The randomized shortened dental arch study: oral health-related quality of life

Abstract

For improving OHRQoL, it is not necessary to replace missing molars with a RPDP.

In patients with shortened dental arches do removable dental prostheses improve masticatory performance?

“…11 This approach has been demonstrated to be more cost-effective than RPDs whilst also achieving positive impacts on quality of life and nutritional status . [12][13][14][15] Practice points: -A SDA should provide sufficient functionality for the vast majority of patients. Extending a SDA with a RPD is not recommended.…”

Does a mandibular RDP and new maxillary CD improve masticatory efficiency and quality of life in patients with a mandibular Kennedy class I arch?

“…Wolfart et al [19] conducted a multicenter randomized controlled trial with 215 patients and did not find a statistically significant difference between treatments with shortened dental arches (SDAs) and RPDs after different periods of evaluation (before; 6 weeks, 6, and 12 months after treatment; and thereafter annually for 5 years). However, better quality of life was observed within each group using the OHIP-49 questionnaire, as was also found in the present research.…”

“…The recent increase in the number of publications focusing on the long-term effects of prosthodontic interventions on patient perceptions implies a steadily increasing interest in this information [17,19]. However, although OHRQoL is expected to be an important outcome of prosthodontics therapy, cross-sectional and longitudinal data, according to John et al [16], is available mainly for patients treated with complete dentures or implant-supported overdentures, such as in the studies of Allen et al [19] and Heydecke et al [20].…”

“…However, although OHRQoL is expected to be an important outcome of prosthodontics therapy, cross-sectional and longitudinal data, according to John et al [16], is available mainly for patients treated with complete dentures or implant-supported overdentures, such as in the studies of Allen et al [19] and Heydecke et al [20]. Furthermore, evaluation of masticatory performance and quality of life together can contribute to improved choice of treatment and positively influence the prognosis.…”

Prosthetic Rehabilitation of Short Dental Arch: Systematic Review.

“…Below we give a detailed explanation of these results: Sequence Generation: Three of the eight trials were reported as having been randomized. For sequence generation, two clinical trials used computergenerated numbers and a third trial used randomly permuted block randomization for generating the allocation sequence, which we judged as having a low risk of bias [39][40][41][42][46][47][48][52][53][54] .…”