{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T16:06:56Z","timestamp":1783786016607,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,6,14]],"date-time":"2017-06-14T00:00:00Z","timestamp":1497398400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>The shortened dental arch (<jats:styled-content style=\"fixed-case\">SDA<\/jats:styled-content>) provides a cost\u2010effective 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\u00a0years 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\u2010centred factors on reasons for tooth extraction and comments on chewing ability and aesthetics following extractions were recorded. Nine hundred and fifty\u2010one teeth were extracted in 900 patients. The mean age was 60\u00a0years (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> 20, <jats:styled-content style=\"fixed-case\">SE<\/jats:styled-content> 7, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 46, 74). Reasons for extraction were periodontal disease (<jats:italic>n<\/jats:italic>\u00a0=\u00a0361, 38%), periapical infection (<jats:italic>n<\/jats:italic>\u00a0=\u00a0288, 34%) or tooth and tooth\u2010root 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 (<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>) 19\u20137. Individuals with \u226510 functional pairs including anterior teeth (60%, <jats:italic>n<\/jats:italic>\u00a0=\u00a0571) had no complaints with chewing ability or aesthetics. They did not require additional prostheses. Periodontal disease and periapical infection were the main causes for the extraction. First and second molars followed by second premolars were the most commonly extracted teeth. This study supports the <jats:styled-content style=\"fixed-case\">SDA<\/jats:styled-content> in creating a cost effective, functional dentition in an aging population, provided remaining teeth and restorations are preserved\/maintained, oral health is promoted, and anterior aesthetic tooth replacement is ensured.<\/jats:p>","DOI":"10.1111\/joor.12523","type":"journal-article","created":{"date-parts":[[2017,5,18]],"date-time":"2017-05-18T16:03:36Z","timestamp":1495123416000},"page":"610-616","source":"Crossref","is-referenced-by-count":20,"title":["Observational study investigating tooth extraction and the shortened dental arch approach"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1178-5013","authenticated-orcid":false,"given":"R. C.","family":"Olley","sequence":"first","affiliation":[{"name":"Prosthodontics University of Dundee Dundee UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Renton","sequence":"additional","affiliation":[{"name":"KCL Dental Institute London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. M.","family":"Frost","sequence":"additional","affiliation":[{"name":"KCL Dental Institute London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,6,14]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"NHS Information Centre.Adult Dental Health Survey 2009 \u2013 First Release.2010;1\u201319."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12016"},{"key":"e_1_2_7_4_1","volume-title":"Adult dental health in England and Wales in 1968","author":"Gray P","year":"1970"},{"key":"e_1_2_7_5_1","volume-title":"Executive summary adult dental health survey 2009","author":"Steele J","year":"2011"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2012.1088"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.2011.313"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.1981.tb00519.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.2006.01625.x"},{"key":"e_1_2_7_10_1","unstructured":"BDA.BDA evidence summary Shortened dental arch therapy in old age.2013; Available from:https:\/\/www.bda.org\/dentists\/education\/sgh\/Documents\/Shorteneddentalarchtherapyinoldage.pdf accessed 1 June 2017."},{"key":"e_1_2_7_11_1","volume-title":"Recent advances in oral health","author":"WHO World Health Organization Expert Committee","year":"1992"},{"key":"e_1_2_7_12_1","unstructured":"FGDP (UK).National VDP Research Study."},{"key":"e_1_2_7_13_1","first-page":"29","article-title":"Dental hygienists\u2019 self\u2010reported performance of tobacco cessation activities","volume":"9","author":"Pau A","year":"2011","journal-title":"Oral Health Prev Dent"},{"key":"e_1_2_7_14_1","first-page":"153","article-title":"The extensively restored posteriortooth has a high incidence of tooth fracture","volume":"15","author":"Frost PM","year":"2007","journal-title":"Eur J Prosthodont Restor Dent"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1308\/135576102322547548"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-5712(01)00013-6"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bdj.4801068a"},{"key":"e_1_2_7_18_1","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1177\/2050168411os1800302","article-title":"Oral disease prevention for older people","volume":"18","author":"Austin RS","year":"2011","journal-title":"Prim Dent Care"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2011.08.018"},{"key":"e_1_2_7_20_1","first-page":"687","article-title":"Effects of removable partial dentures on the quality of life in people with shortened dental arches","volume":"116","author":"Armellini DB","year":"2009","journal-title":"Ned Tijdschr Tandheelkd"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0301-5661.2004.00131.x"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3913(03)00158-6"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741-2358.2002.00003.x"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2013.08.018"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2014.11.002"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.12968\/denu.2010.37.1.40"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2015.10.014"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.11607\/ijp.4154"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12144"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1159\/000354654"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2017.02.015"}],"container-title":["Journal of Oral Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjoor.12523","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/joor.12523","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T15:59:53Z","timestamp":1696262393000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/joor.12523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6,14]]},"references-count":30,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1111\/joor.12523"],"URL":"https:\/\/doi.org\/10.1111\/joor.12523","archive":["Portico"],"relation":{},"ISSN":["0305-182X","1365-2842"],"issn-type":[{"value":"0305-182X","type":"print"},{"value":"1365-2842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6,14]]}}}