A review of the shortened dental arch concept focusing on the work by the Käyser/Nijmegen group
Identifieur interne : 004D50 ( Istex/Curation ); précédent : 004D49; suivant : 004D51A review of the shortened dental arch concept focusing on the work by the Käyser/Nijmegen group
Auteurs : T. Kanno [Japon, Suède] ; G. E. Carlsson [Suède]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2006-11.
Descripteurs français
- Wicri :
- geographic : Tanzanie.
English descriptors
- KwdEn :
- Adaptive capacity, Anterior teeth, Arch, Blackwell publishing, Carlsson, Clinical examination, Clinical practice, Clinical studies, Community dent, Creugers, Dent, Dental, Dental arch, Dental arch concept, Dental arches, Dental health, Dental treatment, Dentistry, Dentition, Denture, Dutch group, Dutch population, Edentulous, Edentulous patients, European prosthodontic association, Food selection, Front teeth, Functional dentition, General health, Great majority, Great variation, Interdental spacing, Kanno, Kayser, Mandibular, Mandibular dysfunction, Masticatory, Masticatory ability, Minimum number, Molar, Molar support, More research, Ndings, Occluding, Occluding pairs, Occluding premolars, Occlusal, Occlusal contact, Occlusal loading, Occlusal stability, Occlusal units, Opinion papers, Oral comfort, Oral function, Oral rehabil, Oral rehabilitation, Other countries, Periodontal, Periodontal involvement, Periodontal support, Posterior support, Potential risk factor, Premolar, Premolar regions, Premolar teeth, Prosthet dent, Prosthetic, Prosthetic appliances, Prosthetic treatment, Prosthodont, Prosthodontic, Reference number, Rehabil, Removable, Response rate, Restorative dentistry, Rpds, Tanzania, Temporomandibular disorders, Tooth loss, Treatment planning, Useful place, Witter.
- Teeft :
- Adaptive capacity, Anterior teeth, Arch, Blackwell publishing, Carlsson, Clinical examination, Clinical practice, Clinical studies, Community dent, Creugers, Dent, Dental, Dental arch, Dental arch concept, Dental arches, Dental health, Dental treatment, Dentistry, Dentition, Denture, Dutch group, Dutch population, Edentulous, Edentulous patients, European prosthodontic association, Food selection, Front teeth, Functional dentition, General health, Great majority, Great variation, Interdental spacing, Kanno, Kayser, Mandibular, Mandibular dysfunction, Masticatory, Masticatory ability, Minimum number, Molar, Molar support, More research, Ndings, Occluding, Occluding pairs, Occluding premolars, Occlusal, Occlusal contact, Occlusal loading, Occlusal stability, Occlusal units, Opinion papers, Oral comfort, Oral function, Oral rehabil, Oral rehabilitation, Other countries, Periodontal, Periodontal involvement, Periodontal support, Posterior support, Potential risk factor, Premolar, Premolar regions, Premolar teeth, Prosthet dent, Prosthetic, Prosthetic appliances, Prosthetic treatment, Prosthodont, Prosthodontic, Reference number, Rehabil, Removable, Response rate, Restorative dentistry, Rpds, Tanzania, Temporomandibular disorders, Tooth loss, Treatment planning, Useful place, Witter.
Abstract
summary The aims of this paper were to review the literature on shortened dental arches with special focus on publications of the Käyser/Nijmegen group, and to evaluate the discussions on the shortened dental arch concept found in the literature. A MEDLINE (PubMed) search was conducted for articles in English published in the dental literature from 1966 to November 2005. The search revealed epidemiological, cross‐sectional and longitudinal clinical studies as well as opinion papers, the majority of which were published by the Dutch group. The studies found in general no clinically significant differences between subjects with shortened dental arches of three to five occlusal units and complete dental arches regarding variables such as masticatory ability, signs and symptoms of temporomandibular disorders, migration of remaining teeth, periodontal support, and oral comfort. The findings from cross‐sectional studies were corroborated longitudinally. No systematic clinical study with conflicting results was found. The shortened dental arch concept was accepted by a great majority of dentists but not widely practised. The studies reviewed showed that shortened dental arches comprising anterior and premolar teeth in general fulfil the requirements of a functional dentition. It may therefore be concluded that the concept deserves serious consideration in treatment planning for partially edentulous patients. However, with ongoing changes, e.g. in dental health and economy, the concept requires continuing research, evaluation and discussion. Patients’ needs and demands vary much and should be individually assessed but the shortened dental arch concept deserves to be included in all treatment planning for partially edentulous patients.
