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.authorMcKenna, Gerald
dc.contributor.authorAllen, P. Finbarr
dc.contributor.authorHayes, Martina
dc.contributor.authorDaMata, Cristiane
dc.contributor.authorMoore, Ciaran
dc.contributor.authorCronin, Michael
dc.contributor.funderHealth Research Boarden
dc.date.accessioned2019-10-01T05:06:05Z
dc.date.available2019-10-01T05:06:05Z
dc.date.issued2018-10-11
dc.description.abstractObjective 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.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleide0203349en
dc.identifier.citationMcKenna, 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.0203349en
dc.identifier.doi10.1371/journal.pone.0203349en
dc.identifier.eissn1932-6203
dc.identifier.endpage12en
dc.identifier.issued10en
dc.identifier.journaltitlePLoS ONEen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/8635
dc.identifier.volume13en
dc.language.isoenen
dc.publisherPLoSen
dc.relation.urihttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0203349
dc.rights© 2018 McKenna et alen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectDentateen
dc.subjectOral rehabilitationen
dc.subjectEldersen
dc.titleImpact of oral rehabilitation on the quality of life of partially dentate elders in a randomised controlled clinical trial: 2 year follow-upen
dc.typeArticle (peer-reviewed)en
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