One year survival of ART and conventional restorations in patients with disability

BMC Oral Health

Jo E Frencken²  Jan Mulder²  Ignacio Mazzola¹  Denise Faulks³  Gustavo F Molina¹ 

[1] Cátedra de Materiales Dentales, Facultad de Odontología, Universidad Nacional de Córdoba, Av. Maipú 177 4, B – 5000 Córdoba, Argentina;Department of Global Oral Health, College of Dental Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands;CHU Clermont-Ferrand, Service d’Odontologie and Clermont Université, Université d’Auvergne, EA4847 Clermont Ferrand, France

关键词: Glass-ionomer cement;    Dental caries;    Professional practice;    Dental care for disabled;    Atraumatic restorative treatment;    Disability and oral health;   

Others  :  1109763
DOI  :  10.1186/1472-6831-14-49

 received in 2014-01-25, accepted in 2014-04-24,  发布年份 2014

【 摘 要 】

Background

Providing restorative treatment for persons with disability may be challenging and has been related to the patient’s ability to cope with the anxiety engendered by treatment and to cooperate fully with the demands of the clinical situation. The aim of the present study was to assess the survival rate of ART restorations compared to conventional restorations in people with disability referred for special care dentistry.

Methods

Three treatment protocols were distinguished: ART (hand instruments/high-viscosity glass-ionomer); conventional restorative treatment (rotary instrumentation/resin composite) in the clinic (CRT/clinic) and under general anaesthesia (CRT/GA). Patients were referred for restorative care to a special care centre and treated by one of two specialists. Patients and/or their caregivers were provided with written and verbal information regarding the proposed techniques, and selected the type of treatment they were to receive. Treatment was provided as selected but if this option proved clinically unfeasible one of the alternative techniques was subsequently proposed. Evaluation of restoration survival was performed by two independent trained and calibrated examiners using established ART restoration assessment codes at 6 months and 12 months. The Proportional Hazard model with frailty corrections was applied to calculate survival estimates over a one year period.

Results

66 patients (13.6 ± 7.8 years) with 16 different medical disorders participated. CRT/clinic proved feasible for 5 patients (7.5%), the ART approach for 47 patients (71.2%), and 14 patients received CRT/GA (21.2%). In all, 298 dentine carious lesions were restored in primary and permanent teeth, 182 (ART), 21 (CRT/clinic) and 95 (CRT/GA). The 1-year survival rates and jackknife standard error of ART and CRT restorations were 97.8 ± 1.0% and 90.5 ± 3.2%, respectively (p = 0.01).

Conclusions

These short-term results indicate that ART appears to be an effective treatment protocol for treating patients with disability restoratively, many of whom have difficulty coping with the conventional restorative treatment.

Trial registration number

Netherlands Trial Registration:NTR 4400

【 授权许可】

   
2014 Molina et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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