Survival percentages of atraumatic restorative treatment (ART) restorations and sealants in posterior teeth: an updated systematic review and meta-analysis

Amorim, Rodrigo Guedes de; Frencken, Jo E.; Raggio, Daniela Prócida; Chen, X.; Hu, Xuan; Leal, Soraya Coelho

doi:10.1007/s00784-018-2625-5

Cited by 110 publications

(120 citation statements)

References 108 publications

Supporting

Mentioning

102

Contrasting

Unclassified

Order By: Relevance

“…HVGIC showed, in our study, the worst retention rate (0.671), similar to other studies that found a 65% survival rate in multi-surface ART restorations using HVGIC 74 or failures in 30% of class II ART restorations during the first month using HVGIC 52 . A study that compared the use of HVGIC using ART versus a conventional cavity Table 3.…”

Section: Discussionsupporting

confidence: 91%

Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis

Ruiz¹,

Pérez-Guzmán²,

Rubio‐Aparicio³

et al. 2020

Sci Rep

View full text Add to dashboard Cite

the aim was to determine the survival of tooth-coloured restorative materials in proximal restorations of primary teeth at 24 months of follow-up and the influence of the following variables: use of coating, use of cavity conditioner, use of rubber dam isolation, the cavity form, the dentist's experience and the methodological characteristics of the studies. We conducted a search until May 2019, obtaining 16 articles from which 30 independent studies were extracted, which were considered as units of analysis. Four outcome measures were extracted from each study: retention, marginal integrity, anatomic form, and absence of recurrent caries. Separate meta-analyses were carried for each outcome and multiple meta-regression model was applied. The outcomes with the highest mean success rates were absence of recurrent caries and anatomic form. The type of material significantly influenced success rates. The best materials were resin-based material plus total-etching adhesion and resin-modified glass ionomer cement (RMGIC), and the worst high viscosity glass ionomer cement (HVGIC). Atraumatic restorative treatment (ARt) had a lower success rate than the conventional cavity form. RMGic had the best clinical performance and HVGIC the worst. The form of the cavity, blinding and the experience of the operator were the variables that influenced success rates. Proximal primary molar restorations should be performed with RMGIC as it combines good mechanical performance of the resins together with the prevention of secondary caries of glass ionomers. The Global Burden of Disease 2015 study 1 concluded that oral health has not improved in the last 25 years: the age-standardized prevalence rate of untreated caries in primary teeth was 7.8% (573 million children) and 126 million children worldwide had incident cases of caries in primary teeth in 2015. Dental caries, according to the WHO, remains the most frequent chronic disease in early childhood in most communities around the world, having a negative impact on the quality of life of both the child and their family, and is considered a public health problem 2,3. The toxic effects on the patient, health professionals and the environment, the increasing prevalence of minimal intervention restorative approaches and the increased demand for aesthetics, have reduced the use of amalgam as the material of choice for the restoration of primary teeth 4,5. Currently, restorative treatments for primary teeth include a wide variety of tooth-coloured materials such as glass ionomer cements (GIC), resin-modified glass ionomer cement (RMGIC), high viscosity glass ionomer cement (HVGIC), compomers and composite resins (CR). In general, composites are recommended in children with a low risk of caries, compomers in children with a moderate risk and glass ionomers in children with a high risk 6. GICs are good materials for the primary dentition 7 due to their ability to adhere to the dental structure, low polymerization contraction, lack of postoperative sensitivity, biological compatibility and th...

show abstract

Section: Discussionsupporting

confidence: 91%

Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis

Ruiz¹,

Pérez-Guzmán²,

Rubio‐Aparicio³

et al. 2020

Sci Rep

View full text Add to dashboard Cite

show abstract

“…The provision of care under the threat of COVID-19 or other air-borne infections, will require the adoption of new techniques for infection control in dental settings. Additional emphasis on the reduction of aerosols may result in increased usage of non-aerosol generating treatments for carious lesions, such as silver diamine fluoride, temporary restorations with glass ionomers, or atraumatic restorative treatments (30)(31)(32). Providers should be prepared for evolving guidance and continued adjustments to the way they practice, as evidence-based research is established for COVID-19 and dental treatment.…”

