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dc.contributor.authorMcKenna, Gerald
dc.contributor.authorAllen, Patrick Finbarr
dc.contributor.authorHayes, Martina
dc.contributor.authorDaMata, Cristiane
dc.contributor.authorMoore, Ciaran
dc.contributor.authorCronin, Michael
dc.date.accessioned2019-03-11T16:37:30Z
dc.date.available2019-03-11T16:37:30Z
dc.date.issued2018-01-01
dc.identifier.issn1932-6203
dc.identifier.pmid30307966
dc.identifier.doi10.1371/journal.pone.0203349
dc.identifier.urihttp://hdl.handle.net/10147/624125
dc.description.abstractThis randomised clinical trial aimed to compare the impact of two different tooth replacement strategies for partially dentate older patients namely; removable partial dentures (RPDs) and functionally orientated treatment based on the shortened dental arch (SDA) concept, on Oral Health-related Quality of Life (OHrQOL). 89 patients completed a randomised clinical trial. Patients were recruited in two centres: Cork University Dental Hospital (CUDH) and a Geriatric Day Hospital (SFDH). 44 patients were randomly allocated to the RPD group and 45 to the SDA group where adhesive bridgework was used to provide 10 pairs of occluding contacts. The impact of treatment on OHrQOL was used as the primary outcome measure. Each patient completed the Oral Health Impact Profile (OHIP-14) at baseline, 1, 6, 12 and 24 months after treatment. Both treatment groups reported improvements in OHIP-14 scores at 24 months (p<0.05). For the SDA group OHIP-14 scores improved by 8.0 scale points at 12 months (p<0.001) and 5.9 scale points at 24 months (p<0.05). For the RPD group OHIP-14 scores improved by 5.7 scale points at 12 months (p<0.05) and 4.2 scale points at 24 months (p<0.05). Analysis using ANCOVA showed that there were significant between group differences recorded in both treatment centres. 24 months after intervention the SDA group recorded better OHIP-14 scores by an average of 2.9 points in CUDH (p<0.0001) and by an average of 7.9 points in SFDH (p<0.0001) compared to the RPD group. Patients in the SDA group maintained their improvements in OHrQOL scores throughout the 24 month study period. For the RPD group the initial improvement in OHrQOL score began to diminish after 6 months, particularly for those treated in SFDH. Thus, the benefits of functionally orientated treatment increased over time, particularly for the older, more systemically unwell cohort in SFDH.en_US
dc.language.isoenen_US
dc.publisherPlos Oneen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectOLDER PEOPLEen_US
dc.subjectDENTAL CAREen_US
dc.subjectREHABILITATIONen_US
dc.titleImpact of oral rehabilitation on the quality of life of partially dentate elders in a randomised controlled clinical trial: 2 year follow-up.en_US
dc.typeArticleen_US
dc.identifier.journalPlos Oneen_US
dc.description.fundingHRB Health Research Boarden_US
dc.description.provinceMunsteren_US
dc.description.peer-reviewpeer-reviewen_US
dc.source.journaltitlePloS one
refterms.dateFOA2019-03-11T16:37:31Z


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