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Generally with delusions the advice is to go along and to not argue. But this is a case where agreeing isn't going to make things better!
First, throw out any notion that something that Mom is doing is causing this. It is not a reaction to primping. It is caused by DEMENTIA. Start from that premise.
This is painful for your father. He believes it. He did not make this up to hurt your mother. It is the DEMENTIA.
I would talk to his dementia doctor about it. I don't think there is an anti-delusion-of-unfaithfulness pill, but something to help anxiety might be in order.
In talking to Dad I would not argue with his beliefs. But don't agree, either! "Oh Dad, that must hurt you so much. You and Mom have been through so much together and made things work through good times and bad. To think now she is betraying you must feel terrible! I can understand why you might think this way, but I am absolutely certain that Mother is being 100% faithful, regardless of what things look like. She is devastated that you don't trust her."
It certainly sounds like Dad is far enough into dementia to not be able to live alone. If your parents do separate, where will he go?
But I doubt it. :)
I don't want to make light of the original posters dilema. It sounds like a terrible situation. I would be interested to hear more info on the living situation etc.
As long as there is no abuse issues, let time pass.
Your role would be to protect your parents in their later years, and not to get in the middle of their marriage.
Talk to mom to make sure she is safe from any risky behaviors, you will both most likely end up having a good laugh. I hope it will be okay.
I'm not saying this is the case. The only thing your mom might be guilty of is trying to look good and aging gracefully. He's probably sensing something's changed -- real or imaginary. ... And it's not another man.
Paranoia is generally a symptom. He could have a uti, for example. Or this could be a new part of his overall decline. Check out his general physical health first. Call his doctor and twll her/him what's going on.