The shortened dental arch concept and its implications for oral health care
Autor: | W.H. van Palenstein Helderman, Dick J. Witter, Nico H. J. Creugers, A.F. Käyser |
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Rok vydání: | 1998 |
Předmět: |
Adult
medicine.medical_treatment Iatrogenic Disease Dentistry Oral Health Dental Occlusion Dental Prosthesis Dental Arch stomatognathic system Risk Factors medicine Premolar Humans Arch Dental Care General Dentistry Aged Aged 80 and over Orthodontics Dentition business.industry Dental occlusion Dental prosthesis Public Health Environmental and Occupational Health Middle Aged Dentition Permanent stomatognathic diseases Dental arch medicine.anatomical_structure Dentures business Removable partial denture |
Zdroj: | Community Dentistry and Oral Epidemiology. 27:249-258 |
ISSN: | 1600-0528 0301-5661 |
DOI: | 10.1111/j.1600-0528.1998.tb02018.x |
Popis: | 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. |
Databáze: | OpenAIRE |
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