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
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 che...
| Main Authors: | , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-08-01
|
| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12903-018-0587-2 |
| _version_ | 1818968408494964736 |
|---|---|
| author | Jan E. Clarkson Nigel B. Pitts Debbie Bonetti Dwayne Boyers Hazel Braid Robert Elford Patrick A. Fee Ruth Floate Beatriz Goulão Gerry Humphris Ian Needleman John D. T. Norrie Fiona Ord Marjon van der Pol Craig R. Ramsay David N. J. Ricketts Helen V. Worthington Linda Young INTERVAL Trial Collaboration |
| author_facet | Jan E. Clarkson Nigel B. Pitts Debbie Bonetti Dwayne Boyers Hazel Braid Robert Elford Patrick A. Fee Ruth Floate Beatriz Goulão Gerry Humphris Ian Needleman John D. T. Norrie Fiona Ord Marjon van der Pol Craig R. Ramsay David N. J. Ricketts Helen V. Worthington Linda Young INTERVAL Trial Collaboration |
| author_sort | Jan E. Clarkson |
| collection | DOAJ |
| description | 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. Trial registration ISRCTN95933794 (Date assigned 20/08/2008). |
| first_indexed | 2024-12-20T14:04:13Z |
| format | Article |
| id | doaj.art-b0d656085ff24305b2475f4c19fc19c0 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-12-20T14:04:13Z |
| publishDate | 2018-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-b0d656085ff24305b2475f4c19fc19c02022-12-21T19:38:17ZengBMCBMC Oral Health1472-68312018-08-0118111010.1186/s12903-018-0587-2INTERVAL (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 careJan E. Clarkson0Nigel B. Pitts1Debbie Bonetti2Dwayne Boyers3Hazel Braid4Robert Elford5Patrick A. Fee6Ruth Floate7Beatriz Goulão8Gerry Humphris9Ian Needleman10John D. T. Norrie11Fiona Ord12Marjon van der Pol13Craig R. Ramsay14David N. J. Ricketts15Helen V. Worthington16Linda Young17INTERVAL Trial CollaborationUniversity of Dundee School of DentistryDental Innovation and Translation Centre, King’s College London Dental InstituteUniversity of Dundee School of DentistryHealth Economics Research Unit, University of AberdeenUniversity of Dundee School of DentistryPatient Representative; Faculty of General Dental PractitionersUniversity of Dundee School of DentistryUniversity of Dundee School of DentistryHealth Services Research Unit, University of AberdeenSchool of Medicine, University of St AndrewsInternational Centre for Evidence-Based Oral Health, Unit of Periodontology, UCL Eastman Dental InstituteUniversity of EdinburghUniversity of Dundee School of DentistryHealth Economics Research Unit, University of AberdeenHealth Services Research Unit, University of AberdeenUniversity of Dundee School of DentistryDivision of Dentistry, School of Medical Sciences, University of ManchesterUniversity of Dundee School of DentistryAbstract 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. Trial registration ISRCTN95933794 (Date assigned 20/08/2008).http://link.springer.com/article/10.1186/s12903-018-0587-2Dental recallOral healthRCTPrimary care |
| spellingShingle | Jan E. Clarkson Nigel B. Pitts Debbie Bonetti Dwayne Boyers Hazel Braid Robert Elford Patrick A. Fee Ruth Floate Beatriz Goulão Gerry Humphris Ian Needleman John D. T. Norrie Fiona Ord Marjon van der Pol Craig R. Ramsay David N. J. Ricketts Helen V. Worthington Linda Young INTERVAL Trial Collaboration 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 Dental recall Oral health RCT Primary care |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Dental recall Oral health RCT Primary care |
| url | http://link.springer.com/article/10.1186/s12903-018-0587-2 |
| work_keys_str_mv | AT janeclarkson intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT nigelbpitts intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT debbiebonetti intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT dwayneboyers intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT hazelbraid intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT robertelford intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT patrickafee intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT ruthfloate intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT beatrizgoulao intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT gerryhumphris intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT ianneedleman intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT johndtnorrie intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT fionaord intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT marjonvanderpol intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT craigrramsay intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT davidnjricketts intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT helenvworthington intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT lindayoung intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc AT intervaltrialcollaboration intervalinvestigationofnicetechnologiesforenablingriskvariableadjustedlengthdentalrecallstrialamulticentrerandomisedcontrolledtrialinvestigatingthebestdentalrecallintervalforoptimumcosteffectivemaintenanceoforalhealthindentateadultsattendingdentalprimaryc |