An RCT of atraumatic restorative treatment for older adults: 5 year results

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    • C Da Mata
    • G McKenna
    • L Anwigi
    • M Hayes
    • N Woods
    • D. O'Mahony
    • PF Allen

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    OBJECTIVES:
    to compare the survival of ART and a conventional restorative technique (CT) for restoring carious lesions in older adults after 5 years.
    METHODS:
    In this parallel randomised controlled clinical trial, 219 independently-living adults were recruited from a dental hospital/community and a geriatric day hospital. Ninety-nine patients who met the inclusion criteria and presented with carious lesions were randomly allocated to receive either ART or conventional restorations (anaesthesia, rotary instruments and resin-modified glass ionomer). The status of restorations was assessed 6 months, 1, 2 and 5 years after restoration placement. Estimates of cumulative survival were calculated for each interval between assessments and a Cox Proportional Hazards (PH) model was fitted to the interval-censored survival time.
    RESULTS:
    Three hundred restorations (ART n=142; CT n=158) were placed on 99 patients, 46 males and 53 females, with a mean age of 73.2, SD: 6.8(65-90 yrs). After 5 years, ART and CT presented cumulative probability of survival of 85% and 79% (p=0.8095), respectively.
    CONCLUSIONS:
    ART presents survival rates comparable to a conventional technique, when treating older adults after 5 years. The ART approach could be a useful tool to provide dental care for older adults particularly in the nonclinical setting. (Trial Registration number: ISRCTN 76299321).
    CLINICAL RELEVANCE:
    This study shows that ART presents survival rates comparable to conventional techniques to treat carious lesions in older patients after 5 years. It is well accepted by this age cohort, and therefore could be an alternative to treat the elderly, especially those who are homebound or cannot attend the dentist.

    Documents

    • An RCT of Atraumatic Restorative Treatment for older adults: 5 year results

      Rights statement: © 2019 Elsevier Ltd. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/,which permits distribution and reproduction for non-commercial purposes, provided the author and source are cited.

      Accepted author manuscript, 1 MB, PDF-document

      Embargo ends: 09/03/2020

    DOI

    Original languageEnglish
    Number of pages5
    JournalJournal of Dentistry
    Journal publication date09 Mar 2019
    Early online date09 Mar 2019
    DOIs
    Publication statusEarly online date - 09 Mar 2019

    ID: 166232245