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Dental functional status with and without tooth replacement in a Chinese adult population

Identifieur interne : 000C32 ( Pmc/Curation ); précédent : 000C31; suivant : 000C33

Dental functional status with and without tooth replacement in a Chinese adult population

Auteurs : Qian Zhang [République populaire de Chine] ; Dick J. Witter [Pays-Bas] ; Ewald M. Bronkhorst [Pays-Bas] ; Muyun Jia [République populaire de Chine] ; Nico H. J. Creugers [Pays-Bas]

Source :

RBID : PMC:3400026

Abstract

The objective of this study is to investigate the prevalence of missing teeth and prosthodontic replacements in a Chinese adult population using a hierarchical dental functional classification system. A total of 1,462 dentate subjects over 40 years from Shandong Province, China were included and categorized in the functional classification system with and without tooth replacements. Depending on replacements, subjects could be reclassified (promoted) to categories reflecting higher functionality. “Promotions” were considered indicators for prosthodontic effectiveness. Homogeneities after dichotomization into functional categories appeared to be moderate to good. In the “≥10 teeth in each jaw” branch, mean number of teeth and posterior occluding pairs were 27.93 ± 2.74 and 7.10 ± 1.94, respectively. In the branch “<10 teeth in each jaw,” these figures were 16.17 ± 5.54 and 1.49 ± 1.45. Fixed dental prostheses (FDPs) added on average 3.5 artificial teeth; 46% of subjects with FDP promoted to a higher functional level. For removable dental prostheses (RDPs), these numbers were 8.5% and 79%, respectively. Promotion value per tooth added was significantly higher for FDPs. The classification system was able to quantify the effectiveness of teeth replacements. It was shown that RDPs were more effective when higher numbers of teeth were replaced, while FDPs were more effective per artificial tooth added.


Url:
DOI: 10.1007/s00784-011-0616-x
PubMed: 21960301
PubMed Central: 3400026

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PMC:3400026

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<p>The objective of this study is to investigate the prevalence of missing teeth and prosthodontic replacements in a Chinese adult population using a hierarchical dental functional classification system. A total of 1,462 dentate subjects over 40 years from Shandong Province, China were included and categorized in the functional classification system with and without tooth replacements. Depending on replacements, subjects could be reclassified (promoted) to categories reflecting higher functionality. “Promotions” were considered indicators for prosthodontic effectiveness. Homogeneities after dichotomization into functional categories appeared to be moderate to good. In the “≥10 teeth in each jaw” branch, mean number of teeth and posterior occluding pairs were 27.93 ± 2.74 and 7.10 ± 1.94, respectively. In the branch “<10 teeth in each jaw,” these figures were 16.17 ± 5.54 and 1.49 ± 1.45. Fixed dental prostheses (FDPs) added on average 3.5 artificial teeth; 46% of subjects with FDP promoted to a higher functional level. For removable dental prostheses (RDPs), these numbers were 8.5% and 79%, respectively. Promotion value per tooth added was significantly higher for FDPs. The classification system was able to quantify the effectiveness of teeth replacements. It was shown that RDPs were more effective when higher numbers of teeth were replaced, while FDPs were more effective per artificial tooth added.</p>
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<journal-id journal-id-type="iso-abbrev">Clin Oral Investig</journal-id>
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<title-group>
<article-title>Dental functional status with and without tooth replacement in a Chinese adult population</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhang</surname>
<given-names>Qian</given-names>
</name>
<address>
<phone>+86-1360-6428069</phone>
<email>habebeq@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Witter</surname>
<given-names>Dick J.</given-names>
</name>
<address>
<email>d.witter@dent.umcn.nl</email>
</address>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bronkhorst</surname>
<given-names>Ewald M.</given-names>
</name>
<address>
<email>e.bronkhorst@dent.umcn.nl</email>
</address>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jia</surname>
<given-names>Muyun</given-names>
</name>
<address>
<email>jiamuyun@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Creugers</surname>
<given-names>Nico H. J.</given-names>
</name>
<address>
<email>n.creugers@dent.umcn.nl</email>
</address>
<xref ref-type="aff" rid="Aff2">2</xref>
</contrib>
<aff id="Aff1">
<label>1</label>
Department of Prosthetic Dentistry, Affiliated Hospital of Medical School, Qingdao University, Jiangsu Road 16#, Qingdao, People’s Republic of China</aff>
<aff id="Aff2">
<label>2</label>
Department of Oral Function and Prosthetic Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen, The Netherlands</aff>
<aff id="Aff3">
<label>3</label>
Department of Preventive and Restorative Dentistry, College of Dental Science, Radboud University Nijmegen Medical Centre, Philips van Leydenlaan 25, 6525 EX Nijmegen, The Netherlands</aff>
<aff id="Aff4">
<label>4</label>
Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Medical School, Qingdao University, Jiangsu Road 16#, Qingdao, People’s Republic of China</aff>
</contrib-group>
<pub-date pub-type="epub">
<day>29</day>
<month>9</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>29</day>
<month>9</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="ppub">
<month>8</month>
<year>2012</year>
</pub-date>
<volume>16</volume>
<issue>4</issue>
<fpage>1251</fpage>
<lpage>1259</lpage>
<history>
<date date-type="received">
<day>25</day>
<month>1</month>
<year>2011</year>
</date>
<date date-type="accepted">
<day>7</day>
<month>9</month>
<year>2011</year>
</date>
</history>
<permissions>
<copyright-statement>© The Author(s) 2011</copyright-statement>
</permissions>
<abstract id="Abs1">
<p>The objective of this study is to investigate the prevalence of missing teeth and prosthodontic replacements in a Chinese adult population using a hierarchical dental functional classification system. A total of 1,462 dentate subjects over 40 years from Shandong Province, China were included and categorized in the functional classification system with and without tooth replacements. Depending on replacements, subjects could be reclassified (promoted) to categories reflecting higher functionality. “Promotions” were considered indicators for prosthodontic effectiveness. Homogeneities after dichotomization into functional categories appeared to be moderate to good. In the “≥10 teeth in each jaw” branch, mean number of teeth and posterior occluding pairs were 27.93 ± 2.74 and 7.10 ± 1.94, respectively. In the branch “<10 teeth in each jaw,” these figures were 16.17 ± 5.54 and 1.49 ± 1.45. Fixed dental prostheses (FDPs) added on average 3.5 artificial teeth; 46% of subjects with FDP promoted to a higher functional level. For removable dental prostheses (RDPs), these numbers were 8.5% and 79%, respectively. Promotion value per tooth added was significantly higher for FDPs. The classification system was able to quantify the effectiveness of teeth replacements. It was shown that RDPs were more effective when higher numbers of teeth were replaced, while FDPs were more effective per artificial tooth added.</p>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Tooth loss</kwd>
<kwd>Tooth replacement</kwd>
<kwd>Hierarchical dental functional classification</kwd>
<kwd>Posterior occluding pairs</kwd>
</kwd-group>
<custom-meta-group>
<custom-meta>
<meta-name>issue-copyright-statement</meta-name>
<meta-value>© Springer-Verlag 2012</meta-value>
</custom-meta>
</custom-meta-group>
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</front>
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