Serveur d'exploration sur le patient édenté

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[Extension of (extremely) shortened dental arches by fixed or removable partial dentures].

Identifieur interne : 005581 ( Main/Exploration ); précédent : 005580; suivant : 005582

[Extension of (extremely) shortened dental arches by fixed or removable partial dentures].

Auteurs : D J Witter [Pays-Bas] ; R A Hoefnagel ; P A Snoek ; N H J. Creugers

Source :

RBID : pubmed:19999671

Descripteurs français

English descriptors

Abstract

Whether a shortened dental arch needs to be extended depends on the degree of the shortening. Four categories of shortened dental arches can be distinguished: 1. slightly shortened dental arches; 2. moderately shortened dental arches; 3. extremely shortened dental arches; and 4. asymmetrical extremely shortened dental arches. Decision-making on extending a shortened dental arch should be based on oral function and the patient's perceived impact on oral health-related quality of life. According to this principle, there is no evidence for extending slightly shortened dental arches. Extending moderately shortened dental arches is indicated in exceptional cases, especially for aesthetic reasons. In the case of (asymmetrical) extremely shortened dental arches there are reasons for extension. The extension can be restricted to restoring the arch to the level of a moderately shortened dental arch. With this treatment strategy, it is possible in many cases to conform to the current trend of using fixed partial dentures rather than removable partial dentures.

PubMed: 19999671


Affiliations:


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Le document en format XML

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<name sortKey="Witter, D J" sort="Witter, D J" uniqKey="Witter D" first="D J" last="Witter">D J Witter</name>
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<nlm:affiliation>Uit de afdeling Orale Functieleer van het Universitair Medisch Centrum St Radboud te Nijmegen. d.witter@dent.umcn.nl</nlm:affiliation>
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<name sortKey="Creugers, N H J" sort="Creugers, N H J" uniqKey="Creugers N" first="N H J" last="Creugers">N H J. Creugers</name>
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<title level="j">Nederlands tijdschrift voor tandheelkunde</title>
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<term>Decision Making</term>
<term>Dental Arch (pathology)</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Removable</term>
<term>Humans</term>
<term>Jaw, Edentulous, Partially (therapy)</term>
<term>Oral Health</term>
<term>Treatment Outcome</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Arcade dentaire (anatomopathologie)</term>
<term>Humains</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Prise de décision</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Prothèse partielle fixe</term>
<term>Résultat thérapeutique</term>
<term>Santé buccodentaire</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Arcade dentaire</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Dental Arch</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Jaw, Edentulous, Partially</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Decision Making</term>
<term>Denture, Partial, Fixed</term>
<term>Denture, Partial, Removable</term>
<term>Humans</term>
<term>Oral Health</term>
<term>Treatment Outcome</term>
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<term>Humains</term>
<term>Mâchoire partiellement édentée</term>
<term>Prise de décision</term>
<term>Prothèse dentaire partielle amovible</term>
<term>Prothèse partielle fixe</term>
<term>Résultat thérapeutique</term>
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<div type="abstract" xml:lang="en">Whether a shortened dental arch needs to be extended depends on the degree of the shortening. Four categories of shortened dental arches can be distinguished: 1. slightly shortened dental arches; 2. moderately shortened dental arches; 3. extremely shortened dental arches; and 4. asymmetrical extremely shortened dental arches. Decision-making on extending a shortened dental arch should be based on oral function and the patient's perceived impact on oral health-related quality of life. According to this principle, there is no evidence for extending slightly shortened dental arches. Extending moderately shortened dental arches is indicated in exceptional cases, especially for aesthetic reasons. In the case of (asymmetrical) extremely shortened dental arches there are reasons for extension. The extension can be restricted to restoring the arch to the level of a moderately shortened dental arch. With this treatment strategy, it is possible in many cases to conform to the current trend of using fixed partial dentures rather than removable partial dentures.</div>
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