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Long Term Solution using
              Shortened Dental Arches




              Shortened Dental Arches (Armellini and von Fraunhofer):
              •intact anterior region
              •reduced number of occluding pairs of posterior teeth to
              provide a stable and functional dentition.


Slide No. 1        Dr. Saili Chandavarkar. Poster No.17
Case Report
        A 47 year old female patient reported to Department of
        Prosthodontics with the chief complaint of missing teeth.




              PREOPERATIVE EXTRAORAL / INTRAORAL




Slide No. 2       Dr. Saili Chandavarkar. Poster No.17
Diagnosis
 • Extraoral examination revealed no loss of vertical dimension
   and a healthy temperomandibular joint.
 • Intraoral examination revealed the following missing teeth: 17,
   22, 23, 24, 26, 27, 35, 36, 37, 46 and 47.
 • Patient had an EXAGGERATED GAG REFLEX.
 • History of removable partial denture treatment which was not
   satisfactory




    PRE-OPERATIVE OPG       DIAGNOSTIC JAW RELATION AND WAX UP

Slide No. 3     Dr. Saili Chandavarkar. Poster No.17
Treatment plan



     IMPRESSION FOR HEAT CURE              FINAL TOOTH          FINAL
   PROVISIONAL RESTORATION AND             PREPARATION       IMPRESSIONS
 INTERIM REMOVABLE PARTIAL DENTURE




                            PICK UP IMPRESSION
                            AFTER BISQUE TRIAL     FLEXIBLE DENTURE TRY-IN
       METAL TRIAL         FOR FLEXIBLE DENTURE        AND FABRICATION

Slide No. 4          Dr. Saili Chandavarkar. Poster No.17
Post Operative Result




          PRE OPERATIVE                          POST OPERATIVE
            EXTRAORAL                              EXTRAORAL

Slide No. 5       Dr. Saili Chandavarkar. Poster No.17
Conclusion




      S
                                      HORTENED DENTAL ARCH CONCEPT
                                      ufficient occlusal stability
                                      table TMJ
                                      atisfactory mastication
                                      implification of oral hygiene maintenance


References:1. Debora Armellini And J. Anthony Von Fraunhofer. The Shortened Dental Arch: A Review Of The Literature. J Prosthet Dent
2004;92:531-5.
2. Shailendra Kumar Sahu. Functional And Esthetic Rehabilitation Of Severely Worn Dentition With Shortened Dental Arch Concept. Vol. - II
Issue 3 July - Sept. 2010
3. T. Kanno & G. E. Carlsson. A Review Of The Shortened Dental Arch Concept Focusing On The Work By The Kayser/Nijmegen Group.
Journal Of Oral Rehabilitation 2006 33; 850–862
4. Käyser AF. Shortened Dental Arches And Oral Function. J Oral Rehabil 1981;8:457–462.
5. Sarita PTN, Witter DJ, Kreulen CM, Van’t Hof MA, Creuger NHJ. Chewing Ability Of Subjects With Shortened Dental Arches. Community
Dent Oral Epidemiol 2003;31:328–334.
6. Witter DJ, Creugers NH, Kreulen CM, De Haan AF. Occlusal Stability In Shortened Dental Arches. J Dent Res 2001;80:432–436.
7. Sarita PTN, Kreulen CM, Witter DJ, Creugers NHJ. Signs And Symptoms Associated With TMD In Adults With Shortened Dental Arches. Int J
Prosthodont 2003;16:265–270.

    Slide No. 6                    Dr. Saili Chandavarkar. Poster No.17
Conclusion




      S
                                      HORTENED DENTAL ARCH CONCEPT
                                      ufficient occlusal stability
                                      table TMJ
                                      atisfactory mastication
                                      implification of oral hygiene maintenance


References:1. Debora Armellini And J. Anthony Von Fraunhofer. The Shortened Dental Arch: A Review Of The Literature. J Prosthet Dent
2004;92:531-5.
2. Shailendra Kumar Sahu. Functional And Esthetic Rehabilitation Of Severely Worn Dentition With Shortened Dental Arch Concept. Vol. - II
Issue 3 July - Sept. 2010
3. T. Kanno & G. E. Carlsson. A Review Of The Shortened Dental Arch Concept Focusing On The Work By The Kayser/Nijmegen Group.
Journal Of Oral Rehabilitation 2006 33; 850–862
4. Käyser AF. Shortened Dental Arches And Oral Function. J Oral Rehabil 1981;8:457–462.
5. Sarita PTN, Witter DJ, Kreulen CM, Van’t Hof MA, Creuger NHJ. Chewing Ability Of Subjects With Shortened Dental Arches. Community
Dent Oral Epidemiol 2003;31:328–334.
6. Witter DJ, Creugers NH, Kreulen CM, De Haan AF. Occlusal Stability In Shortened Dental Arches. J Dent Res 2001;80:432–436.
7. Sarita PTN, Kreulen CM, Witter DJ, Creugers NHJ. Signs And Symptoms Associated With TMD In Adults With Shortened Dental Arches. Int J
Prosthodont 2003;16:265–270.