Section: Resultsmentioning

confidence: 99%

Emergency and Urgent Dental Visits Among Medicaid Enrollees from 2013 to 2017

Fiehn

Okunev

Bayham

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Efforts to combat the spread of COVID-19 have led to guidance to restrict dental practice to treating emergency and urgent dental visits and reduce or eliminate elective dental procedures. Better understanding of the frequency of dental emergencies and the procedures performed during those emergency visits can help providers, insurers, and policymakers understand workforce and care provision needs.Methods: Procedures performed at an emergency dental encounter and in the encounter following that encounter are assessed. Emergency dental encounters are those with a CDT code of D0140, D0160, or D0170. Data was analyzed from the IBM Watson Medicaid Marketscan data from 2013 to 2017, a nationally representative dental and medical claims database from 13 deidentified states.Result: Consistently over time, about 10% of all dental encounters are due to a dental emergency. 28% of emergency dental encounters had no other procedure performed during those encounters. When other procedures were performed during the encounter, the majority were diagnostic in nature, primarily radiographs. Among patients who returned to the dentists following an emergency visit, 43% returned for more definitive dental treatment, most within 30 days. Among patients who returned to the dentists following an emergency visit, 43% returned for more definitive dental treatment, with the majority returning within 30 days for that treatment.Conclusions: The majority of dental emergency encounters do not result in definitive treatment, rather patients often return to the dentist at a later date for that treatment. Where possible, dental providers could utilize teledental services to triage patients to appropriate care.

show abstract

“…On the other hand, another systematic review found that composite resin, compomer, resin-modified glass ionomer cement, and glass ionomer cement showed similar results for the restoration of primary molars [52]. Although ART could be considered an alternative for restoring occlusal [53] and occlusoproximal [53,54] cavities in primary molars, just six guidelines cited it. Bearing all these aspects in mind, the clinical decision-making to choose one material should consider besides the type of cavity, the patient's/family's wish, the professional's ability, the child's age, the child's behavior and treatment' costs and availability.…”

Section: Discussionmentioning

confidence: 99%

Recommended procedures for the management of early childhood caries lesions – a scoping review by the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE)

et al. 2020

View full text Add to dashboard Cite

Background: Early childhood caries (ECC) affects millions of children up to 6 years old. Its treatment positively impacts the quality of life of children and their families. However, there is no consensus on how to treat ECC. Thus, we performed a scoping review to identify the recommended procedures for the management of ECC lesions. Methods: A search was performed in PubMed, Scopus, The Cochrane Library, The International Guideline Library and pediatric dentistry associations around the world were contacted by email for unpublished search documents. ECC guidelines/guidance/policies were considered eligible regardless of language and publication date. Results: From a total of 828 references, 52 full-text articles were assessed for eligibility and 22 included in the scoping review. We found different procedures recommendations for the management of ECC lesions. For incipient lesions, minimally invasive methods such as professional fluoride and cariostatic (silver diamine) applications, as well as surveillance were recommended. If restoration was required, the recommended materials were glass ionomer cement, composite resin, amalgam and stainless-steel crown. Interim restorations and Atraumatic Restorative Treatment (ART) were also recommended. Extractions have been suggested for teeth with lesions with pulpal involvement, depending on the child's behaviour and other clinical conditions. Conclusions: Non-operative procedures, restorative and extraction were recommended for the management of ECC, depending on the extent of the lesions. There is no difference between different management guidelines/ guidance/policies for ECC lesions.

show abstract

Survival percentages of atraumatic restorative treatment (ART) restorations and sealants in posterior teeth: an updated systematic review and meta-analysis

Abstract: ART is an effective evidence-based option for treating and preventing carious lesions in primary and permanent posterior teeth.

Cited by 110 publications

References 108 publications

Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis

Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis

Emergency and Urgent Dental Visits Among Medicaid Enrollees from 2013 to 2017

Recommended procedures for the management of early childhood caries lesions – a scoping review by the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE)

Contact Info

Product

Resources

About