A clinical evaluation of resin-based composite and glass ionomer cement restorations placed in primary teeth using the ART approach

Ersın, Nazan; Candan, Ümit; Aykut, Arzu; Önçağ, Özant; Eronat, Cemal; Köse, Timur

doi:10.14219/jada.archive.2006.0087

Cited by 79 publications

(86 citation statements)

References 19 publications

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“…The main cause of ART restoration failure in this study was due to loss of the restoration. This agrees with previous studies concerning the survival of ART restorations in the primary dentition (16,22,28,30), which may be due to the failure of the ART technique to establish a desirable design to accommodate the anatomical or morphological structural limitations in the primary teeth, the failure to control salivary contamination in children, and the fact that shallow ART restorations may be more susceptible to dislodgment in primary teeth. This reflects the need for ART material with improved physical properties, especially in stress-bearing areas.…”

Section: Discussionsupporting

confidence: 91%

Survival of Occlusal ART Restorations in Primary Molars Placed in School Environment and Hospital Dental Setup-One Year Follow-up Study

Roshan

Basha²

2011

Med Oral

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Objective: The objectives of this clinical study were to: evaluate the survival of occlusal atraumatic restorative treatment (ART) restorations, on a longitudinal basis, in the primary molars of children; and compare the success rate of ART restorations placed in school environment and in hospital dental setup. Study design: One dentist placed 120 ART restorations in 60 five-to seven year-olds who had bilateral matched pairs of carious primary molars. A split-mouth design was used to place restorations in school and in hospital dental setup, which were assigned randomly to contralateral sides. Restorations were evaluated after 6 and 12 months using the ART criteria. Results: The survival rate of ART restorations placed in school environment was 82.2% at the 6-month assessment and 77.77% at the 12-month assessment. The success rates of ART restorations placed in hospital dental setup in the 2 assessments were 87.7% and 81.48%, respectively. There was no statistically significant difference between the ART restorations placed in school environment and hospital dental setup in both assessments (P>O.05). The main cause of failure was the loss of restoration. Conclusions: The one year success rate of occlusal ART restorations in primary molars was moderately successful. The ART technique's done in hospital dental setup was not proven to be better than restorations placed in school environment.

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Section: Discussionsupporting

confidence: 91%

Survival of Occlusal ART Restorations in Primary Molars Placed in School Environment and Hospital Dental Setup-One Year Follow-up Study

Roshan

Basha²

2011

Med Oral

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“…20 Caries-preventive effect: glass-ionomer cement compared with resin composite There are few trials comparing the caries-preventive effect of GIC with that of resin composite. The results of two randomized control trials indicated no difference between both materials after two years in primary 21 and permanent teeth. 22 …”

Section: Remineralizing Effectmentioning

confidence: 95%

“…25 However, the comparison of GIC to fluoride-containing resin composite is only based on level II evidence from single RCTs. 21,22 Evidence for the fluoride uptake and remineralizing effect of GIC is based on in situ trial results (Evidence level III-1) and evidence for the comparative amount of fluoride released by GIC is based on two-arm laboratory studies (Evidence level III-3). These levels of evidence need to be regarded as 'fair', only as they reflect varying degrees of error and thus, do not provide strong evidence for clinical practice.…”

Section: Strength Of Current Evidencementioning

confidence: 99%

Therapeutic effect of glass‐ionomers: an overview of evidence

Mickenautsch

Mount

Yengopal

2011

Australian Dental Journal

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The requirements for an ideal restorative material include adhesion to tooth structure (enamel and dentine) and an ability to withstand the traumas of occlusion. However, some level of an anticaries effect is also desirable. After a long history of glass-ionomer cement (GIC) development, an evidence base in support of the therapeutic effect of GIC, particularly with regard to its anticaries effect, is emerging. This evidence is increasingly presented through systematic reviews of clinical GIC application and, to a certain extent, relates to a caries-preventive effect of the material itself. However, the strength of evidence supporting other aspects of GIC, such as a higher remineralizing effect, fluoride uptake in hard tooth tissue and fluoride release of GIC, is limited. Nevertheless, the results of these in situ and laboratory trials provide valuable insights into factors that facilitate understanding of the clinical efficacy of GIC.Keywords: Glass-ionomer cement, caries, systematic review evidence.Abbreviations and acronyms: ART = Atraumatic Restorative Treatment; ASPA II = alumino-silicate polyacrylic acid; GIC = glass-ionomer cement; KHN = Knoop hardness number; RCT = randomized control trial; RR = restorative risk.

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“…The studies indicate similar levels of success for class I ART restorations when compared with alternative types of restorations, such as amalgam or composites, while success for class II ART restorations was lower [Frencken et al, 1998;Lopez et al, 2005;Ersin et al, 2006;Lo et al, 2006Lo et al, , 2007Mickenautsch et al, 2010;Frencken et al, 2012].…”

mentioning

confidence: 88%

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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A clinical evaluation of resin-based composite and glass ionomer cement restorations placed in primary teeth using the ART approach

Cited by 79 publications

References 19 publications

Survival of Occlusal ART Restorations in Primary Molars Placed in School Environment and Hospital Dental Setup-One Year Follow-up Study

Survival of Occlusal ART Restorations in Primary Molars Placed in School Environment and Hospital Dental Setup-One Year Follow-up Study

Therapeutic effect of glass‐ionomers: an overview of evidence

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

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