{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T13:58:51Z","timestamp":1788962331602,"version":"build-2803163510"},"reference-count":228,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Periodontology 2000"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Population aging is reshaping prosthodontic care for both partially and completely edentulous individuals. In older adults, conditions such as frailty, comorbidities, polypharmacy, and cognitive decline can have a direct impact on the biological and biomechanical demands of implant therapy, thereby influencing the success of implant treatment.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n This narrative review synthesizes evidence on implant therapy in older patients, integrating prosthetic and biomechanical considerations with patient\u2010related factors. The literature search addressed implant survival, complications, prosthetic and material design, peri\u2010implant soft tissue considerations, and treatment options such as shortened dental arch approaches, implant\u2010assisted removable partial dentures (IARPDs), implant overdentures, and complete dentures, as well as maintenance strategies with patient and caregiver education.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Implant survival in older patients remains high, and age alone should not be considered as a limiting factor for implant treatment. Hygiene\u2010oriented prosthetic designs, including non\u2010mucosa\u2010contact intaglio surfaces and emergence angles less than 30\u00b0, were associated with reduced plaque accumulation and peri\u2010implant bone loss in older adults. While limited keratinized mucosa correlated with greater plaque and recession, phenotype modification should be evaluated on a case\u2010by\u2010case basis, carefully weighing the benefits against the surgical burden for the older patient. Ceramic materials accumulate less plaque as compared with processed acrylic resin, and veneered zirconia remained more prone to chipping than monolithic zirconia. Alternative treatment options\u2014such as overdentures to enhance bite force, a shortened dental arch when posterior implants are contraindicated, or IARPDs to improve stability\u2014may be especially appropriate for older patients with functional limitations. Caregiver participation and structured maintenance significantly reduce peri\u2010implantitis risk.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Implant therapy in older patients, including individuals aged 75\u2009years and above, is highly feasible when age\u2010related risks are addressed, prostheses are designed for cleansability and retrievability, and maintenance includes structured follow\u2010up and caregiver support.<\/jats:p>\n <\/jats:sec>\n \n Clinical Relevance<\/jats:title>\n Clinicians should emphasize functional goals, hygiene\u2010accessible designs, pragmatic treatment alternatives, selective peri\u2010implant soft tissue management when indicated, and personalized maintenance supported by patient and caregiver education.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/prd.70058","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T05:38:51Z","timestamp":1779514731000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Implant therapy in older patients: Prosthetic considerations and biomechanical implications for frailty\/aging"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7806-2373","authenticated-orcid":false,"given":"Yu\u2010Ting","family":"Yeh","sequence":"first","affiliation":[{"name":"Department of Orofacial Sciences University of California San Francisco, School of Dentistry San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7199-6445","authenticated-orcid":false,"given":"Lan\u2010Lin","family":"Chiou","sequence":"additional","affiliation":[{"name":"Department of Orofacial Sciences University of California San Francisco, School of Dentistry San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debora","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Orofacial Sciences University of California San Francisco, School of Dentistry San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayla","family":"Lieuw","sequence":"additional","affiliation":[{"name":"Department of Orofacial Sciences University of California San Francisco, School of Dentistry San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Orofacial Sciences University of California San Francisco, School of Dentistry San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina","family":"Maniewicz","sequence":"additional","affiliation":[{"name":"Division of Gerodontology and Removable Prosthodontics University Clinics of Dental Medicine, University of Geneva Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9468-8958","authenticated-orcid":false,"given":"Alkisti","family":"Zekeridou","sequence":"additional","affiliation":[{"name":"Division of Regenerative Dental Medicine and Periodontology University Clinics of Dental Medicine, University of Geneva Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald A.","family":"Curtis","sequence":"additional","affiliation":[{"name":"Department of Preventive and Restorative Dental Sciences University of California San Francisco, School of Dentistry San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3981-0134","authenticated-orcid":false,"given":"Frauke","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Division of Gerodontology and Removable Prosthodontics University Clinics of Dental Medicine, University of Geneva Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1330-0654","authenticated-orcid":false,"given":"Yvonne L.","family":"Hernandez\u2010Kapila","sequence":"additional","affiliation":[{"name":"Division of Regenerative and Reconstructive Sciences University of California Los Angeles, School of Dentistry Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1290-9994","authenticated-orcid":false,"given":"Guo\u2010Hao","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Orofacial Sciences University of California San Francisco, School of Dentistry San Francisco California USA"},{"name":"Department of Periodontics and Oral Medicine University of Michigan School of Dentistry Ann Arbor Michigan USA"},{"name":"College of Dentistry, National Yang Ming Chiao Tung University Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"e159","DOI":"10.1016\/S2468-2667(19)30019-2","article-title":"Measuring population ageing: an analysis of the global burden of disease study 2017","volume":"4","author":"Chang AY","year":"2019","journal-title":"Lancet Public Health"},{"key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/S0140-6736(22)00847-9","article-title":"Population\u2010level risks of alcohol consumption by amount, geography, age, sex, and year: a systematic analysis for the global burden of disease study 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