Atraumatic Restorative Treatment (ART): Rationale, Technique, and Development

Abstract

Despite long-term efforts to use appropriate dental equipment for treating dental caries in economically less developed countries, the predominant treatment remains extraction. The reasons for this failure to save teeth are given in this paper. Supported by results of research undertaken in economically developed countries, a 15-step treatment module for dental caries is presented. This technique, which is called Atraumatic Restorative Treatment (ART), is based on removing decalcified tooth tissue using only hand instruments and restoring the cavity with an adhesive filling material. The technique does not require electricity. The advantages and limitations of the technique are discussed and its use in a school oral health program in Zimbabwe presented. We conclude that ART can make restorative oral care more available to a larger part of the world population than it is today.

Proximal direct composite restorations and chairside CAD/CAM inlays: Marginal adaptation of a two-step self-etch adhesive with and without selective enamel conditioning

“…It is based on conservative principles such as remineralization of early lesions, reduction in cariogenic bacteria, repair of defective restorations, disease control and minimum surgical intervention (MSI) [55]. In this regard a number of MSI restorative techniques such as preventive resin restorations [14,36,51,59], preventive glass-ionomer restorations [21,38,50], ART restorations [7,8], tunnel restorations [17,19] and posterior approximal miniboxes and microchips [18] have been proposed for the treatment of decayed teeth.…”

Hall Technique in Pediatric Dentistry: Review

“…Çürük lezyonunun çürüğe yatkın pit ve fissürleri de içine alacak şekilde keskin bir el aleti yardımıyla temizlenerek yüksek viskoziteli cam iyonomer siman gibi flor salınımı yapan adezif özelliğe sahip bir materyal ile restore edilmesini içeren bir tedavi şeklidir. 16 ART dışında "air" abrazyon ile çürük uzaklaştırma yöntemi, kemomekanik çürük uzaklaştırma yöntemleri ve restore edilmeyen çürük tedavisi de minimal invaziv operatif yöntemle-rindendir. Bunlardan en yeni tanımlanmış ve gün-celliğini korumakta olanı ise Hall tekniğidir.…”

Projeto de Melhoria de Saúde Bucal Realizado em Região Amazonica (Monte Negro, RO)

“…Após a remoção da cárie, realiza-se o condicionamento da cavidade com um agente ácido, que em seguida é removido com água. A cavidade é então seca com algodão ou papel absorvente e o material restaurador, conhecido como cimento de ionômero de vidro, inserido na cavidade dentária, sendo necessária sua proteção imediata com um verniz ou com vaselina para evitar que ocorra embebição devido ao meio úmido da boca enquanto não há a presa completa (endurecimento) do cimento (FRENCKEN, 1996).…”