Awareness and Knowledge Regarding the Concept of Shortened Dental Arches Among Dental Surgeons in Karachi, Pakistan
Awareness of Shortened Dental Arches
DOI:
https://doi.org/10.54393/pjhs.v5i08.1807Keywords:
Tooth Loss, Shortened Dental Arch, Dental Surgeons, Periodontal PrognosisAbstract
Tooth loss remains a major oral health problem with a high public and individual health effect. impacting the majority of persons in their middle and older years. Objective: To evaluate knowledge and comprehension of the idea of shortened dental arches among dental surgeons of Karachi, Pakistan. Methods: A convenience sample of 300 dentists who work in private hospitals in Karachi was used to perform a descriptive cross-sectional survey. A self-administered questionnaire was given to the participants to ask opinions regarding awareness, function, aesthetics, and comfort of the shortened dental arch concept. SPSS version 25.0 was used to statistically analyze the data from June 2023 to December 2023. Results: The results of the study revealed that approximately 31.7% believed that shortened dental arches offer a generally good periodontal prognosis, 33.8% of dental surgeons revealed that few restorative treatments were available, 31.2% believed that shortened dental arches do not lower the risk of overtreatment, 32.66% prolong the retention of natural teeth, 30% decrease the occlusal vertical dimension and 32.4% had TMJ issues. Conclusions: Dental surgeons' attitudes and comprehension of the shortened dental arches concept were inadequate. Hence shortened dental arches provide a practical approach to dental care by preserving posterior tooth function without requiring complete arch restoration. By improving clinical decision-making, it was possible to improve patient outcomes by having a better understanding of the existing level of awareness and expertise among dental surgeons.
References
Abu-Awwad M, Amarin R, Khouli F, Shaban S, AlTarawneh S. Dentists' Attitudes in Jordan towards the Shortened Dental Arch Concept: A Cross‐Sectional Study. International Journal of Dentistry. 2019 Dec; 2019(1): 4163851. doi: 10.1155/2019/4163851. DOI: https://doi.org/10.1155/2019/4163851
AlHmoudi H, Khamis AH, Elbishari H, Amir-Rad F. The Shortened Dental Arch Concept: Awareness, Knowledge, and Practice of Dentists in Dubai and the Northern Emirates, United Arab Emirates. International Journal of Dentistry. 2022 Nov; 2022(1): 6018650. doi: 10.1155/2022/6018650. DOI: https://doi.org/10.1155/2022/6018650
Alanazi AA, Yahya A, Alfari FM, Soliman B. Knowledge and attitude of dental professionals towards shortened dental arch concept: A Cross Sectional Study in Saudi Arabia. 2016 May-Jun; 19(3): 380-5. doi: 10.4103/1119-3077.179288. DOI: https://doi.org/10.4103/1119-3077.179288
AlHmoudi HS. A Survey of the Application of the Shortened Dental Arch by Dentists in the UAE. [Doctoral Dissertation]. 2021.
Khan SB. Translation of the shortened dental arch research into clinical practice: a stakeholder mapping approach. British Dental Journal Open. 2020 Jul; 6(1): 10. doi: 10.1038/s41405-020-0039-3. DOI: https://doi.org/10.1038/s41405-020-0039-3
Shahmoradi M, Wan B, Zhang Z, Swain M, Li Q. Mechanical failure of posterior teeth due to caries and occlusal wear-A modelling study. Journal of the Mechanical Behavior of Biomedical Materials. 2022 Jan; 125: 104942. doi: 10.1016/j.jmbbm.2021.104942. DOI: https://doi.org/10.1016/j.jmbbm.2021.104942
Sharaf RF, Radwan E, Salem GA, Abou El-yazeed M. Dental arch form and arch dimensions among a group of Egyptian children and adolescents. Bulletin of the National Research Centre. 2022 Jul; 46(1): 201. doi: 10.1186/s42269-022-00887-w. DOI: https://doi.org/10.1186/s42269-022-00887-w
Pillay SR and Veeraiyan DN. Shortened Dental Arch-A Review. International Journal of Early Childhood Special Education. 2022 Jul; 14(5): 1308-5581. doi: 10.9756/INTJECSE/V14I5.
