Reappraising prosthodontic treatment goals for older, partially dentate people: Part I. Traditional management strategy.
Identifieur interne : 007703 ( Main/Exploration ); précédent : 007702; suivant : 007704Reappraising prosthodontic treatment goals for older, partially dentate people: Part I. Traditional management strategy.
Auteurs : R. Omar [Arabie saoudite]Source :
- SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging [ 1029-4864 ] ; 2004.
Descripteurs français
- KwdFr :
- Accessibilité des services de santé, Adaptation physiologique, Adulte d'âge moyen, Arcade dentaire (anatomopathologie), Facteurs socioéconomiques, Femelle, Humains, Molaire (anatomopathologie), Mâchoire partiellement édentée (psychologie), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Pays en voie de développement, Perte dentaire (rééducation et réadaptation), Planification des soins du patient, Planification en santé, Politique de santé, Prothèse partielle conjointe (psychologie), République d'Afrique du Sud, Résultat thérapeutique, Soins dentaires pour personnes âgées (), Sujet âgé, Transition sanitaire, Évaluation des besoins.
- MESH :
- anatomopathologie : Arcade dentaire, Molaire.
- psychologie : Mâchoire partiellement édentée, Prothèse partielle conjointe.
- rééducation et réadaptation : Mâchoire partiellement édentée, Perte dentaire.
- Accessibilité des services de santé, Adaptation physiologique, Adulte d'âge moyen, Facteurs socioéconomiques, Femelle, Humains, Mâle, Pays en voie de développement, Planification des soins du patient, Planification en santé, Politique de santé, République d'Afrique du Sud, Résultat thérapeutique, Soins dentaires pour personnes âgées, Sujet âgé, Transition sanitaire, Évaluation des besoins.
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- Adaptation, Physiological, Aged, Dental Arch (pathology), Dental Care for Aged (methods), Denture, Partial (psychology), Developing Countries, Female, Health Planning, Health Policy, Health Services Accessibility, Health Transition, Humans, Jaw, Edentulous, Partially (psychology), Jaw, Edentulous, Partially (rehabilitation), Male, Middle Aged, Molar (pathology), Needs Assessment, Patient Care Planning, Socioeconomic Factors, South Africa, Tooth Loss (rehabilitation), Treatment Outcome.
- MESH :
- geographic : South Africa.
- methods : Dental Care for Aged.
- pathology : Dental Arch, Molar.
- psychology : Denture, Partial, Jaw, Edentulous, Partially.
- rehabilitation : Jaw, Edentulous, Partially, Tooth Loss.
- Adaptation, Physiological, Aged, Developing Countries, Female, Health Planning, Health Policy, Health Services Accessibility, Health Transition, Humans, Male, Middle Aged, Needs Assessment, Patient Care Planning, Socioeconomic Factors, Treatment Outcome.
Abstract
In conventional terms, prosthodontic treatment becomes necessary when a patient has missing and/or broken-down teeth. Part I of this two-part series of papers reviews the available evidence for a traditional therapeutic model that seeks purposefully to reconstitute lost morphology, with specific reference to older, partially dentate people, at the population level. Furthermore, because anterior and premolar teeth are indispensable to a number of prime oral functions in most societies, the question of need for replacement relates essentially to that of molar teeth. Research findings are presented which cast doubt on many of the assertions made for the mandatory replacement of all posterior teeth. Specifically, there appears to be a lack of compelling evidence that dental arch integrity is a prerequisite for optimal oral health and function, and favours the prognosis of the remaining dentition. Wide variability in the effects of posterior tooth loss on occlusal stability indicates a 'wait-and-see' management approach rather than immediate replacement, while reported chewing sufficiency in people with reduced but well-distributed dentitions, and a lack of association between the level of posterior support and temporomandibular disorders, further undermine the traditional premise for the mandatory replacement of posterior teeth, specifically molars. With the parallel recognition that the assessment of treatment need must take a broader view of peoples' functional concerns arising from their tooth loss, as well as weighing the cost/benefit ratio of treatment, Part II will compare the merits of the traditional model with the documented functional benefits that a more limited, less morphologically-driven approach may have for the growing, older sector of society.
