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Purpose: The aim of this study was to verify the hypothesis that shortened dental arches
constitute a risk to occlusal stability. Materials and Methods: Using cluster samples, 725
subjects with shortened dental arches comprising intact anterior regions and zero to eight
occluding pairs of posterior teeth and 125 subjects with complete dental arches were
selected. Subjects with shortened dental arches were classified into eight categories
according to arch length and symmetry. Parameters for occlusal stability were interdental
spacing, occlusal tooth wear, occlusal contact of incisors in intercuspal position, and
vertical and horizontal overlap. Additionally, tooth mobility and overeruption of
unopposed teeth were assessed. Influence of independent variables (dental arch category,
age, gender, and residence) on the parameters for occlusal stability was assessed by oneway
ANOVA and Tukey’s multiple range tests. Results: Extreme shortened dental arches
(zero to two pairs of occluding premolars) had significantly more interdental spacing,
occlusal contact of incisors, and vertical overlap compared to complete dental arches.
Occlusal wear and prevalence of mobile teeth were highest in these categories. The
category with three to four occluding premolars had significantly more interdental
spacing and, for the older age group, more anterior teeth in occlusal contact compared to
complete dental arches. Age was consistently associated with increased changes in
occlusal integrity. Conclusion: Signs of increased risk to occlusal stability seemed to
occur in extreme shortened dental arches, whereas no such evidence was found for
intermediate categories of shortened dental arches. Int J Prosthodont 2003;16:375–380.
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