Who Needs Full-Mouth Rehabilitation? What Decides It Is Not How Many Teeth Are Missing, but Whether the Whole Occlusal System Can Still Hold Up｜證據鏈

Many people assume that full-mouth rehabilitation is "the major undertaking reserved for those who have lost a great many teeth". In practice, what decides whether you go down this route is whether your occlusal system can still be dealt with one tooth at a time. When missing teeth, tooth wear, periodontal status and occlusal vertical dimension occur together, repairing just one of those teeth in isolation is often dragged down by the rest. What is needed at that point is to plan the whole thing again. What the research can offer is a reference point for how each type of situation actually performs. For example, in people with moderate to severe tooth wear who undergo minimally invasive full-mouth rehabilitation, the annual failure rate of direct composite resin restorations was 0% to 6.2%, with an annual complication rate of 1.0% to 4.2%; the annual failure rate of indirect restorations was 0% to 0.5%, but their annual complication rate varied with the material used — 0.2% to 1.1% for ceramics and 1.6% to 15.1% for traditional indirect resin composites; while in edentulous patients receiving All-on-4 or All-on-6 fixed prostheses, the pooled survival rates at follow-up of 5 years or more were 98.14% and 97.50% respectively. The three typical situations are set out separately below, so that you can see which one you may fall into.