Cooper Lyndon F
Stallings Distinguished Professor; Chair, Department of Prosthodontics, University of North Carolina School of Dentistry, Chapel Hill, NC 27599, USA.
J Prosthodont. 2009 Feb;18(2):116-22. doi: 10.1111/j.1532-849X.2009.00441.x.
The purpose of this review and summary is to focus the clinician's attention on existing potential limitations regarding the management of edentulism. The current published data and opinions concerning the need for treating edentulism, the quality of dentures, related morbidity, and alternative or related therapeutics (e.g., dental implants) suggest there are opportunities for improvement in the treatment of the edentulous population. This may be achieved by adopting a broader therapeutic strategy focused not solely on technical aspects of an oral prosthesis. Instead, a wider array of clinical features of the edentulous patient should be addressed. A contemporary strategy may include concerns for prevention of tooth loss, evaluation of residual alveolar ridge resorption, and related issues of denture function, continual evaluation of oral mucosal health, compassionate management of maladaptive patients, a rationale for timely replacement of dentures, and continued development of dental implant therapies. The importance of therapeutic technical quality can be underscored, but should not overwhelm the broader concerns for assuring the overall health and well-being of the edentulous population.
本综述与总结的目的是让临床医生关注无牙颌治疗方面现有的潜在局限性。当前已发表的关于治疗无牙颌必要性、假牙质量、相关发病率以及替代或相关治疗方法（如牙种植体）的数据和观点表明，在无牙颌人群的治疗方面仍有改进空间。这可以通过采用更广泛的治疗策略来实现，该策略不仅关注口腔修复体的技术层面。相反，应考虑无牙颌患者更广泛的临床特征。当代策略可能包括对预防牙齿缺失的关注、剩余牙槽嵴吸收的评估、假牙功能的相关问题、口腔黏膜健康的持续评估、对适应不良患者的关怀管理、及时更换假牙的理由以及牙种植体治疗的持续发展。治疗技术质量的重要性固然可以强调，但不应掩盖对确保无牙颌人群整体健康和福祉的更广泛关注。