    Slide No. 6                    Dr. Saili Chandavarkar. Poster No.17

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Dr. Saili Chandavarkar

  • 1. Long Term Solution using Shortened Dental Arches Shortened Dental Arches (Armellini and von Fraunhofer): •intact anterior region •reduced number of occluding pairs of posterior teeth to provide a stable and functional dentition. Slide No. 1 Dr. Saili Chandavarkar. Poster No.17
  • 2. Case Report A 47 year old female patient reported to Department of Prosthodontics with the chief complaint of missing teeth. PREOPERATIVE EXTRAORAL / INTRAORAL Slide No. 2 Dr. Saili Chandavarkar. Poster No.17
  • 3. Diagnosis • Extraoral examination revealed no loss of vertical dimension and a healthy temperomandibular joint. • Intraoral examination revealed the following missing teeth: 17, 22, 23, 24, 26, 27, 35, 36, 37, 46 and 47. • Patient had an EXAGGERATED GAG REFLEX. • History of removable partial denture treatment which was not satisfactory PRE-OPERATIVE OPG DIAGNOSTIC JAW RELATION AND WAX UP Slide No. 3 Dr. Saili Chandavarkar. Poster No.17
  • 4. Treatment plan IMPRESSION FOR HEAT CURE FINAL TOOTH FINAL PROVISIONAL RESTORATION AND PREPARATION IMPRESSIONS INTERIM REMOVABLE PARTIAL DENTURE PICK UP IMPRESSION AFTER BISQUE TRIAL FLEXIBLE DENTURE TRY-IN METAL TRIAL FOR FLEXIBLE DENTURE AND FABRICATION Slide No. 4 Dr. Saili Chandavarkar. Poster No.17
  • 5. Post Operative Result PRE OPERATIVE POST OPERATIVE EXTRAORAL EXTRAORAL Slide No. 5 Dr. Saili Chandavarkar. Poster No.17
  • 6. Conclusion S HORTENED DENTAL ARCH CONCEPT ufficient occlusal stability table TMJ atisfactory mastication implification of oral hygiene maintenance References:1. Debora Armellini And J. Anthony Von Fraunhofer. The Shortened Dental Arch: A Review Of The Literature. J Prosthet Dent 2004;92:531-5. 2. Shailendra Kumar Sahu. Functional And Esthetic Rehabilitation Of Severely Worn Dentition With Shortened Dental Arch Concept. Vol. - II Issue 3 July - Sept. 2010 3. T. Kanno & G. E. Carlsson. A Review Of The Shortened Dental Arch Concept Focusing On The Work By The Kayser/Nijmegen Group. Journal Of Oral Rehabilitation 2006 33; 850–862 4. Käyser AF. Shortened Dental Arches And Oral Function. J Oral Rehabil 1981;8:457–462. 5. Sarita PTN, Witter DJ, Kreulen CM, Van’t Hof MA, Creuger NHJ. Chewing Ability Of Subjects With Shortened Dental Arches. Community Dent Oral Epidemiol 2003;31:328–334. 6. Witter DJ, Creugers NH, Kreulen CM, De Haan AF. Occlusal Stability In Shortened Dental Arches. J Dent Res 2001;80:432–436. 7. Sarita PTN, Kreulen CM, Witter DJ, Creugers NHJ. Signs And Symptoms Associated With TMD In Adults With Shortened Dental Arches. Int J Prosthodont 2003;16:265–270. Slide No. 6 Dr. Saili Chandavarkar. Poster No.17
  • 7. Conclusion S HORTENED DENTAL ARCH CONCEPT ufficient occlusal stability table TMJ atisfactory mastication implification of oral hygiene maintenance References:1. Debora Armellini And J. Anthony Von Fraunhofer. The Shortened Dental Arch: A Review Of The Literature. J Prosthet Dent 2004;92:531-5. 2. Shailendra Kumar Sahu. Functional And Esthetic Rehabilitation Of Severely Worn Dentition With Shortened Dental Arch Concept. Vol. - II Issue 3 July - Sept. 2010 3. T. Kanno & G. E. Carlsson. A Review Of The Shortened Dental Arch Concept Focusing On The Work By The Kayser/Nijmegen Group. Journal Of Oral Rehabilitation 2006 33; 850–862 4. Käyser AF. Shortened Dental Arches And Oral Function. J Oral Rehabil 1981;8:457–462. 5. Sarita PTN, Witter DJ, Kreulen CM, Van’t Hof MA, Creuger NHJ. Chewing Ability Of Subjects With Shortened Dental Arches. Community Dent Oral Epidemiol 2003;31:328–334. 6. Witter DJ, Creugers NH, Kreulen CM, De Haan AF. Occlusal Stability In Shortened Dental Arches. J Dent Res 2001;80:432–436. 7. Sarita PTN, Kreulen CM, Witter DJ, Creugers NHJ. Signs And Symptoms Associated With TMD In Adults With Shortened Dental Arches. Int J Prosthodont 2003;16:265–270. Slide No. 6 Dr. Saili Chandavarkar. Poster No.17