Dentaltown September 2019 - 26

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case study

Treating an Aging
Population
An aesthetic and conscientious approach for a 94-year-old patient

Fig. 1: Fractured maxillary incisor of a 94-year-old female patient.

by Dr. Raymond Kimsey
Dr. Raymond D. Kimsey
graduated from the
University of Florida
School of Dentistry, then
completed a general
practice residency
at Miami Children's
Hospital. His practice
specializes in treating
complex and challenging
cases and also offers IV sedation. Kimsey is adept
at working with "dental phobics" and was named
Miami's Best Dentist by the Miami New Times. He is
an adviser to S-Ray and is the board chair of Miami
Arts Charter School.

26

SEPTEMBER 2019 // dentaltown.com

As my practice ages, so do my patients,
and their needs become more complex. The
challenge that I often face is how to provide
the appropriate care and do what is right
for my patients when considering their age
and circumstances. This case serves as a
good example.
The 94-year-old patient in my chair
had a fractured maxillary incisor (Figs. 1
and 2). Although her physical health was
good and her basic systems were sound,
she suffered from advanced Alzheimer's
disease. I would consider placing a crown

Fig. 2: Radiograph of incisor.

for a younger patient, but in this case the
expense was not necessary and there was a
more practical approach.
At 94, the patient still had a full set of
natural teeth, thanks to a lifelong commitment to oral care, but she now suffered from
compromised hygiene, xerostomia and a
tendency to retain some food in her mouth.
A radiograph revealed extensive caries, but
the bone was excellent. Fortunately, she is
cared for by a loving daughter who wanted
her mother's tooth restored for her comfort
and appearance.


http://www.dentaltown.com

Dentaltown September 2019

Table of Contents for the Digital Edition of Dentaltown September 2019

Dentaltown September 2019 - Intro
Dentaltown September 2019 - Cover1
Dentaltown September 2019 - Cover2
Dentaltown September 2019 - 1
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