Twenty-five-year atraumatic restorative treatment (ART) approach: a comprehensive overview

Frencken, Jo E.; Leal, Soraya Coelho; Navarro, Maria Fidela de Lima

doi:10.1007/s00784-012-0783-4

Cited by 189 publications

(169 citation statements)

References 66 publications

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“…This is also addressed in the present article [1]. So, direct comparison becomes difficult, and now, people start to argue about the (low) quality of the articles from "the other side."…”

mentioning

confidence: 79%

“…It would be helpful, though, if a common basis of understanding what ART contributed to dentistry could be formulated. Again, the present overview article [1] could be a starting point.…”

mentioning

confidence: 95%

“…

…”

mentioning

confidence: 99%

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ART—a method on its way into dentistry

Schmalz

2012

Clin Oral Invest

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In this issue of the journal, we present a comprehensive overview on the state of the art concerning Atraumatic Restorative Treatment (ART) [1]. Although quite a number of assessments including systematic reviews have been published on ART already, it was the intension of this article to describe the potentials and the limitations of ART for dentistry as such, i.e., an attempt to describe the role of ART in dentistry. The development of ART started in the eighties of the last century as a necessity to provide dental care in populations who were deprived of any dental treatment and whose alternative would have been and was so far: tooth extractions. Over the years, the ART method and the respective materials were further developed, and a large number of studies were published. Reports were available, e.g., on survival rates and on acceptance of this technique mainly in low-and medium-income countries, indicating that ART could indeed be regarded not only as an alternative to tooth extractions practiced so far but also as a way to improve dental health. These data have been the basis for respective WHO statements recommending this technique under these circumstances. But, not only was a new treatment method created, control criteria and hand instruments were also developed for this technique, which were designed to fit best these procedures. So far, so good. However, with increasing success of this method in the above-described deprived populations, the idea was born that this method could be used in these populations instead of introducing classical dental treatment, like the placement of amalgam filling. Indeed, some studies performed in lowand medium-income countries showed for one-surface cavities that ART revealed equally good results as classical restorations. Clear limitations were observed in larger than one-surface cavities.Then, apparently, the idea emerged that ART would also be interesting for developed countries. In these countries, there are special population groups, like (small) children, the handicapped, and anxious or elderly patients, who could potentially benefit from such a treatment method due to many reasons. However, now, the alternative was not anymore tooth extraction, but classical dental treatment with the highly developed canon of sophisticated materials and methods, which had been developed over the recent decades. ART was entering a new arena.Due to the minimally invasive character, it indeed was prima vista plausible to assume that ART could also find a place there. However, now, ART had to and will have to compete in outcome results derived from classical methods and materials of restorative dentistry and with hundreds of studies-though with different levels of quality-available concerning failure or survival rates. Furthermore, the question now is, is this still ART? Caries removal with an excavator is not new, and the author of this editorial was taught this many years ago in dental school as well as the possibility of not using engine-powered drills in certain clinical cases lik...

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“…This is also addressed in the present article [1]. So, direct comparison becomes difficult, and now, people start to argue about the (low) quality of the articles from "the other side."…”

mentioning

confidence: 79%

“…It would be helpful, though, if a common basis of understanding what ART contributed to dentistry could be formulated. Again, the present overview article [1] could be a starting point.…”

mentioning

confidence: 95%

“…

…”

mentioning

confidence: 99%

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ART—a method on its way into dentistry

Schmalz

2012

Clin Oral Invest

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“…O uso combinado de instrumentos manuais e CIV de alta viscosidade torna possível uma melhora na saúde bucal de vários grupos populacionais, pela redução do número de extrações e aumento do número de dentes restaurados, melhora na qualidade de vida da população e satisfação no trabalho do dentista 19 . O CIV de alta viscosidade possui melhor resistência à compressão, ao desgaste e dureza superficial, quando comparado com o CIV convencional [8][9][10][11] . A forma de inserção do CIV nas cavidades dentárias preconizada por cada autor é variável.…”

Section: Introdução|unclassified

Efeito da técnica de inserção na resistência mecânica de dois cimentos de ionômero de vidro de alta viscosidade

