The future of complete dentures in oral rehabilitation. A critical review
Identifieur interne : 004F80 ( Main/Exploration ); précédent : 004F79; suivant : 004F81The future of complete dentures in oral rehabilitation. A critical review
Auteurs : G. E. Carlsson [Suède] ; R. Omar [Koweït]Source :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 2010-02.
Descripteurs français
- KwdFr :
- MESH :
- rééducation et réadaptation : Bouche édentée.
- tendances : Prothèse dentaire complète.
- Facteurs socioéconomiques, Humains, Implants dentaires, Prothèse dentaire implanto-portée, Prévision, Qualité de vie, Satisfaction du patient.
English descriptors
- KwdEn :
- Blackwell publishing, Carlsson, Cohort, Complete denture prosthodontics, Complete denture wearers, Complete dentures, Conventional dentures, Dent, Dental Implants, Dental Prosthesis, Implant-Supported, Dental implants, Dentistry, Denture, Denture, Complete (trends), Edentulism, Edentulous, Edentulous individuals, Edentulous jaws, Edentulous mandible, Edentulous patients, Edentulous people, Edentulous subjects, Feine, Forecasting, Humans, Implant, Implant overdentures, Implant prostheses, Implant treatment, Mandible, Mandibular, Mandibular overdentures, Many countries, Mouth, Edentulous (rehabilitation), Omar, Oral function, Oral health, Oral quality, Oral rehabil, Oral rehabilitation, Osseointegrated, Osseointegrated implants, Osseointegration, Other hand, Overdenture, Overdentures, Patient Satisfaction, Patient satisfaction, Prosthesis, Prosthet, Prosthet dent, Prosthetic, Prosthodont, Prosthodontic, Prosthodontics, Quality of Life, Quintessence, Randomized, Rehabil, Socioeconomic Factors, Thomason, Tooth loss, Wearer.
- MESH :
- chemical : Dental Implants.
- rehabilitation : Mouth, Edentulous.
- trends : Denture, Complete.
- Teeft :
- Blackwell publishing, Carlsson, Cohort, Complete denture prosthodontics, Complete denture wearers, Complete dentures, Conventional dentures, Dent, Dental Prosthesis, Implant-Supported, Dental implants, Dentistry, Denture, Edentulism, Edentulous, Edentulous individuals, Edentulous jaws, Edentulous mandible, Edentulous patients, Edentulous people, Edentulous subjects, Feine, Forecasting, Humans, Implant, Implant overdentures, Implant prostheses, Implant treatment, Mandible, Mandibular, Mandibular overdentures, Many countries, Omar, Oral function, Oral health, Oral quality, Oral rehabil, Oral rehabilitation, Osseointegrated, Osseointegrated implants, Osseointegration, Other hand, Overdenture, Overdentures, Patient Satisfaction, Patient satisfaction, Prosthesis, Prosthet, Prosthet dent, Prosthetic, Prosthodont, Prosthodontic, Prosthodontics, Quality of Life, Quintessence, Randomized, Rehabil, Socioeconomic Factors, Thomason, Tooth loss, Wearer.
Abstract
Summary Based on available investigations and current trends in oral rehabilitation published in the dental literature, an attempt is made to describe the possible future role of complete dentures. For edentulous patients, complete dentures have for long been the only prosthodontic treatment option. Whereas a large number of edentulous patients report satisfaction with denture usage, a smaller number are unable to adapt; for such patients, sophistication of clinical and technical processes or quality of denture‐supporting tissues, appear to have little influence on patient‐perceived outcomes. Since the 1980s, osseointegrated dental implants have dramatically improved the therapeutic possibilities, especially so for maladaptive patients. Those able to access such treatment can expect significant improvements in oral functional status and quality of life. While there is a downward trend in edentulism in several countries, it is region‐specific, confirming the overriding influence of socio‐economic factors on health status. In most societies, despite ageing populations, the need for complete dentures is not likely to reduce in the near future. Whereas a two‐ or even a one‐implant overdenture for the edentulous mandible is increasingly regarded as a minimum standard of care in many developed countries, its routine prescription for the majority in the world who are disadvantaged is unrealistic; for them, even ‘low‐tech’ therapies like conventional dentures are beyond their reach. Improving the conventional management of edentulous patients is a necessity and requires a keener focus by researchers, educators and clinicians in the developed world on the needs of populations with fewer resources.
Url:
DOI: 10.1111/j.1365-2842.2009.02039.x
Affiliations:
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Le document en format XML
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<front><div type="abstract">Summary Based on available investigations and current trends in oral rehabilitation published in the dental literature, an attempt is made to describe the possible future role of complete dentures. For edentulous patients, complete dentures have for long been the only prosthodontic treatment option. Whereas a large number of edentulous patients report satisfaction with denture usage, a smaller number are unable to adapt; for such patients, sophistication of clinical and technical processes or quality of denture‐supporting tissues, appear to have little influence on patient‐perceived outcomes. Since the 1980s, osseointegrated dental implants have dramatically improved the therapeutic possibilities, especially so for maladaptive patients. Those able to access such treatment can expect significant improvements in oral functional status and quality of life. While there is a downward trend in edentulism in several countries, it is region‐specific, confirming the overriding influence of socio‐economic factors on health status. In most societies, despite ageing populations, the need for complete dentures is not likely to reduce in the near future. Whereas a two‐ or even a one‐implant overdenture for the edentulous mandible is increasingly regarded as a minimum standard of care in many developed countries, its routine prescription for the majority in the world who are disadvantaged is unrealistic; for them, even ‘low‐tech’ therapies like conventional dentures are beyond their reach. Improving the conventional management of edentulous patients is a necessity and requires a keener focus by researchers, educators and clinicians in the developed world on the needs of populations with fewer resources.</div>
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