Elsevier

Dental Abstracts

Volume 60, Issue 5, September–October 2015, Page e147
Dental Abstracts

Hands On
ART restorations for older patients

https://doi.org/10.1016/j.denabs.2015.07.025Get rights and content

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Background

Atraumatic restorative treatment (ART) restores carious teeth in a cost-effective and easy to administer way that may be especially appealing to older patients. Compared to conventional techniques, ART is cost-effective, and its use in underserved and disadvantaged communities demonstrates its accessibility and reduced need for advanced instrumentation. The 2-year survival of restorations placed using ART principles was compared with that for conventional restorations in a population of

Methods

A randomized controlled clinical trial was undertaken using 99 independently living adults age 65 to 90 years who had carious lesions. The participants were randomly assigned to receive either ART or conventional (CT) restorations, then survival of the restorations was tested after 6 months and 1 and 2 years of function.

Results

A total of 300 restorations were placed, with 142 in the 51 ART patients and 158 in the 48 CT patients. Most were placed on one surface only, with 45.2% of the ART group and 41.1% of the CT group placed on root surfaces.

After 2 years 34 ART patients (96 restorations) and 37 CT patients (121 restorations) remained in the study (71.2% of the original number). Patients who did not complete the study had a mean age of 77.1 years, whereas those who did complete it had a mean age of 71.5 years. No

Discussion

The differences in survival between the two groups were not statistically significantly different. ART may be most appropriate for older patients because it is effective, easy to perform, and less costly than conventional techniques.

Clinical Significance

Restoration survival rates were high in both of the treatment groups after 2 years. The advantages of ART over conventional approaches make it highly appropriate for older adults. In addition, if preventive measures are included with the ART

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da Mata C, Allen PF, McKenna G, et al: Two-year survival of ART restorations placed in elderly patients: A randomised controlled clinical trial. J Dent 43:405-411, 2015

Reprints available from C da Mata; fax: +353 021 490 1193; e-mail: [email protected]

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