Pereira¹,

Daroz²,

Xible³

2018

RBPS

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“…Specially designed for ART, the high-viscosity GICs have a relatively slow curing and improved mechanical properties compared to low and medium viscosity cements, which has resulted in increased survival of restorations 13 . Recent systematic reviews have shown that the longevity of ART restorations with high-viscosity GICs is similar to the gold standard treatment with amalgam 12,[14][15][16] .…”

Section: Introductionmentioning

confidence: 99%

Survival analysis of ART restorations in primary molars of preschool children: 1 year follow-up

Rocha

Fujimaki

Pascotto

et al. 2018

Rev. odontol. UNESP

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ResumoDentre as abordagens minimamente invasivas atualmente disponíveis, o tratamento restaurador atraumático (ART) demonstra resultados promissores tanto na dentadura decídua quanto permanente. Objetivo: Avaliar a sobrevivência de restaurações ART Classe I, em pré-escolares, com duas marcas brasileiras de cimentos de ionômeros de vidro (CIV) em comparação com um CIV de referência. Material e método: Cavidades de 49 crianças pré-escolares (três a cinco anos de idade) com lesões cariosas nos dentes posteriores (N = 81) foram preenchidas por dois odontopediatras experientes, de acordo com a técnica ART. Os CIV brasileiros Maxxion-R (MR) e Vitro-Fil LC (VF) e o CIV de referência, Ketac-Molar (KM), foram inseridos em uma sequência pré-estabelecida aleatoriamente. As restaurações foram avaliadas após 6 e 12 meses por outro pesquisador. As pontuações 0 e 1 foram consideradas bem-sucedidas, enquanto as pontuações 3-9 foram classificadas como falhas. Foram aplicadas a análise de sobrevivência de Kaplan-Meier e o teste log-rank (p <0,05). Resultado: Não foram observadas diferenças estatisticamente significativas nas taxas de sobrevivência dos CIV testados após 12 meses. Conclusão: O desempenho clínico dos CIV brasileiros MR e VF, observado após 12 meses, sugere que estes podem ser uma alternativa para restaurações ART Classe I para proteger a esfoliação natural dos dentes decíduos. No entanto, até que sejam realizados estudos adicionais envolvendo um maior número de restaurações e períodos de acompanhamento mais longos, os CIV de referência, como o KM, devem continuar sendo o material de escolha para as restaurações ART.Descritores: Tratamento restaurador dental sem trauma; cimentos de ionômeros de vidro; ensaio clínico. AbstractAmong the minimally invasive approaches available today, the atraumatic restorative treatment (ART) has demonstrated promising results both in the primary and permanent dentition. Objective: To evaluate the survival of Class I ART restorations in preschoolers with two Brazilian brands of glass ionomer cements (GIC) in comparison with a reference GIC. Material and method: The cavities of 49 preschool children (three to five years) with carious lesions in the posterior teeth (N=81) were filled by two experienced pediatric dentists according to the ART technique. The Brazilian GICs Maxxion-R (MR) and Vitro-Fil LC (VF), and the reference GIC Ketac-Molar (KM) were placed in a randomly pre-established sequence. Restorations were evaluated after 6 and 12 months by another investigator. Scores 0 and 1 were considered successful, while scores 3-9 were classified as failures. Kaplan-Meier survival analysis and the log-rank test were performed (p<0.05). Result: No statistically significant differences in survival rates of the tested GIC were observed after 12 months. Conclusion: The clinical performance the low-cost Brazilian GICs MR and VF observed after 12 months suggests that they may be an alternative for Class I ART restorations to safeguard the natural exfoliation of primary teeth. However, until furt...

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Twenty-five-year atraumatic restorative treatment (ART) approach: a comprehensive overview

Cited by 189 publications

References 66 publications

ART—a method on its way into dentistry

ART—a method on its way into dentistry

Efeito da técnica de inserção na resistência mecânica de dois cimentos de ionômero de vidro de alta viscosidade

Survival analysis of ART restorations in primary molars of preschool children: 1 year follow-up

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