Alan gets candid about the "aging practice" and the sobering clinical hurdles of geriatric dentistry. As both he and his long-term patients cross major milestones, Alan explores the dangerous intersection of polypharmacy, xerostomia, and the "comfort food" trap of sugary hard candies. The discussion dives deep into why the dental "ratchet" only turns one way, the necessity of shifting toward more aggressive, proactive treatment planning for patients over 65, and the complex surgical risks posed by bisphosphonate therapy. It's a heartfelt look at the frustration of watching health decline and a call to action for clinicians to adapt their verbal skills and protocols to better serve their patients in the home stretch.

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