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Subjective impact of minimally invasive dentistry in the oral health of older patients

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Abstract

Objectives

The aim of this study was to investigate if a minimally invasive oral health package with the use of atraumatic restorative treatment (ART) or a conventional restorative technique (CT) would result in any perceived benefit from the patients’ perspective and if there would be any difference between the two treatment groups.

Materials and Methods

In this randomised clinical trial, 99 independently living older adults (65–90 years) with carious lesions were randomly allocated to receive either ART or conventional restorations using minimally invasive/intervention dentistry (MID) principles. Patients completed an Oral Health Impact Profile (OHIP)-14 questionnaire before and 2 months after treatment. They were also asked to complete a global transition question about their oral health after treatment.

Results

At baseline, the mean OHIP-14 scores recorded were 7.34 (ART) and 7.44 (CT). Two months after treatment intervention, 90 patients answered the OHIP-14 and the mean scores were 7.23 (not significant (n.s.)) and 10.38 (n.s.) for the ART and CT groups, respectively. Overall, 75.5 % of patients stated that their oral health was better compared to the beginning of treatment.

Conclusions

Although not shown by the OHIP-14, patients perceived an improvement in their overall oral status after treatment, as demonstrated by the global transition ratings in both groups.

Clinical relevance

Dental treatment using minimally invasive techniques might be a good alternative to treat older individuals, and it can improve their oral health both objectively and subjectively.

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Ethical standards

The study protocol was approved by the Cork Dental School and Hospital Ethics Committee (ECM 5 (4) 02/09/08) and was therefore in accordance with the Declaration of Helsinki. All patients gave their informed consent prior to the beginning of the study.

Conflicts of interest

The authors acknowledge the financial assistance provided for this study by the Health Research Board, Ireland (Grant number HRAPOR/2010/154). The authors declare that they have no other conflicts of interest.

Author information

Authors and Affiliations

  1. Cork University Dental School and Hospital, University College Cork, Cork, Ireland

    Cristiane da Mata, Gerald McKenna & Patrick Finbarr Allen

  2. School of Mathematical Sciences, University College Cork, Cork, Ireland

    Michael Cronin

  3. School of Medicine, University College Cork, Cork, Ireland

    Denis O’Mahony

  4. School of Policy Studies, University College Cork, Cork, Ireland

    Noel Woods

Authors
  1. Cristiane da Mata
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  2. Michael Cronin
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  3. Denis O’Mahony
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  4. Gerald McKenna
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  5. Noel Woods
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  6. Patrick Finbarr Allen
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Corresponding author

Correspondence to Cristiane da Mata.

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da Mata, C., Cronin, M., O’Mahony, D. et al. Subjective impact of minimally invasive dentistry in the oral health of older patients. Clin Oral Invest 19, 681–687 (2015). https://doi.org/10.1007/s00784-014-1290-6

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  • DOI: https://doi.org/10.1007/s00784-014-1290-6

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