As the body undergoes physiological changes with age, the structure of the dental system is affected as well. As Professor Alexander von Breuer believes, after the age of 40, dental treatment strategies should take into account reduced regenerative capacity and altered biomechanical load distribution. At DentalClinic24, we adapt therapeutic and prosthetic protocols to age-related characteristics in order to ensure not only a successful clinical result but also long-term stability.
After 40, bone density gradually decreases – regeneration slows down, micro–resorption may occur and recovery following intervention often takes longer. At DentalClinic24, we use 3D tomography and digital treatment planning to assess bone condition before implant or prosthetic treatment. Professor von Breuer emphasises that early evaluation of structural alterations allows us to select a minimally invasive protocol and avoid excessive tissue overload.
Occlusal balance also changes with age. There is a greater risk of nocturnal muscle tension, reduced joint adaptability and pressure shifting to limited areas. At DentalClinic24, we analyse occlusion and, if necessary, adjust the distribution of chewing load to prevent overloading of restorations. As Professor von Breuer notes – functional evaluation of the dental system after 40 must consider both static and dynamic parameters.
Changes in soft tissue structure add another layer of complexity – gum elasticity may decline, the risk of recession increases and tissue microcirculation can be impaired. At DentalClinic24, we develop personalised preparation protocols prior to prosthetic and surgical procedures, focusing on microbiological balance restoration and periodontal support.
Age also influences emotional adaptation to treatment. At DentalClinic24, we observe that patients over 40 are often more focused on long-term outcomes and are willing to follow recommendations when the strategy is clearly explained. According to Professor von Breuer, the patient’s conscious engagement in the treatment process becomes a key factor of clinical success in mature age.
A comprehensive approach helps address biological, functional and psychological changes associated with ageing. At Dental Clinic24, we not only adapt the clinical protocol but also forecast long-term treatment stability, minimising the risk of late complications.
Earlier, we wrote about how pressure distribution determines the longevity of restorations