Root Caries Excavation with Air Water/powder Prophylaxis Device for ART Restorations

Excavation of Root Caries with Air-water Powder Stream Vs Manual Excavation for Atraumatic Restorative Treatment in Older Patients: a Single-blind Randomized Controlled Trial

The main objective of this RCT is to compare the efficacy of a powder/water jet prophylaxis device and conventional hand excavation in excavating root surface caries, with regard to restoration survival/success in older adults.

The secondary outcome of this RCT is to assess the participants' treatment preferences for the received treatment with regard to the procedures involved and in the invasiveness of the procedures carried out during the ART restoration.

Inclusion criteria

• Adults ≥65 years
• Dentinal root caries lesions with no painful symptomology
• Can follow instructions for oral hygiene
• Not dependent for care for their ADLs.

Exclusion criteria:

• Symptomatic carious teeth
• Non-carious attrition, erosion or abrasion cavities
• Periodontally compromised teeth with Grade 3 mobility, and active signs of infections.
• Not willing or able to sign informed consent

Post-hoc exclusion:

• Participant withdraws consent
• Medical reasons.