dc.contributor.author | Kemoli Arthur M. | |
dc.contributor.author | Van Amerongen, Willem E | |
dc.date.accessioned | 2013-04-10T10:19:53Z | |
dc.date.available | 2013-04-10T10:19:53Z | |
dc.date.issued | 2011 | |
dc.identifier.citation | Contemp Clin Dent. 2011 Oct-Dec; 2(4): 318–323. | en |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3276860/ | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/15664 | |
dc.description | Full text | en |
dc.description.abstract | Background:
Although Atraumatic restorative treatment (ART) approach has been in existence for a while, the reasons for the poor performance of multisurface ART restorations are not very clear.
Aim:
The aim of this study is to investigate the effects of oral hygiene, residual caries and cervical marginal-gaps on survival of proximal ART restorations.
Settings:
Two rural divisions in Kenya were selected for the study.
Design:
A randomized clinical trial.
Material and Methods:
The 804 children in the study had their baseline- and 2-year dental plaque levels documented. Each child received one proximal restoration in a primary molar using ART approach, together with trained and pre-tested operators/assistants, three glass ionomer cements (GIC)-brands and two tooth-isolation methods. The restorations were clinically evaluated soon after placement and after 2 years. Post-restorative bite-wing radiographs taken soon after restoration were also evaluated.
Statistical analysis:
Statistical Package for Social Sciences (SPSS) version 14 computer programme was used and results tested using Pearson's correlation, Cox Proportional Hazards regression analysis and Multiple Logistic regression models tests.
Results:
At baseline and after 2 years, the mean cumulative survival and plaque index changed from 94.4% to 30.8% and 2.34 (Standard Deviation, or SD of 0.46) to 1.92 (SD 2.1) respectively, with higher plaque indices associated with higher restoration failures. Of the 507 radiographs evaluated, 48 (9.5%), 63 (12.4%) and 9 (1.8%) restorations had residual caries (RC), cervical marginal-gaps (CMG) and both RC/CMG respectively. Survival of the restorations with RC/CMG was significantly lower (p = 0.003) compared to those with RC or without RC.
Conclusion:
Low survival of proximal restorations in the study was associated with the presence of cervical marginal-gaps. | en |
dc.language.iso | en | en |
dc.subject | Dental plaque | en |
dc.subject | Primary molars | en |
dc.subject | Atraumatic restorative treatment | en |
dc.title | Effects of oral hygiene, residual caries and cervical Marginal-gaps on the survival of proximal atraumatic restorative treatment approach restorations | en |
dc.type | Article | en |
local.publisher | Department of Paediatric Dentistry/Orthodontics | en |