Most Americans now enter the senior years with natural dentitions. This has caused a huge increase in the need for restorative procedures in millions of patients. However, aging causes changes in the oral cavity which have a direct impact on restorative dentistry. Root caries is now a common and often frustrating restorative problem. Age-related changes to pulpal tissues impact local anesthetic techniques. Caries-affected and sclerotic dentin bond differently than normal dentin. Attrition, abrasion, erosion, and other tooth wear phenomenon affect restorative contours, material longevity, and occlusal harmony. Xerostomia and other factors that increase caries risk must be properly addressed to achieve long-lasting results. Learn to properly select restorative materials (including bioactives), expose subgingival decay, preparation techniques, matrixing, finishing and new preventive strategies. Learn novel techniques, as well as simple modifications to your existing procedures, so that you can achieve restorative success with your older patients.