Differences in functional outcomes for adult patients with prosthodontically-treated and -untreated shortened dental arches : a systematic review

dc.contributor.authorKhan, Saadika
dc.contributor.authorMusekiwa, Alfred
dc.contributor.authorChikte, Usuf
dc.contributor.authorOmar, Ridwaan
dc.date.accessioned2016-03-31T07:30:09Z
dc.date.available2016-03-31T07:30:09Z
dc.date.issued2014
dc.description.abstractThis review examined differences in functional outcomes and patient satisfaction when shortened dental arches are left untreated compared to their restoration to complete arch lengths with different prosthodontic interventions. Methods: A protocol was developed according to the criteria for a systematic review. All relevant databases were searched to identify appropriate clinical trials regardless of language or publication status. Predetermined eligibility criteria were applied, trial quality assessed and data extracted for each study. Relevant outcomes assessed were: functioning ability, patient satisfaction and harmful effects on oral structures. Results: Searches yielded 101 articles: 81 from electronic databases and 20 from reference lists of retrieved articles (PEARLing searches). Sixty-nine citations were assessed for eligibility after removing 32 duplicate records. After reading titles and abstracts, a total of 41 records were excluded and the full-texts of the remaining 28 records were read. Only 21 records were included for the SR because 7 records were excluded after reading the full-text reports. These 21 records report the outcomes of four randomized controlled trials (RCTs) and one non-randomized clinical trial (CT) which were pre-specified and used for this review. No on-going studies were found and no eligible studies were excluded for failure to report the reviewer’s pre-specified outcomes. Outcomes were reported in the retrieved 21 articles. A narrative explanation of the prespecified outcomes is reported for the 3 comparison groups (which were based on the different interventions used for the individual clinical trials). The shortened dental arch as a treatment option is encouraging in terms of functioning, patient satisfaction and cost-effectiveness. By using only high quality studies it was expected that the results would be more reliable when making conclusions and recommendations, but some of the included studies had to be downgraded due to methodological errors.en_US
dc.description.accreditationWeb of Scienceen_US
dc.identifier.citationKhan,S., Musekiwa,A., Chikte,U., Omar,R. et al. (2014). Differences in functional outcomes for adult patients with prosthodontically -treated and -untreated shortened dental arches: a systematic review. PLoSONE 9 (7): 1-13en_US
dc.identifier.issn1932-6203
dc.language.isoenen_US
dc.privacy.showsubmitterfalse
dc.publisherPublic Library of Scienceen_US
dc.rights.holderCopyright: 2014 Khan et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
dc.source.urihttp://dx.doi.org/10.1371/journal.pone.0101143
dc.status.ispeerreviewedtrue
dc.subjectShortened dental archen_US
dc.subjectProsthodontic interventionsen_US
dc.subjectAdult patientsen_US
dc.subjectClinical trialen_US
dc.titleDifferences in functional outcomes for adult patients with prosthodontically-treated and -untreated shortened dental arches : a systematic reviewen_US
dc.typeArticleen_US

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