ART and Conventional Root Restorations in Elders after 12 Months

Abstract

Successful use of atraumatic restorative treatment (ART) in children has been reported, but little information is available regarding its use in older adults. The hypothesis of this study was that survival rates of root restorations placed by both ART and the conventional technique were similar. Root-surface caries lesions in 103 institutionalized elders in Hong Kong were treated randomly by either: (1) the conventional approach—caries removed by dental burs, and the cavity filled with light-cured resin-modified glass ionomer; or (2) the ART approach—caries removed by hand instruments, and the cavity filled with chemically cured high-strength glass ionomer. In total, 84 conventional and 78 ART restorations were placed. After 12 months, 63 conventional and 59 ART restorations were reviewed, and the respective 12-month survival rates were 91.7% and 87.0% (p > 0.05). It is concluded that the survival rates of both types of root restorations were high and similar.

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References

Banting DW -2001-. The diagnosis of root caries. J Dent Educ 65:991–996.

Burgess JO, Gallo JR -2002-. Treating root-surface caries. Dent Clin North Am 46:385–404.

Centers for Disease Control and Prevention -2003-. Trends in aging—United States and worldwide. MMWR Morb Mortal Wkly Rep 52:101–106.

Chalmers JM, Hodge C, Fuss JM, Spencer AJ, Carter KD -2002-. The prevalence and experience of oral diseases in Adelaide nursing home residents. Aust Dent J 47:123–130.

Frencken JE, Makoni F, Sithole WD, Hackenitz E -1998-. Three-year survival of one-surface ART restorations and glass-ionomer sealants in a school oral health programme in Zimbabwe. Caries Res 32:119–126.

Frencken JE, van’t Hof MA, van Amerongen WE, Holmgren CJ -2004-. Effectiveness of single-surface ART restorations in the permanent dentition: a meta-analysis. J Dent Res 83:120–123.

Fure S -2003-. Ten-year incidence of tooth loss and dental caries in elderly Swedish individuals. Caries Res 37:462–469.

Griffin SO, Griffin PM, Swann JL, Zlobin N -2004-. Estimating rates of new root caries in older adults. J Dent Res 83:634–638.

Guay AH -2004-. Access to dental care: solving the problem for underserved populations. J Am Dent Assoc 135:1599–1605.

10.

Holmgren CJ, Lo EC, Hu D, Wan H -2000-. ART restorations and sealants placed in Chinese school children—results after three years. Community Dent Oral Epidemiol 28:314–320.

11.

Honkala S, Honkala E -2002-. Atraumatic dental treatment among Finnish elderly persons. J Oral Rehabil 29:435–440.

12.

König KG -2004-. Clinical manifestations and treatment of caries from 1953 to global changes in the 20th century. Caries Res 38:168–172.

13.

Lin HC, Wong MC, Zhang HG, Lo EC, Schwarz E -2001-. Coronal and root caries in Southern Chinese adults. J Dent Res 80:1475–1479.

14.

Lo EC, Holmgren CJ -2001-. Provision of Atraumatic Restorative Treatment -ART- restorations to Chinese pre-school children—a 30-month evaluation. Int J Paediatr Dent 11:3–10.

15.

Lo EC, Luo Y, Fan MW, Wei SH -2001-. Clinical investigation of two glass-ionomer restoratives used with the atraumatic restorative treatment approach in China: two-years results. Caries Res 35:458–463.

16.

Lo EC, Luo Y, Dyson JE -2004-. Outreach dental service for persons with special needs in Hong Kong. Spec Care Dentist 24:80–85.

17.

Massara ML, Alves JB, Brandão PR -2002-. Atraumatic restorative treatment: clinical, ultrastructural and chemical analysis. Caries Res 36:430–436.

18.

Pereira PN, Inokoshi S, Tagami J -1998-. In vitro secondary caries inhibition around fluoride releasing materials. J Dent 26:505–510.

19.

Petersen PE -2003-. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century—the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 31 -Suppl 1-:3–23.

20.

Pilot T -1999-. Introduction—ART from a global perspective. Community Dent Oral Epidemiol 27:421–422.

21.

Ryge G -1980-. Clinical criteria. Int Dent J 30:347–358.

22.

van Amerongen WE -1996-. Dental caries under glass ionomer restorations. J Public Health Dent 56-3 Spec No-:150–154.

23.

Weerheijm KL, Kreulen CM, de Soet JJ, Groen HJ, van Amerongen WE -1999-. Bacterial counts in carious dentine under restorations: 2-year in vivo effects. Caries Res 33:130–134.