A systematic review of prosthetic restoration in patients with shortened dental arches

Fueki, Kenji; Yoshida, Eiko; Igarashi, Yoshimasa

doi:10.1016/j.jdsr.2011.03.003

Cited by 21 publications

(40 citation statements)

References 45 publications

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“…To answer the first clinical question (CQ#1), this systematic review identified two RCTs and one non‐RCT on comparison of OHRQoL between SDA and RPDP restorations. Narrative appraisal and meta‐analysis of these studies did not reveal RPDP restoration of missing molars as being superior to SDAs with intact premolar occlusion in terms of OHRQoL, which corresponds with the conclusions of previous reviews that supported clinical application of the SDA concept . Considering that perceived need for dental treatment is associated with OHRQoL impairment , the conclusions drawn from these systematic reviews justify the concept that patients with SDA do not need additional prosthodontic treatment.…”

Section: Discussionsupporting

confidence: 79%

“…Although several systematic reviews have focused on the effects of prosthetic intervention on OHRQoL in patients with SDA, availability of only a limited number of relevant RCTs forced these reviews to include studies of different designs and lower strength . They, consequently, failed to provide strong evidence that could potentially impact clinical decision‐making . In 2012, the Cochrane Library published a systematic review including only RCTs .…”

Section: Introductionmentioning

confidence: 99%

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Shortened dental arch and prosthetic effect on oral health‐related quality of life: a systematic review and meta‐analysis

Fueki

Baba

2017

J of Oral Rehabilitation

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This systematic review aimed to compare oral health-related quality of life (OHRQoL) between two tooth replacement strategies - the shortened dental arch (SDA) concept and conventional treatment with removable partial dental prosthesis (RPDP) or implant-supported fixed partial dental prosthesis (IFPDP) - for distal extension of edentulous space in the posterior area. We retrieved eligible randomised controlled trials (RCTs) and non-RCTs published between 1980 and November 2016 retrieved from MEDLINE and the Cochrane Central Register of Controlled Trials. The primary outcome was OHRQoL evaluated using validated questionnaires. Two reviewers independently screened and selected the articles, evaluated the risk of bias and determined the standardised weighted mean difference (SWMD) in OHRQoL scores between the two strategies using a random effects model. Two RCTs and one non-RCT involving 516 participants were included in this review. All studies employed the oral health impact profile (OHIP) for evaluation of OHRQoL. There was no statistically significant difference in OHIP summary scores between SDA and RPDP at 6 (SWMD = 0·24) or 12 (SWMD = 0·40) months post-treatment. Only one non-RCT had reported higher OHRQoL with IFPDP than with SDA; however, because of the small sample size, there was no significant difference in OHIP summary scores between the two strategies at 6 (SWMD = -0·59) or 12 (SWMD = -0·67) months post-treatment. In terms of OHRQoL in partially dentate patients, the SDA concept appears to be as feasible as RPDP restoration. Further clinical trials are required to clarify the effect of IFPDP restoration on OHRQoL.

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Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Shortened dental arch and prosthetic effect on oral health‐related quality of life: a systematic review and meta‐analysis

Fueki

Baba

2017

J of Oral Rehabilitation

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“…Cantilever resin bonded bridges have been used satisfactorily to replace the first or second premolars to provide the four occlusal units required for a SDA. 17,18 Thomason et al concluded that cantilever resin bonded fixed partial dental prostheses (FPDPs) were as effective as using PRDPs. 17 FPDPs have the advantage of lower caries prevalence of abutment teeth, are comfortable and acceptable to patients compared to PRDPs.…”

Section: Introductionmentioning

confidence: 99%

The shortened dental arch concept: awareness and opinion of dentists in Victoria, Australia

Abuzar

Humplik

Shahim

2015

Australian Dental Journal

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Background: The occlusion of a complete dental arch is generally desirable but not necessary nor always achievable in many individuals. It is, however, relevant for dentists to consider what minimum number of teeth is required by individuals for oral function. This study investigated dentists' awareness and opinion of the shortened dental arch (SDA) concept in an Australian context. Methods: A self-administered voluntary and anonymous questionnaire was mailed to a sample of 434 dentists, randomly selected from both rural and metropolitan locations in Victoria, Australia. The information collected included awareness of the SDA concept and its application as a treatment option. Results: More than half of the respondents (61%) were aware of the SDA concept. All respondents 'agreed' or 'strongly agreed' with the seven criteria of SDA proposed in this study based on K€ ayser (1989). The majority (78.4%) believed that the SDA concept is useful in clinical practice. Dentists with <20 years of experience expressed more awareness compared to others (v 2 test, p = 0.004). Conclusions: Most dentists who responded to this survey agreed that the SDA is a practical and useful treatment modality for older adults with limitations to complex restorative care. However, application of the SDA varied considerably among dentists.

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“…Mastication frequency remains low, a mark of abnormal mastication. The modest improvement brought about by removable partial dentures, and the dominant role of natural PFUs in mastication, is well demonstrated by no difference (Fueki et al, 2011) or only a slight difference (Liang et al, 2015) between mastication efficiency with shortened dental arch and with adjunction of a removable partial denture. The decreased number of natural PFUs also determines diminished biting forces (Helkimo et al, 1977;Ikebe et al, 2010).…”

Section: Adaptation Of Mastication To Changes In Functional Occlusionmentioning

confidence: 99%

Masticatory Adaptation to Occlusal Changes

et al. 2020

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This review deals with the frequent wide variability of masticatory capacity/incapacity. Neither researchers nor clinicians have taken sufficient account of this variability despite its implications for nutrition. Mastication in normal healthy oral conditions is first described, followed by a short presentation of the mechanisms of masticatory adaptation in the nervous system. Capacity, incapacity, and successful compensatory adaptation of mastication are then defined, along with the different methods used for their evaluation. Examples of adaptation needs are given, such as those concomitant with dental wear or occlusal changes. Finally, given its vital importance for deeply impaired mastication/deglutition function, the impact of masticatory adaptation processes on nutrition is examined.

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A systematic review of prosthetic restoration in patients with shortened dental arches

Cited by 21 publications

References 45 publications

Shortened dental arch and prosthetic effect on oral health‐related quality of life: a systematic review and meta‐analysis

Shortened dental arch and prosthetic effect on oral health‐related quality of life: a systematic review and meta‐analysis

The shortened dental arch concept: awareness and opinion of dentists in Victoria, Australia

Masticatory Adaptation to Occlusal Changes

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