Research ExplorerPublicationsThe randomized shortened dental arch study: temporomandibula...

The randomized shortened dental arch study: temporomandibular disorder pain

Standard

The randomized shortened dental arch study: temporomandibular disorder pain. / Reissmann, Daniel R; Heydecke, Guido; Schierz, Oliver; Marré, Birgit; Wolfart, Stefan; Strub, Joerg R; Stark, Helmut; Pospiech, Peter; Mundt, Torsten; Hannak, Wolfgang; Hartmann, Sinsa; Wöstmann, Bernd; Luthardt, Ralph G; Böning, Klaus W; Kern, Matthias; Walter, Michael H.

In: CLIN ORAL INVEST, Vol. 18, No. 9, 23.01.2014, p. 2159-69.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Reissmann, DR, Heydecke, G, Schierz, O, Marré, B, Wolfart, S, Strub, JR, Stark, H, Pospiech, P, Mundt, T, Hannak, W, Hartmann, S, Wöstmann, B, Luthardt, RG, Böning, KW, Kern, M & Walter, MH 2014, 'The randomized shortened dental arch study: temporomandibular disorder pain', CLIN ORAL INVEST, vol. 18, no. 9, pp. 2159-69. https://doi.org/10.1007/s00784-014-1188-3

APA

Reissmann, D. R., Heydecke, G., Schierz, O., Marré, B., Wolfart, S., Strub, J. R., Stark, H., Pospiech, P., Mundt, T., Hannak, W., Hartmann, S., Wöstmann, B., Luthardt, R. G., Böning, K. W., Kern, M., & Walter, M. H. (2014). The randomized shortened dental arch study: temporomandibular disorder pain. CLIN ORAL INVEST, 18(9), 2159-69. https://doi.org/10.1007/s00784-014-1188-3

Vancouver

Reissmann DR, Heydecke G, Schierz O, Marré B, Wolfart S, Strub JR et al. The randomized shortened dental arch study: temporomandibular disorder pain. CLIN ORAL INVEST. 2014 Jan 23;18(9):2159-69. https://doi.org/10.1007/s00784-014-1188-3

Bibtex

@article{279f2312c1434036b69710483ed14c4d,
title = "The randomized shortened dental arch study: temporomandibular disorder pain",
abstract = "OBJECTIVES: The aim of this multi-center, randomized controlled trial was to assess the impact of missing posterior support on the risk for temporomandibular disorder (TMD) pain by comparing patients with either shortened dental arches (SDA) or molar replacement by removable dental prostheses (RDP).METHODS: A sample of 215 patients with bilateral molar loss in at least one jaw was consecutively recruited in 14 prosthodontic departments of dental schools in Germany. Of the initial sample, 152 patients (mean age: 59.7 years; 53.9 % female) received randomly allocated interventions (SDA: n = 71; RDP: n = 81). Presence of TMD pain was assessed using patients' self-reports and was verified by physical examination and by pain intensity, as the mean of current pain, worst pain, and average pain in the last 6 months, with 10-point ordinal rating scales. Assessments were performed before treatment and at follow-ups until 60 months after treatment. Impact of interventions on TMD risk and pain intensity was computed by applying logistic and linear random-intercept models.RESULTS: Tooth replacement (RDP) did not significantly change the risk for self-reported (odds ratio [OR]: 1.1; confidence interval [CI]: 0.4 to 3.4) or clinically verified (OR: 0.7; CI: 0.1 to 4.3) TMD pain compared to no tooth replacement (SDA). Mean characteristic pain intensity was virtually identical in both groups (Coeff: 0.01; CI: -0.30 to 0.32).CONCLUSION: Retaining or preservation of an SDA is not a major risk factor for TMD pain over the course of 5 years when compared to molar replacement with RPDs.CLINICAL RELEVANCE: Seemingly, missing molars do not have to be replaced in order to prevent TMD pain.",
author = "Reissmann, {Daniel R} and Guido Heydecke and Oliver Schierz and Birgit Marr{\'e} and Stefan Wolfart and Strub, {Joerg R} and Helmut Stark and Peter Pospiech and Torsten Mundt and Wolfgang Hannak and Sinsa Hartmann and Bernd W{\"o}stmann and Luthardt, {Ralph G} and B{\"o}ning, {Klaus W} and Matthias Kern and Walter, {Michael H}",
year = "2014",
month = jan,
day = "23",
doi = "10.1007/s00784-014-1188-3",
language = "English",
volume = "18",
pages = "2159--69",
journal = "CLIN ORAL INVEST",
issn = "1432-6981",
publisher = "Springer",
number = "9",

