An observational cohort study on shortened dental arches—clinical course during a period of 27–35 years
Identifieur interne : 003466 ( Main/Exploration ); précédent : 003465; suivant : 003467An observational cohort study on shortened dental arches—clinical course during a period of 27–35 years
Auteurs : Anneloes E. Gerritsen [Pays-Bas] ; Dick J. Witter [Pays-Bas] ; Ewald M. Bronkhorst [Pays-Bas] ; Nico H. J. Creugers [Pays-Bas]Source :
- Clinical Oral Investigations [ 1432-6981 ] ; 2012.
Descripteurs français
- KwdFr :
- Arcade dentaire (anatomopathologie), Conception assistée par ordinateur, Couronne dentaire (anatomie et histologie), Couronnes, Humains, Modèles dentaires, Mâchoire partiellement édentée (anatomopathologie), Occlusion dentaire, Perte dentaire (rééducation et réadaptation), Prothèse dentaire partielle amovible, Restaurations dentaires permanentes (), Études de cohortes.
- MESH :
- anatomie et histologie : Couronne dentaire.
- anatomopathologie : Arcade dentaire, Mâchoire partiellement édentée.
- rééducation et réadaptation : Perte dentaire.
- Conception assistée par ordinateur, Couronnes, Humains, Modèles dentaires, Occlusion dentaire, Prothèse dentaire partielle amovible, Restaurations dentaires permanentes, Études de cohortes.
English descriptors
- KwdEn :
- MESH :
- anatomy & histology : Tooth Crown.
- methods : Dental Restoration, Permanent.
- pathology : Dental Arch, Jaw, Edentulous, Partially.
- rehabilitation : Tooth Loss.
- Cohort Studies, Computer-Aided Design, Crowns, Dental Models, Dental Occlusion, Denture, Partial, Removable, Humans.
Abstract
The objective of this study was to investigate the clinical course of shortened dental arches (‘SDA group’) compared to SDAs plus removable denture prosthesis (‘SDA plus RDP group’) and complete dental arches (‘CDA group’, controls).
Data (numbers of direct and indirect restorations, endodontic treatments, tooth loss and tooth replacements) were extracted from patient records of subjects attending the Nijmegen Dental School who previously participated in a cohort study on shortened dental arches with three to four posterior occluding pairs (POPs).
Records of 35 % of the original cohort were retrievable. At the end of the follow-up (27.4 ± 7.1 years), 20 out of 23 SDA subjects still had SDA with 3–4 POPs compared to 6 out of 13 for SDA plus RDP subjects (follow-up 32.6 ± 7.3 years). Sixteen out of 23 CDA subjects still had CDA; none of them lost more than one POP (follow-up 35.0 ± 5.6 years). SDA group lost 67 teeth: 16 were not replaced, 16 were replaced by FDP and 35 teeth (lost in three subjects) replaced by RDP. Mean number of treatments per year in SDA subjects differed not significantly compared to CDA subjects except for indirect restorations in the upper jaw.
Shortened dental arches can last for 27 years and over. Clinical course in SDA plus RDP is unfavourable, especially when RDP-related interventions are taken into account.
The shortened dental arch concept seems to be a relevant approach from a cost-effective point of view. Replacement of absent posterior teeth by free-end RDP cannot be recommended.
Url:
DOI: 10.1007/s00784-012-0765-6
PubMed: 22744163
PubMed Central: 3607715
Affiliations:
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Gerritsen</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen</wicri:regionArea><wicri:noRegion>6525 EX Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Witter, Dick J" sort="Witter, Dick J" uniqKey="Witter D" first="Dick J." last="Witter">Dick J. 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Gerritsen</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen</wicri:regionArea><wicri:noRegion>6525 EX Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Witter, Dick J" sort="Witter, Dick J" uniqKey="Witter D" first="Dick J." last="Witter">Dick J. Witter</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen</wicri:regionArea><wicri:noRegion>6525 EX Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Bronkhorst, Ewald M" sort="Bronkhorst, Ewald M" uniqKey="Bronkhorst E" first="Ewald M." last="Bronkhorst">Ewald M. Bronkhorst</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Preventive and Restorative Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Preventive and Restorative Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen</wicri:regionArea><wicri:noRegion>6525 EX Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Creugers, Nico H J" sort="Creugers, Nico H J" uniqKey="Creugers N" first="Nico H. J." last="Creugers">Nico H. J. Creugers</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen</wicri:regionArea><wicri:noRegion>6525 EX Nijmegen</wicri:noRegion></affiliation></author></analytic><series><title level="j">Clinical Oral Investigations</title><idno type="ISSN">1432-6981</idno><idno type="eISSN">1436-3771</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cohort Studies</term><term>Computer-Aided Design</term><term>Crowns</term><term>Dental Arch (pathology)</term><term>Dental Models</term><term>Dental Occlusion</term><term>Dental Restoration, Permanent (methods)</term><term>Denture, Partial, Removable</term><term>Humans</term><term>Jaw, Edentulous, Partially (pathology)</term><term>Tooth Crown (anatomy & histology)</term><term>Tooth Loss (rehabilitation)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Arcade dentaire (anatomopathologie)</term><term>Conception assistée par ordinateur</term><term>Couronne dentaire (anatomie et