Serveur d'exploration sur le patient édenté (maquette)

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The randomized shortened dental arch study: temporomandibular disorder pain.

Identifieur interne : 000D43 ( PubMed/Curation ); précédent : 000D42; suivant : 000D44

The randomized shortened dental arch study: temporomandibular disorder pain.

Auteurs : Daniel R. Reissmann [Allemagne] ; Guido Heydecke ; Oliver Schierz ; Birgit Marré ; Stefan Wolfart ; Joerg R. Strub ; Helmut Stark ; Peter Pospiech ; Torsten Mundt ; Wolfgang Hannak ; Sinsa Hartmann ; Bernd Wöstmann ; Ralph G. Luthardt ; Klaus W. Böning ; Matthias Kern ; Michael H. Walter

Source :

RBID : pubmed:24452826

Descripteurs français

English descriptors

Abstract

The aim of this multi-center, randomized controlled trial was to assess the impact of missing posterior support on the risk for temporomandibular disorder (TMD) pain by comparing patients with either shortened dental arches (SDA) or molar replacement by removable dental prostheses (RDP).

DOI: 10.1007/s00784-014-1188-3
PubMed: 24452826

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pubmed:24452826

Le document en format XML

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<term>Dental Arch (pathology)</term>
<term>Denture, Partial, Removable</term>
<term>Female</term>
<term>Germany</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (pathology)</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Molar</term>
<term>Pain Measurement</term>
<term>Risk Assessment</term>
<term>Risk Factors</term>
<term>Temporomandibular Joint Disorders (etiology)</term>
</keywords>
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<term>Adulte d'âge moyen</term>
<term>Allemagne</term>
<term>Arcade dentaire (anatomopathologie)</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mesure de la douleur</term>
<term>Molaire</term>
<term>Mâchoire partiellement édentée (anatomopathologie)</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Troubles de l'articulation temporomandibulaire (étiologie)</term>
<term>Évaluation des risques</term>
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<keywords scheme="MESH" type="geographic" xml:lang="en">
<term>Germany</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Arcade dentaire</term>
<term>Mâchoire partiellement édentée</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Temporomandibular Joint Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Dental Arch</term>
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire partiellement édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Troubles de l'articulation temporomandibulaire</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Denture, Partial, Removable</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Molar</term>
<term>Pain Measurement</term>
<term>Risk Assessment</term>
<term>Risk Factors</term>
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<term>Adulte d'âge moyen</term>
<term>Allemagne</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mesure de la douleur</term>
<term>Molaire</term>
<term>Mâle</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Évaluation des risques</term>
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<front>
<div type="abstract" xml:lang="en">The aim of this multi-center, randomized controlled trial was to assess the impact of missing posterior support on the risk for temporomandibular disorder (TMD) pain by comparing patients with either shortened dental arches (SDA) or molar replacement by removable dental prostheses (RDP).</div>
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<PMID Version="1">24452826</PMID>
<DateCompleted>
<Year>2016</Year>
<Month>09</Month>
<Day>29</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>10</Month>
<Day>13</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1436-3771</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>18</Volume>
<Issue>9</Issue>
<PubDate>
<Year>2014</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>Clinical oral investigations</Title>
<ISOAbbreviation>Clin Oral Investig</ISOAbbreviation>
</Journal>
<ArticleTitle>The randomized shortened dental arch study: temporomandibular disorder pain.</ArticleTitle>
<Pagination>
<MedlinePgn>2159-69</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00784-014-1188-3</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The aim of this multi-center, randomized controlled trial was to assess the impact of missing posterior support on the risk for temporomandibular disorder (TMD) pain by comparing patients with either shortened dental arches (SDA) or molar replacement by removable dental prostheses (RDP).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A sample of 215 patients with bilateral molar loss in at least one jaw was consecutively recruited in 14 prosthodontic departments of dental schools in Germany. Of the initial sample, 152 patients (mean age: 59.7 years; 53.9 % female) received randomly allocated interventions (SDA: n = 71; RDP: n = 81). Presence of TMD pain was assessed using patients' self-reports and was verified by physical examination and by pain intensity, as the mean of current pain, worst pain, and average pain in the last 6 months, with 10-point ordinal rating scales. Assessments were performed before treatment and at follow-ups until 60 months after treatment. Impact of interventions on TMD risk and pain intensity was computed by applying logistic and linear random-intercept models.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Tooth replacement (RDP) did not significantly change the risk for self-reported (odds ratio [OR]: 1.1; confidence interval [CI]: 0.4 to 3.4) or clinically verified (OR: 0.7; CI: 0.1 to 4.3) TMD pain compared to no tooth replacement (SDA). Mean characteristic pain intensity was virtually identical in both groups (Coeff: 0.01; CI: -0.30 to 0.32).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Retaining or preservation of an SDA is not a major risk factor for TMD pain over the course of 5 years when compared to molar replacement with RPDs.</AbstractText>
<AbstractText Label="CLINICAL RELEVANCE" NlmCategory="CONCLUSIONS">Seemingly, missing molars do not have to be replaced in order to prevent TMD pain.</AbstractText>
</Abstract>
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<LastName>Reissmann</LastName>
<ForeName>Daniel R</ForeName>
<Initials>DR</Initials>
<AffiliationInfo>
<Affiliation>Department of Prosthetic Dentistry, Center for Dental and Oral Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany, d.reissmann@uke.de.</Affiliation>
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<Author ValidYN="Y">
<LastName>Heydecke</LastName>
<ForeName>Guido</ForeName>
<Initials>G</Initials>
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<LastName>Schierz</LastName>
<ForeName>Oliver</ForeName>
<Initials>O</Initials>
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<LastName>Marré</LastName>
<ForeName>Birgit</ForeName>
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<LastName>Wolfart</LastName>
<ForeName>Stefan</ForeName>
<Initials>S</Initials>
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<LastName>Strub</LastName>
<ForeName>Joerg R</ForeName>
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<Author ValidYN="Y">
<LastName>Stark</LastName>
<ForeName>Helmut</ForeName>
<Initials>H</Initials>
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<LastName>Pospiech</LastName>
<ForeName>Peter</ForeName>
<Initials>P</Initials>
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<ForeName>Torsten</ForeName>
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<ForeName>Sinsa</ForeName>
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<ForeName>Bernd</ForeName>
<Initials>B</Initials>
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<LastName>Luthardt</LastName>
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<Initials>M</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Walter</LastName>
<ForeName>Michael H</ForeName>
<Initials>MH</Initials>
</Author>
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<ArticleDate DateType="Electronic">
<Year>2014</Year>
<Month>01</Month>
<Day>23</Day>
</ArticleDate>
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<Country>Germany</Country>
<MedlineTA>Clin Oral Investig</MedlineTA>
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