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.

Clinical outcome of root caries restorations using ART and rotary techniques in institutionalized elders

“…25,26,27 In the present study, the rate of success and survival was slightly lower than that reported previously (81% at the 6-month follow-up).…”

“…In contrast with these results, in 2006, Lo et al 25 conducted a study on a population similar to that used in our study and reported the lack of a significant difference in clinical performance when comparing both methods in 122 restorations (59 ART and 63 conventional restorations) using conventional and glass ionomer cement modified with composite resin. At the 12-month follow-up, nine ART restorations and six conventional restorations failed.…”

“…25,26,27 They are even less common in an institutionalized elderly population. The present study compared the clinical performance of root caries restorations performed using ART and a restorative technique using rotary instruments in an elderly population.…”

“…The evaluation criteria were established according to the studies of Frencken et al, 22 Bayne and Schmalz, 23 Cvar and Ryge, 24 and Lo et al 25 ( Table 1). The data were gathered in a database created for the study and analyzed by a statistician.…”

Root caries and it's management- a review

“…[7] Old Glass-ionomer cements are biocompatible, achieving a chemical bond to enamel and dentin, and releases fluoride. These materials are aesthetically poor [27] Resinmodified glass-ionomers are indicated for high caries-risk patients. They are biocompatible, bond to enamel and dentin, possess thermal expansion and contraction characteristics that match tooth structure well, and have an anticariogenic effect and it also releases fluoride.…”