It is fortunately becoming more common in dental offices to see young adults with no fillings and, as a result of orthodontic treatment, nicely aligned teeth. For those older patients who have already received restorative treatment follow-ups and maintenance are another occasion to reinforce preventive attitudes.


These prophylactic measures, as well as recent technological innovations, have resulted in a growing number of ‘elderly’ patients who retain most, if not all of their teeth and who, when dental problems arise, prefer to treat and maintain their natural dentition whereas previously losing teeth was considered an inevitable part of aging.


The two main disease processes concerning teeth and the mouth are decay and its consequences and periodontal (gum) disease however there is also the fact that with time, teeth become more susceptible to fracture, especially heavily filled teeth and in patients with bruxism (excessive grinding habits). As always prevention is the ideal course of action; good oral hygiene habits combined with routine dental check-ups will minimise problems and permit early, less extensive treatment. Simple and easily learned techniques for cleaning between teeth such as interdental brushing or flossing can dramatically reduce decay and maintain healthy gingiva in these particularly vulnerable areas. For patients who clench or grind their teeth, especially unconsciously while sleeping, a protective night-guard is recommended.


When treatment is necessary composite (tooth coloured) filling material ‘sticks’ to enamel and dentine providing a more resistant result and often with less drilling. Implants, initially made of titanium but more recently in ceramic, to replace a missing tooth are a preferential alternative to conventional bridgework (several crow-ns linked together) or a denture.


Treatments are now frequently performed using a loupe or microscope which adds a new dimension of accuracy with a subsequently better prognosis.

For more information, Tel: 214863012 or visit: http://clinic.cdhaley.pt