title: Clinical outcome of root caries restorations using ART and rotary techniques in institutionalized elders.
abstract: The aim of this study was to compare the clinical performance of root caries restorations after a six-month period using two methods, a conventional technique with rotary instruments and an atraumatic restorative technique (ART), in an institutionalized elderly population in the city of Bogotá, Colombia. Root caries represents a multifactorial, progressive, chronic lesion with softened, irregular and darkened tissue involving the radicular surface; it is highly prevalent in the elderly, especially in those who are physically or cognitively impaired. A quasi-experimental, double-blind, longitudinal study was carried out after cluster randomization of the sample. Two different experienced dentists, previously trained, performed the restorations using each technique. After six months, two new investigators performed a blind evaluation of the condition of the restorations. The results showed a significantly higher rate of success (92.9%) using the conventional technique (p < 0.03). However, we concluded that ART may have been the preferred technique in the study population because 81% of those restorations survived or were successful during the observation period.
authors.affiliation: Universidad Nacional de Colombia, Universidad Nacional de Colombia, Facultad de Odontología, Bogotá , Colombia, Universidad Nacional de Colombia, Facultad de Odontología, Posgrado de Rehabilitación Oral, Bogotá, Colombia.
authors.forename: Alberto Carlos
authors.initials: AC
authors.lastname: Cruz Gonzalez
authors.affiliation: Universidad Nacional de Colombia, Universidad Nacional de Colombia, Facultad de Odontología, Bogotá , Colombia, Universidad Nacional de Colombia, Facultad de Odontología, Posgrado de Rehabilitación Oral, Bogotá, Colombia.
authors.forename: Dairo Javier
authors.initials: DJ
authors.lastname: Marín Zuluaga
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D057087:Dental Atraumatic Restorative Treatment / Q000379:methods*; D016321:Dental Care for Aged; D003762:Dental Instruments; D019232:Dental Restoration Failure; D003793:Dental Restoration, Permanent / Q000295:instrumentation* / Q000379:methods; D004311:Double-Blind Method; D005260:Female; D005899:Glass Ionomer Cements / Q000627:therapeutic use; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D017213:Root Caries / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D005899:Glass Ionomer Cements