Summary

There is no question that the role of dental hygienists in managing the oral health needs of the older adult is a significant one. Many factors must be considered prior to and during the provision of oral health care to enhance the access, comfort, and safety of older adults. Factors include thorough assessment of the patient’s medical history (medical conditions, drug therapy, vital signs, and cognitive and functional abilities) and social history (living arrangements, significant others/ caregivers, transportation availability to access oral health care, and financial status). Dental hygienists must keep in mind that each older adult should be treated as an individual, just as any patient would be treated. Making decisions for older adult patients instead of with them can compromise rapport between patients and dental hygienists and can affect adversely the treatment outcome. In cases of cognitive impairment, such as dementia, a significant other or caregiver may facilitate planning and implementing appropriate treatment.