Dental Aesthetics and the Aging Patient

ABSTRACT

Those over the age of 65 years old and the “baby boomers” regard oral health, including oral/dental/facial aesthetics, as part of their overall health and wellness. Over 65% of discretionary wealth in the United States belongs to those over the age of 50. In many instances, they have had to deny their own needs for those of their families and are now at a point where their dental issues can finally be addressed. Aesthetic dentistry offers the opportunity to reverse the signs of aging and restore a youthful appearance. A smile can be the most eye-catching feature of a face and therefore should blend in or harmonize with facial appearance. Advances in aesthetic dentistry, such as porcelain veneers, bonding, periodontal surgery, and dental implants, have shown great efficacy and reliability when used properly. Aesthetic dentistry offers the opportunity for the aged population to have a more youthful, harmonious smile with improved function and optimum oral health.

KEYWORDS

Dental aesthetics - porcelain veneers - bonding - dental implants

REFERENCES

• 1 Goldstein R E, Niessen L C. Issues in esthetic dentistry for older adults.  J Esthet Dent. 1998;  10 235-242
• 2 Niessen L C, Fedele D J. Older adults-implications for private dental practitioners.  CDA J. 2005;  33 695-703
• 3 Hobbs E B, Damon B L. Sixty-five plus in America. Current Population Reports, Special Studies P23-P190. 1996 Washington, D.C.; U.S. Department of Commerce; Economics and Statistics Administration; Bureau of the Census
• 4 Shay K. The evolving impact of aging America on dental practice.  J Contemp Dent Pract. 2004;  5 101-110
• 5 Morley J. The role of cosmetic dentistry in restoring a youthful appearance.  J Am Dent Assoc. 1999;  130 1166-1172
• 6 Friend T, DeBarros A. Science finds no limit on life span. USA Today. March 17, 1999 Special report: 5D-7D
• 7 American Association of Retired Persons (AARP) and Administration on Aging (AOA) .“Profile of Older Americans”. 1999
• 8 Miller A J, Brunelle J A, Carlos J P et al.. Oral health in United States adults. Washington, DC; national survey of oral health in US employed adults and seniors: 1985-86 US Department of Health and Human Services. NIH publication no. 87-2868 1987
• 9 Burt B A. Periodontitis and aging: reviewing recent evidence.  J Am Dent Assoc. 1994;  125 273-279
• 10 Brown L, Brunelle J A, Kingman A. Periodontal status in the United States 1988-91: prevalence, extent, and demographic variation.  J Dent Res. 1996;  75 672-683
• 11 Vargas C M, Kramarow E A, Yellowitz J A. The Older Health of Older Americans. Centers for Disease Control and Prevention No. 3. March 2001, No. 3
• 12 Davis D M, Fiske J, Scott B, Radford D R. The emotional effects of tooth loss: a preliminary quantitative study.  Br Dent J. 2000;  188 503-506
• 13 Strauss R P, Hunt R J. Understanding the value of teeth to older adults: influences on the quality of life.  J Am Dent Assoc. 1993;  124 105-110
• 14 Hobbs E B, Damon B L. Sixty-five plus in America. Current Population Reports, Special Studies P23-P190. Washington, D.C.; U.S. Department of Commerce; Economics and Statistics Administration; Bureau of the Census 1996
• 15 Morley J, Eubank J. Macroesthetic elements of smile design.  J Am Dent Assoc. 2001;  132 39-45
• 16 Miller E L, Bodden W R, Jamison H C. A study of the relationship of the dental midline to the facial median line.  J Prosthet Dent. 1979;  41 657-660
• 17 Beyer J W, Lindauer S J. Evaluation of dental midline position.  Semin Orthod. 1998;  4 146-152
• 18 Ahmad I. Anterior dental aesthetics: dentofacial perspective.  Br Dent J. 2005;  199 81-88
• 19 Heartwell C M. Syllabus of Complete Dentures. Philadelphia, PA; Lea and Febiger 1968
• 20 Miller E C, Sodden E R, Jamison H C. A study of the relationship of the dental midline to the facial median line.  J Prosthet Dent. 1979;  41 657-660
• 21 Koury M E, Epker B N. The aged face, the facial manifestations of aging.  Int J Adult Orthodon Orthognath Surg. 1991;  6 81-95
• 22 Richardson M E. A preliminary report on lower arch crowding in the mature adult.  Eur J Orthod. 1995;  17 251-257
• 23 American Academy of Cosmetic Dentistry .Accreditation examination criteria, number 21: Is there a progressive increase in the size of the incisal embrasures?. Madison, WI; American Academy of Cosmetic Dentistry 1999
• 24 Morley J. A multidisciplinary approach to complex aesthetics restoration with diagnostic planning.  Prac Perio Aesth Dent. 2000;  12 575-577
• 25 Morley J, Eubank J. Advanced smile design. Course presented at 141st Annual Session of the American Dental Association. Oct 17, 2000 Chicago, IL;
• 26 Goodkind R J, Schwabacher W B. Use of a fiber-optic colorimeter for in vivo measurements of 2,830 anterior teeth.  J Prosthet Dent. 1987;  58 535-542