Changes in facial form relative to progressive atrophy of the edentulous jaws
Identifieur interne : 007B67 ( Main/Exploration ); précédent : 007B66; suivant : 007B68Changes in facial form relative to progressive atrophy of the edentulous jaws
Auteurs : D. N. Sutton [Royaume-Uni] ; B. R. K. Lewis [Royaume-Uni] ; M. Patel [Royaume-Uni] ; J. I. Cawood [Royaume-Uni]Source :
- International journal of oral and maxillofacial surgery [ 0901-5027 ] ; 2004.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Céphalométrie, Face (anatomie et histologie), Femelle, Humains, Muscles de la face (physiopathologie), Mâchoire édentée (), Mâchoire édentée (anatomopathologie), Mâle, Résorption alvéolaire (anatomopathologie), Résorption alvéolaire (étiologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Évolution de la maladie.
- MESH :
- anatomie et histologie : Face.
- anatomopathologie : Mâchoire édentée, Résorption alvéolaire.
- physiopathologie : Muscles de la face.
- étiologie : Résorption alvéolaire.
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Alveolar Bone Loss (etiology), Alveolar Bone Loss (pathology), Atrophy, Cephalometry, Disease Progression, Edentulousness, Evaluation, Face, Face (anatomy & histology), Facial Muscles (physiopathology), Female, Human, Humans, Jaw, Jaw, Edentulous (complications), Jaw, Edentulous (pathology), Male, Middle Aged, Progressive, Stomatology, Surgery, Treatment, Treatment planning.
- MESH :
- anatomy & histology : Face.
- complications : Jaw, Edentulous.
- etiology : Alveolar Bone Loss.
- pathology : Alveolar Bone Loss, Jaw, Edentulous.
- physiopathology : Facial Muscles.
- Adolescent, Adult, Aged, Aged, 80 and over, Cephalometry, Disease Progression, Female, Humans, Male, Middle Aged.
Abstract
The surgical and prosthodontic rehabilitation of the edentulous patient aims to restore oral function and facial form. Planning treatment requires an understanding of the effect of progressive jaw atrophy, and the concomitant effect on the soft tissues of the face. This study examined 179 Caucasians at different stages of jaw atrophy according to the Cawood and Howell classification; various standard anthropological measurements of the face, according to Farkas, were also taken. We have demonstrated that changes in the soft tissues are related to the degree of underlying jaw atrophy. This has important implications when planning surgical and prosthodontic rehabilitation of the edentulous patient. Early stages of jaw atrophy (Class II, III & IV) result in the collapse of the circumoral musculature causing a narrowing of the mouth, loss of lip support, inversion of the lips and contraction of the cheeks. Late changes of jaw atrophy (Class V & VI) result in changes in vertical facial proportion causing a decrease in lower facial height and an increase in chin prominence. These late skeletal changes accentuate the earlier soft tissue facial effects.
Affiliations:
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N." last="Sutton">D. N. Sutton</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Maxillofacial Surgery, University Hospital Aintree</s1><s2>Liverpool</s2><s3>GBR</s3><sZ>1 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Liverpool</wicri:noRegion></affiliation></author><author><name sortKey="Lewis, B R K" sort="Lewis, B R K" uniqKey="Lewis B" first="B. R. K." last="Lewis">B. R. K. Lewis</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Maxillofacial Surgery, Countess of Chester Hospital</s1><s2>Chester</s2><s3>GBR</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Chester</wicri:noRegion></affiliation></author><author><name sortKey="Patel, M" sort="Patel, M" uniqKey="Patel M" first="M." last="Patel">M. 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Cawood</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Maxillofacial Surgery, Countess of Chester Hospital</s1><s2>Chester</s2><s3>GBR</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Chester</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">International journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">Int. j. oral maxillofac. surg.</title><idno type="ISSN">0901-5027</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">Int. j. oral maxillofac. surg.</title><idno type="ISSN">0901-5027</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Alveolar Bone Loss (etiology)</term><term>Alveolar Bone Loss (pathology)</term><term>Atrophy</term><term>Cephalometry</term><term>Disease Progression</term><term>Edentulousness</term><term>Evaluation</term><term>Face</term><term>Face (anatomy & histology)</term><term>Facial Muscles (physiopathology)</term><term>Female</term><term>Human</term><term>Humans</term><term>Jaw</term><term>Jaw, Edentulous (complications)</term><term>Jaw, Edentulous (pathology)</term><term>Male</term><term>Middle Aged</term><term>Progressive</term><term>Stomatology</term><term>Surgery</term><term>Treatment</term><term>Treatment planning</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Céphalométrie</term><term>Face (anatomie et histologie)</term><term>Femelle</term><term>Humains</term><term>Muscles de la face (physiopathologie)</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (anatomopathologie)</term><term>Mâle</term><term>Résorption alvéolaire (anatomopathologie)</term><term>Résorption alvéolaire (étiologie)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Évolution de la maladie</term></keywords><keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Face</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Mâchoire édentée</term><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Face</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Alveolar Bone Loss</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Alveolar Bone Loss</term><term>Jaw, Edentulous</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Muscles de la face</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Facial Muscles</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cephalometry</term><term>Disease Progression</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Atrophie</term><term>Céphalométrie</term><term>Edentation</term><term>Femelle</term><term>Homme</term><term>Humains</term><term>Mâchoire édentée</term><term>Mâle</term><term>Plan traitement</term><term>Chirurgie</term><term>Face</term><term>Progressif</term><term>Mâchoire</term><term>Evaluation</term><term>Stomatologie</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Traitement</term><term>Évolution de la maladie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term><term>Chirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The surgical and prosthodontic rehabilitation of the edentulous patient aims to restore oral function and facial form. Planning treatment requires an understanding of the effect of progressive jaw atrophy, and the concomitant effect on the soft tissues of the face. This study examined 179 Caucasians at different stages of jaw atrophy according to the Cawood and Howell classification; various standard anthropological measurements of the face, according to Farkas, were also taken. We have demonstrated that changes in the soft tissues are related to the degree of underlying jaw atrophy. This has important implications when planning surgical and prosthodontic rehabilitation of the edentulous patient. Early stages of jaw atrophy (Class II, III & IV) result in the collapse of the circumoral musculature causing a narrowing of the mouth, loss of lip support, inversion of the lips and contraction of the cheeks. Late changes of jaw atrophy (Class V & VI) result in changes in vertical facial proportion causing a decrease in lower facial height and an increase in chin prominence. These late skeletal changes accentuate the earlier soft tissue facial effects.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Manchester</li></region><settlement><li>Manchester</li></settlement></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Sutton, D N" sort="Sutton, D N" uniqKey="Sutton D" first="D. N." last="Sutton">D. N. Sutton</name></noRegion><name sortKey="Cawood, J I" sort="Cawood, J I" uniqKey="Cawood J" first="J. I." last="Cawood">J. I. Cawood</name><name sortKey="Lewis, B R K" sort="Lewis, B R K" uniqKey="Lewis B" first="B. R. K." last="Lewis">B. R. K. Lewis</name><name sortKey="Patel, M" sort="Patel, M" uniqKey="Patel M" first="M." last="Patel">M. Patel</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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