My mother is 92, has advanced dementia, has been on hospice for 9 months and now has a very loose bottom tooth (premolar). It doesn't hurt and it doesn't seem to be infected. Mainly it annoys her when she's eating. She is not ambulatory and can't help with transfers anymore. Just getting her in a car is a feat. The last time I took her to her dentist was nearly a year ago...it was a nightmare for us, her and I suspect the dentist as well. The whole process caused her a great deal of confusion and anxiety and all they did was x-rays. I am trying to keep her life as quiet and comfortable as possible these days. I have a hard time imagining her getting her tooth pulled in a dental office BUT, all that being said, if going to the dentist is the better choice, we'll do it. Our hospice nurse said we could let the tooth fall out on it's own if we're worried a dental visit would be too traumatic for her. That sounds really good to me and is the direction I'm currently inclined to go. I'm thinking once the tooth comes out, her nurse could help me watch for and treat infection. So, I guess basically I'm looking for validation (if validation is warranted) but also hoping some of you might have some insights and experiences that would help me think this through.