Serveur d'exploration sur le patient édenté

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The shortened dental arch concept and its implications for oral health care

Identifieur interne : 009315 ( Main/Exploration ); précédent : 009314; suivant : 009316

The shortened dental arch concept and its implications for oral health care

Auteurs : Dick J. Witter [Pays-Bas] ; Wim H. Van Palenstein Helderman [Pays-Bas] ; Nico H. J. Creugers [Pays-Bas] ; Arnd F. K Yser [Pays-Bas]

Source :

RBID : ISTEX:4477D0C3B2AA84F44FF3F1FE55C858A2DB6F831E

Descripteurs français

English descriptors

Abstract

Abstract– The minimum number of teeth needed to satisfy functional demands has been the subject of several studies. However, since functional demands – and consequently the number of teeth needed – can vary from individual to individual, this minimum number cannot be defined exactly. In general, occlusion of a complete dental arch is preferable. However, this goal might be neither attainable, for general, dental or financial reasons, nor necessary. Many studies demonstrate that shortened dental arches comprising the anterior and premolar regions can meet the requirements of a functional dentition. Consequently, when priorities have to be set, restorative therapy should be aimed at preserving the most strategic parts of the dental arch: the anterior and premolar regions. This also implies that in cases of a shortened dental arch, the prompt replacement of absent posterior molars by free‐end removable partial dentures leads to overtreatment and discomfort. The shortened dental arch concept is based on circumstantial evidence: it does not contradict current theories of occlusion and fits well with a problem‐solving approach. The concept offers some important advantages and may be considered a strategy to reduce the need for complex restorative treatment in the posterior regions of the mouth.

Url:
DOI: 10.1111/j.1600-0528.1999.tb02018.x


Affiliations:


