St Andrews Research Repository

St Andrews University Home
View Item 
  •   St Andrews Research Repository
  • University of St Andrews Research
  • University of St Andrews Research
  • University of St Andrews Research
  • View Item
  •   St Andrews Research Repository
  • University of St Andrews Research
  • University of St Andrews Research
  • University of St Andrews Research
  • View Item
  •   St Andrews Research Repository
  • University of St Andrews Research
  • University of St Andrews Research
  • University of St Andrews Research
  • View Item
  • Login
JavaScript is disabled for your browser. Some features of this site may not work without it.

INTERVAL (investigation of NICE technologies for enabling risk-variable-adjusted-length) dental recalls trial : a multicentre randomised controlled trial investigating the best dental recall interval for optimum, cost-effective maintenance of oral health in dentate adults attending dental primary care

Thumbnail
View/Open
Clarkson_2018_BMCOH_INTERVAL_CC.pdf (1003.Kb)
Date
07/08/2018
Author
Clarkson, Jan E.
Pitts, Nigel B.
Bonetti, Debbie
Boyers, Dwayne
Braid, Hazel
Elford, Robert
Fee, Patrick A.
Floate, Ruth
Goulão, Beatriz
Humphris, Gerry
Needleman, Ian
Norrie, John D. T.
Ord, Fiona
van der Pol, Marjon
Ramsay, Craig R.
Ricketts, David N. J.
Worthington, Helen V.
Young, Linda
Anderson, Tony
Burke, Trevor
Dolan, Philip
Douglas, Gail
Freeman, Ruth
Gorter, Ronald
Herbert, Richard
Hodge, Penny
Mettes, Dirk
McCombes, Wendy
Ross, Margaret
White, Debbie
INTERVAL Trial Collaboration
Keywords
Dental recall
Oral health
RCT
Primary care
RK Dentistry
T-NDAS
Metadata
Show full item record
Altmetrics Handle Statistics
Altmetrics DOI Statistics
Abstract
Background:  Traditionally, patients at low risk and high risk of developing dental disease have been encouraged to attend dental recall appointments at regular intervals of six months between appointments. The lack of evidence for the effect that different recall intervals between dental check-ups have on patient outcomes, provider workload and healthcare costs is causing considerable uncertainty for the profession and patients, despite the publication of the NICE Guideline on dental recall. The need for primary research has been highlighted in the Health Technology Assessment Group’s systematic review of routine dental check-ups, which found little evidence to support or refute the practice of encouraging 6-monthly dental check-ups in adults. The more recent Cochrane review on recall interval concluded there was insufficient evidence to draw any conclusions regarding the potential beneficial or harmful effects of altering the recall interval between dental check-ups. There is therefore an urgent need to assess the relative effectiveness and cost-benefit of different dental recall intervals in a robust, sufficiently powered randomised control trial (RCT) in primary dental care. Methods: This is a four year multi-centre, parallel-group, randomised controlled trial with blinded outcome assessment based in dental primary care in the UK. Practitioners will recruit 2372 dentate adult patients. Patient participants will be randomised to one of three groups: fixed-period six month recall, risk-based recall, or fixed-period twenty-four month recall. Outcome data will be assessed through clinical examination, patient questionnaires and NHS databases. The primary outcomes measure gingival inflammation/bleeding on probing and oral health-related quality of life. Discussion: INTERVAL will provide evidence for the most clinically-effective and cost-beneficial recall interval for maintaining optimum oral health in dentate adults attending general dental practice.
Citation
Clarkson , J E , Pitts , N B , Bonetti , D , Boyers , D , Braid , H , Elford , R , Fee , P A , Floate , R , Goulão , B , Humphris , G , Needleman , I , Norrie , J D T , Ord , F , van der Pol , M , Ramsay , C R , Ricketts , D N J , Worthington , H V , Young , L , Anderson , T , Burke , T , Dolan , P , Douglas , G , Freeman , R , Gorter , R , Herbert , R , Hodge , P , Mettes , D , McCombes , W , Ross , M , White , D & INTERVAL Trial Collaboration 2018 , ' INTERVAL (investigation of NICE technologies for enabling risk-variable-adjusted-length) dental recalls trial : a multicentre randomised controlled trial investigating the best dental recall interval for optimum, cost-effective maintenance of oral health in dentate adults attending dental primary care ' , BMC Oral Health , vol. 18 , 135 . https://doi.org/10.1186/s12903-018-0587-2
Publication
BMC Oral Health
Status
Peer reviewed
DOI
https://doi.org/10.1186/s12903-018-0587-2
ISSN
1472-6831
Type
Journal article
Rights
© The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Description
This project was funded by the National Institute for Health Research Health Technology Assessment (NIHR HTA) Programme (project number 06/35/99) and will be published in full in Health Technology Assessment.
Collections
  • University of St Andrews Research
URI
http://hdl.handle.net/10023/15791

Items in the St Andrews Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

Advanced Search

Browse

All of RepositoryCommunities & CollectionsBy Issue DateNamesTitlesSubjectsClassificationTypeFunderThis CollectionBy Issue DateNamesTitlesSubjectsClassificationTypeFunder

My Account

Login

Open Access

To find out how you can benefit from open access to research, see our library web pages and Open Access blog. For open access help contact: openaccess@st-andrews.ac.uk.

Accessibility

Read our Accessibility statement.

How to submit research papers

The full text of research papers can be submitted to the repository via Pure, the University's research information system. For help see our guide: How to deposit in Pure.

Electronic thesis deposit

Help with deposit.

Repository help

For repository help contact: Digital-Repository@st-andrews.ac.uk.

Give Feedback

Cookie policy

This site may use cookies. Please see Terms and Conditions.

Usage statistics

COUNTER-compliant statistics on downloads from the repository are available from the IRUS-UK Service. Contact us for information.

© University of St Andrews Library

University of St Andrews is a charity registered in Scotland, No SC013532.

  • Facebook
  • Twitter