Anxiety Levels among Five-Year-Old Children Undergoing ART Restoration- A Cross-Sectional Study

Ishan,; Shivlingesh, K K; Agarwal, Vartika; Gupta, Bhuvan Deep; Anand, Richa; Sharma, Abhinav; Kushwaha, Sumedha; Khan, Khateeb

doi:10.7860/jcdr/2017/19194.9667

Cited by 6 publications

(2 citation statements)

References 30 publications

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“…A study reported that children receiving ART restorations had lower levels of anxiety when compared with those receiving conventional restorations using electrical drilling [ 22 ]. Another study found that the level of anxiety of preschool children towards dental treatment had decreased after ART treatment [ 23 ]. Another study also found that ART has good acceptability among young children [ 16 ].…”

Section: Atraumatic Restorative Treatmentmentioning

confidence: 99%

Managing Early Childhood Caries for Young Children in China

et al. 2018

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The latest national survey found that 70% of 5-year-old children in China had dental caries. The prevalence of early childhood caries (ECC) may not only be attributed to poor oral hygiene and unhealthy diet, but also to limited access to and availability of dental care. The prevailing preventive measures adopted by industrialised countries for ECC management are neither practical nor affordable in China. Hence, an alternative approach to ECC management is necessary. Atraumatic restorative treatment (ART) has been advocated because the simple and short operative time renders ART affordable. However, the success rate of ART in restoring anterior primary teeth is unfavourable. Although there is no water fluoridation in China, topical fluorides may be used to manage ECC. Tooth brushing with fluoride toothpaste is effective for caries control, but not all toothpastes in China are fluoridated. Professionally applied fluorides such as sodium fluoride varnish can be a cost-effective treatment for managing the high prevalence of ECC in China. Silver diamine fluoride (SDF) at 38% is suggested to be effective in arresting ECC in China. It can be a simple, non-invasive and low-cost treatment. However, it stains caries black. Children and their parents must be well informed before SDF treatment.

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Section: Atraumatic Restorative Treatmentmentioning

confidence: 99%

Managing Early Childhood Caries for Young Children in China

et al. 2018

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“…The ART procedure produced less anxiety when compared with other restorative procedures using a dental drill [ 35 ]. Prior to ART treatment, the initial anxiety of preschool children was greater, and since the treatment has been adopted, the level of anxiety has decreased [ 36 ]. A high acceptability rate for the ART procedure was found in young children [ 37 , 38 ].…”

Section: Restorative Approach To Managing Cavitated Eccmentioning

confidence: 99%

Managing Early Childhood Caries with Atraumatic Restorative Treatment and Topical Silver and Fluoride Agents

Duangthip

Chen

Gao

et al. 2017

IJERPH

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Early childhood caries (ECC) is a significant global health problem affecting millions of preschool children worldwide. In general, preschool children from families with 20% of the lowest family incomes suffered about 80% of the ECC. Most, if not all, surveys indicated that the great majority of ECC was left untreated. Untreated caries progresses into the dental pulp, causing pain and infection. It can spread systemically, affecting a child’s growth, development and general health. Fundamental caries management is based on the conventional restorative approach. Because preschool children are too young to cope with lengthy dental treatment, they often receive dental treatment under general anaesthesia from a specialist dentist. However, treatment under general anaesthesia poses a life-threatening risk to young children. Moreover, there are few dentists in rural areas, where ECC is prevalent. Hence, conventional dental care is unaffordable, inaccessible or unavailable in many communities. However, studies showed that the atraumatic restorative treatment had a very good success rate in treating dentine caries in young children. Silver diamine fluoride is considered safe and effective in arresting dentine caries in primary teeth. The aim of this paper is to review and discuss updated evidence of these alternative approaches in order to manage cavitated ECC.

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