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

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dc.contributor.authorda Mata, C.
dc.contributor.authorMcKenna, G.
dc.contributor.authorAnweigi, L.
dc.contributor.authorHayes, M.
dc.contributor.authorCronin, M.
dc.contributor.authorWoods, N.
dc.contributor.authorO'Mahony, D.
dc.contributor.authorAllen, P. F.
dc.date.accessioned2024-02-28T16:06:21Z
dc.date.available2024-02-28T16:06:21Z
dc.date.issued2019
dc.description.abstractObjectives: 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. © 2019 Elsevier Ltden
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationDa Mata, C., McKenna, G., Anweigi, L., Hayes, M., Cronin, M., Woods, N., O’Mahony, D. and Allen, P. F. (2019) 'An RCT of atraumatic restorative treatment for older adults: 5 year results', Journal of Dentistry, 83, pp.95-99. https://doi.org/10.1016/j.jdent.2019.03.003en
dc.identifier.doihttps://doi.org/10.1016/j.jdent.2019.03.003
dc.identifier.endpage99
dc.identifier.issn3005712
dc.identifier.journaltitleJournal of Dentistryen
dc.identifier.startpage95
dc.identifier.urihttps://hdl.handle.net/10468/15596
dc.identifier.volume83
dc.language.isoenen
dc.publisherElsevier Ltden
dc.rights© 2019, Elsevier Ltd. All rights reserved. This manuscript version is made available under the CC BY-NC-ND 4.0 license.en
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectARTen
dc.subjectCaries removalen
dc.subjectElderlyen
dc.subjectGerodontologyen
dc.subjectRestorative treatmenten
dc.subjectRoot cariesen
dc.titleAn RCT of atraumatic restorative treatment for older adults: 5 year resultsen
dc.typeArticle (peer-reviewed)en
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