Five-year survival of ART and CRT restorations in patients with disability

• Autores: Molina, Gustavo Fabían; Faulks, Denise; Mulder, Jan; Frencken, Jo
• Año de publicación: 2019
• Idioma: inglés
• Tipo de recurso: documento de conferencia
• Materia: Glass Ionomer Cements; Resin Cements
• Institución: Universidad Nacional de Córdoba

Fil: Molina, Gustavo Fabían. Universidad Nacional de Córdoba. Facultad de Odontología. Cátedra de Materiales Dentales; Argentina.
Fil: Faulks, Denise. Université Clermont Auvergne; Francia.
Fil: Mulder, Jan. Radboud University Medical Centre; Netherlands.
Fil: Frencken, Jo. Radboud University; Netherlands.
Objectives: To assess the 5-year cumulative survival rate of atraumatic restorative treatment (ART) and conventional resin composite restorations (CRT) placed in persons with disability. Materials and methods: Patients referred for restorative care to a special care service in Córdoba, Argentina, were treated by one of two specialists. Patients and/or caregivers were provided with written and verbal information regarding treatment options and selected the alternative they preferred. The treatment protocols were ART (hand instruments/highviscosity glass-ionomer) in the clinic or CRT (rotary instrumentation/resin composite) in the clinic or under general anaesthesia (GA). Two independent, trained and calibrated examiners evaluated restoration survival using established ART codes after 6, 12, 24, 36 and 60 months. The proportional hazard model with frailty corrections provided survival estimates over 5 years. Results: Sixty-six patients (13.6 ± 7.8 years) with 16 different medical conditions participated with four dropouts after 5 years. CRT in the clinic proved feasible for five patients (13%), and 14 patients received CRT under GA (21%). ART was used for 47 patients (71.2%). A total number of 298 dentine carious lesions were restored in primary and permanent teeth (182 ART; 116 CRT). Survival probability rates and jackknife standard errors were estimated significantly higher for ART-GIC restorations (90.2 ± 2.6%) compared to CRT-Composite (82.8 ± 5.3%) after 5 years of their placement (p=0.04). Conclusions: The 5-year follow-up results confirm that ART is an effective treatment protocol for patients with disability
Fil: Molina, Gustavo Fabían. Universidad Nacional de Córdoba. Facultad de Odontología. Cátedra de Materiales Dentales; Argentina.
Fil: Faulks, Denise. Université Clermont Auvergne; Francia.
Fil: Mulder, Jan. Radboud University Medical Centre; Netherlands.
Fil: Frencken, Jo. Radboud University; Netherlands.
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