The aim of restorative dentistry in high-risk groups tends to shift ov
er time from the preservation of complete dental arches towards the pr
eservation of functional dental arches, using a functionally oriented
approach. An example of this approach, aimed at limited treatment goal
s, is the shortened dental arch (SDA) concept. The objective of this s
tudy was to investigate dentists' attitudes to the SDA concept in gene
ral practice. A questionnaire seeking information pertaining to the at
titudes and application of the SDA concept in clinical practice was se
nt to all dentally qualified members of staff in the held of restorati
ve dentistry in the Nijmegen School of Dentistry (n = 64). From a 64%
response, it was found that all but one of the respondents view the SD
A concept as having a useful place in clinical practice. Although the
respondents indicated only regular or occasional use of SDA in <10% of
patients, the outcome of SDA management was generally satisfactory or
at least sufficient, notably in the care of special category patients
. The findings support the view that the SDA concept has a role in con
temporary clinical practice.