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Occlusal Changes Following Posterior Tooth Loss in Adults. Part 1: A Study of Clinical Parameters Associated with the Extent and Type of Supraeruption in Unopposed Posterior Teeth

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Occlusal Changes Following Posterior Tooth Loss in Adults. Part 1: A Study of Clinical Parameters Associated with the Extent and Type of Supraeruption in Unopposed Posterior Teeth

Auteurs : Helen L. Craddock [Royaume-Uni] ; Callum C. Youngson [Royaume-Uni] ; Michael Manogue [Royaume-Uni] ; Andrew Blance [Royaume-Uni]

Source :

RBID : ISTEX:BF3DDE223F8CEF438B1758B4EF07A6E7271715DD

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English descriptors

Abstract

Purpose: One of the barriers to restoring an edentulous space may be the supraeruption of an unopposed tooth to occupy some or all of the space needed for prosthetic replacement. The aim of this study was to determine the extent and type of supraeruption associated with unopposed posterior teeth and to investigate the relationship between these and oral and patient factors. Materials and Methods: Diagnostic casts of 100 patients with an unopposed posterior tooth and of 100 control patients were scanned and analyzed to record the extent of supraeruption, together with other clinical parameters. The type of eruption present was defined for each subject as Periodontal Growth, Active Eruption, or Relative Wear. Generalized Linear Models were developed to examine associations between the extent and type of supraeruption and patient or dental factors. The extent of supraeruption for an individual was modeled to show association between the degree of supraeruption and clinical parameters. Three models were produced to show associations between each type of supraeruption and clinical parameters. Results: The mean supraeruption for subjects was 1.68 mm (SD 0.79, range 0 to 3.99 mm) and for controls, 0.24 mm (SD 0.39, range 0 to 1.46 mm). The extent of supraeruption was statistically greater in maxillary unopposed teeth than in mandibular unopposed teeth. Supraeruption was found in 92% of subjects' unopposed teeth. Conclusions: A Generalized Linear Model could be produced to demonstrate that the clinical parameters associated with supraeruption are periodontal growth, attachment loss, and the lingual movement of the tooth distal to the extraction site. Three types of supraeruption, which may be present singly, or in combination, can be identified. Active eruption has an association with attachment loss. Periodontal growth has an inverse association with attachment loss, is more prevalent in younger patients, in the maxilla, in premolars, and in females. Relative wear has an association with increasing age and is more prevalent in unopposed mandibular teeth.

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DOI: 10.1111/j.1532-849X.2007.00212.x


Affiliations:


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<term>Active eruption</term>
<term>Adjacent teeth</term>
<term>Adult</term>
<term>Age Factors</term>
<term>Attachment</term>
<term>Attachment loss</term>
<term>Bicuspid (physiopathology)</term>
<term>Buccal</term>
<term>Buccal cusp</term>
<term>Case-Control Studies</term>
<term>Cephalometry</term>
<term>Clinical parameters</term>
<term>Control group</term>
<term>Control teeth</term>
<term>Craddock</term>
<term>Cusp</term>
<term>Cusp tips</term>
<term>Dent</term>
<term>Dent assoc</term>
<term>Dental Arch (pathology)</term>
<term>Dental Occlusion</term>
<term>Dental factors</term>
<term>Eruption</term>
<term>Eruptive</term>
<term>Extraction site</term>
<term>Female</term>
<term>Gingival</term>
<term>Humans</term>
<term>Inverse association</term>
<term>Jaw, Edentulous, Partially (complications)</term>
<term>Lingual</term>
<term>Lingual movement</term>
<term>Long axis</term>
<term>Male</term>
<term>Malocclusion (etiology)</term>
<term>Mandible (pathology)</term>
<term>Mandibular</term>
<term>Maxilla (pathology)</term>
<term>Maxillary</term>
<term>Maxillary arch</term>
<term>Molar</term>
<term>Molar (physiopathology)</term>
<term>Normal distribution</term>
<term>Occlusal</term>
<term>Occlusal curve</term>
<term>Patient factors</term>
<term>Periodontal</term>
<term>Periodontal Attachment Loss (classification)</term>
<term>Periodontal Ligament (physiopathology)</term>
<term>Periodontal attachment loss</term>
<term>Periodontal disease</term>
<term>Periodontal growth</term>
<term>Perpendicular line</term>
<term>Posterior teeth</term>
<term>Posterior tooth</term>
<term>Premolar</term>
<term>Prosthet dent</term>
<term>Prosthetic replacement</term>
<term>Residual deviance</term>
<term>Rotation</term>
<term>Sex Factors</term>
<term>Supraeruption</term>
<term>Teeth craddock</term>
<term>Tooth Attrition (classification)</term>
<term>Tooth Eruption (physiology)</term>
<term>Tooth Loss (complications)</term>
<term>Tooth loss</term>
<term>Unopposed</term>
<term>Unopposed mandibular teeth</term>
<term>Unopposed teeth</term>
<term>Unopposed tooth</term>
<term>Vertical overlap</term>
<term>Younger patients</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte</term>
<term>Arcade dentaire (anatomopathologie)</term>
<term>Attrition dentaire ()</term>
<term>Céphalométrie</term>
<term>Desmodonte (physiopathologie)</term>
<term>Facteurs de l'âge</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Malocclusion dentaire (étiologie)</term>
<term>Mandibule (anatomopathologie)</term>
<term>Maxillaire (anatomopathologie)</term>
<term>Molaire (physiopathologie)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâle</term>
<term>Occlusion dentaire</term>
<term>Perte d'attache parodontale ()</term>
<term>Perte dentaire ()</term>
<term>Prémolaire (physiopathologie)</term>
<term>Rotation</term>
<term>Éruption dentaire (physiologie)</term>
<term>Études cas-témoins</term>
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<term>Arcade dentaire</term>
<term>Mandibule</term>
<term>Maxillaire</term>
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<keywords scheme="MESH" qualifier="classification" xml:lang="en">
<term>Periodontal Attachment Loss</term>
<term>Tooth Attrition</term>
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<term>Jaw, Edentulous, Partially</term>
<term>Tooth Loss</term>
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<term>Malocclusion</term>
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<term>Dental Arch</term>
<term>Mandible</term>
<term>Maxilla</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Éruption dentaire</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Tooth Eruption</term>
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<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr">
<term>Desmodonte</term>
<term>Molaire</term>
<term>Prémolaire</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Bicuspid</term>
<term>Molar</term>
<term>Periodontal Ligament</term>
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<term>Malocclusion dentaire</term>
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<term>Active eruption</term>
<term>Adjacent teeth</term>
<term>Adult</term>
<term>Age Factors</term>
<term>Attachment</term>
<term>Attachment loss</term>
<term>Buccal</term>
<term>Buccal cusp</term>
<term>Case-Control Studies</term>
<term>Cephalometry</term>
<term>Clinical parameters</term>
<term>Control group</term>
<term>Control teeth</term>
<term>Craddock</term>
<term>Cusp</term>
<term>Cusp tips</term>
<term>Dent</term>
<term>Dent assoc</term>
<term>Dental Occlusion</term>
<term>Dental factors</term>
<term>Eruption</term>
<term>Eruptive</term>
<term>Extraction site</term>
<term>Female</term>
<term>Gingival</term>
<term>Humans</term>
<term>Inverse association</term>
<term>Lingual</term>
<term>Lingual movement</term>
<term>Long axis</term>
<term>Male</term>
<term>Mandibular</term>
<term>Maxillary</term>
<term>Maxillary arch</term>
<term>Molar</term>
<term>Normal distribution</term>
<term>Occlusal</term>
<term>Occlusal curve</term>
<term>Patient factors</term>
<term>Periodontal</term>
<term>Periodontal attachment loss</term>
<term>Periodontal disease</term>
<term>Periodontal growth</term>
<term>Perpendicular line</term>
<term>Posterior teeth</term>
<term>Posterior tooth</term>
<term>Premolar</term>
<term>Prosthet dent</term>
<term>Prosthetic replacement</term>
<term>Residual deviance</term>
<term>Rotation</term>
<term>Sex Factors</term>
<term>Supraeruption</term>
<term>Teeth craddock</term>
<term>Tooth loss</term>
<term>Unopposed</term>
<term>Unopposed mandibular teeth</term>
<term>Unopposed teeth</term>
<term>Unopposed tooth</term>
<term>Vertical overlap</term>
<term>Younger patients</term>
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<term>Adulte</term>
<term>Attrition dentaire</term>
<term>Céphalométrie</term>
<term>Facteurs de l'âge</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Occlusion dentaire</term>
<term>Perte d'attache parodontale</term>
<term>Perte dentaire</term>
<term>Rotation</term>
<term>Études cas-témoins</term>
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<front>
<div type="abstract" xml:lang="en">Purpose: One of the barriers to restoring an edentulous space may be the supraeruption of an unopposed tooth to occupy some or all of the space needed for prosthetic replacement. The aim of this study was to determine the extent and type of supraeruption associated with unopposed posterior teeth and to investigate the relationship between these and oral and patient factors. Materials and Methods: Diagnostic casts of 100 patients with an unopposed posterior tooth and of 100 control patients were scanned and analyzed to record the extent of supraeruption, together with other clinical parameters. The type of eruption present was defined for each subject as Periodontal Growth, Active Eruption, or Relative Wear. Generalized Linear Models were developed to examine associations between the extent and type of supraeruption and patient or dental factors. The extent of supraeruption for an individual was modeled to show association between the degree of supraeruption and clinical parameters. Three models were produced to show associations between each type of supraeruption and clinical parameters. Results: The mean supraeruption for subjects was 1.68 mm (SD 0.79, range 0 to 3.99 mm) and for controls, 0.24 mm (SD 0.39, range 0 to 1.46 mm). The extent of supraeruption was statistically greater in maxillary unopposed teeth than in mandibular unopposed teeth. Supraeruption was found in 92% of subjects' unopposed teeth. Conclusions: A Generalized Linear Model could be produced to demonstrate that the clinical parameters associated with supraeruption are periodontal growth, attachment loss, and the lingual movement of the tooth distal to the extraction site. Three types of supraeruption, which may be present singly, or in combination, can be identified. Active eruption has an association with attachment loss. Periodontal growth has an inverse association with attachment loss, is more prevalent in younger patients, in the maxilla, in premolars, and in females. Relative wear has an association with increasing age and is more prevalent in unopposed mandibular teeth.</div>
</front>
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