Url:
DOI: 10.1111/j.1365-2842.2006.01625.x
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adaptive capacity</term>
<term>Anterior teeth</term>
<term>Arch</term>
<term>Blackwell publishing</term>
<term>Carlsson</term>
<term>Clinical examination</term>
<term>Clinical practice</term>
<term>Clinical studies</term>
<term>Community dent</term>
<term>Creugers</term>
<term>Dent</term>
<term>Dental</term>
<term>Dental arch</term>
<term>Dental arch concept</term>
<term>Dental arches</term>
<term>Dental health</term>
<term>Dental treatment</term>
<term>Dentistry</term>
<term>Dentition</term>
<term>Denture</term>
<term>Dutch group</term>
<term>Dutch population</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>European prosthodontic association</term>
<term>Food selection</term>
<term>Front teeth</term>
<term>Functional dentition</term>
<term>General health</term>
<term>Great majority</term>
<term>Great variation</term>
<term>Interdental spacing</term>
<term>Kanno</term>
<term>Kayser</term>
<term>Mandibular</term>
<term>Mandibular dysfunction</term>
<term>Masticatory</term>
<term>Masticatory ability</term>
<term>Minimum number</term>
<term>Molar</term>
<term>Molar support</term>
<term>More research</term>
<term>Ndings</term>
<term>Occluding</term>
<term>Occluding pairs</term>
<term>Occluding premolars</term>
<term>Occlusal</term>
<term>Occlusal contact</term>
<term>Occlusal loading</term>
<term>Occlusal stability</term>
<term>Occlusal units</term>
<term>Opinion papers</term>
<term>Oral comfort</term>
<term>Oral function</term>
<term>Oral rehabil</term>
<term>Oral rehabilitation</term>
<term>Other countries</term>
<term>Periodontal</term>
<term>Periodontal involvement</term>
<term>Periodontal support</term>
<term>Posterior support</term>
<term>Potential risk factor</term>
<term>Premolar</term>
<term>Premolar regions</term>
<term>Premolar teeth</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic appliances</term>
<term>Prosthetic treatment</term>
<term>Prosthodont</term>
<term>Prosthodontic</term>
<term>Reference number</term>
<term>Rehabil</term>
<term>Removable</term>
<term>Response rate</term>
<term>Restorative dentistry</term>
<term>Rpds</term>
<term>Tanzania</term>
<term>Temporomandibular disorders</term>
<term>Tooth loss</term>
<term>Treatment planning</term>
<term>Useful place</term>
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<term>Anterior teeth</term>
<term>Arch</term>
<term>Blackwell publishing</term>
<term>Carlsson</term>
<term>Clinical examination</term>
<term>Clinical practice</term>
<term>Clinical studies</term>
<term>Community dent</term>
<term>Creugers</term>
<term>Dent</term>
<term>Dental</term>
<term>Dental arch</term>
<term>Dental arch concept</term>
<term>Dental arches</term>
<term>Dental health</term>
<term>Dental treatment</term>
<term>Dentistry</term>
<term>Dentition</term>
<term>Denture</term>
<term>Dutch group</term>
<term>Dutch population</term>
<term>Edentulous</term>
<term>Edentulous patients</term>
<term>European prosthodontic association</term>
<term>Food selection</term>
<term>Front teeth</term>
<term>Functional dentition</term>
<term>General health</term>
<term>Great majority</term>
<term>Great variation</term>
<term>Interdental spacing</term>
<term>Kanno</term>
<term>Kayser</term>
<term>Mandibular</term>
<term>Mandibular dysfunction</term>
<term>Masticatory</term>
<term>Masticatory ability</term>
<term>Minimum number</term>
<term>Molar</term>
<term>Molar support</term>
<term>More research</term>
<term>Ndings</term>
<term>Occluding</term>
<term>Occluding pairs</term>
<term>Occluding premolars</term>
<term>Occlusal</term>
<term>Occlusal contact</term>
<term>Occlusal loading</term>
<term>Occlusal stability</term>
<term>Occlusal units</term>
<term>Opinion papers</term>
<term>Oral comfort</term>
<term>Oral function</term>
<term>Oral rehabil</term>
<term>Oral rehabilitation</term>
<term>Other countries</term>
<term>Periodontal</term>
<term>Periodontal involvement</term>
<term>Periodontal support</term>
<term>Posterior support</term>
<term>Potential risk factor</term>
<term>Premolar</term>
<term>Premolar regions</term>
<term>Premolar teeth</term>
<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic appliances</term>
<term>Prosthetic treatment</term>
<term>Prosthodont</term>
<term>Prosthodontic</term>
<term>Reference number</term>
<term>Rehabil</term>
<term>Removable</term>
<term>Response rate</term>
<term>Restorative dentistry</term>
<term>Rpds</term>
<term>Tanzania</term>
<term>Temporomandibular disorders</term>
<term>Tooth loss</term>
<term>Treatment planning</term>
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<front><div type="abstract">summary The aims of this paper were to review the literature on shortened dental arches with special focus on publications of the Käyser/Nijmegen group, and to evaluate the discussions on the shortened dental arch concept found in the literature. A MEDLINE (PubMed) search was conducted for articles in English published in the dental literature from 1966 to November 2005. The search revealed epidemiological, cross‐sectional and longitudinal clinical studies as well as opinion papers, the majority of which were published by the Dutch group. The studies found in general no clinically significant differences between subjects with shortened dental arches of three to five occlusal units and complete dental arches regarding variables such as masticatory ability, signs and symptoms of temporomandibular disorders, migration of remaining teeth, periodontal support, and oral comfort. The findings from cross‐sectional studies were corroborated longitudinally. No systematic clinical study with conflicting results was found. The shortened dental arch concept was accepted by a great majority of dentists but not widely practised. The studies reviewed showed that shortened dental arches comprising anterior and premolar teeth in general fulfil the requirements of a functional dentition. It may therefore be concluded that the concept deserves serious consideration in treatment planning for partially edentulous patients. However, with ongoing changes, e.g. in dental health and economy, the concept requires continuing research, evaluation and discussion. Patients’ needs and demands vary much and should be individually assessed but the shortened dental arch concept deserves to be included in all treatment planning for partially edentulous patients.</div>
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