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

The literature regarding the effect of prosthetic restoration in patients having distal extension edentulous space in posterior area (shortened dental arch: SDA) is reviewed in the following article. Information retrieval followed a systematic approach using PubMed. Articles in English published bet...

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Main Authors: Kenji Fueki, Eiko Yoshida, Yoshimasa Igarashi
Format: Article
Language:English
Published: Elsevier 2011-08-01
Series:Japanese Dental Science Review
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1882761611000305
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author Kenji Fueki
Eiko Yoshida
Yoshimasa Igarashi
author_facet Kenji Fueki
Eiko Yoshida
Yoshimasa Igarashi
author_sort Kenji Fueki
collection DOAJ
description The literature regarding the effect of prosthetic restoration in patients having distal extension edentulous space in posterior area (shortened dental arch: SDA) is reviewed in the following article. Information retrieval followed a systematic approach using PubMed. Articles in English published between 1966 and March 2011 describing the outcome of treatment with various prostheses were evaluated. From the search results of 98 articles, 21 articles met the inclusion criteria. Treatment with removable partial dentures (RPDs) improved masticatory function, patient satisfaction and oral health-related quality of life (OHRQoL). However, no significant difference was found in the outcomes between patients with RPDs and with cantilever fixed partial dentures (CFPDs). Caries developed more frequently after treatment with RPDs than CFPDs. The time to survival for CFPDs was not longer than that for RPDs, while more visits to maintain RPDs were required than for CFPDs. No significant difference was found in masticatory function, OHRQoL, and occlusal stability between patients with RPDs and those without restoration of missing molars. Consequently, treatment with RPDs for SDA seems to be less advantageous than CFPDs or no restoration for missing molars. Further research is required to validate treatment with implant-supported fixed partial dentures for SDA.
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spelling doaj.art-6dc33550c0b8415094a3554cb39381d22022-12-21T18:14:31ZengElsevierJapanese Dental Science Review1882-76162011-08-0147216717410.1016/j.jdsr.2011.03.003A systematic review of prosthetic restoration in patients with shortened dental archesKenji FuekiEiko YoshidaYoshimasa IgarashiThe literature regarding the effect of prosthetic restoration in patients having distal extension edentulous space in posterior area (shortened dental arch: SDA) is reviewed in the following article. Information retrieval followed a systematic approach using PubMed. Articles in English published between 1966 and March 2011 describing the outcome of treatment with various prostheses were evaluated. From the search results of 98 articles, 21 articles met the inclusion criteria. Treatment with removable partial dentures (RPDs) improved masticatory function, patient satisfaction and oral health-related quality of life (OHRQoL). However, no significant difference was found in the outcomes between patients with RPDs and with cantilever fixed partial dentures (CFPDs). Caries developed more frequently after treatment with RPDs than CFPDs. The time to survival for CFPDs was not longer than that for RPDs, while more visits to maintain RPDs were required than for CFPDs. No significant difference was found in masticatory function, OHRQoL, and occlusal stability between patients with RPDs and those without restoration of missing molars. Consequently, treatment with RPDs for SDA seems to be less advantageous than CFPDs or no restoration for missing molars. Further research is required to validate treatment with implant-supported fixed partial dentures for SDA.http://www.sciencedirect.com/science/article/pii/S1882761611000305Prosthetic restorationShortened dental archRemovable partial dentureCantilever fixed partial dentureImplant-supported fixed partial denture
spellingShingle Kenji Fueki
Eiko Yoshida
Yoshimasa Igarashi
A systematic review of prosthetic restoration in patients with shortened dental arches
Japanese Dental Science Review
Prosthetic restoration
Shortened dental arch
Removable partial denture
Cantilever fixed partial denture
Implant-supported fixed partial denture
title A systematic review of prosthetic restoration in patients with shortened dental arches
title_full A systematic review of prosthetic restoration in patients with shortened dental arches
title_fullStr A systematic review of prosthetic restoration in patients with shortened dental arches
title_full_unstemmed A systematic review of prosthetic restoration in patients with shortened dental arches
title_short A systematic review of prosthetic restoration in patients with shortened dental arches
title_sort systematic review of prosthetic restoration in patients with shortened dental arches
topic Prosthetic restoration
Shortened dental arch
Removable partial denture
Cantilever fixed partial denture
Implant-supported fixed partial denture
url http://www.sciencedirect.com/science/article/pii/S1882761611000305
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