Abstract
This study aimed to assess the survival of glass ionomer cement (GIC) restorations performed using the atraumatic restorative treatment (ART) in elderly patients. The systematic review protocol was registered in the PROSPERO database. The records were searched until August 2020 in eight electronic bibliographic databases, and included randomized and non-randomized clinical trials and observational studies, with no restrictions on the language or year of publication. Study selection and data extraction were performed independently by two reviewers. Data were extracted, summarized, collected for qualitative analysis, and evaluated for individual risk of bias using the Joanna Briggs Institute's Critical Appraisal Tool. The literature search retrieved 5,186 records; however, only seven studies fulfilled the eligibility criteria and were included. The studies were published between 2002 and 2019. A total of 1,239 restorations were investigated at intervals of 6, 12, 24, and 60 months of follow-up. Some studies had a low risk of bias, while others had moderate and high risk of bias. In general, GIC restorations placed using ART were considered satisfactory. The 6-month, 12-month, and 24-month survival rates ranged from 81.3% to 97.2%, 72.2% to 94%, and 63% to 87%, respectively; additionally, the survival rate for the longest follow-up period (60 months) was 85%. Given the best evidence-based information regarding caries removal, we highlight the need to provide a conservative and effective technique for use in elderly patients. ART is a promising and viable alternative that guarantees the survival of restorations in elderly patients.
Highlights
Overall, life expectancy increased worldwide by 5.5 years between 2000 and 2016, from 66.5 to 72 years of age.[1]
After removing the repeated/duplicate results, 4,675 articles remained for the analysis of titles and abstracts
Based on the results from a low to high risk of bias studies, we observed a satisfactory survival rate for glass ionomer cement (GIC) restorations of coronal or root caries lesions in the elderly, with rates ranging between 72% and 94% after 12 months
Summary
Life expectancy increased worldwide by 5.5 years between 2000 and 2016, from 66.5 to 72 years of age.[1] It is estimated that the number of people aged ≥60 years will reach 2 billion by the year 2050, representing a projection of about one fifth of the world population.[2] In light of these demographic changes, there has been an increase in the incidence of diseases that are characteristic of aging in the society.[3]. A significant reduction in edentulism among the elderly has been observed—that is, natural teeth are retained for longer periods, oral. Diseases are common in this population.[4] Despite the decreasing rates among adults, dental caries remains a significant problem for the elderly.[5] The common predisposing risk factors for oral diseases in the elderly include barriers to adequate oral hygiene, decreased salivary flow,[6] gingival recession leading to increased exposed surfaces requiring supportive therapy, and problems related to motor coordination.[7]
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