}

RIS

TY - JOUR

T1 - The randomized shortened dental arch study: temporomandibular disorder pain

AU - Reissmann, Daniel R

AU - Heydecke, Guido

AU - Schierz, Oliver

AU - Marré, Birgit

AU - Wolfart, Stefan

AU - Strub, Joerg R

AU - Stark, Helmut

AU - Pospiech, Peter

AU - Mundt, Torsten

AU - Hannak, Wolfgang

AU - Hartmann, Sinsa

AU - Wöstmann, Bernd

AU - Luthardt, Ralph G

AU - Böning, Klaus W

AU - Kern, Matthias

AU - Walter, Michael H

PY - 2014/1/23

Y1 - 2014/1/23

N2 - OBJECTIVES: The aim of this multi-center, randomized controlled trial was to assess the impact of missing posterior support on the risk for temporomandibular disorder (TMD) pain by comparing patients with either shortened dental arches (SDA) or molar replacement by removable dental prostheses (RDP).METHODS: A sample of 215 patients with bilateral molar loss in at least one jaw was consecutively recruited in 14 prosthodontic departments of dental schools in Germany. Of the initial sample, 152 patients (mean age: 59.7 years; 53.9 % female) received randomly allocated interventions (SDA: n = 71; RDP: n = 81). Presence of TMD pain was assessed using patients' self-reports and was verified by physical examination and by pain intensity, as the mean of current pain, worst pain, and average pain in the last 6 months, with 10-point ordinal rating scales. Assessments were performed before treatment and at follow-ups until 60 months after treatment. Impact of interventions on TMD risk and pain intensity was computed by applying logistic and linear random-intercept models.RESULTS: Tooth replacement (RDP) did not significantly change the risk for self-reported (odds ratio [OR]: 1.1; confidence interval [CI]: 0.4 to 3.4) or clinically verified (OR: 0.7; CI: 0.1 to 4.3) TMD pain compared to no tooth replacement (SDA). Mean characteristic pain intensity was virtually identical in both groups (Coeff: 0.01; CI: -0.30 to 0.32).CONCLUSION: Retaining or preservation of an SDA is not a major risk factor for TMD pain over the course of 5 years when compared to molar replacement with RPDs.CLINICAL RELEVANCE: Seemingly, missing molars do not have to be replaced in order to prevent TMD pain.

AB - OBJECTIVES: The aim of this multi-center, randomized controlled trial was to assess the impact of missing posterior support on the risk for temporomandibular disorder (TMD) pain by comparing patients with either shortened dental arches (SDA) or molar replacement by removable dental prostheses (RDP).METHODS: A sample of 215 patients with bilateral molar loss in at least one jaw was consecutively recruited in 14 prosthodontic departments of dental schools in Germany. Of the initial sample, 152 patients (mean age: 59.7 years; 53.9 % female) received randomly allocated interventions (SDA: n = 71; RDP: n = 81). Presence of TMD pain was assessed using patients' self-reports and was verified by physical examination and by pain intensity, as the mean of current pain, worst pain, and average pain in the last 6 months, with 10-point ordinal rating scales. Assessments were performed before treatment and at follow-ups until 60 months after treatment. Impact of interventions on TMD risk and pain intensity was computed by applying logistic and linear random-intercept models.RESULTS: Tooth replacement (RDP) did not significantly change the risk for self-reported (odds ratio [OR]: 1.1; confidence interval [CI]: 0.4 to 3.4) or clinically verified (OR: 0.7; CI: 0.1 to 4.3) TMD pain compared to no tooth replacement (SDA). Mean characteristic pain intensity was virtually identical in both groups (Coeff: 0.01; CI: -0.30 to 0.32).CONCLUSION: Retaining or preservation of an SDA is not a major risk factor for TMD pain over the course of 5 years when compared to molar replacement with RPDs.CLINICAL RELEVANCE: Seemingly, missing molars do not have to be replaced in order to prevent TMD pain.

U2 - 10.1007/s00784-014-1188-3

DO - 10.1007/s00784-014-1188-3

M3 - SCORING: Journal article

C2 - 24452826

VL - 18

SP - 2159

EP - 2169

JO - CLIN ORAL INVEST

JF - CLIN ORAL INVEST

SN - 1432-6981

IS - 9

ER -