Conclusions from the symposium: Two decades of ART: success through research

Holmgren, Christopher J.; Frencken, Jo E.

doi:10.1590/s1678-77572009000700021

Cited by 5 publications

(4 citation statements)

References 5 publications

(4 reference statements)

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“…After 3 years, the overall cumulative tooth-SR was 82%. This result encourages new studies to investigate not only the retention of the restoration but also the retention of the tooth, in view of the first objective of ART, which was to prevent decayed teeth from having to be extracted 1,2 .…”

Section: Discussionmentioning

confidence: 80%

“…Atraumatic restorative treatment (ART) was developed for underserved communities to provide an alternative for preventing decayed teeth from being extracted 1 . For the past twenty years, ART has been one of the most researched minimal intervention approaches for caries management 2 . When compared with traditional restorative procedures, ART is considered a less traumatic and friendlier approach for child populations 3,4 .…”

Section: Introductionmentioning

confidence: 99%

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The effect of GIC‐brand on the survival rate of proximal‐art restorations

Bonifácio

Hesse

Raggio

et al. 2012

Int J Paed Dentistry

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Section: Discussionmentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

The effect of GIC‐brand on the survival rate of proximal‐art restorations

Bonifácio

Hesse

Raggio

et al. 2012

Int J Paed Dentistry

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“…The latest research agenda regarding ART are an excellent example [ 88 ]. In conclusion, as Holmgren and Frencken [ 89 ] stated, ‘ART has served as a catalyst for a new way of thinking about oral health care. While oral health promotion through prevention remains the essential foundation of oral health, the ART approach is an important corner stone in the building of global oral health’.…”

Section: Discussionmentioning

confidence: 99%

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

2012

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Background The atraumatic restorative treatment (ART) approach was born 25 years ago in Tanzania. It has evolved into an essential caries management concept for improving quality and access to oral care globally. Results Meta-analyses and systematic reviews have indicated that the high effectiveness of ART sealants using high-viscosity glass ionomers in carious lesion development prevention is not different from that of resin fissure sealants. ART using high-viscosity glass ionomer can safely be used to restore single-surface cavities both in primary and in permanent posterior teeth, but its quality in restoring multiple surfaces in primary posterior teeth cavities needs to be improved. Insufficient information is available regarding the quality of ART restorations in multiple surfaces in permanent anterior and posterior teeth. There appears to be no difference in the survival of single-surface high-viscosity glass-ionomer ART restorations and amalgam restorations. Discussion The use of ART results in smaller cavities and in high acceptance of preventive and restorative care by children. Because local anaesthesia is seldom needed and only hand instruments are used, ART is considered to be a promising approach for treating children suffering from early childhood caries. ART has been implemented in the public oral health services of a number of countries, and clearly, proper implementation requires the availability of sufficient stocks of good high-viscosity glass ionomers and sets of ART instruments right from the start. Textbooks including chapters on ART are available, and the concept is being included in graduate courses at dental schools in a number of countries. Recent development and testing of e-learning modules for distance learning has increasingly facilitated the distribution of ART information amongst professionals, thus enabling more people to benefit from ART. However, this development and further research require adequate funding, which is not always easily obtainable. The next major challenge is the continuation of care to the frail elderly, in which ART may play a part. Conclusion ART, as part of the Basic Package of Oral Care, is an important cornerstone for the development of global oral health and alleviating inequality in oral care.

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“…Eventually, ART became the most researched technique to search for novel restorative material and minimal intervention approach strategies. [ 2 ] ART not only proved to be easy to perform compared to conventional restorative methods, but it also proved to be less sensitive, less painful, and economical, while producing comparable beneficial results in the maintenance of viable teeth. [ 3 4 5 ]…”

Section: Introductionmentioning

confidence: 99%

A comparative survival analysis of high viscosity glass ionomer restorations using conventional cavity preparation and atraumatic restorative treatment technique in primary molars: A randomized clinical trial

et al. 2021

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Background: This randomized clinical trial (RCT) aimed to compare the 3-year survival rates of high viscosity glass ionomer restorations (HVGIC) using conventional cavity preparation and atraumatic restorative technique (ART) in primary molars. Materials and Methods: In this RCT, 139 schoolchildren aged 6–9 years with dentinal caries in primary molars were randomly allocated to groups, i.e. the ART group and the conventional group, utilizing a random number generator. Adequate allocation concealment was done. Intervention was delivered using standard procedure and GC Fuji IX ART HVGIC was used as restorations in both the groups. Analysis was carried in 92 participants, and survival rates in both the groups were compared at 12, 24, and 36-month intervals. IBM SPSS software was utilized to analyze the time taken for the procedure and the Kaplan–Meier estimate was used to assess the survival rates. P value of 0.05 was considered statistically significant. Results: The ART took longer to complete (16.48 ± 2.02 min) versus conventional rotary instrumentation (13.15 ± 1.32 min). The conventional method was slightly superior as compared to ART; excellent survival rates (i.e. >90%) were achieved in both groups at the end of 12-month follow-up with no significant differences at the end of 24 and 36 months as evident from Kaplan–Meier estimate ( P = 0.255). Conclusion: Three-year follow-up showed that GIC restorations with ART and conventional method carried out using GC Fuji IX ART HVGIC were acceptably successful, substantiating the use of ART for the primary dentition in areas with high caries prevalence and limited access to dental care.

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Conclusions from the symposium: Two decades of ART: success through research

Cited by 5 publications

References 5 publications

The effect of GIC‐brand on the survival rate of proximal‐art restorations

The effect of GIC‐brand on the survival rate of proximal‐art restorations

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

A comparative survival analysis of high viscosity glass ionomer restorations using conventional cavity preparation and atraumatic restorative treatment technique in primary molars: A randomized clinical trial

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