The Evidence for Prosthodontic Treatment Planning for Older, Partially Dentate Patients

Omar, Ridwaan

doi:10.1159/000069842

Cited by 10 publications

(11 citation statements)

References 60 publications

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“…Yet, the scientifi c evidence for the validity of a number of such normative measures as the importance of arch integrity to occlusal stability, chewing ability and prevention of temporomandibular disorders is at best tenuous [25] . Increasingly there is the recognition that the professional attitude towards an individual's need must be tempered by an acceptance that it cannot be absolutely defi ned, either objectively or subjectively [26] .…”

Section: Reassessing the Traditional Management Strategymentioning

confidence: 99%

“…However, for social, dental or fi nancial reasons, this might neither be attainable nor indeed necessary [27] . Because prosthodontic therapy is intrinsically expensive with an inherent biological price and a fi nite life-span, it is increasingly recognized that a perspective broader than the normative one is required, specifi cally one that includes patients' perceptions, attitudes and expectations regarding the planned treatment [6,25] . How this web of factors interrelates to permit alternative solutions for partial edentulism remains to be explored [26] .…”

Section: Reassessing the Traditional Management Strategymentioning

confidence: 99%

“…A recent review concluded that the long-standing professional belief in full reconstitution of reduced dental arches per se as a prerequisite for optimal oral health and function lacks compelling scientifi c support [25] . In industrialized countries, and more recently in a developing country context as well, a considerable volume of circumstantial evidence confi rms that reduced posterior dental arch lengths provide oral function and comfort, maintain occlusal stability with only minor risks of incurring changes over long periods of time, do not increase the risk of temporomandibular disorders, and produce occlusal wear patterns and alveolar bone levels that are similar to those in complete dental arches [13,[44][45][46] .…”

Section: Shortened Dental Arch Conceptmentioning

confidence: 99%

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Trends in Prosthodontics

Carlsson

Omar

2006

Med Princ Pract

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Prosthodontics is concerned with the impact of tooth or tissue damage and partial or complete loss of teeth onoral function in its broadest sense. It deals with this largely through prosthetic replacement. The discipline occupies a major portion of a dental school curriculum, and dental practitioners usually devote much of their practiceto prosthodontic services. With the rapid improvement in oral health and the reduction of edentulism in many countries, increasing numbers of people are retaining more teeth later in life.Gradually,the main focus in prosthodontics has shifted from removable dentures to fixed prostheses, while implant-supported restorations have attracted intenseinterest in the dental community. Another factor increasingly influencing prosthodontic practice is patients’ awareness of newer technologies in aesthetic dentistry. Because prosthodontic interventions as well as maintenance and repair are by nature costly, the global development in the field manifests fundamentalinequalities in the levels of service that patients can access. Diminishing resources for health care in general challenges educators and practitioners of prosthodontics alike. This review is an attempt to describe the recent developments in prosthodontics and its therapeutic areas, and the impact such developments may have on the theory and practice of the discipline.

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Section: Reassessing the Traditional Management Strategymentioning

confidence: 99%

Section: Reassessing the Traditional Management Strategymentioning

confidence: 99%

Section: Shortened Dental Arch Conceptmentioning

confidence: 99%

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Trends in Prosthodontics

Carlsson

Omar

2006

Med Princ Pract

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“…The removable dental prostheses are also classified into removable partial denture and complete denture [3]. Based on previous studies, social and geographical variations in prosthetic replacement may be related to differences in both patients' and dentists' attitudes towards oral health as well as socioeconomic status [13, 17–19]. …”

Section: Introductionmentioning

confidence: 99%

Epidemiology and Risk Factors of Tooth Loss among Iranian Adults: Findings from a Large Community-Based Study

Khazaei

Keshteli

Feizi

et al. 2013

BioMed Research International

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Objectives. To investigate the prevalence of tooth loss and different prosthetic rehabilitations among Iranian adults, as well as the potential determinants of tooth loss. Methods. In a cross-sectional community-based study conducted among 8094 Iranian adults living in Isfahan province, a self-administered questionnaire was used to assess epidemiologic features of tooth loss. Results. Thirty-two percent of subjects had all their teeth, 58.6% had lost less than 6, and 7.2% of participants had lost more than 6 teeth. One hundred and sixty-nine individuals (2.2%) were edentulous. Among participants, 2.3% had single jaw removable partial denture, 3.6% had complete removable denture in both jaws, and 4.6% had fixed prosthesis. Others reported no prosthetic rehabilitation (89.5%). In the age subgroup analysis (≤35 and >35 years old) tooth loss was more prevalent among men than women (OR = 2.8 and 1.9, resp., P < 0.01). Also, in both age groups, current and former smokers had higher levels of tooth loss than nonsmokers (P < 0.001 and P < 0.05, resp.). In addition, tooth loss was positively related to metabolic abnormality for age group >35 years (adjusted OR = 1.29, P < 0.01). Conclusions. Tooth loss is highly prevalent in Iranian adult population. Community programs promoting oral health for prevention of tooth loss should be considered taking into account its major determinants including lower educational level, male gender, smoking, and metabolic abnormality.

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“…Differences in clinical decision-making affect the cost-effectiveness and costbenefit of oral healthcare, with impact on both the individual patient as well as at the population level [7,10] and yet they remain poorly understood [11] . Indeed, there is a perception that clinical decisions tend to be made intuitively, even idiosyncratically, and that dentists do not share a common decision-making process [12] .…”

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confidence: 99%

Recurrent Caries at Crown Margins: Making a Decision on Treatment

Alomari

Al-Saiegh²,

Qudeimat³

et al. 2009

Med Princ Pract

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Objective: To evaluate dentists’ treatment choices for a crowned tooth with varying degrees of recurrent caries. Materials and Methods: A total of 158 dentists participated in the study. A paper patient case (PPC) depicting a radiograph showing varying degrees of recurrent caries at the crown margin was used: PPC1 = small carious lesion away from crown margin; PPC2 = small carious lesion at crown margin; PPC3 = small carious lesion at crown margin extending onto the root, and PPC4 = large carious lesion at the margin; PPC5–PPC8 had the same carious conditions as PPC1–PPC4, respectively, but the teeth were non-vital. Participants were asked to indicate their choice of treatment from a list of options for each PPC. Crown removal tendency was computed after dichotomization of the responses for the different cases for each participant. Demographic information, educational background and practice characteristics were collected. Descriptive statistics, logistic regression analysis and paired-sample t test were used to analyse the data at a statistically significant level of p < 0.05. Results: For PPC1 and PPC5, most of the participants recommended management without crown removal (p < 0.05). For PPC6, there was wide disagreement about management (p = 0.81). For all other PPCs, the majority of participants chose to remove the crown before making a treatment decision (p < 0.05). Logistic regression analysis showed that the size of the lesion, vitality of the tooth, participants’ age as well as the undergraduate training background of dentists were factors that affected treatment decisions. Conclusion: The data showed a lack of agreement among dentists regarding the management of recurrent caries around crown margins. Size of the lesion, vitality of the tooth, educational training and experience appeared to be the main factors that affected their decisions.

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The Evidence for Prosthodontic Treatment Planning for Older, Partially Dentate Patients

Cited by 10 publications

References 60 publications

Trends in Prosthodontics

Trends in Prosthodontics

Epidemiology and Risk Factors of Tooth Loss among Iranian Adults: Findings from a Large Community-Based Study

Recurrent Caries at Crown Margins: Making a Decision on Treatment

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