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Survival of Teeth Restored with Atraumatic Restorative Treatment in a Pediatric Rural Population
Ana Lucia Seminario1*, Christine Wang1, JoAnna Scott2, Patrick Rooney3 and Penny Leggott11Department of Pediatric Dentistry, University of Washington, Seattle, Washington, USA
2School of Dentistry, University of Missouri, Kansas City, Missouri, USA
3Blaine Harbor Dental, Blaine, Washington, USA
- *Corresponding Author:
- Seminario AL
Assistant Professor
International Visiting Dentist Program, and Director
Department of Pediatric Dentistry University of Washington
Seattle, Washington 98105, USA
Tel: 206-543-4570
E-mail: alsadem@uw.edu
Received Date: July 20, 2017; Accepted Date: August 02, 2017; Published Date: August 10, 2017
Citation: Seminario AL, Wang C, Scott JA, Rooney P, Leggott P (2017) Survival of Teeth Restored with Atraumatic Restorative Treatment in a Pediatric Rural Population. J Oral Hyg Health 5: 224. doi: 10.4172/2332-0702.1000224
Copyright: © 2017 Seminario AL, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Objectives: To determine the overall 5-year survival rate of teeth treated by atraumatic restorative treatment (ART) delivered by general practitioners in a rural population in Washington State, USA. Methods: Inclusion/exclusion criteria included children (≤ 12 years and younger) who received ART on asymptomatic carious primary teeth without history of previous restoration (N=178). For this longitudinal study, data collection included demographics, health status, initial date of ART placement, date of ART re-placement, and baseline dmft/DMFT. Variables collected at follow ups included appointment dates, dmft/DMFT, final restorative treatment, pulp therapy, and extraction. Descriptive statistics were calculated for all variables while Kaplan-Meier survival curves were used to summarize overall treatment success. Unadjusted and adjusted hazard ratios (HR) from Cox Proportional Hazard Regression with robust standard error were used to compare survival rates for variables of interest (P<0.05). Results: The overall 5-year survival rate of primary teeth receiving ART restorations was 69.5%. While age, gender, baseline dmft/DMFT, tooth type, and number of ART surfaces were not associated with tooth survival time, child’s health status had a significant association (p=0.02). Conclusion: Among this pediatric rural population, a significant tooth survival rate was observed following treatment with ART. Replenishing ART was successful in extending survival tooth until their natural exfoliation or placement of a definitive restoration.
