Geriatric and Medically Compromised Prosthodontics
Geriatric and Medically Compromised Prosthodontics tests how aging, systemic disease, medications, and frailty modify prosthodontic care. The exam rewards safety, prevention, and realistic treatment goals.
Core rules
- Assess medical history, polypharmacy, cognition, dexterity, diet, and social support before planning.
- Xerostomia increases caries and denture discomfort; recommend fluoride, hydration, and frequent review.
- Diabetes affects healing and infection risk; coordinate care and avoid elective surgery during poor control.
- Anticoagulants require medical consultation before invasive procedures.
- Head and neck radiation increases caries, mucositis, and osteoradionecrosis risk; avoid trauma and plan preventive care.
Worked example
A 78-year-old with diabetes and dry mouth needs a mandibular removable partial denture. Reasoning: prioritize caries prevention with fluoride and hygiene; simplify the design to improve cleanability; verify tissue health and denture-bearing support; schedule shorter appointments. Do not proceed with multiple extractions without glycemic review. Consider whether a simpler removable or implant-assisted option is realistic given dexterity and support.
Traps that cost marks
- Applying the same plan as for a healthy younger adult.
- Ignoring medication-induced xerostomia.
- Performing elective surgery without medical coordination.
- Missing cognitive or dexterity limitations.
- Failing to plan maintenance and fluoride.