Because the US population is living to an older age, the number of individuals with cognitive impairment and periodontitis is increasing, as both conditions/diseases increase with age. Dental informed consent best practices for dental/periodontal treatment of individuals with cognitive impairment have not been explored, yet warrant consideration, because complex dental treatments to address periodontal needs/edentulism raise challenges for informed consent in the elderly with cognitive impairment. The purpose of this review is to help practitioners better understand this topic and develop best practices in dentistry for informed consent of patients with cognitive impairment that need extensive dental treatment, including surgical and implant therapy.

中文翻译：

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认知障碍患者的牙科知情同意挑战和考虑

由于美国人口老龄化，患有认知障碍和牙周炎的人数正在增加，因为这两种情况/疾病都随着年龄的增长而增加。尚未探索对认知障碍患者进行牙科/牙周治疗的牙科知情同意最佳实践，但值得考虑，因为解决牙周需求/无牙缺失的复杂牙科治疗对认知障碍老年人的知情同意提出了挑战。本综述的目的是帮助从业者更好地理解这一主题，并制定牙科最佳实践，以获得需要广泛牙科治疗（包括手术和种植治疗）的认知障碍患者的知情同意。