Performance of atraumatic restorative treatment in primary care: A study in the elderly with home-based dental care

IF 1.5 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2024-12-04 DOI:10.1111/jphd.12652

Luís Eduardo Genaro, Tânia Adas Saliba PhD, Aylton Valsecki Júnior PhD, Fernanda Lopez Rosell PhD, Suzely Adas Saliba Moimaz PhD

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Abstract

Objective

To assess the performance of atraumatic restorative treatment (ART) in primary care among an elderly population in need of home-based dental care.

Methodology

It is an observational clinical study, more specifically a descriptive cohort study. The status of these restorations was evaluated1 year after placement. The analysis of ART's clinical performance was conducted through the direct clinical evaluation method, following criteria previously defined in earlier studies. Data were tabulated into sets of descriptive categories, allowing classification into a frequency distribution according to the evaluation score. Success and failure results underwent statistical evaluation using the chi-square test, with a significance level set at 5%.

Results

Elderly individuals (n = 35) participated in the study, where 103 restorations were performed in the home environment. The majority of participants were women (68.6%) with an average age of 72.3 years, and 54.3% faced difficulties in motor mobility. All received dental care exclusively at home, and 45.7% used dentures. There was a statistically significant difference (p = 0.0156) between the percentage of failures and successful cases (73.8%) without the need for ART replacement. The majority of ART interventions were on occlusal surfaces (44.9%), showing the highest percentage of restorations in good condition (84.8%), followed by mesio-occlusal (81.3%), while disto-occlusal cavities exhibited the highest failure rate (38.4%).

Conclusion

The ART demonstrates satisfactory survival rates in elderly patients after 1 year. This restoration can be a viable alternative for the treatment of older adults, especially in situations that require domiciliary dental care.

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非创伤性修复治疗在初级保健中的表现：一项老年人家庭牙科护理的研究。

目的：评价非创伤性修复治疗（ART）在老年人家庭牙科护理中的应用效果。方法：这是一项观察性临床研究，更具体地说，是一项描述性队列研究。在放置1年后评估这些修复体的状态。ART的临床表现分析采用直接临床评价方法，遵循早期研究中定义的标准。数据被制表成一组描述性的类别，允许根据评估分数分类成一个频率分布。成功和失败结果采用卡方检验进行统计评价，显著性水平设为5%。结果：老年人（n = 35）参与了这项研究，其中103例在家庭环境中进行了修复。大多数参与者是女性（68.6%），平均年龄为72.3岁，54.3%的人面临运动困难。所有患者均在家中接受牙科护理，45.7%的患者使用假牙。不需要ART替代的失败率与成功率（73.8%）有统计学差异（p = 0.0156）。ART干预主要集中在咬合面（44.9%），修复状态良好的比例最高（84.8%），其次是中牙合面（81.3%），而咬合面失败率最高（38.4%）。结论：老年患者接受ART治疗后1年生存率满意。这种修复可以是治疗老年人的一种可行的选择，特别是在需要居家牙科护理的情况下。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.80

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.