Impact of oral rehabilitation on the quality of life of partially dentate elders in a randomised controlled clinical trial: 2 year follow-up

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dc.contributor.author McKenna, Gerald
dc.contributor.author Allen, P. Finbarr
dc.contributor.author Hayes, Martina
dc.contributor.author DaMata, Cristiane
dc.contributor.author Moore, Ciaran
dc.contributor.author Cronin, Michael
dc.date.accessioned 2019-10-01T05:06:05Z
dc.date.available 2019-10-01T05:06:05Z
dc.date.issued 2018-10-11
dc.identifier.citation McKenna, G., Allen, P.F., Hayes, M., DaMata, C., Moore, C. and Cronin, M., 2018. Impact of oral rehabilitation on the quality of life of partially dentate elders in a randomised controlled clinical trial: 2 year follow-up. PloS one, 13(10), (e0203349). DOI:10.1371/journal.pone.0203349 en
dc.identifier.volume 13 en
dc.identifier.issued 10 en
dc.identifier.startpage 1 en
dc.identifier.endpage 12 en
dc.identifier.uri http://hdl.handle.net/10468/8635
dc.identifier.doi 10.1371/journal.pone.0203349 en
dc.description.abstract Objective This randomised clinical trial aimed to compare the impact of two different tooth replacement strategies for partially dentate older patients namely; removable partial dentures (RPDs) and functionally orientated treatment based on the shortened dental arch (SDA) concept, on Oral Health-related Quality of Life (OHrQOL). Methods 89 patients completed a randomised clinical trial. Patients were recruited in two centres: Cork University Dental Hospital (CUDH) and a Geriatric Day Hospital (SFDH). 44 patients were randomly allocated to the RPD group and 45 to the SDA group where adhesive bridgework was used to provide 10 pairs of occluding contacts. The impact of treatment on OHrQOL was used as the primary outcome measure. Each patient completed the Oral Health Impact Profile (OHIP-14) at baseline, 1, 6, 12 and 24 months after treatment. Results Both treatment groups reported improvements in OHIP-14 scores at 24 months (p<0.05). For the SDA group OHIP-14 scores improved by 8.0 scale points at 12 months (p<0.001) and 5.9 scale points at 24 months (p<0.05). For the RPD group OHIP-14 scores improved by 5.7 scale points at 12 months (p<0.05) and 4.2 scale points at 24 months (p<0.05). Analysis using ANCOVA showed that there were significant between group differences recorded in both treatment centres. 24 months after intervention the SDA group recorded better OHIP-14 scores by an average of 2.9 points in CUDH (p<0.0001) and by an average of 7.9 points in SFDH (p<0.0001) compared to the RPD group. Conclusions Patients in the SDA group maintained their improvements in OHrQOL scores throughout the 24 month study period. For the RPD group the initial improvement in OHrQOL score began to diminish after 6 months, particularly for those treated in SFDH. Thus, the benefits of functionally orientated treatment increased over time, particularly for the older, more systemically unwell cohort in SFDH. en
dc.description.sponsorship (HRB/2008/220) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher PLoS en
dc.relation.uri https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0203349
dc.rights © 2018 McKenna et al en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.subject Dentate en
dc.subject Oral rehabilitation en
dc.subject Elders en
dc.title Impact of oral rehabilitation on the quality of life of partially dentate elders in a randomised controlled clinical trial: 2 year follow-up en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Martina Hayes, Cork University Dental School and Hospital, University College Cork, Cork, Ireland. +353-21-490-3000 Email: martina.hayes@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder Health Research Board en
dc.description.status Peer reviewed en
dc.identifier.journaltitle PLoS ONE en
dc.internal.IRISemailaddress martina.hayes@ucc.ie en
dc.identifier.articleid e0203349 en
dc.identifier.eissn 1932-6203


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© 2018 McKenna et al Except where otherwise noted, this item's license is described as © 2018 McKenna et al
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