How much reduction of the dental arch is functionally acceptable for the ageing patient?
Identifieur interne : 00B818 ( Main/Exploration ); précédent : 00B817; suivant : 00B819How much reduction of the dental arch is functionally acceptable for the ageing patient?
Auteurs : A F K Yser [Pays-Bas]Source :
- International dental journal [ 0020-6539 ] ; 1990.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Arcade dentaire (anatomopathologie), Arcade dentaire (physiopathologie), Besoins et demandes de services de santé, Humains, Mâchoire partiellement édentée (anatomopathologie), Mâchoire partiellement édentée (physiopathologie), Santé buccodentaire, Sujet âgé, Sujet âgé de 80 ans ou plus, Vieillissement (anatomopathologie), Vieillissement (physiologie).
- MESH :
- anatomopathologie : Arcade dentaire, Mâchoire partiellement édentée, Vieillissement.
- physiologie : Vieillissement.
- physiopathologie : Arcade dentaire, Mâchoire partiellement édentée.
- Adulte, Adulte d'âge moyen, Besoins et demandes de services de santé, Humains, Santé buccodentaire, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- MESH :
- pathology : Aging, Dental Arch, Jaw, Edentulous, Partially.
- physiology : Aging.
- physiopathology : Dental Arch, Jaw, Edentulous, Partially.
- Adult, Aged, Aged, 80 and over, Health Services Needs and Demand, Humans, Middle Aged, Oral Health.
Abstract
Dental care should be aimed at the preservation of a natural functioning dentition for life, within the available resources. In general, preference should be given to dentitions comprising complete dental arches or 14 occluding pairs of teeth. However, in many subjects--such as the elderly--this goal might be neither attainable nor necessary. In these cases, dental care should be aimed at preserving the strategic parts of the dental arch, which are the front and premolar regions (the so-called ultimate occlusal preservation target). Clinical observation as well as research findings indicate that elderly people can function at an acceptable level with a reduced dentition consisting of 10 or even fewer occluding pairs. The minimum size of a functional dental arch differs between individuals and depends on local and systemic factors. Important indicators are the age, the (periodontal) quality of the remaining dentition, the spatial relationship between the lower and upper teeth, the occlusal activity and the adaptive capacity. Dental health care systems should implement guidelines to concentrate the available resources primarily on the strategic regions of the dental arch, especially in high-risk groups. These guidelines should be based on research results. The main objective of this paper is to contribute to defining an acceptable oral status for elderly subjects.
PubMed: 2194975
Affiliations:
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qualifier="pathology" xml:lang="en"><term>Aging</term><term>Dental Arch</term><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Vieillissement</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Aging</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Arcade dentaire</term><term>Mâchoire partiellement édentée</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dental Arch</term><term>Jaw, Edentulous, Partially</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Health Services Needs and Demand</term><term>Humans</term><term>Middle Aged</term><term>Oral Health</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Besoins et demandes de services de santé</term><term>Humains</term><term>Santé buccodentaire</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Dental care should be aimed at the preservation of a natural functioning dentition for life, within the available resources. In general, preference should be given to dentitions comprising complete dental arches or 14 occluding pairs of teeth. However, in many subjects--such as the elderly--this goal might be neither attainable nor necessary. In these cases, dental care should be aimed at preserving the strategic parts of the dental arch, which are the front and premolar regions (the so-called ultimate occlusal preservation target). Clinical observation as well as research findings indicate that elderly people can function at an acceptable level with a reduced dentition consisting of 10 or even fewer occluding pairs. The minimum size of a functional dental arch differs between individuals and depends on local and systemic factors. Important indicators are the age, the (periodontal) quality of the remaining dentition, the spatial relationship between the lower and upper teeth, the occlusal activity and the adaptive capacity. Dental health care systems should implement guidelines to concentrate the available resources primarily on the strategic regions of the dental arch, especially in high-risk groups. These guidelines should be based on research results. The main objective of this paper is to contribute to defining an acceptable oral status for elderly subjects.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li></country><region><li>Gueldre</li></region><settlement><li>Nimègue</li></settlement></list><tree><country name="Pays-Bas"><region name="Gueldre"><name sortKey="K Yser, A F" sort="K Yser, A F" uniqKey="K Yser A" first="A F" last="K Yser">A F K Yser</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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