Corpus ID: 16881915

‘ The Shortened Dental Arch : An Evidence-Based Treatment Option

  title={‘ The Shortened Dental Arch : An Evidence-Based Treatment Option},
  author={R. F. Souza},
Smile Magazine 20 The loss of teeth is still traditionally seen as an inevitable part of the ageing process. In this context oral rehabilitation has the capacity to satisfactorily restore function by the replacement of all lost teeth according to anatomical norms. However, recent clinical studies have found that oral and systemic health and indeed quality of life or patient’s satisfaction do not specifically depend on the presence of a full complement of teeth (Elias & Sheiham, 1998). It has… Expand


The relationship between satisfaction with mouth and number and position of teeth.
It was concluded that less than a complete dentition can satisfy oral functional needs and that individuals were more concerned about missing anterior teeth and having anterior rather than posterior teeth replaced. Expand
A 6-year follow-up study of oral function in shortened dental arches. Part II: Craniomandibular dysfunction and oral comfort.
It is concluded that a SDA (consisting of 3-5 occlusal units, OU) is not a risk factor for CMD and is able to provide long-term sufficient oral comfort; and free-end RPD (in the lower jaw) in SDA do not prevent C MD and do not improve oral function in terms of oral comfort. Expand
Dentists' attitudes to the shortened dental arch concept.
Investigation of dentists' attitudes to the shortened dental arch (SDA) concept in general practice supports the view that the SDA concept has a role in contemporary clinical practice. Expand
A 6-year follow-up study of the oral function in shortened dental arches
It is concluded that impairment of masticatory ability is manifest when < lOoccluding pairs of teeth are present and shortened dental arches are not associated with shifts in food selection adversely affecting general health. Expand
Chewing Ability of Subjects With Shortened Dental Arches
In extremely shortened arches comprising 0–2 occluding premolars, chewing ability is severely impaired and shortened dental arches with intact premolar regions and at least one occluded pair of molars provide sufficient chewing ability. Expand
Analysis of factors influencing the long-term effect of treatment of TMJ-pain dysfunction.
The influence of such factors as diagnosis, age, general health, occlusal disharmonies, dentition and social environment on the long-term effect of treatment was analysed and poor general health was found to have a negative influence both on the immediate response to treatment of TMJ pain dysfunction and on theLong-term prognosis. Expand
The relationship between satisfaction with mouth and number, position and condition of teeth: studies in Brazilian adults.
The results indicate that adults with three premolar pairs and intact anterior sextants were satisfied with their oral status, and keeping a certain number of teeth gave more satisfaction than having the missing teeth replaced with partial dentures. Expand
Occlusal and TMJ Loads in Subjects with Experimentally Shortened Dental Arches
The findings provide no evidence that SDA causes overloading of the joints and the teeth, which suggests that neuromuscular regulatory systems are controlling maximum clenching strength under various occlusal conditions. Expand
Association between loss of occlusal support and symptoms of functional disturbances of the masticatory system.
It is confirmed that presence of an adequate occlusal support is a relevant factor in maintaining an efficient chewing, and also suggested that it may play any indirect role in preventing occurrence of symptoms of temporomandibular dysfunction. Expand
Influence of impaired mastication on nutrition.
Evidence of the effects of masticatory deficiency on nutrition is reviewed based on Medline queries using the following key words: mastication, nutrition, digestion, diet, and disease risk. Expand