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Factors related to prosthetic restoration in patients with shortened dental arches: a multicentre study.

Identifieur interne : 003286 ( Ncbi/Curation ); précédent : 003285; suivant : 003287

Factors related to prosthetic restoration in patients with shortened dental arches: a multicentre study.

Auteurs : K. Fueki [Japon] ; Y. Igarashi ; Y. Maeda ; K. Baba ; K. Koyano ; Y. Akagawa ; K. Sasaki ; T. Kuboki ; S. Kasugai ; N R Garrett

Source :

RBID : pubmed:21091529

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English descriptors

Abstract

The aim of this study was to identify the factors related to prosthetic restoration in patients with shortened dental arches (SDA). SDA patients with 2-12 missing occlusal units were consecutively enrolled from seven university-based dental hospitals in Japan. Of the 145 subjects (mean age; 63·4 years), 41% chose no treatment and 59% sought to replace their edentulous spaces with removable partial dentures or implant-supported fixed partial dentures. Restoration decisions were related to tooth loss patterns. Only 3% of subjects missing just second molar(s) sought to receive prosthetic treatment, while the percentage increased to 58% in subjects who were missing first and second molars and 93% in subjects missing premolar(s). Logistic regression analyses found that young age, increased number of missing occlusal units, asymmetric arch and presence of chewing complaint were significant predictors for prosthetic restoration (P<0·05). Increased number of missing occlusal units and asymmetric arch were significant predictors for the presence of chewing complaint (P<0·05). These results suggest that perceived impairment of chewing ability owing to missing occlusal units is a critical factor for prosthetic restoration in SDA patients.

DOI: 10.1111/j.1365-2842.2010.02183.x
PubMed: 21091529

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pubmed:21091529

Le document en format XML

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<term>Dental Restoration, Permanent (methods)</term>
<term>Dental Restoration, Temporary (methods)</term>
<term>Female</term>
<term>Humans</term>
<term>Japan</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (therapy)</term>
<term>Male</term>
<term>Mastication</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Japon</term>
<term>Mastication</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Qualité de vie</term>
<term>Restaurations dentaires permanentes ()</term>
<term>Restaurations dentaires temporaires ()</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Études prospectives</term>
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<term>Dental Restoration, Permanent</term>
<term>Dental Restoration, Temporary</term>
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<term>Jaw, Edentulous, Partially</term>
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<term>Restaurations dentaires temporaires</term>
<term>Sujet âgé</term>
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<div type="abstract" xml:lang="en">The aim of this study was to identify the factors related to prosthetic restoration in patients with shortened dental arches (SDA). SDA patients with 2-12 missing occlusal units were consecutively enrolled from seven university-based dental hospitals in Japan. Of the 145 subjects (mean age; 63·4 years), 41% chose no treatment and 59% sought to replace their edentulous spaces with removable partial dentures or implant-supported fixed partial dentures. Restoration decisions were related to tooth loss patterns. Only 3% of subjects missing just second molar(s) sought to receive prosthetic treatment, while the percentage increased to 58% in subjects who were missing first and second molars and 93% in subjects missing premolar(s). Logistic regression analyses found that young age, increased number of missing occlusal units, asymmetric arch and presence of chewing complaint were significant predictors for prosthetic restoration (P<0·05). Increased number of missing occlusal units and asymmetric arch were significant predictors for the presence of chewing complaint (P<0·05). These results suggest that perceived impairment of chewing ability owing to missing occlusal units is a critical factor for prosthetic restoration in SDA patients.</div>
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