Clinical Cases in Gerodontology

Gerry McKenna is a Clinical Reader and Consultant in Restorative Dentistry at the Centre for Public Health, Queen’s University Belfast, UK and an Adjunct Professor at University College Cork, Ireland. He is the current President of the Geriatric Oral Research Group within the International Association for Dental Research and the former president of the European College of Gerodontology. He is a specialist clinician in Restorative Dentistry and Prosthodontics.Finbarr Allen is Professor and Dean of the Faculty of Dentistry, National University of Singapore, and Senior Consultant Prosthodontist and Director of the National University Centre for Oral Health, Singapore. He is on the editorial board of a number of scientific journals, including Gerodontology. He is a past President of the Geriatric Oral Research Group of the International Association for Dental Research and was awarded the distinguished scientist award for geriatric oral health research by the IADR.Francis Burke is a Senior Lecturer and Consultant in Restorative Dentistry, Cork University Dental School and Hospital and the Deputy Head (Academic Affairs) of the College of Medicine and Health, University College Cork, Ireland. He is a Past President of the Irish Division of the International Association for Dental Research, the British Association of Teachers of Conservative Dentistry and the British Society of Gerodontology.

• Clinical Cases in Gerodontology vList of Contributors ixIntroduction xiWith Contribution from Gerry McKenna, Finbarr Allen, Francis Burke, Paul Brocklehurst and Georgios TsakosChapter 1 Management of Chronic Dental Disease 1Case 1 Management of Root Caries 2With Contribution from Martina Hayes, Cristiane da Mata, Finbarr Allen and Francis BurkeCase 2 Caries Management in a Long‐Term Care Facility Using Atraumatic Restorative Treatment (ART) 7With Contribution from Cristiane da Mata, Martina Hayes, Francis Burke and Finbarr AllenCase 3 Non‐surgical Periodontal Treatment (NSPT) for Periodontally Involved Lower Incisors 13With Contribution from Lewis Winning and Christopher IrwinCase 4 Splinting and Maintenance of Periodontally Involved Lower Incisors 19With Contribution from Lewis Winning and Christopher IrwinCase 5 Management of Toothwear Using Direct Composite Restorations 25With Contribution from Francis BurkeChapter 2 Replacement of Missing Teeth 31Case 6 Fabrication of Complete Conventional Dentures for edentate patients 32With Contribution from Harald Gjengedal and Finbarr AllenCase 7 Fabrication of New Complete Replacement Dentures Using a Copy Technique 39With Contribution from Gerry McKenna, Robert Thompson and Claudio LelesCase 8 Provision of Upper and Lower Implant‐Retained Overdentures for an Older Patient 45With Contribution from Harald Gjengedal, Finbarr Allen, Martin Schimmel and Murali SrinivasanCase 9 Use of a Removable Partial Denture to Replace Missing Teeth 53With Contribution from Finbarr AllenCase 10 Integrating Fixed and Removable Prosthodontics 59With Contribution from Conor McLister and Simon KilloughCase 11 Utilising Upper and Lower Overdentures for a Partially Dentate Patient 65With Contribution from Sayaka TadaCase 12 Single Tooth Replacement Using Adhesive Bridgework 73With Contribution from Conor McListerCase 13 Tooth Replacement According to the Principles of the Shortened Dental Arch 79With Contribution from Conor McLister, Gerry McKenna and Haileigh McCarthyCase 14 Use of a Natural Pontic to Replace a Lower Incisor Lost Due to Periodontal Disease 85With Contribution from Celeste van Heumen, Gerry McKenna and Brian RosenbergCase 15 The Use of Dental Implants to Provide Fixed Prosthodontics in a Partially Dentate Older Patient 91With Contribution from Nico Creugers and Anneloes GerritsenChapter 3 Management of Failing Restorations 97Case 16 Endodontic Treatment for a Fractured Tooth and Conversion to an Overdenture Abutment 98With Contribution from Graham QuilliganCase 17 Managing the Failing Restored Dentition: Replacement of Failing Crowns 103With Contribution from Graham QuilliganCase 18 Removal and Replacement of Heavily Restored Anterior Teeth 109With Contribution from Graham Quilligan and Francis BurkeCase 19 Dismantling a Long‐Span Fixed Bridge and Replacement with a Removable Partial Denture 115With Contribution from Gerry McKenna and Finbarr AllenCase 20 Replacement of a Failing Implant Bridge for a Patient with Missing Lower Teeth 121With Contribution from Nicola Holland, Gerry McKenna, Ciaran Moore and Robert ThompsonChapter 4 Management of Malignancy and Other Oral Conditions 127Case 21 Managing Malignant Oral Disease 128With Contribution from Gerry McKenna and Finbarr AllenCase 22 Maintenance of Multiple Overdenture Abutments for a Patient Following Head and Neck Radiotherapy 135With Contribution from Graham QuilliganCase 23 Management of Primary Sjogren’s Syndrome in a Partially Dentate Patient 141With Contribution from Paul BradyCase 24 Management of Drug‐Induced Gingival Overgrowth 145With Contribution from Lewis Winning and Christopher IrwinCase 25 Vital Bleaching to Improve the Aesthetics of Natural Teeth 149With Contribution from Martina Hayes and Francis BurkeIndex 153

"Clinical Cases in Gerodontology is a case-based guide to the oral health of older adults, providing a comprehensive overview of the most relevant dental issues that arise when dealing with an ageing population. Theory and practice are applied to 25 real-life cases in a clinically relevant format, covering the management of chronic dental disease, replacement of missing teeth, failing restorations, management of malignancy and other oral conditions. To aid learning, each of the clinical cases presented has a defined learning objective and goal. In addition, the authors discuss in detail the clinical decision making factors and the text is enhanced with photographs that demonstrate the progressive stages of treatment. This important text includes the thinking behind clinical decision making, fosters independent learning, prepares for case-based examinations and contains self-study questions and relevant literature citations."—Peter Folly, British Dental Association, Published in BDJ Team (2021)