The correct use of the ART approach

Frencken, Jo E.; Leal, Soraya Coelho

doi:10.1590/s1678-77572010000100002

Cited by 60 publications

(44 citation statements)

References 19 publications

(28 reference statements)

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“…The use of rotary instruments does not feature as part of the ART approach [3], so the number of ART restorations reported from 2000–2006, given above, might be an overestimation. The problem has since been corrected.…”

Section: Introductionmentioning

confidence: 99%

The atraumatic restorative treatment (ART) strategy in Mexico: two-years follow up of ART sealants and restorations

et al. 2013

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BackgroundThe massive use of preventive measures in Mexico has resulted in a large decline in dental caries over the past two decades. There does however remain a largely unmet need for restorative treatment. This paper describes the steps leading up to the adoption of a strategy, as part of general health policy, to use Atraumatic Restorative Treatment (ART) within the Mexican public health service as a means of addressing this. The objective was to evaluate ART restorations and sealants placed in primary and permanent teeth in schoolchildren from deprived areas over a period of 2 years.Methods18 Dentists from 13 municipalities in 6 states with the lowest human development index treated 304, 6- to 13-year-old schoolchildren with ART sealants and ART restorations (single-surfaces) on the school compounds. Ketac Molar Easymix was the filling material used. ART procedures were evaluated according to the ART assessment criteria after 1 and 2 years, by 7 calibrated evaluators. Survival rates were estimated, using the PHREG Model with frailty correction.ResultsThe 2-year cumulative survival rates of fully and partially retained ART sealants were 73.1% (primary teeth) and 48.8% (permanent teeth). The dentine carious lesion failure rates of ART sealants in primary and permanent teeth over the 2-year period were 0% and 2.5%, respectively. The 2-year cumulative survival rates of single-surface ART restorations in primary and permanent teeth were 74% and 80.9%, respectively. Secondary carious lesion development occurred in 6 restored primary teeth (2.1%) and in one restored permanent tooth (1.3%). All restorations placed in primary teeth in one state survived, whilst those in one of the 5 remaining states failed statistically significantly more than those in the other 4.ConclusionsThe ART procedures were of substantial quality and had prevented to a large extent the development of new dentine carious lesions in these children from socio-economically deprived areas.

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Section: Introductionmentioning

confidence: 99%

The atraumatic restorative treatment (ART) strategy in Mexico: two-years follow up of ART sealants and restorations

et al. 2013

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“…A modified approach to ART, to include the use of rotary instruments, has been suggested in the literature [Massara and Bönecker, 2012], but there is debate among the profession on the terminology to be used to describe various approaches to minimally invasive dental treatment and variations in the ART technique [Frencken and Leal, 2010]. In Western Australia, the use of a minimum intervention dentistry approach based on ART compared against standard care, to manage early childhood caries (ECC) among preschool children, found a 44% lower rate of referral for specialist paediatric care with the ART-based approach [Arrow and Klobas, 2015b].…”

mentioning

confidence: 99%

Restorative Outcomes of a Minimally Invasive Restorative Approach Based on Atraumatic Restorative Treatment to Manage Early Childhood Caries: A Randomised Controlled Trial

Arrow¹

2015

Caries Res

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A pragmatic randomised controlled trial comparing a minimally invasive approach based on atraumatic restorative treatment (ART) procedures (test) was tested against the standard-care approach (control) to treat early childhood caries (ECC) in a primary-care setting in Perth, W.A., Australia. Parent/child dyads with ECC were allocated to the test or control group using stratified block randomisation. Children were examined at baseline and follow-up by two calibrated examiners blinded to group allocation status. Dental therapists trained in ART provided treatment to the test group and dentists treated the control group. Restoration quality was evaluated at follow-up using the ART criteria. Data were analysed on an intention-to-treat basis; test of proportions, Wilcoxon rank test and logistic regression, controlling for clustering of teeth, were used. Two hundred and fifty-four children were randomised (test = 127 and control = 127). There was no statistically significant difference in age, sex and baseline caries experience between the test and control groups. At follow-up (mean interval 11.4 months, SD 3.1), 220 children were examined (test = 115 and control = 105) and 597 teeth (test = 417 and control = 180) were evaluated for restoration quality, of which 16.8% (test) and 6.7% (control) were judged to have failed (required replacement; p < 0.01). Intention-to-treat, multiple logistic regression found multisurface restorations (OR = 10.4) had significantly higher odds of failure, while referral for specialist paediatric care had significantly lower odds of restoration failure (OR = 0.2). The ART-based approach enabled more children and teeth to be treated, and multisurface restoration and treatment in a primary-care setting had higher odds of restoration failure.

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“…The main factor might be the inexperience of operators that conducted the initial phase of treatment of schoolchildren. Studies have reported the effect of operator being directly related to the ART success (Frencken et al 1998;Holmgren et al 2000;Tyas et al 2000;Frencken and Leal 2010). Problems with glass ionomer mixing, for example, affect its compressive strength (Lopez et al 2005).…”

Section: Discussionmentioning

confidence: 99%

Atraumatic restorative treatment - glass ionomer sealants survival after a postgraduate training program in Ecuador: 2-year follow-up

Rios

Diniz

Ruiz

et al. 2015

Braz. arch. biol. technol.

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This study aimed to evaluate the survival of atraumatic restorative treatment high-viscosity glass ionomer sealants (ART-hvGIS) and its relationship with carious lesions incidence in underserved communities of Ecuador. A total of 483 first permanent molars with ART-hvGIS were included after treatment, in which fifteen students of the First Preventive Dentistry Post Graduate Program of Universidad Central del

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The correct use of the ART approach

Cited by 60 publications

References 19 publications

The atraumatic restorative treatment (ART) strategy in Mexico: two-years follow up of ART sealants and restorations

The atraumatic restorative treatment (ART) strategy in Mexico: two-years follow up of ART sealants and restorations

Restorative Outcomes of a Minimally Invasive Restorative Approach Based on Atraumatic Restorative Treatment to Manage Early Childhood Caries: A Randomised Controlled Trial

Atraumatic restorative treatment - glass ionomer sealants survival after a postgraduate training program in Ecuador: 2-year follow-up

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