co-morbidities and taking bisphosphonates. Surgical removal was mostly impossible as a result, and in any case informed consent is really problematic for people with dementia. Contacting their implant dentist was generally impossible. When eventually some of the implants were exfoliated, they left grossly inadequate support for dentures.My time dealing with care home residents was heart-rending. Poor diet, poor oral hygiene care, lack of socialisation, high charges, bleak outlook. And a mouth full of infected implants as the icing on the cake for a peaceful old age.