PubMed: 15449440
Affiliations:
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Le document en format XML
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Omar</name><affiliation wicri:level="1"><nlm:affiliation>Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia. romar.ksa@zajil.net</nlm:affiliation><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author></analytic><series><title level="j">SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging</title><idno type="ISSN">1029-4864</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adaptation, Physiological</term><term>Aged</term><term>Dental Arch (pathology)</term><term>Dental Care for Aged (methods)</term><term>Denture, Partial (psychology)</term><term>Developing Countries</term><term>Female</term><term>Health Planning</term><term>Health Policy</term><term>Health Services Accessibility</term><term>Health Transition</term><term>Humans</term><term>Jaw, Edentulous, Partially (psychology)</term><term>Jaw, Edentulous, Partially (rehabilitation)</term><term>Male</term><term>Middle Aged</term><term>Molar (pathology)</term><term>Needs Assessment</term><term>Patient Care Planning</term><term>Socioeconomic Factors</term><term>South Africa</term><term>Tooth Loss (rehabilitation)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Adaptation physiologique</term><term>Adulte d'âge moyen</term><term>Arcade dentaire (anatomopathologie)</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Molaire (anatomopathologie)</term><term>Mâchoire partiellement édentée (psychologie)</term><term>Mâchoire partiellement édentée (rééducation et réadaptation)</term><term>Mâle</term><term>Pays en voie de développement</term><term>Perte dentaire (rééducation et réadaptation)</term><term>Planification des soins du patient</term><term>Planification en santé</term><term>Politique de santé</term><term>Prothèse partielle conjointe (psychologie)</term><term>République d'Afrique du Sud</term><term>Résultat thérapeutique</term><term>Soins dentaires pour personnes âgées ()</term><term>Sujet âgé</term><term>Transition sanitaire</term><term>Évaluation des besoins</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>South Africa</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Arcade dentaire</term><term>Molaire</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Care for Aged</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Dental Arch</term><term>Molar</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Mâchoire partiellement édentée</term><term>Prothèse partielle conjointe</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Denture, Partial</term><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Jaw, Edentulous, Partially</term><term>Tooth Loss</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term><term>Perte dentaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adaptation, Physiological</term><term>Aged</term><term>Developing Countries</term><term>Female</term><term>Health Planning</term><term>Health Policy</term><term>Health Services Accessibility</term><term>Health Transition</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Needs Assessment</term><term>Patient Care Planning</term><term>Socioeconomic Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Adaptation physiologique</term><term>Adulte d'âge moyen</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Pays en voie de développement</term><term>Planification des soins du patient</term><term>Planification en santé</term><term>Politique de santé</term><term>République d'Afrique du Sud</term><term>Résultat thérapeutique</term><term>Soins dentaires pour personnes âgées</term><term>Sujet âgé</term><term>Transition sanitaire</term><term>Évaluation des besoins</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Afrique du Sud</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In conventional terms, prosthodontic treatment becomes necessary when a patient has missing and/or broken-down teeth. Part I of this two-part series of papers reviews the available evidence for a traditional therapeutic model that seeks purposefully to reconstitute lost morphology, with specific reference to older, partially dentate people, at the population level. Furthermore, because anterior and premolar teeth are indispensable to a number of prime oral functions in most societies, the question of need for replacement relates essentially to that of molar teeth. Research findings are presented which cast doubt on many of the assertions made for the mandatory replacement of all posterior teeth. Specifically, there appears to be a lack of compelling evidence that dental arch integrity is a prerequisite for optimal oral health and function, and favours the prognosis of the remaining dentition. Wide variability in the effects of posterior tooth loss on occlusal stability indicates a 'wait-and-see' management approach rather than immediate replacement, while reported chewing sufficiency in people with reduced but well-distributed dentitions, and a lack of association between the level of posterior support and temporomandibular disorders, further undermine the traditional premise for the mandatory replacement of posterior teeth, specifically molars. With the parallel recognition that the assessment of treatment need must take a broader view of peoples' functional concerns arising from their tooth loss, as well as weighing the cost/benefit ratio of treatment, Part II will compare the merits of the traditional model with the documented functional benefits that a more limited, less morphologically-driven approach may have for the growing, older sector of society.</div></front></TEI><affiliations><list><country><li>Arabie saoudite</li></country></list><tree><country name="Arabie saoudite"><noRegion><name sortKey="Omar, R" sort="Omar, R" uniqKey="Omar R" first="R" last="Omar">R. Omar</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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