노인환자에서 단축 치열궁(shortended dental arch) 개념에 의한 감소된 치열의 처치
The management of reduced dentitions based on the shortened dental arch(SDA) concept for the aging patient
정재헌, 오상호, 심덕보,
소속 상세정보
정재헌 ( Chung Chae-Heon ) - 조선대학교 치과대학 보철학교실
오상호 ( Oh Sang-Ho ) - 조선대학교 치과대학 보철학교실
심덕보 ( Shim Duck-Bo ) - 조선대학교 치과대학 보철학교실
KMID : 1033920040010010018
Abstract
Among older adults the rate of edentulism is declining and they retain substantial numbers of teeth, but molar teeth remain
more vulnerable to premature loss. Therefore, it is likely that in the future many more older adults will have missing posterior teeth. Dental care should be aimed at the preservation of a natural functioning dentition for life, within the available resources. In general, preference should be given to dentitions comprising complete dental arches or 14 occluding pairs of teeth. However, in many subjects-such as elderly-this goal might be neither attainable nor necessary. In these cases, dental care should be aimed at preserving the strategic parts of the dental arch, which are the front and premolar regions(the so-called ultimate occlusal preservation target). The shortened dental arch(SDA) concept suggests that the minimum number of occluding pairs of teeth required to provide satisfactory levels of oral function may vary according to age and other factors. The anterior and premolar teeth are the ’strategic’ part of the dental arch and are essential for satisfactory oral function and oral comfort. The SDA concept involves the direction of treatment efforts and resources at the preservation of the anterior and premolar teeth. This paper describes the role of the SDA concept in the management of reduced dentitions, including criteria for its application, possible indications and contraindications, and presents a review of research supporting SDA. In light of recent research, it is suggested that SDA will be of increasing importance as a treatment philosophy for the future elderly.
키워드
원문 및 링크아웃 정보
등재저널 정보