Konnov VV, Vedyaeva AP, Razakov DK, Pichugina EN, Matytsina TV, Salnikova SN et al. Morphofunctional changes in temporomandibular joint correlating with its morphological variations in patients with dentition defects complicated by distal occlusion. Archiv EuroMedica. 2019; 9(1): 52. doi: 10.35630/2199-885X/2019/9/1/52. DOI: https://doi.org/10.35630/2199-885X/2019/9/1/52
Jamali Z, Hadilou N, Nourizadeh A. Effect of the posterior stop on temporomandibular disorders: A systematic review. Journal of Dental Research, Dental Clinics, Dental Prospects. 2022; 16(3): 147. doi: 10.34172/joddd.2022.025. DOI: https://doi.org/10.34172/joddd.2022.025
Pacek E and Walter MH. Anterior occlusion in shortened dental arches. Clinical Oral Investigations. 2022 Apr; 26(4): 3487-92. doi: 10.1007/s00784-021-04317-5. DOI: https://doi.org/10.1007/s00784-021-04317-5
Kochkonyan TS, Domenyuk DA, Shkarin VV, Dmitrienko S, Domenyuk S. Variant anatomy of transitional occlusion dental arch at optimal occlusal relationships. Archiv EuroMedica. 2022 Feb; 12(2): 128. doi: 10.35630/2199-885X/2022/12/2.32. DOI: https://doi.org/10.35630/2199-885X/2022/12/2.32
Schierz O, Reissmann DR, Rauch A, John MT, Marre B, Luthardt RG et al. Impact of shortened dental arch on oral health-related quality of life. Journal of Evidence Based Dental Practice. 2021 Dec; 21(4): 101622. doi: 10.1016/j.jebdp.2021.101622. DOI: https://doi.org/10.1016/j.jebdp.2021.101622
Reissmann DR, Wolfart S, John MT, Marré B, Walter M, Kern M et al. Impact of shortened dental arch on oral health-related quality of life over a period of 10 years-A randomized controlled trial. Journal of Dentistry. 2019 Jan; 80: 55-62. doi: 10.1016/j.jdent.2018.10.006. DOI: https://doi.org/10.1016/j.jdent.2018.10.006
Suleman G, Chaturvedi S, Shareef RA, Elmahdi AE, Elagib MF. An Assessment of Dentist’ s Attitudes to the Shortened Dental Arch Concept. Open Access Macedonian Journal of Medical Sciences. 2020 Mar; 8(D): 14-22. doi: 10.3889/oamjms.2020.3748. DOI: https://doi.org/10.3889/oamjms.2020.3748
Aljanakh M, Koralakunte PR. An Observational Cross-sectional Study to Determine Maxillary and Mandibular Dental Arch Forms in the Saudi Population. Hail Journal of Health Sciences. 2024 Jan 1;6(1):31-5.
Agrawal N. Knowledge, attitude, and practices of dentists of Aligarh and Mathura regarding shortened dental arch therapy in elderly: a questionnaire study. Journal of Indian Association of Public Health Dentistry. 2020 Jul; 18(3): 240-5. doi: 10.4103/jiaphd.jiaphd_128_19. DOI: https://doi.org/10.4103/jiaphd.jiaphd_128_19
Walter MH, Dreyhaupt J, Mundt T, Kohal R, Kern M, Rauch A et al. Periodontal health in shortened dental arches: A 10-year RCT. Journal of Prosthodontic Research. 2020 Oct; 64(4): 498-505. doi: 10.1016/j.jpor.2020.01.005. DOI: https://doi.org/10.1016/j.jpor.2020.01.005
Basutkar N, Abdallah Aldaheri L, Wali O, Mouaz S. Role of Shortened Dental Arch (SDA) concept in treatment planning-A case report. International Organization of Scientific Research Journal of Dental and Medical Sciences. 2019; 18(8): 48-52. doi: 10.9790/0853-1808054852.
Nazir O, Pandey KK, Hina M, Tiwari H, Sharda A, Farhaan MD, et al. Full mouth rehabilitation utilising the shortened dental arch concept and implant supported over denture: a case report. IOSR Journal of Dental and Medical Sciences. 2020 Dec; 19(12): 21-24.
Riaz HM, Qureshi S, Iqbal Q, Malik IA, Khan MW, Akram M. The Shortened Dental Arch Concept: Awareness and Opinion of Dentists in Lahore, Pakistan. Pakistan Journal of Medicine and Dentistry. 2023; 12(2). doi: 10.36283/PJMD12-2/010. DOI: https://doi.org/10.36283/PJMD12-2/010
Witter DJ, van Palenstein Helderman WH, Creugers NH, Käyser AF. The shortened dental arch concept and its implications for oral health care. Community Dental Oral Epidemiology. 1999 Aug; 27(4): 249-58. doi: 10.1111/j.1600-0528.1998.tb02018.x. DOI: https://doi.org/10.1111/j.1600-0528.1999.tb02018.x
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