None listed
Conditions
Brief summary
Increasingly, elderly people are retaining natural teeth but their oral hygiene and dental care needs are often neglected. A major problem the elderly face is the high frequency of root caries. Strategies to render root surfaces less susceptible to microbial colonization and decay have not had long-lasting effects and a simple treatment appropriate to those with reduced function to arrest root caries in the long term is not available. Glass-ionomer cements (GIC) are effective against cariogenic bacteria in children and on root surfaces in vitro. We have modified GIC with chlorhexidine (GIC-CHX) to deliver greater and longer lasting antiplaque activity. In this pilot study, we propose to investigate the effectiveness of modified GIC to elderly patients with root surface caries when applied using a relatively non-invasive approach (Atraumatic Restorative Treatment, ART), facilitating subsequent investigations of applying ART on a domiciliary basis to elderly people in care homes or housebound.
Interventions
One tooth with root caries will be restored with 5% chlorhexidine-modified glass-ionomer cement (GIC) restorative material applied using the Atraumatic Restorative Technique (ART). ART only uses hand instruments to clean the cavity and place the restoration. No drilling or local anaesthetic is required. The procedure is expected to take 30-45 min. A clinician with 9 years of experience will be placing the restorations. Intervention will take place at the Faculty of Dentistry, University of Otago
One tooth with root caries will be restored with 5% chlorhexidine-modified glass-ionomer cement (GIC) restorative material applied using the Atraumatic Restorative Technique (ART). ART only uses hand instruments to clean the cavity and place the restoration. No drilling or local anaesthetic is required. The procedure is expected to take 30-45 min. A clinician with 9 years of experience will be placing the restorations. Intervention will take place at the Faculty of Dentistry, University of Otago.
Sponsors
Prof. Paul Brunton
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Patients who are 18 years and older (females and males) 2. Patients who are partially or fully dentate 3. Patients who have at least two root caries lesions which requires operative intervention. 4. Patients who are willingly to provide signed informed consent. 5. Patients who are willing to follow the research schedule for the period of the study. who are
Exclusion criteria
1. Patients with no natural teeth. 2. Patients currently having antibiotic therapy or within 4 weeks of completion of a course of therapy with antibiotics. 3. Patients who are currently receiving or who have had radiotherapy of the head and neck region within the last 12 months. 4. Patients who are currently using or who have used toothpastes and/or mouthwashes containing chlorhexidine within the last 4 weeks. 5. Patients who have active periodontal disease which is likely to require treatment such as root surface debridement (RSD) during the study. 6. Patients who have any condition (including an allergy to chlorhexidine) which could be expected to interfere with the patients safety during the study. 7. Patients who demonstrate an inability to comply with study procedures.
Outcome results
None listed