Shortened Dental Arch Concept and Its Effect on Oral Health-Related Quality of Life

Purpose: This review aimed to synthesize knowledge from the dental literature regarding the effects of the shortened dental arch (SDA) concept on patients' oral health-related quality of life (OHRQoL). Materials and Methods: A comprehensive search of English-language, peer-reviewed literature on the SDA was conducted using the Medline (PubMed), Embase (OVID), Scopus, and Google Scholar databases. Studies that evaluated oral health-related quality of life as an outcome were critically appraised.Results: The literature reviewed indicates that patients with SDAs do not exhibit a statistically significant difference in overall OHRQoL scores compared to other study groups. Conclusion: When determining the most appropriate prosthodontic treatment for partially edentulous patients, it is essential to consider patient expectations and preferences. A fully rehabilitated dental arch does not always guarantee a successful outcome. Modern treatment approaches should prioritize function, patient satisfaction, and overall well-being rather than solely focusing on complete dentition restoration. The SDA concept offers significant advantages and may serve as a viable alternative to reduce the need for extensive restorative treatment in the posterior regions of the mouth.