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We have been responsible for my 96-year-old mother's health decisions for the past six years. She is legally blind, deaf, and has dementia. Recently her health insurance changed, and she had to go to a new dentist. She has her own teeth and brushes regularly, flosses religiously. She has had only one cavity since she moved to an assisted living near us after my dad passed. She has gone to the dentist regularly all of her life and still does. The new dentist says she needs a full mouth dental debridement, going under her gums. It will be expensive for her and painful for her after the local anesthetic wears off and will require more than one session. I have not mentioned any of this to her as she worries over just a regular dental visit; frankly she everything worries her, so we try to keep information given to her to a minimum. Should I get a second opinion? Should I talk to her family doctor about whether this is a good idea, given that her remaining years are limited? Either way, money is an issue because assisted living is expensive and draining her resources. Her insurance will cover less than half of the treatment, as we understand it. This is up to me to decide, as my younger sister has said, "whatever I want to do. But she did say, let's wait and see." I don't want her to get any infections, as she already has had a toe infected to the bone and gets UTIs monthly. She is on maintenance antibiotics due to the UTIs, and her doctor is getting nervous about the constant antibiotics causing resistance. However, I do am loath to put her through something that may or may not be needed. I know I would hate to have to do this if it were me, but I can take the responsibility for my own health. Making a decision for my mother is something else. I am venting, I know, but it feels like a no-win situation. I love my mom, and I don't want to cause her any unnecessary suffering. She is unhappy enough since Dad died, and Dad made all the decisions when he was alive. Any thoughts?

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I would never put a 96 yo person through this, the dentist just wants money.

IMO no trustworthy dentist would even recommend something like this.

Just say no, this is ridiculous.
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I would not put a 96 year old woman in your Moms health thru this.
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My friend spent $30,000 on implants for her 87-year-old husband who had dementia and pain from his dentures. The process was very painful; he'd cry all the way home from the dentist's office (40 minutes or so). They never stopped hurting and eating was always painful. Essentially, what she had hoped for him, pain-free eating, was never accomplished.

He lasted about a year more before dying. She wishes she'd never put him through it.
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Tell the dentist NO!!!
To subject that type of dental work on a 96 year old with dementia is INSANE.
Mom can get a cleaning.
And any NECESSARY work can be done.
HOWEVER...
I made the difficult decision when I was caring for my Husband that I would not do any dental work. The exception would be if there was any pain or an infection. (that's probably redundant) It just was not worth putting him through anything like that and it was not worth it to put me though it as I was the one that would be doing wound care.
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Tell that dentist that all you are looking to do is a regular cleaning and exam and there are too many other health risks involved in a debridement. They are trying to upsell you, or they are clueless when it comes to working on very elderly people, or both. The problem with going to another dentist is they often require *recent* xrays to be sent over and if that doesn't happen they will insist on a new set. Make sure you have this clarified before making an appointment with a new dentist. Ask if they have experience working with very elderly and people with dementia. My 95-yr old Mom's dentis does, and she's awesome. "Upselling" is a business model that some practices foist upon their clients. Your "Spidey Sense" was correct in this instance. They are selling you nonsense. Let them know that you know.
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Yes get a second opinion. My father broke his dentures. Instead of just making a new pair they insisted I come with him to an appointment to discuss implants. After the appointment I asked if the implants were necessary/required and they said no, but they wanted to see if it was an option. So I wasted a days pay taking him for an appointment that was not medically necessary.
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Hi AsFast,

I'm not a dentist but my guess is that this new dentist is trying to "upsell" your mother into doing expensive treatments that are not necessary. Sadly, this has become a common practice with dentists. You Definitely should get a second opinion!
Just the fact that your mother has been getting regular care from her previous dentist means that whatever condition the new dentist wants to treat would have been handled by the previous dentist long before there was any need for a painful, extensive, and expensive treatment.
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