Factors related to prosthetic restoration in patients with shortened dental arches: a multicentre study
Identifieur interne : 001750 ( Istex/Checkpoint ); précédent : 001749; suivant : 001751Factors related to prosthetic restoration in patients with shortened dental arches: a multicentre study
Auteurs : K. Fueki [Japon] ; Y. Igarashi [Japon] ; Y. Maeda ; K. Baba [Japon] ; K. Koyano ; Y. Akagawa ; K. Sasaki ; T. Kuboki ; S. Kasugai [Japon] ; N. R. Garrett [États-Unis]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2011-07.
English descriptors
- KwdEn :
- Asymmetric, Asymmetric arch, Baseline, Baseline assessment, Blackwell publishing, Clinical studies, Constant odds ratio, Dental arch, Dental arch concept, Dental arches, Dental hospitals, Dental university, Dentistry, Denture, Edentulous, Edentulous space, Educational level, European countries, Gender, Graduate school, Hiroshima university, Ifpd, Ifpd group, Kayser, Kyushu university, Logistic regression analysis, Masticatory, Molar, Occluding, Occlusal, Occlusal units, Ohrqol, Okayama university, Oral function, Oral quality, Oral rehabil, Oral rehabilitation, Osaka university, Partial denture, Partial dentures, Partial regression, Past usage, Posterior teeth, Predictor, Present study, Prosthet dent, Prosthetic, Prosthetic restoration, Prosthetic treatment, Prosthodont, Rehabil, Removable, Right side, Showa university, Tohoku university, Total subjects, Treatment option, Witter.
- Teeft :
- Asymmetric, Asymmetric arch, Baseline, Baseline assessment, Blackwell publishing, Clinical studies, Constant odds ratio, Dental arch, Dental arch concept, Dental arches, Dental hospitals, Dental university, Dentistry, Denture, Edentulous, Edentulous space, Educational level, European countries, Gender, Graduate school, Hiroshima university, Ifpd, Ifpd group, Kayser, Kyushu university, Logistic regression analysis, Masticatory, Molar, Occluding, Occlusal, Occlusal units, Ohrqol, Okayama university, Oral function, Oral quality, Oral rehabil, Oral rehabilitation, Osaka university, Partial denture, Partial dentures, Partial regression, Past usage, Posterior teeth, Predictor, Present study, Prosthet dent, Prosthetic, Prosthetic restoration, Prosthetic treatment, Prosthodont, Rehabil, Removable, Right side, Showa university, Tohoku university, Total subjects, Treatment option, Witter.
Abstract
Summary The aim of this study was to identify the factors related to prosthetic restoration in patients with shortened dental arches (SDA). SDA patients with 2–12 missing occlusal units were consecutively enrolled from seven university‐based dental hospitals in Japan. Of the 145 subjects (mean age; 63·4 years), 41% chose no treatment and 59% sought to replace their edentulous spaces with removable partial dentures or implant‐supported fixed partial dentures. Restoration decisions were related to tooth loss patterns. Only 3% of subjects missing just second molar(s) sought to receive prosthetic treatment, while the percentage increased to 58% in subjects who were missing first and second molars and 93% in subjects missing premolar(s). Logistic regression analyses found that young age, increased number of missing occlusal units, asymmetric arch and presence of chewing complaint were significant predictors for prosthetic restoration (P < 0·05). Increased number of missing occlusal units and asymmetric arch were significant predictors for the presence of chewing complaint (P < 0·05). These results suggest that perceived impairment of chewing ability owing to missing occlusal units is a critical factor for prosthetic restoration in SDA patients.
Url:
DOI: 10.1111/j.1365-2842.2010.02183.x
Affiliations:
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<front><div type="abstract">Summary The aim of this study was to identify the factors related to prosthetic restoration in patients with shortened dental arches (SDA). SDA patients with 2–12 missing occlusal units were consecutively enrolled from seven university‐based dental hospitals in Japan. Of the 145 subjects (mean age; 63·4 years), 41% chose no treatment and 59% sought to replace their edentulous spaces with removable partial dentures or implant‐supported fixed partial dentures. Restoration decisions were related to tooth loss patterns. Only 3% of subjects missing just second molar(s) sought to receive prosthetic treatment, while the percentage increased to 58% in subjects who were missing first and second molars and 93% in subjects missing premolar(s). Logistic regression analyses found that young age, increased number of missing occlusal units, asymmetric arch and presence of chewing complaint were significant predictors for prosthetic restoration (P < 0·05). Increased number of missing occlusal units and asymmetric arch were significant predictors for the presence of chewing complaint (P < 0·05). These results suggest that perceived impairment of chewing ability owing to missing occlusal units is a critical factor for prosthetic restoration in SDA patients.</div>
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