Assessment and Management of Existing Direct Restorations with a Minimal Invasive Approach in Older Population

We have an increasing older population with a reduced number of edentulism. This has led to an increased number of patients with complex restorations. Any failing restoration will require assessment and management, whilst considering their health conditions. The minimal intervention dentistry and operative procedures will help a general dental practitioner to provide ethical and least-invasive dentistry to the older population. It helps to avoid unnecessary tooth destruction and damage to dentine–pulp complex. It prevents iatrogenic damage to adjacent teeth and soft tissues. Minimal intervention dentistry reduces costs for the older population. Clinical Relevance: The growing older population along with the rising restorative challenges of heavily restored dentition, occlusion, salivary dysfunction, disruptive behaviours, poor dexterity, poor compliance, high plaque levels, and financial constraints, if inevitable the operative procedure needs to be minimal to preserve tooth structure.