BACKGROUND
Atraumatic restorative treatment (ART) may be appropriate for populations without accessibility and affordability. More data are required regarding the success rate of ART in anterior teeth.
AIM
To evaluate the clinical performance of restoring class III cavities in anterior teeth of permanent dentition using the ART approach.
METHODS
A longitudinal interventional field study was carried out at two rural primary health centers, Tumkur district, India. A total of 54 teeth in 39 patients were evaluated for the survival rate of class III restorations in permanent anterior teeth using the ART approach in children and adult populations. Evaluation of ART restoration was carried out using Frencken J criteria, the mean procedure time, patient acceptance and reported pain severity during the ART approach were evaluated using a visual analog scale. Calculation of the cost of ART was also performed.
RESULTS
The mean time taken to perform the ART procedure was 14.79 ± 5.8 min with the majority of patients reporting only mild pain. At 6 mo follow-up, 72.2% remained in a good state, but this reduced to 27% at 12 mo. The cumulative survival rate of the restorations was 94.4% at 6 mo and 80.9% at 12 mo follow-up. Estimation of the direct cost for a single class III restoration was 186.50 INR (2.64 USD).
CONCLUSION
ART may be a good comprehensive option for basic oral health care for underserved or inaccessible populations, and preventive care for patients.
Introduction: Malocclusion has a large impact on both individuals and society in terms of discomfort, quality of life, social and functional limitations. Aim: To systematically review the literature on prevalence of malocclusion among 12-15 year old Indian children using Dental Aesthetic Index. Methods: A literature search was obtained for relevant articles on malocclusion status of Indian children aged 12-15 years using 4 electronic retrieval systems and data bases. The search was limited to human studies, articles published during the period of January 2000 to July 2014 and those measured malocclusion using Dental Aesthetic Index. The methodological quality of an article was assessed based on Cochrane Collaboration criteria.Final inclusion was determined by evaluating the article based on relevance criteria. Results: A total of 856 articles were identified by the literature search, out of which 17 articles were selected for the final review. These articles were read in full and scored independently by two reviewers and evidence was extracted for all the outcomes measured. Prevalence of malocclusion among Indian children ranged from 20% to 40% and Maxillary overjet was the most common type of malocclusion which accounted for 38% to 78%. Conclusion: Malocclusion among Indian children is on a rise. It is not a single entity but rather a collection of situations, each in itself constituting a problem, and can be complicated by a multitude of genetic and environmental causes. The need to implement preventive and interceptive orthodontic care is of utmost importance.
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