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<term>Acta odontol scand</term>
<term>Adaptive capacity</term>
<term>Aesthetics</term>
<term>Alveolar bone loss</term>
<term>Angle class</term>
<term>Anterior region</term>
<term>Anterior teeth</term>
<term>Arch</term>
<term>Arch length</term>
<term>Aust dent</term>
<term>Caries</term>
<term>Circumstantial evidence</term>
<term>Clin</term>
<term>Clin periodontol</term>
<term>Clinical observation</term>
<term>Community dent</term>
<term>Community dent health</term>
<term>Community dentistry</term>
<term>Current criteria</term>
<term>Daily life</term>
<term>Dent</term>
<term>Dental</term>
<term>Dental arch</term>
<term>Dental arch concept</term>
<term>Dental arch length</term>
<term>Dental arches</term>
<term>Dental disease</term>
<term>Dental diseases</term>
<term>Dental health</term>
<term>Dental treatment</term>
<term>Dentistry</term>
<term>Dentition</term>
<term>Denture</term>
<term>Dutch population</term>
<term>Elderly patients</term>
<term>Epidemiol</term>
<term>Food selection</term>
<term>Functional demands</term>
<term>Functional dentition</term>
<term>Functional impact</term>
<term>Functional units</term>
<term>Healthy occlusion</term>
<term>Intercuspal position</term>
<term>Interdental spacing</term>
<term>Kayser</term>
<term>Longitudinal study</term>
<term>Mandibular</term>
<term>Mandibular stability</term>
<term>Many cases</term>
<term>Masticatory</term>
<term>Masticatory ability</term>
<term>Masticatory function</term>
<term>Masticatory performance</term>
<term>Minimum number</term>
<term>Molar</term>
<term>Molar region</term>
<term>Molar regions</term>
<term>Molar support</term>
<term>Molar unit</term>
<term>More occlusal contacts</term>
<term>Occluding</term>
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<term>Occluding teeth</term>
<term>Occlusal</term>
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<term>Occlusal reconstruction</term>
<term>Occlusal stability</term>
<term>Occlusal units</term>
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<term>Oral function</term>
<term>Oral health</term>
<term>Oral health care</term>
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<term>Premolar dentition</term>
<term>Premolar regions</term>
<term>Premolar units</term>
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<term>Prosthet dent</term>
<term>Prosthetic</term>
<term>Prosthetic appliances</term>
<term>Prosthetic treatment</term>
<term>Public health aspects</term>
<term>Rehabil</term>
<term>Removable</term>
<term>Restorative care</term>
<term>Restorative dentistry</term>
<term>Root debridement</term>
<term>Rossum gmjm</term>
<term>Sdas</term>
<term>Sheiham</term>
<term>Social impact</term>
<term>Strategic parts</term>
<term>Swed dent</term>
<term>Temporomandibular</term>
<term>Temporomandibular disorders</term>
<term>Tooth loss</term>
<term>Tooth mortality</term>
<term>Treatment approach</term>
<term>Treatment goals</term>
<term>Treatment planning</term>
<term>Witter</term>
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<term>Acta odontol scand</term>
<term>Adaptive capacity</term>
<term>Aesthetics</term>
<term>Alveolar bone loss</term>
<term>Angle class</term>
<term>Anterior region</term>
<term>Anterior teeth</term>
<term>Arch</term>
<term>Arch length</term>
<term>Aust dent</term>
<term>Caries</term>
<term>Circumstantial evidence</term>
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<term>Clin periodontol</term>
<term>Clinical observation</term>
<term>Community dent</term>
<term>Community dent health</term>
<term>Community dentistry</term>
<term>Current criteria</term>
<term>Daily life</term>
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<term>Dental</term>
<term>Dental arch</term>
<term>Dental arch concept</term>
<term>Dental arch length</term>
<term>Dental arches</term>
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<term>Dutch population</term>
<term>Elderly patients</term>
<term>Epidemiol</term>
<term>Food selection</term>
<term>Functional demands</term>
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<term>Functional impact</term>
<term>Functional units</term>
<term>Healthy occlusion</term>
<term>Intercuspal position</term>
<term>Interdental spacing</term>
<term>Kayser</term>
<term>Longitudinal study</term>
<term>Mandibular</term>
<term>Mandibular stability</term>
<term>Many cases</term>
<term>Masticatory</term>
<term>Masticatory ability</term>
<term>Masticatory function</term>
<term>Masticatory performance</term>
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<term>Molar</term>
<term>Molar region</term>
<term>Molar regions</term>
<term>Molar support</term>
<term>Molar unit</term>
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<term>Partial edentulism</term>
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<term>Periodontal disease</term>
<term>Periodontal diseases</term>
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<term>Prosthetic</term>
<term>Prosthetic appliances</term>
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<term>Public health aspects</term>
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<term>Restorative dentistry</term>
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<term>Rossum gmjm</term>
<term>Sdas</term>
<term>Sheiham</term>
<term>Social impact</term>
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<term>Temporomandibular</term>
<term>Temporomandibular disorders</term>
<term>Tooth loss</term>
<term>Tooth mortality</term>
<term>Treatment approach</term>
<term>Treatment goals</term>
<term>Treatment planning</term>
<term>Witter</term>
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<front>
<div type="abstract">Abstract– The minimum number of teeth needed to satisfy functional demands has been the subject of several studies. However, since functional demands – and consequently the number of teeth needed – can vary from individual to individual, this minimum number cannot be defined exactly. In general, occlusion of a complete dental arch is preferable. However, this goal might be neither attainable, for general, dental or financial reasons, nor necessary. Many studies demonstrate that shortened dental arches comprising the anterior and premolar regions can meet the requirements of a functional dentition. Consequently, when priorities have to be set, restorative therapy should be aimed at preserving the most strategic parts of the dental arch: the anterior and premolar regions. This also implies that in cases of a shortened dental arch, the prompt replacement of absent posterior molars by free‐end removable partial dentures leads to overtreatment and discomfort. The shortened dental arch concept is based on circumstantial evidence: it does not contradict current theories of occlusion and fits well with a problem‐solving approach. The concept offers some important advantages and may be considered a strategy to reduce the need for complex restorative treatment in the posterior regions of the mouth.</div>
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