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Oral and Maxillofacial Surgery Do posterior teeth supra-erupt when opposite resected segments have not been prosthetically restored? Arieh Shifman 1a , Shlomo Calderon 2b* ¹Department of Oral Rehabilitation, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel ²Department of Oral and Maxillofacial Surgery, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel DMD, Senior Clinical Lecturer DMD, Professor a b Presented by Prof. Shlomo Calderon before the International College of Prosthodontists, Biennial Congress Torino, Italy, September 2013 Received: April 04, 2016 Revised: May 04, 2016 Accepted: May 20, 2016 Published: May 23, 2016 Academic Editor: Heinz Kniha, DDS, MD, PhD, Associate Professor, Ludwig-Maximilians- München University, München, Germany Cite this article: Shifman A, Calderon S. Do posterior teeth supra-erupt when opposite resected segments have not been prosthetically restored? Stoma Edu J. 2014;4(1):62-67. Abstract Introduction: The aim of this study was to assess the rate and timing of possible supra-eruption of posterior teeth opposing resected segments in a select maxillofacial group of postsurgical patients. Methodology: Twenty patients were included. 16 underwent simultaneous segmental mandibular resections and iliac bone graft reconstructions. The remaining 4 had partial maxillary resections with primary closure of the defect. No patient received any prosthetic restoration. Clinical photographs and radiographs at the last follow-up examinations were compared by superimposition to those obtained initially (mean 6.9 years). Results: The results of this longitudinal retrospective study showed that not even slight supra- eruption had occurred in any of the 16 patients. Conclusion: These findings are discussed with regard to their possible cause and prosthodontic implications. Keywords: super-eruption, supra-eruption, occlusion, unopposed molars, resected segments. 1. Introduction Postsurgical maxillofacial patients occasionally remain without further prosthetic treatment. Patients may prefer not to undergo restorative treatment for a variety of reasons, including lack of perceived esthetic impairment where only posterior segments are involved, limited functional impairment, reluctance to undergo additional surgery and also for reasons of financial constraints. In a study reporting on a group of 28 patients who underwent ablative tumor surgery and mandibular reconstructions with osseocutaneous fibula free flap 13 patients were postoperatively rehabilitated with implant-supported prostheses, whereas 18 patients had no dental prosthetic rehabilitation. 1 These authors conclude that oral functions such as speech, diet tolerance and oral competence were not directly affected by the presence of prosthetic restorations. A decisive factor affecting oral function in these patients was the extent of soft-tissue loss. In lieu of the accepted notion that the presence of molar teeth is essential for proper masticatory function and occlusal stability, 2-4 the shortened dental arch (SDA) concept emerged as paradigm shift, namely that two bilateral pairs of occlusal contacts (premolar occlusion) are sufficient for these functions. 5-7 Studies have shown that no marked adverse outcome has been displayed in SDA cases, such as temporomandibular (TM) overloading and TM disorders or parameters related to occlusal stability in the SDA arch (interdental spacing in the premolar area, overbite, increased wear of the remaining anterior teeth, or loss of alveolar bone supporting these teeth. 5-7 Nonetheless, little attention has been given in the literature to possible supra-eruption (SE) of molar teeth in the opposing dental arch. Kiliaridis et al. 8 examined 84 unopposed molars in 53 patients *Corresponding author: Professor Shlomo Calderon, DMD, Department of Oral and Maxillofacial Surgery, Beilinson Hospital, Rabin Medical Center IL-49100 Petah Tikva, Israel Tel/Fax: +972-3-937-7207 / +972-3-937-7204, e-mail: [email protected] 62 Stoma Edu J. 2017;4(1): 62-67. http://www.stomaeduj.com