Observational study investigating tooth extraction and the shortened dental arch approach

Journal of Oral Rehabilitation
R C OlleyP M Frost

Abstract

The shortened dental arch (SDA) provides a cost-effective dentition, considering the population is ageing and retaining teeth for longer. The aims were to observe the reasons and sites of tooth extraction and assess the functional dentition over 15 years in dental practice. Subjects were recruited who required permanent tooth extractions between 2000 and 2015. The reasons for extractions were chosen from twelve extraction codes. Data were also collected for demographics, tooth position, root treated teeth and functional pairs remaining. Patient-centred factors on reasons for tooth extraction and comments on chewing ability and aesthetics following extractions were recorded. Nine hundred and fifty-one teeth were extracted in 900 patients. The mean age was 60 years (SD 20, SE 7, 95% CI 46, 74). Reasons for extraction were periodontal disease (n = 361, 38%), periapical infection (n = 288, 34%) or tooth and tooth-root fractures (15%). Extractions included 201 (21%) second molars, 179 (19%) first molars, 152 (16%) second premolars, 95 (10%) first incisors, 86 (9%) second incisors, 76 (8%) canines and 67 (7%) first premolars. Following extractions, median functional pairs were 12, interquartile range (IQR) 19-7. Individuals with ≥10 ...Continue Reading

References

Sep 1, 1981·Journal of Oral Rehabilitation·A F Käyser
Mar 21, 2002·Primary Dental Care : Journal of the Faculty of General Dental Practitioners (UK)·Peter M Frost
Apr 6, 2004·Community Dentistry and Oral Epidemiology·James G SteeleA John Spencer
Sep 28, 2006·Journal of Oral Rehabilitation·T Kanno, G E Carlsson
Mar 12, 2010·Dental Update·Ryan C Olley, Jennifer E Gallagher
Sep 20, 2011·Journal of Dentistry·P M PreshawZ Loewy
Sep 4, 2013·Journal of Clinical Periodontology·Ryan C OlleyDavid Bartlett
Mar 31, 2015·The International Journal of Prosthodontics·Ryan C OlleyDavid Bartlett
Oct 27, 2015·Journal of Dentistry·Harminder Sehmi, Ryan C Olley

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Citations

Sep 29, 2019·British Dental Journal·Ryan C Olley, Peter M Frost Bem
Feb 18, 2020·Journal of Prosthodontic Research·Michael H WalterBirgit Marré
Aug 26, 2017·British Dental Journal·R C Olley, H Sehmi
Apr 15, 2020·International Journal of Environmental Research and Public Health·Pier Carmine PassarelliAntonio D'Addona

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