OBJECTIVES: Although the shortened dental arch (SDA) concept is a widely accepted strategy to avoid overtreatment, little is known on its impact on oral health-related quality of life (OHRQoL). This multicenter randomized controlled trial aimed to investigate the OHRQoL for removable partial dental prostheses (RPDP) with molar replacement versus the SDA concept. MATERIAL AND METHODS: In both groups, missing anterior teeth were replaced with fixed dental prosthesis. Two hundred fifteen patients with bilateral molar loss in at least one jaw were included. The Oral Health Impact Profile (OHIP-49) was completed before; 6 weeks (baseline), 6 months, and 12 months after treatment; and thereafter annually until 5 years. RESULTS: Of the initial cohort, 81 patients were assigned to the RPDP group and 71 to the SDA group (age, 34 to 86 years). Before treatment, the median OHIP score was similar in both groups (RPDP, 38.0; SDA, 40.0; n.s.). Results indicate marked improvements in OHRQoL in both groups between pretreatment and baseline (RPDP, 27.0; SDA, 19.0; p ≤ 0.0001) which continued in the RPDP group until the 1-year follow-up (p = 0.0002). These significant reductions in OHIP scores are reflected in its subscales. No further differences were seen within and between groups during the remainder observation period. CONCLUSION: Both treatments show a significant improvement in OHRQoL which continued in the RPDP group until the 1-year follow-up. No significant differences were seen between groups. CLINICAL RELEVANCE: For improving OHRQoL, it is not necessary to replace missing molars with a RPDP.
RCT Entities:
OBJECTIVES: Although the shortened dental arch (SDA) concept is a widely accepted strategy to avoid overtreatment, little is known on its impact on oral health-related quality of life (OHRQoL). This multicenter randomized controlled trial aimed to investigate the OHRQoL for removable partial dental prostheses (RPDP) with molar replacement versus the SDA concept. MATERIAL AND METHODS: In both groups, missing anterior teeth were replaced with fixed dental prosthesis. Two hundred fifteen patients with bilateral molar loss in at least one jaw were included. The Oral Health Impact Profile (OHIP-49) was completed before; 6 weeks (baseline), 6 months, and 12 months after treatment; and thereafter annually until 5 years. RESULTS: Of the initial cohort, 81 patients were assigned to the RPDP group and 71 to the SDA group (age, 34 to 86 years). Before treatment, the median OHIP score was similar in both groups (RPDP, 38.0; SDA, 40.0; n.s.). Results indicate marked improvements in OHRQoL in both groups between pretreatment and baseline (RPDP, 27.0; SDA, 19.0; p ≤ 0.0001) which continued in the RPDP group until the 1-year follow-up (p = 0.0002). These significant reductions in OHIP scores are reflected in its subscales. No further differences were seen within and between groups during the remainder observation period. CONCLUSION: Both treatments show a significant improvement in OHRQoL which continued in the RPDP group until the 1-year follow-up. No significant differences were seen between groups. CLINICAL RELEVANCE: For improving OHRQoL, it is not necessary to replace missing molars with a RPDP.
Authors: Mike T John; Linda LeResche; Thomas D Koepsell; Philippe Hujoel; Diana L Miglioretti; Wolfgang Micheelis Journal: Eur J Oral Sci Date: 2003-12 Impact factor: 2.612
Authors: Jens C Türp; Guido Heydecke; Gabriel Krastl; Oliver Pontius; Gerd Antes; Nicola U Zitzmann Journal: Quintessence Int Date: 2007-03 Impact factor: 1.677
Authors: Nicola U Zitzmann; Susanne S Scherrer; Roland Weiger; Niklaus P Lang; Clemens Walter Journal: Clin Oral Implants Res Date: 2010-12-29 Impact factor: 5.977
Authors: S Wolfart; B Marré; B Wöstmann; M Kern; T Mundt; R G Luthardt; J Huppertz; W Hannak; T Reiber; N Passia; G Heydecke; W Reinhardt; S Hartmann; E Busche; G Mitov; H Stark; P Pospiech; A Weber; W Gernet; M H Walter Journal: J Dent Res Date: 2012-07 Impact factor: 6.116
Authors: Daniel R Reissmann; Guido Heydecke; Oliver Schierz; Birgit Marré; Stefan Wolfart; Joerg R Strub; Helmut Stark; Peter Pospiech; Torsten Mundt; Wolfgang Hannak; Sinsa Hartmann; Bernd Wöstmann; Ralph G Luthardt; Klaus W Böning; Matthias Kern; Michael H Walter Journal: Clin Oral Investig Date: 2014-01-23 Impact factor: 3.573
Authors: Jaana-Sophia Kern; Stefan Wolfart; Ralf-Dieter Hilgers; Birgit Marré; Herbert Scheller; Jörg Strub; Klaus Böning; Wolfgang Hannak; Ralph G Luthardt; Guido Heydecke; Jan Huppertz; Peter Pospiech; Bernd Wöstmann; Helmut Stark; Torsten Mundt; Florentine Jahn; Matthias Kern; Daniel Edelhoff; Michael H Walter Journal: Clin Oral Investig Date: 2016-10-26 Impact factor: 3.573
Authors: Kássia De Carvalho Dias; Adriana Da Fonte Porto Carreiro; Camila Maria Bastos Machado Resende; Ana Clara Soares Paiva Tôrres; Wilson Mestriner Júnior Journal: Clin Oral Investig Date: 2015-09-18 Impact factor: 3.573