Abstract
With the increase of life expectancy in the world's population, oral health care of elderly people has attracted considerably more attention over the last years. Many elderly may benefit from oral health promotion measures that involve the Atraumatic Restorative Treatment (ART) approach. The purpose of this study will be to evaluate, over 3 years of follow-up, the clinical behavior of atraumatic restorations placed in elderly patients. The study will comprise a structured interview, intraoral clinical examination, oral hygiene instructions and the atraumatic restorative treatment. Intraoral examination will be carried out as recommended by the World Health Organization (WHO). Small to medium size class I, II or V cavities without pulp involvement and spontaneous painful symptomatology will be selected to undergo the atraumatic restorative treatment. The restorations will be evaluated by direct observation at baseline and after 6, 12, 24 and 36 months, using modified USPHS criteria. Two dentists with training and expertise in the ART approach, but who will not participate in the ART procedures, will evaluate the restorations.
Highlights
The increase of the elderly population, in both absolute and relative numbers, is a worldwide phenomenon
According to last demographic census[9], within the 20 years, the Brazilian elderly population may be over 30 millions of people and should represent 13% of the total population by the end of this period
Glass ionomer cements are the restorative materials of choice for the Atraumatic Restorative Treatment (ART) technique due to their properties of adhesion to tooth substrate and fluoride release
Summary
The increase of the elderly population, in both absolute and relative numbers, is a worldwide phenomenon. Glass ionomer cements are the restorative materials of choice for the ART technique due to their properties of adhesion to tooth substrate and fluoride release Such preventive effect is highly important considering that most elderly patients have compromised oral self-care skills owing to either physical handicap, lack of motivation or disinterest. According to the SB 200010, in spite of the clinical conditions observed, nearly 50% of the elderly are satisfied with their oral health status (including esthetics, mastication and phonetics), and 63% of the patients reported that their oral status did not affect their social relations in any way It is worthy mentioning the high costs of dental treatment, especially considering that most aged people receive low monthly retirement payments. The purpose of this study will be to evaluate, over a 3-year follow-up period, the clinical behavior of atraumatic restorations placed in elderly patients
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