key points of treatment planning, appropriate preoperative care, and surgery specific to the elderly patient. He addresses the role of digital planning and guided surgery in these patients. He also details the surgical and restorative options in accordance with his three objectives for a variety of clinical situations - single missing tooth, partial edentulism, and complete edentulism. Multiple clinical cases are presented to show the concepts of using shorter implants to avoid major grafting, restoring the dental arch only to premolars or first molars, and using screw-retained prostheses to allow retrievability.
At the end of this Congress Lecture you should be able to…
understand that implant surgeries in elderly patients are demanding and should not be performed by beginners
discuss why digital planning and guided surgery may be appropriate for less invasive surgeries, but require a thoughtfully sequenced treatment plan and clinical experience
understand that successful dental implant treatment in the elderly depends on the specific nature of the disease, local bone quality and quantity at the implant site, and the experience of the surgeon