histologie)</term><term>Couronnes</term><term>Humains</term><term>Modèles dentaires</term><term>Mâchoire partiellement édentée (anatomopathologie)</term><term>Occlusion dentaire</term><term>Perte dentaire (rééducation et réadaptation)</term><term>Prothèse dentaire partielle amovible</term><term>Restaurations dentaires permanentes ()</term><term>Études de cohortes</term></keywords><keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Couronne dentaire</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Arcade dentaire</term><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Tooth Crown</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Restoration, Permanent</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>Tooth Loss</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Perte dentaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cohort Studies</term><term>Computer-Aided Design</term><term>Crowns</term><term>Dental Models</term><term>Dental Occlusion</term><term>Denture, Partial, Removable</term><term>Humans</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Conception assistée par ordinateur</term><term>Couronnes</term><term>Humains</term><term>Modèles dentaires</term><term>Occlusion dentaire</term><term>Prothèse dentaire partielle amovible</term><term>Restaurations dentaires permanentes</term><term>Études de cohortes</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>The objective of this study was to investigate the clinical course of shortened dental arches (‘SDA group’) compared to SDAs plus removable denture prosthesis (‘SDA plus RDP group’) and complete dental arches (‘CDA group’, controls).</p></sec><sec><title>Materials and methods</title><p>Data (numbers of direct and indirect restorations, endodontic treatments, tooth loss and tooth replacements) were extracted from patient records of subjects attending the Nijmegen Dental School who previously participated in a cohort study on shortened dental arches with three to four posterior occluding pairs (POPs).</p></sec><sec><title>Results</title><p>Records of 35 % of the original cohort were retrievable. At the end of the follow-up (27.4 ± 7.1 years), 20 out of 23 SDA subjects still had SDA with 3–4 POPs compared to 6 out of 13 for SDA plus RDP subjects (follow-up 32.6 ± 7.3 years). Sixteen out of 23 CDA subjects still had CDA; none of them lost more than one POP (follow-up 35.0 ± 5.6 years). SDA group lost 67 teeth: 16 were not replaced, 16 were replaced by FDP and 35 teeth (lost in three subjects) replaced by RDP. Mean number of treatments per year in SDA subjects differed not significantly compared to CDA subjects except for indirect restorations in the upper jaw.</p></sec><sec><title>Conclusion</title><p>Shortened dental arches can last for 27 years and over. Clinical course in SDA plus RDP is unfavourable, especially when RDP-related interventions are taken into account.</p></sec><sec><title>Clinical relevance</title><p>The shortened dental arch concept seems to be a relevant approach from a cost-effective point of view. Replacement of absent posterior teeth by free-end RDP cannot be recommended.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kanno, T" uniqKey="Kanno T">T Kanno</name></author><author><name sortKey="Carlsson, Ge" uniqKey="Carlsson G">GE Carlsson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aras, K" uniqKey="Aras K">K Aras</name></author><author><name sortKey="Hasanreisoglu, U" uniqKey="Hasanreisoglu U">U Hasanreisoglu</name></author><author><name sortKey="Shinogaya, T" uniqKey="Shinogaya T">T Shinogaya</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gerritsen, Ae" uniqKey="Gerritsen A">AE Gerritsen</name></author><author><name sortKey="Sarita, P" uniqKey="Sarita P">P Sarita</name></author><author><name sortKey="Witter, Dj" uniqKey="Witter D">DJ Witter</name></author><author><name sortKey="Kreulen, Cm" uniqKey="Kreulen C">CM 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sortKey="Moynihan, Pj" uniqKey="Moynihan P">PJ Moynihan</name></author><author><name sortKey="Kelly, Pj" uniqKey="Kelly P">PJ Kelly</name></author><author><name sortKey="Watson, Gw" uniqKey="Watson G">GW Watson</name></author><author><name sortKey="Thomason, Jm" uniqKey="Thomason J">JM Thomason</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jepson, N" uniqKey="Jepson N">N Jepson</name></author><author><name sortKey="Allen, F" uniqKey="Allen F">F Allen</name></author><author><name sortKey="Moynihan, P" uniqKey="Moynihan P">P Moynihan</name></author><author><name sortKey="Kelly, P" uniqKey="Kelly P">P Kelly</name></author><author><name sortKey="Thomason, M" uniqKey="Thomason M">M Thomason</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Faggion, Cm" uniqKey="Faggion C">CM Faggion</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Gerritsen, Anneloes E" sort="Gerritsen, Anneloes E" uniqKey="Gerritsen A" first="Anneloes E." last="Gerritsen">Anneloes E. Gerritsen</name></noRegion><name sortKey="Bronkhorst, Ewald M" sort="Bronkhorst, Ewald M" uniqKey="Bronkhorst E" first="Ewald M." last="Bronkhorst">Ewald M. Bronkhorst</name><name sortKey="Creugers, Nico H J" sort="Creugers, Nico H J" uniqKey="Creugers N" first="Nico H. J." last="Creugers">Nico H. J. Creugers</name><name sortKey="Witter, Dick J" sort="Witter, Dick J" uniqKey="Witter D" first="Dick J." last="Witter">Dick J. Witter</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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