I started servicing both of those regulators about 45 years ago (1971) while working at a dive shop.
I own quite a few of both. They are both great regulators. I used to prefer the Mk-5 piston first stage for its simplicity, but I now prefer the Conshelf for its durability. I have essentially retired all my Mk-5 first stages.
My favorite single hose regulator is a Conshelf first stage with a 109 second stage.
The newest Aqua Lung first stage still uses the same replacement parts as the 1965 Royal Aqua Master double hose regulator and the Conshelf (that followed it). Parts for the Conshelf will be around as long as Aqua Lung is in business. Your grand-kids will probably be able to service the Conshelf when they inherit it.
The Mk-5 will have replacements parts for a while, but I don’t think they will be around as long and they need service far more often. I have bought Conshelf that have not been service in over 40 years and they were still working fine.
The Conshelf second stage is ridiculously simple and the only part that needs to be replaced occasionally is the seat, which is just a simple hockey puck style rubber seat. The seat are easily made if you can’t find a source, but they are a standard part available from a number of sources.
VDH carries parts for both the Conshelf and the Scubapro Mk-5, but since the Conshelf parts are the same as the Argonaut double hose, the sources for parts is very reliable.
The Scubapro 109 is a bit better performer, but also more complicated. If you keep it unbalanced (with the newer poppet), then the replaceable parts are also basically the same as the Conshelf (a hockey puck rubber disc). A well tuned Conshelf second stage is an amazingly good performing regulator.
I use the second stages from both regulators, but I have retired the Mk-5 for two basic reasons. Parts for the Conshelf are more common (same parts as in my Argonaut double hose first stage) and I gotten to where I don’t like the Mk-5 swivel (the swivel is a personal preference).
Scubapro quit making the replacement stainless steel swivel screws, but VDH has made replacements (
Store - Vintage Double Hose). I would replace any of the old brass swivel screws.
By exclusively using the Conshelf first stage, it cuts on the number of spare parts I have to keep in stock.
BTW, most of my dive buddies also use either Conshelf first stage or one of its derivative like the Titan (which is identical inside).